Evidence map›Paper›PMID 41458354›Full record

ReviewJournal of inflammation research2025

Targeting the IL-4/IL-4R Axis in Th2 Inflammatory Diseases: A Review of Clinical Efficacy and Safety.

Wenjian Li

Abstract readReview
In one paragraph

Review in Journal of inflammation research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

1 author.

Wenjian LiThe Affiliated Changzhou Hospital of Xuzhou Medical University, Changzhou Third People's Hospital, Changzhou, Jiangsu, People's Republic of China.ORCID 0000-0002-7650-8842

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The interleukin-4/its receptor (IL-4/IL-4R) axis has been identified as a pivotal driver of type 2 (Th2) inflammation. Biologics targeting this axis, particularly IL-4 receptor alpha subunit (IL-4Rα) monoclonal antibodies (such as dupilumab), provide revolutionary therapeutic options for multiple Th2 inflammatory diseases by simultaneously blocking IL-4 and interleukin-13 (IL-13) signaling. This review systematically evaluates the clinical application of IL-4/IL-4R-targeted therapies across a spectrum of indications, including atopic dermatitis, asthma, chronic rhinosinusitis with nasal polyps, eosinophilic esophagitis, prurigo nodularis, and bullous pemphigoid. A substantial body of research, including randomized controlled trials and real-world studies, has demonstrated the efficacy of this therapy in improving disease-specific scores, enhancing lung function, and reducing the risk of acute exacerbations. However, the effectiveness of this treatment exhibits heterogeneity, with some patients developing primary resistance. With respect to safety, the therapy is generally well-tolerated; however, it is associated with a series of characteristic adverse events, including injection site reactions (incidence 8%-22%), disease-specific conjunctivitis (up to 14%-19% in patients with atopic dermatitis), nasopharyngitis, and transient eosinophilia. Future advancements in dynamic biomarker monitoring, bispecific antibody development, and precision dosing strategies hold promise for further optimizing the efficacy-safety balance and expanding therapeutic applications, including in neurodegenerative diseases. The objective of this review is to provide clinicians with a thorough, evidence-based synopsis of the current clinical value and prospects of IL-4/IL-4R-targeted therapies.

Indexed as

clinical efficacy and safetydupilumabIL-4/IL-4R axistargeted therapyTh2 inflammatory diseases

Identifiers

PMID41458354
PMCPMC12739947

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.