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Título

Dupilumab significantly improves patient reported outcomes in pediatric AD patients < 12 years of age

Resumo

Introduction: Dupilumab has proven to be effective in improving patient-reported outcomes and has safety data for atopic dermatitis (AD) in pediatric patients in clinical trials. Few real-world studies are available to show the treatment effect on patient-reported disease symptoms and quality of life (QoL) in children with moderate-to-severe AD.
Method: PEDISTAD (NCT03687359) is an ongoing, international, longitudinal, observational 5-year registry study in patients aged 6 months to 11 years with moderate-to-severe AD that is inadequately controlled by topical prescription therapies. This interim analysis assesses the effect of dupilumab on Patient-Oriented Eczema Measure (POEM) and on QoL using Children’s Dermatology Life Quality Index (CDLQI), for up to 3 years. Overall safety was also evaluated.
Results: A total of 214 patients received dupilumab (median treatment observation period: 16.1 months; accumulated 3-year discontinuation rate: 13.3%). The proportion of patients with severe/very severe disease (POEM score > 17 [range 0–28]) decreased from 63.2% at therapy start to 16.3% at last observation. The mean (± SE) POEM score also decreased with dupilumab use, from 17.9 ± 0.5 at therapy start to 9.1 ± 0.7 at last observation. Similarly, the mean (± SE) CDLQI score decreased with dupilumab use, from 12.9 ± 0.5 at therapy start to 7.3 ± 0.7 at last observation. 24% of patients had adverse events, including 2.4% serious adverse events.
Conclusion: Dupilumab significantly improved patient-reported symptoms of AD and QoL in children aged 6 months to 11 years in real-world daily practice.

Área

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