Dupilumab治疗可改善不同年龄和种族的特应性皮炎患者的地衣变。

IF 1.5 4区 医学 Q3 DERMATOLOGY
Emma Guttman-Yassky, Norito Katoh, Michael J Cork, Jared Jagdeo, Andrew F Alexis, Zhen Chen, Noah A Levit, Ana B Rossi
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引用次数: 0

摘要

背景:地衣变常见于任何年龄的中度至重度特应性皮炎(AD),通常难以治疗。该分析评估了dupilumab与安慰剂在年龄和种族定义组AD苔藓化中的作用。方法:该事后分析纳入了5项dupilumab临床试验(NCT03054428、NCT03345914、NCT02277743、NCT02277769、NCT02395133)的汇总数据,包括1997例6 - 88岁、所有种族的中重度AD患者。结果:按年龄分析的安慰剂/杜匹单抗随机分组(n=1,535)包括123/244名儿童、85/166名青少年和460/457名成人;根据自我报告的种族背景进行分析的组(n= 1902)包括132/234名亚洲患者、74/112名黑人/非裔美国患者和427/923名白人患者。从第1周(成人/青少年)或第2周(儿童)到第16周,Dupilumab治疗在全球个体体征评分(Global Individual Signs Score)中,与安慰剂相比,表面上显著降低了地衣化。通过对特应性皮炎和湿疹的面积和严重程度指数进行评分来测量地衣化程度。到第16周,dupilumab在所有种族组中显著改善地衣变,与安慰剂相比具有象征性意义。结论:Dupilumab治疗导致所有年龄段解剖区域的地衣变快速和持续改善。在不同种族中,地衣化的改善程度相似。皮肤医学杂志,2025;24(2):167-173。doi: 10.36849 / JDD.8585R1。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Dupilumab Treatment Improves Lichenification in Atopic Dermatitis in Different Age and Racial Groups.

Background: Lichenification, common in moderate to severe atopic dermatitis (AD) at any age, is often difficult to treat. This analysis assessed dupilumab vs placebo in AD lichenification by age and race-defined groups.

Methods: This post hoc analysis included pooled data from five clinical trials of dupilumab (NCT03054428, NCT03345914, NCT02277743, NCT02277769, NCT02395133), including 1,997 patients aged 6 to 88 years of all races with moderate to severe AD.

Results: Placebo/dupilumab randomized groups analyzed by age (n=1,535) included 123/244 children, 85/166 adolescents, and 460/457 adults; groups analyzed by self-reported racial background (n=1,902) included 132/234 Asian, 74/112 Black/African American, and 427/923 White patients. Dupilumab treatment resulted in nominally significant reductions vs placebo in Global Individual Signs Score lichenification from week 1 (adults/adolescents) or week 2 (children) through week 16. Lichenification measured by SCORing Atopic Dermatitis and Eczema Area and Severity Index improved similarly. By week 16, dupilumab significantly improved lichenification, with nominal significance vs placebo across all racial groups.

Conclusion: Dupilumab treatment resulted in rapid and sustained improvement in lichenification across anatomic regions in all ages. Lichenification improved to a similar extent across racial groups. J Drugs Dermatol. 2025;24(2):167-173. doi:10.36849/JDD.8585R1.

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来源期刊
CiteScore
2.20
自引率
13.30%
发文量
289
审稿时长
3-6 weeks
期刊介绍: The Journal of Drugs in Dermatology (JDD) is a peer-reviewed publication indexed with MEDLINE®/PubMed® that was founded by the renowned Dr. Perry Robins MD. Founded in 2002, it offers one of the fastest routes to disseminate dermatologic information and is considered the fastest growing publication in dermatology. We present original articles, award-winning case reports, and timely features pertaining to new methods, techniques, drug therapy, and devices in dermatology that provide readers with peer reviewed content of the utmost quality. Our high standards of content are maintained through a balanced, peer-review process. Articles are reviewed by an International Editorial Board of over 160 renowned experts.
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