1. Analysis of predictive factors influencing dupilumab continuation rate in adult patients with atopic dermatitis: results from an Italian multicenter study
- Author
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Gori, Niccolo', Sernicola, A., Tolino, E., Mariano, M., Galluzzo, M., Moretta, G., Coppola, R., D'Alessio, A., Sansone, Martina, Maffei, V., Paolino, C., Ferrao, C., Cascia, L., Addio, P., Di Nardo, Lucia, Chiricozzi, Andrea, Del Duca, E., Cristaudo, A., Bianchi, L., Pallotta, S., Panasiti, V., Pellacani, G., Potenza, C., Peris, Ketty, Gori N., Sansone M., Di Nardo L., Chiricozzi A. (ORCID:0000-0002-6739-0387), Peris K. (ORCID:0000-0002-5237-0463), Gori, Niccolo', Sernicola, A., Tolino, E., Mariano, M., Galluzzo, M., Moretta, G., Coppola, R., D'Alessio, A., Sansone, Martina, Maffei, V., Paolino, C., Ferrao, C., Cascia, L., Addio, P., Di Nardo, Lucia, Chiricozzi, Andrea, Del Duca, E., Cristaudo, A., Bianchi, L., Pallotta, S., Panasiti, V., Pellacani, G., Potenza, C., Peris, Ketty, Gori N., Sansone M., Di Nardo L., Chiricozzi A. (ORCID:0000-0002-6739-0387), and Peris K. (ORCID:0000-0002-5237-0463)
- Abstract
Objectives: The purpose of this study was to analyze the drug survival rate of dupilumab up to 2 years in a large real-world cohort of adult patients affected by moderate/severe atopic dermatitis (AD), and to investigate the clinical, demographic and predictive factors influencing the patients’ treatment persistence. Material and methods: This study included adult patients affected by moderate-to-severe AD treated with dupilumab for at least 16 weeks who visited 7 dermatologic outpatient clinics in Lazio, Italy, from January 2019 until August 2021. Results: A total of 659 adult patients (345 male [52.3%], mean age: 42.8 years) with an average treatment duration of 23.3 months were enrolled in the study. Overall, 88.6% and 76.1% of patients were still on treatment after 12 and 24 months, respectively. The drug survival rate for discontinuation due to AEs and dupilumab ineffectiveness was 95.0% at 12 months and 90.0% at 24 months. The main reasons for drug discontinuation included inefficacy (29.6%), failed compliance (17.4%), persistent efficacy (20.4%) and adverse events (7.8%). Adult AD onset (≥18 years) and EASI score severity measured at the last follow-up visit were the only factors significantly associated with lower drug survival. Conclusion: This study revealed an increased cumulative probability of dupilumab survival at 2 years, reflected by a sustained effectiveness and a favorable safety profile of the drug.
- Published
- 2023