Drug survival analysis of dupilumab and associated predictors in patients with atopic dermatitis in South Korea: single-center, retrospective study

Author:

Seul Tae Woong1,Park Hyun Woo1,Kim Hyo Yoon1,Shin Jung Jin1,Son Sang Wook1

Affiliation:

1. Korea University Ansan Hospital

Abstract

Abstract Long-term data on dupilumab drug survival in Asia patients with atopic dermatitis (AD) are limited. A single-center, retrospective study was performed to assess drug survival between March 2019 and March 2023. Drug survival and associated characteristics were analyzed using Kaplan–Meier survival curves and multivariate Cox regression analysis, respectively. A total of 124 patients with AD (Mean age [standard deviation], 26.0 [8.6] years) with a 4 years-overall dupilumab drug survival rate of 87.9%, were included in this study. During the same period, drug survival in the 479 cyclosporine patients was 0.2%, statistically different from the dupilumab group (p -value < 0.001). Characteristics associated with shorter drug survival were the low eczema area and severity index (EASI) scores at baseline (hazard ratio [HR], 0.84; 95% confidence interval [CI], 0.75–0.94, p-value = 0.003) and non-insurance coverage of dupilumab (HR, 11.87; 95% CI, 3.28–42.99, p-value = 0.001). This retrospective study demonstrated good overall 4-year dupilumab survival (87.9%) in South Korea. Patients with low baseline EASI scores and those who did not have insurance for dupilumab treatment discontinued the therapy frequently. To the best of our knowledge, this is the first long-term dupilumab drug survival study conducted in Asia with predictors.

Publisher

Research Square Platform LLC

Reference15 articles.

1. Beck, L. A. et al. Dupilumab treatment in adults with moderate to severe atopic dermatitis. N. Engl. J. Med. 371, 130–139 (2014), PubMed PMID: 25006719.

2. Dupilumab with concomitant topical corticosteroid treatment in adults with atopic dermatitis with an inadequate response or intolerance to ciclosporin A or when this treatment is medically inadvisable: a placebo-controlled, randomized phase III clinical trial (Liberty AD CAFE);Bruin-Weller M;Br. J. Dermatol.,2018

3. Guttman-Yassky, E. et al. Dupilumab progressively improves systemic and cutaneous abnormalities in patients with atopic dermatitis. J. Allergy Clin. Immunol. 143, 155–172 (2019), PubMed PMID: 30194992.

4. Khosravi, H. et al. Dupilumab drug survival, treatment failures, and insurance approval at a tertiary care center in the United States. J. Am. Acad. Dermatol. 82, 1023–1024 (2020), PubMed PMID: 31866263.

5. Napolitano, M. et al. Drug survival analysis of dupilumab and cyclosporin in patients with atopic dermatitis: a multicenter study. J. Dermatolog. Treat. 33, 2670–2673 (2022), PubMed PMID: 35435125.

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3