Dupilumab sustains efficacy in patients with moderate-to-severe type 2 asthma regardless of inhaled corticosteroids dose
Pavord, Ian (University of Oxford)
Bourdin, Arnaud (Université de Montpellier)
Papi, Alberto (University of Ferrara, S. Anna University Hospital, Ferrara, Italy)
Domingo, Christian (Parc Taulí Hospital Universitari. Institut d'Investigació i Innovació Parc Taulí (I3PT))
Corren, Jonathan (David Geffen School of Medicine at UCLA (Los Angeles, Estats Units d'Amèrica))
Altincatal, Arman (Sanofi, Cambridge, Massachusetts, USA)
Radwan, Amr (Regeneron Pharmaceuticals, Inc., Tarrytown, New York, USA)
Pandit-Abid, Nami (Sanofi, Bridgewater, New Jersey, USA)
Jacob-Nara, Juby A. (Sanofi, Bridgewater, New Jersey, USA)
Deniz, Yamo (Regeneron Pharmaceuticals, Inc., Tarrytown, New York, USA)
Rowe, Paul Jonathan (Sanofi, Bridgewater, New Jersey, USA)
Laws, Elizabeth (Sanofi, Bridgewater, New Jersey, USA)
Lederer, David J. (Regeneron Pharmaceuticals, Inc., Tarrytown, New York, USA)
Hardin, Megan (Sanofi, Cambridge, Massachusetts, USA)
Universitat Autònoma de Barcelona. Departament de Medicina

Data:	2023
Resum:	Background: Dupilumab, a human monoclonal antibody, blocks the shared receptor component for interleukins-4/13, key and central drivers of type 2 inflammation. The TRAVERSE (NCT02134028) open-label extension study demonstrated the long-term safety and efficacy of dupilumab in patients ≥12 years who completed a previous dupilumab asthma study. The safety profile was consistent with that observed in the parent studies. Here, we assess whether dupilumab sustains long-term efficacy in patients regardless of inhaled corticosteroid (ICS) dose at parent study baseline (PSBL). Methods: Patients from phase 2b (NCT01854047) or phase 3 (QUEST; NCT02414854) studies receiving high- or medium-dose ICS at PSBL and enrolled in TRAVERSE were included. We analyzed unadjusted annualized severe exacerbation rates, change from PSBL in pre-bronchodilator (BD) forced expiratory volume in 1 second (FEV), 5-item asthma control questionnaire, and type 2 biomarkers in patients with type 2 asthma at baseline (blood eosinophils ≥150 cells/μL or fractional exhaled nitric oxide [FeNO] ≥25 ppb), and subgroups defined by baseline blood eosinophils or FeNO. Results: Of patients with type 2 asthma (n = 1666), 891 (53. 5%) were receiving high-dose ICS at PSBL. In this subgroup, unadjusted exacerbation rates for dupilumab versus placebo were 0. 517 versus 1. 883 (phase 2b) and 0. 571 versus 1. 300 (QUEST) over the parent study (52 weeks) and remained low throughout TRAVERSE (0. 313-0. 494). Improvements in pre-BD FEV were sustained throughout TRAVERSE. Similar clinical efficacy was observed among patients receiving medium-dose ICS at PSBL and biomarker subgroups. Conclusions: Dupilumab showed sustained efficacy for up to 3 years in patients with uncontrolled, moderate-to-severe type 2 asthma on high- or medium-dose ICS.
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, i la comunicació pública de l'obra, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original. No es permet la creació d'obres derivades.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	Asthma control ; Exacerbations ; Inhaled corticosteroids ; Moderate-to-severe asthma ; Prebronchodilator FEV1
Publicat a:	Allergy, Vol. 78, Núm. 11 (november 2023) , p. 2921-2932, ISSN 1398-9995

DOI: 10.1111/all.15792

12 p, 1.5 MB

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Documents de recerca > Documents dels grups de recerca de la UAB > Centres i grups de recerca (producció científica) > Ciències de la salut i biociències > Institut d’Investigació i Innovació Parc Taulí (I3PT)
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