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Impact of Dupilumab on Small Airway Disease in Severe Asthma: A 12-Month Retrospective Real-World Study - PubMed

8 hours ago
  • #Small Airway Disease
  • #Severe Asthma
  • #Dupilumab
  • The study evaluated dupilumab's impact on small-airway disease (SAD) in severe asthma over 12 months.
  • 62% of the 21 patients had SAD at baseline (R5-R20 > 0.07 kPa/L/s).
  • Dupilumab significantly improved small-airway function: R5-R20 decreased from 0.18 to 0.09 kPa/L/s, and predicted FEF25-75% increased from 29.5% to 47.0%.
  • Asthma Control Test scores improved from 13.1 to 19.6, and FeNO levels decreased from 64.1 to 24.8 ppb.
  • Improvements in R5-R20 correlated with better asthma control and reduced type 2 inflammation.
  • Treatment also reduced exacerbation frequency and oral corticosteroid dependence.