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Long-Term Safety and Efficacy of Dupilumab Treatment in Children Aged 6 Months to 5 Years with Severe Atopic Dermatitis - PubMed

19 hours ago
  • #pediatric safety
  • #atopic dermatitis
  • #dupilumab
  • Dupilumab treatment in children aged 6 months to 5 years with severe atopic dermatitis shows long-term safety and efficacy over up to 2 years.
  • The study involved 121 patients, with 88% experiencing treatment-emergent adverse events, mostly mild/moderate and not treatment-related.
  • Common adverse events included upper respiratory tract infections, nasopharyngitis, and cough; conjunctivitis occurred in 19% of patients but was mild/moderate and resolved.
  • One drug-related event (severe urticaria) led to treatment discontinuation, but it was not serious and resolved over time.
  • Serious adverse events occurred in 14% of patients, with one drug-related pinworm infection; none led to treatment discontinuation.
  • By week 104, 96% achieved EASI-75, 27% achieved IGA 0/1 (clear/almost clear skin), and 92% achieved IGA ≤ 2.
  • Quality of life improved significantly, with 89% of patients aged ≥4 years showing clinically meaningful improvement in CDLQI and 100% of infants showing improvement in IDQoL.
  • Patients who received placebo in the parent study showed rapid efficacy improvements comparable to those on dupilumab by week 4 of the extension study.
  • Long-term safety profile was consistent with short-term data, with no new safety signals detected.
  • The study supports dupilumab as a beneficial treatment for infants and young children with severe atopic dermatitis, with a low risk of side effects.