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Drug Evaluation

The anti-IL-4 receptor alpha antibody dupilumab: facing a new era in treating atopic dermatitis

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References

  • Papers of special note have been highlighted as either of interest (*) or of considerable interest (**) to readers.
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  • *Palmer CN, Irvine AD, Terron-Kwiatkowski A, et al. Common loss-of-function variants of the epidermal barrier protein filaggrin are a major predisposing factor for atopic dermatitis. Nat Genet. 2006;38(4):441–46.
  • Reference [6] was highlighted since it reports about the high rate of filaggrin mutations in patients with atopic dermatitis which is essential to explain the outside-in hypothesis of atopic dermatitis.
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  • *Eyerich K, Novak N. Immunology of atopic eczema: overcoming the Th1/Th2 paradigm. Allergy. 2013;68(8):974–82.
  • Reference [12] was highlighted since it explains the immunological concept of inflammation of atopic dermatitis.
  • Andrews AL, Holloway JW, Holgate ST, et al. IL-4 receptor alpha is an important modulator of IL-4 and IL-13 receptor binding: implications for the development of therapeutic targets. J Immunol. 2006;176(12):7456–7461.
  • Beck LA, Thaci D, Hamilton JD, et al. Systemic treatment of patients with severe atopic dermatitis (AD) with an anti IL-4RαmAb (REGN668/SAR231893) results in rapid and sustained improvements in disease signs and symptoms. Abstract presented at: International investigative dermatology meeting; May 8-11, 2013; Edinburgh, Scotland. J Invest Dermatol. 2013;133:S178.
  • Yosipovitch G, Mayo M, Jd H, et al. A. IL-4Rα mAb REGN668/SAT231893 for the treatment of severe atopic dermatitis itch. J Invest Dermatol. 2013;133:S178.
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  • Reference [20] was highlighted since it reviews today’s different topical and systemic therapies for atopic dermatitis and focuses on their efficacy.
  • **Beck LA, Thaçi D, Jd H, et al. Dupilumab treatment in adults with moderate-to-severe atopic dermatitis. N Engl J Med. 2014;371(2):130–139.
  • Reference [21] was strongly highlighted since it is the publication in which the four clinical studies on dupilumab are published which are the topic of our article.
  • Wenzel S, Ford L, Pearlman D, et al. Dupilumab in persistent asthma with elevated eosinophil levels. N Engl J Med. 2013;368(26):2455–2466.
  • Hamilton JD, Suárez-Fariñas M, Dhingra N, et al. Dupilumab improves the molecular signature in skin of patients with moderate-to-severe atopic dermatitis. J Allergy Clin Immunol. 2014;134(6):1293–1300.
  • Di Lernia V. Therapeutic strategies in extrinsic atopic dermatitis: focus on inhibition of IL-4 as a new pharmacological approach. Expert Opin Ther Targets. 2015;19(1):87–96.

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