Therefore, the observed early responders to dupilumab treatment in severe asthma are concordant with both basic mechanisms and previously confirmed clinical effects on moderate-to-severe atopic dermatitis
Therefore, the observed early responders to dupilumab treatment in severe asthma are concordant with both basic mechanisms and previously confirmed clinical effects on moderate-to-severe atopic dermatitis. associated with asthma, were adopted as patient-reported outcomes (PROs) at week 8 and within 7 days, respectively. Patients were stratified into early responders (7 days), late responders (week 8), and non-responders without significant improvement in PROs. Descriptive statistics were adopted due to the limited number of patients. Results Four of these 12 patients were early responders, with the following baseline characteristics: body mass index, 25 kg/m2; without depression; baseline forced expiratory volume in 1 second, 1.50 L; and more than one exacerbation in 1 year. On the other hand, five were late responders, and 44.4% of the nine responders were early responders. The higher the eosinophilic count and/or FeNO did not show any relationship between the early responder and nonresponder. Conclusions The effect of dupilumab on severe asthma in patients with atopic features could be started earlier Vernakalant HCl than 2 weeks, similar to atopic dermatitis. Daily ACT may be useful in monitoring the early efficacy of Vernakalant HCl dupilumab in treating Vernakalant HCl severe asthma. the daily ACT, late responders until week 8, Vernakalant HCl and non-responders without significant improvement in PROs. The mean changes in the daily and the original ACT from the baseline (day 1) of these subpopulations are plotted in Figure 2. The fluctuation of the daily or Rabbit polyclonal to CTNNB1 original ACT scores was observed in some cases, while the scores tended to improve over time in both the early and late responders to dupilumab. Baseline characteristics according to the therapeutic effects of dupilumab on subjective symptoms within 7 days Four out of 12 patients (33.3%) reported an early response to dupilumab within 7 days, while the percentage of 4 early responders increased to 44.4% among 9 responders until week 8. Three women and 1 man showed an early response, and all 4 early responders had a BMI 25 and without psychiatric disorders, while the median eosinophil counts and FeNO in these three patients were 391.9 (range: 203.0C1368.0) and 52 (range: 20C117), respectively. Three out of 4 early responders had baseline FEV1 less than 1.50 L, and all 4 experienced more than 1 exacerbation within 1 year. On the other hand, the median eosinophil counts and FeNO in 8 patients without an early response were 286.0 (range, 211.2 C 593.6) and 30.5 (range, 7 C 300), respectively. Six out of 8 patients without an early response had a baseline FEV1 1.50 L, and only 3 patients experienced more than 1 exacerbation within 1 year. There was no relationship between a higher eosinophilic count and/or FeNO with early and Vernakalant HCl non-responder to dupilumab the daily ACT within 7 days in the current study, due in part to a small sample size (Table 3). Figure 1. Open in a separate window The changes in patient-reported outcomes from the baseline of 12 patients the daily asthma control test (ACT) on days 1-8 and the original ACT at weeks 4 and 8 are plotted. The black lines (No. 1, 2, 3, 10) represent the early responders within 7 days, the dark gray lines (No. 4, 5, 8, 11, and 12) the late responder until week 8, and the light gray lines (No. 6, 7, and 9) the non-responders, respectively. The median day needed for the significant improvement in 4 early responders was 5 days (range, 2-7 days), while a significant improvement in the early and late responders via the original ACT was observed for the first time in 7 patients at week 4 and in 2 patients at week 8. Baseline characteristics according to the therapeutic effects of dupilumab on subjective symptoms at week 8 Nine out of 12 patients (75.0%) responded to dupilumab the original ACT until week 8, including 4 early responders within 7 days. The median eosinophil counts and FeNO in 9 responders were 287.0 (range,.