Dupilumab in the treatment of chronic rhinosinusitis with nasal polyposis

被引:23
作者
Boyle, John V. [1 ]
Lam, Kent K. [1 ]
Han, Joseph K. [1 ]
机构
[1] Eastern Virginia Med Sch, Dept Otolaryngol Head & Neck Surg, Norfolk, VA 23507 USA
关键词
atopic; biologic; chronic rhinosinusitis; dupilumab; IL-4; IL-13; monoclonal antibodies; nasal polyps; polyposis; ENDOSCOPIC SINUS SURGERY; DOUBLE-BLIND; LEBRIKIZUMAB; PHASE-3;
D O I
10.2217/imt-2019-0191
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Chronic rhinosinusitis with nasal polyposis (CRSwNP) imparts a significant healthcare challenge, resulting in diminished quality of life for patients and high costs with resource utilization for disease management. Understanding of CRSwNP pathophysiology has progressively evolved and the identification of various inflammatory biomarkers has led to the development of monoclonal antibodies that target the underlying mechanisms of inflammation. Dupilumab, which targets IL-4 and IL-13 signaling, serves as a novel agent for CRSwNP treatment. Three clinical trials, NCT01920893, SINUS-24 and SINUS-52, have shown that dupilumab improves both subjective patient-reported outcomes and objective physician-evaluated metrics for CRSwNP. The favorable findings have resulted in approval by the US FDA in June 2019 as the first biologic therapy for CRSwNP.
引用
收藏
页码:111 / 121
页数:11
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