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Efficacy and Safety of Dupilumab in Patients With Bullous Pemphigoid

Completed
Conditions
Bullous Pemphigoid
Registration Number
NCT05649579
Lead Sponsor
Peking University First Hospital
Brief Summary

This study was designed to be a retrospective, multicentre, observational study to evaluate the efficacy and safety of dupilumab in the treatment of bullous pemphigoid and to find predictors of efficacy.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
146
Inclusion Criteria
  • Adult bullous pemphigoid patients treated with dupilumab between January 1, 2021, and July 31, 2022, at six leading dermatology departments in the Chinese Collaborative Network for Autoimmune Bullous Diseases.
  • The diagnosis of BP requires clinical manifestations and immunological or pathological evidences.
  • Dupilumab treatment should continue for at least 4 weeks and possibly longer.
Exclusion Criteria
  • Drug-induced BP, γ-1 pemphigoid
  • Patients with less than 4 weeks of follow-up
  • Patients were given any other biologicals within 6 months before the first dupilumab administration

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Proportion of patients reached disease controlwithin 4 weeks

Disease control was defined as the point at which new lesions or pruritic symptoms cease to form and existing lesions start to heal.

Secondary Outcome Measures
NameTimeMethod
Changes in serum anti-BP230 antibodiesfrom 0 to 64 weeks
Changes in peripheral blood eosinophil countfrom 0 to 64 weeks
Adverse eventswithin 64 weeks

Any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medical treatment or procedure that may or may not be considered related to the medical treatment or procedure.

Changes in serum anti-BP180 antibodiesfrom 0 to 64 weeks
Changes in serum total IgEfrom 0 to 64 weeks
Relapse ratewithin 64 weeks

Relapse was defined as the appearance of three or more new lesions a month or at least one eczematous lesion with a diameter \>10cm or urticarial plaque that does not heal within one week, or the extension of established lesions or daily pruritus in a patient who has achieved disease control.

Changes in BPDAI scoresfrom 0 to 64 weeks

Disease severity was assessed using the bullous pemphigoid disease area index (BPDAI) score and was classified into mild (BPDAI≤19), moderate (20≤BPDAI≤56), and severe (BPDAI≥57).

Complete remission ratewithin 64 weeks

Complete remission is defined as the absence of new or established lesions or pruritus while the patient is receiving minimal therapy or off therapy for at least 2 months.

Changes in itching NRS scoresfrom 0 to 64 weeks

Pruritus was evaluated via itching numeric rating scale (NRS), ranging from 0 (no itch) to 10 points (worst imaginable itch).

Trial Locations

Locations (1)

Peking University First Hospital

🇨🇳

Beijing, Beijing, China

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