Atopic Dermatitis: Dupilumab gets FDA approval for pediatric patients
USA: Dupixent (dupilumab) has received another approval from the US Foood and Drug Administration (FDA) to be used in children aged 6 to 11 years with moderate-to-severe atopic dermatitis. Previously, Dupixent was approved only for patients aged ≥12 years for this indication.
Dupixent is a fully human monoclonal antibody that inhibits the signaling of the interleukin-4 and interleukin-13 proteins. It is prescribed in two doses based on weight: 300 mg every 4 weeks for children between 15 kg and 30 kg and 200 mg every 2 weeks for children between 30 kg and 60 kg.
The approval was based on results from a phase 3 trial that compared the efficacy and safety of dupilumab to placebo in 367 patients aged 6 to 11 years with severe atopic dermatitis whose disease could not be adequately controlled with topical medications.
In this trial, patients were randomized to receive 1 of 3 treatments for 16 weeks: dupilumab subcutaneous injection 300mg every 4 weeks (with an initial dose of 600mg); dupilumab 100mg (<30kg) or 200mg (≥30kg) every 2 weeks (with an initial dose of 200mg or 400mg, respectively); or placebo every 2 or 4 weeks. Each group also received background treatment with topical corticosteroids and moisturizers.
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