Tuesday, October 4, 2022

Drug therapy “highly effective” for young children with severe eczema

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A new drug therapy has been shown to be “safe and highly effective” in treating moderate to severe eczema in young children.

An international study showed that dupilumab reduced the severity of skin disease within two weeks in clinical trials in patients aged six months to six years. The children and their parents also reported improved sleep and quality of life.

Based on the results published in a journal The lancetDoctors believe the treatment could soon be approved for children under six in the UK after it was approved in the US in June this year.

Dupilumab is already approved in the UK for adults and children aged six to 18 years.

dr Peter Arkwright of the University of Manchester, the principal investigator for the Manchester portion of the study, said: “Young children and infants with moderate to severe eczema have a significantly reduced quality of life. It is also incredibly stressful for their families, especially since the children’s sleep is so disturbed.

“The fact that infants and young children with moderate to severe eczema are undertreated with creams means they have a high unmet medical need. We are very pleased that dupilumab has brought about a clinically meaningful improvement with an acceptable safety profile. These pivotal study results strongly support global approval of dupilumab in infants and children with atopic eczema. It will revolutionize clinical practice worldwide.”

The phase 3 clinical trial, sponsored by biotech companies Regeneron and Sanofi, enrolled 162 children from around the world, including patients from Manchester Children’s Hospital.

Of the 162 participants, 83 received a dupilumab injection and 79 received a placebo every four weeks alongside standard therapy with a low-potency steroid cream for 16 weeks.

The results showed that 28 percent of patients who received dupilumab achieved a global skin score of 0 or 1, indicating complete and near-complete healing of the skin at week 16.

Additionally, more than half (53 percent) of the children showed at least a 75 percent reduction in signs of eczema and a highly significant reduction in itching, along with improved sleep.

Eczema is a condition that causes the skin to become itchy, dry and cracked. It is more common in children, often develops before their first birthday, and is usually a long-term condition, although in some children it can improve markedly or even clear up completely with age.

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