The FDA has approved dupilumab (Dupixent – Sanofi/Regeneron), a subcutaneously-injected fully human monoclonal antibody, for treatment of adults with moderate to severe atopic dermatitis (eczema) that has not responded to topical therapies. It can be used with or without topical corticosteroids.

MECHANISM OF ACTION — Dupilumab binds to the IL-4 receptor alpha subunit shared by interleukin (IL)-4 and IL-13 receptors, inhibiting the signaling of these two cytokines, which are thought to be the drivers of atopic dermatitis, asthma, and possibly other allergic diseases.1

STANDARD TREATMENT — Application of moisturizers, emollients, and barrier creams can reduce the need for pharmacologic treatment of atopic dermatitis. Low-potency topical corticosteroids are generally used for treatment of mild atopic dermatitis that fails ... more      

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