Efficacy of Dupilumab plus topical corticosteroids in children with
atopic dermatitis: a meta-analysis of randomized controlled trials
Abstract
Introduction: Children with atopic dermatitis(AD) suffer from a high
illness burden that has a detrimental influence on their quality of life
. Objective: To determine whether topical corticosteroids and dupilumab
are effective for treating atopic dermatitis in children. Methods: Web
of Science, PubMed, and Embase, three well-known databases, were used to
conduct a thorough literature search. Using a fixed-effects or
random-effects model, the standard mean difference (SMD) or risk ratios
(RR) with 95% confidence interval (CI) were calculated.PROSPERO lists
the trial protocol as CRD42023408546. Results: There were 3
investigations in total, and 896 people met the requirements for
inclusion.The combined estimate showed that dupilumab plus topical
corticosteroids had numerically greater efficacy in terms of EASI-50,
EASI-75, EASI-90, and Investigator Global Assessment (IGA) score of 0 or
1.When compared to placebo, children who got topical corticosteroids and
dupilumab scored considerably higher on the dermatological life quality
index (CDLQI). The number of individuals who achieved IGA0/1 rose with
the use of dupilumab and topical corticosteroids. Conclusions:In
children with AD, dipilumab and topical corticosteroids may be used to
treat the symptoms. Given the substantial variation between the
research, the findings should, however, be regarded with caution.