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Related Experiment Video

Updated: Jul 9, 2025

Drug Repurposing Hypothesis Generation Using the "RE:fine Drugs" System
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Multiple Biologics for Multiple T2 Diseases: A Pharmacoepidemiological Algorithm for Sorting Out Patients by

Jeremy Charriot1, Vincent Descamps2, Roger Jankowski3

  • 1Department of Respiratory Diseases, University of Montpellier, PhyMedExp, INSERM, CNRS UMR, CHU Montpellier, Montpellier, France.

Journal of Asthma and Allergy
|December 5, 2023
PubMed
Summary

An algorithm successfully identified patients with Type 2 (T2) diseases, such as severe asthma and atopic dermatitis, receiving biologics (Bx) and targeted synthetic drugs (TSD). This method aids in tracking prescription trends for these advanced therapies.

Keywords:
T2 diseasesatopic dermatitisbiologicsnasal polyposissevere asthmaurticaria

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Area of Science:

  • Pharmacology
  • Immunology
  • Data Science

Background:

  • Several biologics (Bx) and targeted synthetic drugs (TSD) are available for treating Type 2 (T2) inflammatory diseases.
  • These conditions include chronic spontaneous urticaria (CSU), severe asthma (SA), chronic rhinosinusitis with nasal polyposis (CRSwNP), and atopic dermatitis (AD).

Purpose of the Study:

  • To develop and validate an algorithm for identifying patients treated with Bx/TSD using a dynamic dispensing database.
  • To determine the primary indications for Bx/TSD prescriptions within a real-world setting.

Main Methods:

  • Utilized the LRx database, covering approximately 45% of French retail pharmacies.
  • Included patients with at least one Bx/TSD dispensing between April 2021 and March 2022.
  • Designed a 3-step algorithm analyzing prior drug dispensations since March 2012 to ascertain prescription indications.

Main Results:

  • The algorithm identified 21,677 patients receiving Bx/TSD, with 91.7% having a confirmed T2 disease indication.
  • Severe asthma (SA) was the most common reason for Bx/TSD initiation (52%), followed by atopic dermatitis (AD) (29%).
  • Specific drug patterns emerged, with omalizumab frequently used for SA and dupilumab predominantly for AD.

Conclusions:

  • The developed algorithm effectively identifies patients with T2 diseases undergoing Bx/TSD treatment.
  • This methodology offers a valuable tool for monitoring future prescription patterns and treatment evolutions in T2 diseases.