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Increasing dosing intervals for biologics in atopic dermatitis-why, who, when and how?
M E Jacobson1, C M Boesjes2, M S de Bruin-Weller2
1Department of Dermatology, Oregon Health & Science University, Portland, Oregon, USA.
Many patients with atopic dermatitis can maintain disease control with less frequent biologic injections. This approach may reduce costs and improve convenience, with individualized dosing guided by shared decision-making.
Area of Science:
- Dermatology
- Immunology
- Pharmacology
Background:
- Biologics offer effective atopic dermatitis treatment with good safety.
- Current biologic therapies have drawbacks like high cost and frequent injections.
Purpose of the Study:
- To review progress and evidence for dose elongation strategies in atopic dermatitis biologics.
- To assess the feasibility and patient population for prolonged dosing intervals.
Main Methods:
- Review of clinical trial data and real-world evidence on biologic dose elongation.
- Analysis of patient populations and emerging clinical predictors for successful prolonged dosing.
Main Results:
- A significant patient population maintains adequate atopic dermatitis control with prolonged biologic dosing intervals.
- Evidence for clinical predictors of sustained disease control is developing.
Conclusions:
- Dose elongation is a viable strategy for many atopic dermatitis patients on biologics.
- Individualized dosing through shared decision-making can optimize treatment for patients achieving good disease control.
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