Experience of using dupilumab in the treatment of severe asthma

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Abstract

The article provides data on modern approaches to the treatment of patients with severe uncontrolled bronchial asthma with an emphasis on the use of dupilumab, a human recombinant monoclonal antibody to the alpha subunit of the interleukin (IL)-4 receptor, which inhibits signal transmission from both IL-4 and IL-13. The results of dupilumab pivotal randomized clinical trials DRI12544, QUEST and VENTURE are summarized. Indications for use of this medicinal product are listed in Federal Clinical Guidelines on the management of asthma (year of revision 2019). Clinical cases with various clinical course of bronchial asthma are described, including cases with frequent exacerbations. In conclusion, dupilumab could be a treatment of choice for the patients with severe bronchial asthma and it is reasonable from an economic, clinical and pathogenetic point of view.

About the authors

G. L. Ignatova

South Ural State Medical University

Author for correspondence.
Email: ant-vn@yandex.ru
ORCID iD: 0000-0002-0877-6554

д.м.н., проф., зав. каф. терапии Института ДПО ФГБОУ ВО ЮУГМУ

Russian Federation, Chelyabinsk

V. N. Antonov

South Ural State Medical University

Email: ant-vn@yandex.ru
ORCID iD: 0000-0002-3531-3491

д.м.н., доц. каф. терапии Института ДПО ФГБОУ ВО ЮУГМУ

Russian Federation, Chelyabinsk

E. A. Makarova

South Ural State Medical University

Email: ant-vn@yandex.ru
ORCID iD: 0000-0002-6182-069X

аспирант каф. терапии Института ДПО ФГБОУ ВО ЮУГМУ

Russian Federation, Chelyabinsk

S. A. Kochetkova

Regional Clinical Hospital №3

Email: ant-vn@yandex.ru

зав. пульмонологическим отд-нием №2 ГБУЗ ОКБ №3

Russian Federation, Chelyabinsk

References

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