Dupilumab in Atopic Dermatitis

  • Milagros Lázaro-Sastre
  • Asunción García-SánchezEmail author
  • Aída Gómez-Cardeñosa
  • Ignacio Dávila
Urticaria and Atopic Dermatitis (M Furue and T Nakahara, Section Editors)
Part of the following topical collections:
  1. Topical Collection on Urticaria and Atopic Dermatitis


Purpose of review

Atopic dermatitis (AD) is a common chronic inflammatory relapsing skin disease that greatly affects the quality of life of patients and their relatives. Topical treatment represents the initial therapeutic option in AD, although in patients with severe AD that do not respond to first-line topical therapies treatment with systemic immunosuppressive drugs is usually required. New advances in the understanding of the immune pathogenesis of AD have led to the development of targeted therapies.

Recent findings

Dupilumab, the only biologic approved for AD treatment, is a fully human monoclonal antibody IgG4 directed to the α subunit of the interleukin-4 receptor (IL-4Rα), blocking the IL-4 and IL-13, both crucial cytokines of the Th2 pathway. It has shown a significant clinical efficacy with good tolerance.


In this review, we will discuss the results of recent clinical trials and real-life studies.


Atopic dermatitis Dupilumab Biologics IL-4R Clinical trials 


Compliance with Ethical Standards

Conflict of Interest

Milagros Lázaro-Sastre declares that she has no conflict of interest.

Aída Gómez-Cardeñosa declares that she has no conflict of interest.

Maria Asunción García-Sánchez declares that she has no conflict of interest.

Ignacio Dávila has received payment for lectures including service on speaker bureaus from Allergy-Therapeutics, ALK-Abello, Astra-Zeneca, Diater, GSK, Leti, Merck, Novartis, Roche, Sanofi, and Teva; consultancy from ALK-Abello, Astra-Zeneca, GSK, Novartis, Sanofi, and Teva; and grants from Merck and Thermo Fisher Diagnostics.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

References and Recommended Reading

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Milagros Lázaro-Sastre
    • 1
  • Asunción García-Sánchez
    • 2
    • 3
    Email author
  • Aída Gómez-Cardeñosa
    • 4
  • Ignacio Dávila
    • 1
    • 2
    • 3
  1. 1.University HospitalSalamancaSpain
  2. 2.Department of Biomedical and Diagnostic Sciences, Faculty of MedicineUniversity of SalamancaSalamancaSpain
  3. 3.IBSAL, Institute of Biomedical Research of SalamancaSalamancaSpain
  4. 4.Fundación Jiménez DíazMadridSpain

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