PMID- 38163585 OWN - NLM STAT- MEDLINE DCOM- 20240409 LR - 20240409 IS - 2213-2201 (Electronic) VI - 12 IP - 4 DP - 2024 Apr TI - Long-Term Safety of Dupilumab in Patients With Moderate-to-Severe Asthma: TRAVERSE Continuation Study. PG - 991-997.e6 LID - S2213-2198(23)01406-X [pii] LID - 10.1016/j.jaip.2023.12.043 [doi] AB - BACKGROUND: Previous clinical trials have demonstrated dupilumab efficacy and safety in adults and adolescents with moderate to severe asthma for up to 3 years. OBJECTIVE: The TRAVERSE continuation study (NCT03620747), a single-arm, open-label study, assessed safety and tolerability of dupilumab 300 mg every 2 weeks up to an additional 144 weeks ( approximately 3 years) in patients with moderate to severe asthma who previously completed TRAVERSE (NCT02134028). METHODS: Primary end points were incidence and event rates per 100 patient-years of treatment-emergent adverse events (TEAEs). Secondary end points included adverse events (AEs) of special interest, serious AEs, and AEs leading to study discontinuation. RESULTS: A total of 393 patients participated in the TRAVERSE continuation study (cumulative dupilumab exposure, 431.7 patient-years; median treatment duration, 309 days). A total of 29 patients (7.4%) received more than 958 days of treatment. A total of 214 (54.5%) patients reported at least 1 TEAE (event rate: 171.4); 37 (9.4%) experienced at least 1 treatment-related TEAE, none of which were considered severe; 2 patients reported 6 TEAEs of moderate intensity. A total of 22 (5.6%) patients reported serious AEs (event rate: 6.9). AEs of special interest were reported in 24 patients (6.1%; event rate: 6.0). Five (1.3%) deaths occurred (event rate: 1.2) following serious AEs of coronavirus disease 2019 (COVID-19)-related pneumonia (3 patients), pancreatitis (1 patient), and pulmonary embolism (1 patient). None of the TEAEs leading to death were considered treatment-related. CONCLUSIONS: Dupilumab treatment was well tolerated for up to an additional 3 years. Safety findings were consistent with the known safety profile of dupilumab. These findings further support the long-term use of dupilumab in patients with moderate to severe asthma. CI - Copyright (c) 2024 The Authors. Published by Elsevier Inc. All rights reserved. FAU - Maspero, Jorge F AU - Maspero JF AD - Fundacion CIDEA, Buenos Aires, Argentina. Electronic address: jorge.maspero@fundacioncidea.org.ar. FAU - Peters, Anju T AU - Peters AT AD - Northwestern University Feinberg School of Medicine, Chicago, Ill. FAU - Chapman, Kenneth R AU - Chapman KR AD - University of Toronto, Toronto, ON, Canada. FAU - Domingo, Christian AU - Domingo C AD - Corporacio Sanitaria Parc Tauli, Sabadell, Autonomous University of Barcelona, Barcelona, Spain. FAU - Stewart, John AU - Stewart J AD - Sanofi, Montreal, QC, Canada. FAU - Hardin, Megan AU - Hardin M AD - Sanofi, Cambridge, Mass. FAU - Maroni, Jaman AU - Maroni J AD - Regeneron Pharmaceuticals, Inc., Tarrytown, NY. FAU - Tawo, Kelsey AU - Tawo K AD - Sanofi, Bridgewater, NJ. FAU - Khokhar, Faisal A AU - Khokhar FA AD - Regeneron Pharmaceuticals, Inc., Tarrytown, NY. FAU - Mortensen, Eric AU - Mortensen E AD - Regeneron Pharmaceuticals, Inc., Tarrytown, NY. FAU - Laws, Elizabeth AU - Laws E AD - Sanofi, Bridgewater, NJ. FAU - Radwan, Amr AU - Radwan A AD - Regeneron Pharmaceuticals, Inc., Tarrytown, NY. FAU - Jacob-Nara, Juby A AU - Jacob-Nara JA AD - Sanofi, Bridgewater, NJ. FAU - Deniz, Yamo AU - Deniz Y AD - Regeneron Pharmaceuticals, Inc., Tarrytown, NY. FAU - Rowe, Paul J AU - Rowe PJ AD - Sanofi, Bridgewater, NJ. LA - eng SI - ClinicalTrials.gov/NCT02134028 PT - Journal Article DEP - 20231230 PL - United States TA - J Allergy Clin Immunol Pract JT - The journal of allergy and clinical immunology. In practice JID - 101597220 RN - 420K487FSG (dupilumab) RN - 0 (Antibodies, Monoclonal, Humanized) SB - IM MH - Adult MH - Adolescent MH - Humans MH - *Antibodies, Monoclonal, Humanized/adverse effects MH - *Asthma/drug therapy/epidemiology/chemically induced MH - Treatment Outcome MH - Double-Blind Method OTO - NOTNLM OT - Adverse events OT - Asthma OT - Dupilumab OT - Long-term OT - Moderate to severe OT - Safety EDAT- 2024/01/02 11:44 MHDA- 2024/04/09 06:45 CRDT- 2024/01/01 19:14 PHST- 2023/05/31 00:00 [received] PHST- 2023/11/22 00:00 [revised] PHST- 2023/12/24 00:00 [accepted] PHST- 2024/04/09 06:45 [medline] PHST- 2024/01/02 11:44 [pubmed] PHST- 2024/01/01 19:14 [entrez] AID - S2213-2198(23)01406-X [pii] AID - 10.1016/j.jaip.2023.12.043 [doi] PST - ppublish SO - J Allergy Clin Immunol Pract. 2024 Apr;12(4):991-997.e6. doi: 10.1016/j.jaip.2023.12.043. Epub 2023 Dec 30.