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Kidney Week

Abstract: TH-PO0510

Efficacy of Dupilumab for CKD-Associated Pruritus in Patients Undergoing Hemodialysis: Retrospective Observational Study

Session Information

Category: Dialysis

  • 801 Dialysis: Hemodialysis and Frequent Dialysis

Authors

  • Chen, Chenn, Xiangya Hospital Central South University, Changsha, Hunan, China
  • Xu, Hui, Xiangya Hospital Central South University, Changsha, Hunan, China
  • Wang, Wen Zhi, Xiangya Hospital Central South University, Changsha, Hunan, China
  • Chen, Junchen, Xiangya Hospital Central South University, Changsha, Hunan, China
Background

Pruritus associated with chronic kidney disease (CKD) significantly diminishes quality of life and serves as an independent risk factor for mortality. Currently, there is limited evidence supporting the treatment of CKD-associated pruritus (CKD-aP).

Methods

This study assessed Dupilumab's efficacy and safety in 12 hemodialysis patients. Baseline assessments were done using Worst Itch Numeric Rating Scale (WI-NRS) and Eczema Area and Severity Index(EASI). Patients received Dupilumab biweekly for 8 weeks. At week 8, a 5-point WI-NRS reduction defined responders. At week 16, EASI-90 response rates were recorded.Patient safety was monitored for serious adverse events, providing preliminary evidence for Dupilumab use in this population.

Results

After 8 weeks of treatment, all but one patient experienced a reduction of at least 5 points in their WI-NRS scores. At week 16, 11 out of 12 patients demonstrated continued improvement, with an EASI-90 response rate of 83.3%. No serious adverse effects associated with Dupilumab were observed in any of the patients.

Conclusion

Dupilumab consistently improves pruritus associated with chronic kidney disease in hemodialysis patients, suggesting its potential as an effective treatment option.

The changes in patient's EASI (Eczema Area and Severity Index) improvement rate and the WI-NRS score after using Dupilumab

Baseline demographics and clinical characteristics

Funding

  • Government Support – Non-U.S.

Digital Object Identifier (DOI)