Atopic Dermatitis, Conjunctival Diseases, Side Effect
Conditions
Brief summary
This study aims to assess the cytokine profile of tears in patients suffering from conjunctivitis versus patients without ocular involvement, when treated with Dupilumab
Interventions
Tears sampling
Lashes sampling
Sponsors
Study design
Eligibility
Inclusion criteria
* patients with severe atopic dermatitis resistant to main immunosuppressive drugs * treated with Dupilumab * with or without conjunctivitis * postmenopausal women (since minimum 24 months), surgically sterilized women or women on contraception
Exclusion criteria
\- pregnant or breastfeeding women
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Increase of lacrimal inflammatory cytokines | Month 8 | Change in inflammatory cytokines in tears collected by capillary before and after treatment with Dupilumab. Analysis will be performed by flow cytometry. Concentrations of the following cytokines wil be measured: interleukin-1 β, interleukin-3, interleukin-4, interleukin-5, interleukin-6, interleukin-8, interleukin-10, interleukin-13, interleukin-17, interferon α, Tumor Necrosis Factor α. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Comparison of the increase of lacrimal inflammatory cytokines between the 2 groups | Month 8 | Change in inflammatory cytokines in tears collected by capillary among conjunctivitis patients versus non conjunctivitis patients, when treated with Dupilumab. Analysis will be performed by flow cytometry. Concentrations of the following cytokines wil be measured: interleukin-1 β, interleukin-3, interleukin-4, interleukin-5, interleukin-6, interleukin-8, interleukin-10, interleukin-13, interleukin-17, interferon α, Tumor Necrosis Factor α. |
| Absence/Presence of demodex | Day 0 | Presence of demodex on lashes before treatment with Dupilumab |
| Increase of lacrimal eosinophiles | Month 8 | — |
| Improvement of quality of life | Month 8 | Improvement of quality of life for patients treated with Dupilumab, assessed with Ocular Surface Disease Index (OSDI) questionnaire, scored from 0 (normal/no ocular involvement) to 100 (severe ocular disease) |