Medical Uses
Dupixent (dupilumab) is an interleukin-4 receptor alpha antagonist used:
- Atopic Dermatitis: for the treatment of adult and pediatric patients aged 6 months and older with moderate-to-severe AD whose disease is not adequately controlled with topical prescription therapies or when those therapies are not advisable. This medicine can be used with or without topical corticosteroids.
- Asthma: as an add-on maintenance treatment of adult and pediatric patients aged 6 years and older with moderate-to-severe asthma characterized by an eosinophilic phenotype or with oral corticosteroid-dependent asthma. It is not for the relief of acute bronchospasm or status asthmaticus.
- Chronic Rhinosinusitis with Nasal Polyps: as an add-on maintenance treatment in adult and pediatric patients aged 12 years and older with inadequately controlled chronic rhinosinusitis with nasal polyps (CRSwNP).
- Eosinophilic Esophagitis: for the treatment of adult and pediatric patients aged 1 year and older, weighing at least 15 kg, with eosinophilic esophagitis (EoE).
- Prurigo Nodularis: for the treatment of adult patients with prurigo nodularis (PN).
- Chronic Obstructive Pulmonary Disease: as an add-on maintenance treatment of adult patients with inadequately controlled chronic obstructive pulmonary disease (COPD) and an eosinophilic phenotype. This therapeutic drug is not for the relief of acute bronchospasm.
- Chronic Spontaneous Urticaria: for the treatment of adult and pediatric patients aged 12 years and older with chronic spontaneous urticaria (CSU) who remain symptomatic despite H1 antihistamine treatment. Do not use Dupilumab in other forms of urticaria.
Recommended Dosage: The recommended dosage of Dupixent is administered by subcutaneous (SC) injection. Administer the injection into the thigh or abdomen, except for the 2 inches (5 cm) around the navel. The upper arm can also be used in case a caregiver administers the injection. Rotate the site of the injection with each injection. It is not advisable to inject the injection into skin that is tender, damaged, bruised, or scarred.
Recommended Dosage for Atopic Dermatitis:
Dosage in Adults: The recommended dosage is an initial dose of 600 mg (two 300 mg injections), followed by 300 mg given every 2 weeks (Q2W).
Dosage in Pediatric Patients Aged 6 Months to 5 Years: The recommended dosage depends on their body weight. For children weighing 5 kg to less than 15 kg, the initial and subsequent dosage is 200 mg (one 200 mg injection) administered every 4 weeks. For children weighing 15 to less than 30 kg, the dosage increases to 300 mg (one 300 mg injection) every 4 weeks.
Dosage in Pediatric Patients Aged 6 Years to 17 Years: The recommended dosage is also based on body weight. For those weighing 15 to less than 30 kg, the initial loading dose is 600 mg (two 300 mg injections), followed by 300 mg every 4 weeks. For children weighing 30 to less than 60 kg, the initial loading dose is 400 mg (two 200 mg injections), with subsequent dosages of 200 mg every 2 weeks. For children weighing 60 kg or more, the dosage remains at 600 mg (two 300 mg injections) initially, followed by 300 mg every 2 weeks.
Recommended Dosage for Asthma:
Dosage in Adult and Pediatric Patients 12 Years and Older: The recommended initial loading dose is either 400 mg (two 200 mg injections) or 600 mg (two 300 mg injections), followed by 200 mg every 2 weeks. For patients with oral corticosteroid-dependent asthma or moderate-to-severe atopic dermatitis with co-morbid chronic rhinosinusitis with nasal polyps, the dosage is 600 mg (two 300 mg injections) followed by 300 mg every 2 weeks.
Dosage in Pediatric Patients 6 to 11 Years of Age: The recommended dosage depends on body weight. For those weighing 15 to less than 30 kg, the initial dose is 300 mg every 4 weeks, followed by 300 mg every 4 weeks. For those weighing 30 kg or more, the initial and subsequent dosage is 200 mg every 2 weeks.
Recommended Dosage for Chronic Rhinosinusitis with Nasal Polyps: The recommended dosage for adult and pediatric patients aged 12 years and older is 300 mg administered every 2 weeks (Q2W).
Recommended Dosage for Eosinophilic Esophagitis: For adult and pediatric patients 1 year of age and older with Eosinophilic Esophagitis and weighing at least 15 kg, the recommended dosage is as follows:
- For patients weighing 15 to less than 30 kg, the dosage is 200 mg every 2 weeks.
- For patients weighing 30 to less than 40 kg, the dosage is 300 mg every 2 weeks.
- For patients weighing 40 kg or more, the dosage is 300 mg every week.
Recommended Dosage for Prurigo Nodularis: The recommended dosage for adult patients is an initial dose of 600 mg (two 300 mg injections) followed by 300 mg administered every 2 weeks (Q2W).
Recommended Dosage for Chronic Obstructive Pulmonary Disease: The recommended dosage for adult patients is 300 mg administered every 2 weeks (Q2W).
Recommended Dosage for Chronic Spontaneous Urticaria:
- Dosage in Adults: The recommended dosage for adult patients is an initial dose of 600 mg (two 300 mg injections), followed by 300 mg administered every 2 weeks (Q2W).
- Dosage in Pediatric Patients Aged 12 to 17 Years: The recommended dosage depends on body weight. For those weighing 30 to less than 60 kg, the initial loading dose is 400 mg (two 200 mg injections), followed by 200 mg every 2 weeks. For patients weighing 60 kg or more, the initial loading dose is 600 mg (two 300 mg injections), followed by 300 mg every 2 weeks.