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. 2023 Mar 9;9(1):e003026. doi: 10.1136/rmdopen-2023-003026

Table 1.

Features of cases with IgG4-RD administerd dupilumab

Author 1 2 3 4 5 6 7 8
Simpson et al11 Ebbo et al8 Otani et al10 Nakajima et al9 Our case 1 Our case 2 Our case 3 Our case 4
Year 2020 2020 2021 2021
Age 67 51 57 51 53 56 67 50
Gender Male Male Male Female Female Female Male Female
2019 ACR/EULAR classification score n/a 29 n/a n/a 32 47 38 28
Organ involvement at diagnosis Skin parotid glands paranasal sinus retropritoneal lung Lacrimal glands parotid glands sublingual glands submandibular glands Lacrimal glands parotid glands lung Lacrimal glands paranasal sinus Submandibular glands paranasal sinus Lacrimal glands submandibular glands paranasal sinus lung Pancreas submandibular glands paranasal sinus Lacrimal glands
Biopsy proven
(lesion of biopsy)
Yes
(prostate)
Yes
(lymph node)
Yes
(parotid gland)
Yes
(lacrimal gland)
Yes
(submandibular gland)
Yes
(submandibular gland)
Yes
(submandibular gland)
Yes
(lacrimal gland)
Serum IgG4 levels at diagnosis* 20.60 g/L 17.7 g/L 270 mg/dL 768 mg/dL 360 mg/dL 477 mg/dL 716 mg/dL 163 mg/dL
Previous immune therapy None GCs rituximab GCs azathioprine None None None GCs mepolizumab GCs
Indication of dupilumab Atopic dermatitis asthma Chronic rhinosinusitis with nasal polyps asthma Asthma Eosinophilic sinusitis Eosinophilic sinusitis Eosinophilic sinusitis Asthma Asthma
Dose of dupilumab 600 mg for the first dose
300 mg every 2 weeks
600 mg for the first dose
300 mg every 2 weeks
600 mg for the first dose
300 mg every 2 weeks
600 mg for the first dose
300 mg every 2 weeks
300 mg every 2 weeks 300 mg every 2 weeks 300 mg every 4 weeks 300 mg every 4 weeks
Glucocorticoids
Immunosupressants
None None 10 mg predonisolone
25 mg azathioprine
None None None 10 mg predonisolone 6 mg predonisolone
IgG4-RD responder index at dupilumab administration n/a n/a n/a n/a 9 15 3 3
Organ involvement at dupilumab administration Skin parotid glands paranasal sinus retropritoneal lung Salivary glands paranasal sinus lympho nodes Lacrimal glands parotid glands lung Lacrimal glands paranasal sinus Submandibular glands paranasal sinus Lacrimal glands submandibular glands paranasal sinus lung Lung Lung
Organ involvements not responded to dupilumab n/a for parotid glands paranasal sinus Salivary glands lympho nodes None None None None None None
Outcome Effective to organ involvement Ineffective to organ involvement Effective to GC sparing Effective to organ involvement Effective to organ involvement Effective to organ involvement Effective to GC sparing Effective to GC sparing

Summary table of the cases with IgG4-RD administered dupilumab.

*The originally reported units for serum IgG4 levels were written in the table because the methods of the measurement were estimated to be different.

GC, glucocorticoid; IgG4-RD, IgG4-related disease; n/a, not available.