Abstract

Despite recent advances, the effects of immune-modulating biologic therapies on the clinical course of COVID-19 remains unclear. There are heightened concerns of an increased risk of SARS-CoV-2 infection in patients with atopic diseases who are receiving treatment with dupilumab, an interleukin (IL)-4-alpha receptor antagonist that inhibits signalling from the inflammatory cytokines IL-4 and IL-13. In this study, we investigated the incidence and prognostic outcomes of COVID-19 in patients with atopic diseases undergoing treatment with dupilumab from 5 tertiary academic centers and 7 community practices across Canada.

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