Comparative efficacy of biologic agents for severe chronic rhinosinusitis with nasal polyps: Systematic review and network meta-analysis.
Konstantinos Ouranos, Mark Michael, Evangelia K Mylona et al.
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In 30 seconds
This systematic review and network meta-analysis evaluated the efficacy and safety of seven biologic agents for severe chronic rhinosinusitis with nasal polyps (CRSwNP) in 3,642 patients. At 20-24 weeks, dupilumab and stapokibart showed greater reductions in nasal polyp score (NPS) and nasal congestion score (NCS) compared to other agents. No significant differences were found between dupilumab and stapokibart.
Key findings
- Dupilumab and stapokibart produced greater reductions in NPS and NCS at 20-24 weeks compared to depemokimab, omalizumab, and benralizumab.
- At 48-56 weeks, dupilumab and tezepelumab showed greater reductions in NPS and NCS than depemokimab, mepolizumab, or benralizumab.
- Safety profiles were comparable across all biologic agents evaluated.
Why it matters
Understanding the comparative efficacy of biologic agents for severe CRSwNP can guide clinicians in selecting appropriate treatments, potentially improving patient outcomes and quality of life.