DUPIXENT (dupilumab)

Posted by blm1007blm1007 @blm1007blm1007, Jul 20 12:31pm

Has anyone been told to consider starting DUPIXENT (dupilumab) for the inflammation with Bronchiectasis?
Has anyone started DUPIXENT for inflammation with Bronchiectasis?
If you started Dupixent how are you doing with it and does it seem to be controlling/helping with inflammation/BE?
My local pulmonologist mentioned Dupixent.
I have not heard anything, so far, about it being used for inflammation with Bronchiectasis from Mayo or National Jewish....have you?
If curious about DUPIXENT jnmy | @jnmy | on Apr 26 9:51am, 2025 gave information on Dupixent from the internet on the thread labeled Hyperinflated Lungs.? My first visit to a pulmonologist, after an XRay, said "you just have large lungs". A year later is when my PrmaryCareDr. ordered the C Scan, ....and it was BE.
I have dry eyes, Ezcema and BE, Bronchiectasis, all involving inflammation and do wonder about what Dupixent .....if it could/might be able help with inflammation. I'm not on antibiotics for my MAI infection, my choice. I'm not in favor of medications for " letting the body heal itself" but this Dupixent for inflammation is haunting me...try it or not try it.
Thoughts, concerns.... etc.???
Barbara

Interested in more discussions like this? Go to the MAC & Bronchiectasis Support Group.

Profile picture for pacathy @pacathy

Regarding the benzonatate...over the years and esp when I had the horrid cough prediagnosis, it was prescribed several times and was useless for me. I think it was because my cough was from excessive post nasal drip, which it doesn't help. Perhaps it helps with dry coughs.
It's not usually used for pneumonias or COPD exacerbations because we want patients to get secretions out of lungs.

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Yes....we sure want to get those secretions out of our lungs. Thanks, that was my concern knowing what benzonatate does.....the opposite of what we want to happen.
Barbara

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I was prescribed Dupixent, a month ago, and have taken two injections. My pulmonologist (who I see at the U. Of Penn Lung Center) encouraged me to try it because his research showed other patients with BE who had high counts of eosinophil, as I do, were having success. I don't feel any different/better after 2 injections (1 every 2 weeks), but was told the drug can take 8 to 12 weeks to take effect. I have a chronic cough and no energy. Let's hope this works.

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Yes, let's hope it works.
Please let us know how you are doing every so often on this thread. We will all be interested in what your journey will be with the Dupixent.
My eosinophil count is low. It is my Neutrophils that are about ready to go over the line to high.
I have the chronic need to clear my throat all day long. I do a lot of deep breathing and huff coughing that brings it all up and every so often up comes a mucus plug. At this point my energy level is fine, no fatigue. It's just that there is not enough time in the day to do what one has to do for my BE, Eczema and those daily living activities/housekeeping, cooking, grocery shopping, home daily upkeep and unexpected problems that seem to show up every once in a while. Oh well, all we can do is roll along with the punches!!!!!
Barbara

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I so appreciate your post. I’ve been hoping to see something about the Dupixent. A friend mentioned that a relative of hers had Mac Absesses and that her doctor had prescribed the Dupixent for eczema and out of the blue, her Mac Absesses appeared to be gone. It related to the inflammation and the symptoms from that. Is there anything that anyone has seen in the research/NIH that they could post a link. Thanks ever so much. I so appreciate all of you.

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Profile picture for lilianna @lilianna

Barbara about a year ago my pulmonologist suggested cromolyn sodium nebulizer- an older kind of med, non steroid, as an anti inflammatory. I asked dr Griffith at NJH about using it and he said it’s rarely prescribed because there are better meds now, mostly with steroids. I have been using it. So may be ask your doctor

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I hadn't heard anything about cromolyn in many years (ret. nurse) and this is the second mention this month. It's used occasionally as a mast cell stabilizer in a small subset of patients with chronic urticaria.
No need to reply...just thought it an interesting coincidence/tidbit.

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Profile picture for pamlw @pamlw

I so appreciate your post. I’ve been hoping to see something about the Dupixent. A friend mentioned that a relative of hers had Mac Absesses and that her doctor had prescribed the Dupixent for eczema and out of the blue, her Mac Absesses appeared to be gone. It related to the inflammation and the symptoms from that. Is there anything that anyone has seen in the research/NIH that they could post a link. Thanks ever so much. I so appreciate all of you.

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Took brief look at pubmed and found this case report that showed decreased mucus plugging.
https://pmc.ncbi.nlm.nih.gov/articles/PMC11233258/

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Profile picture for pacathy @pacathy

Took brief look at pubmed and found this case report that showed decreased mucus plugging.
https://pmc.ncbi.nlm.nih.gov/articles/PMC11233258/

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I just did a quick look. Enough to see the images. What a difference. GOOD RESEARCING pacathy!!!!
What would we do without the ability to communicate with each other on Mayo Clinic Connect. Mayo and people like you are such a big help. Thanks. Wonder if another thread should be started such as "Dupixent, a success story." If you think it a good idea, would you have time to begin such a thread?????
Barbara

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I'm glad it was helpful and agree that it's a hopeful case. It's also hopeful, I think, that it's working for other conditions with inflammation. However, I think it's too early to start a new thread and get people's hopes up. It's a case report that may inspire the company to do a trial and from the thread, it sounds like there are cases that show promise. I briefly looked at Sanofi's site and clinical trials.gov site and didn't see a trial including bronchiectasis. Remember, it takes many cases to be sure it's the medication and not something else (such as more airway clearance, a supplement she started, etc) cases the change.
Feel free to share if you want, but I feel it's early.

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