AD and COVID-19: lessons from the SECURE-AD registry and beyond

INTRODUCTORY LECTURE
Carsten FLOHR
St John’s Institute of Dermatology
King’s College London
on behalf of the SECURE-AS Study Team
London, United Kingdom


Overview

  1. Video presentation
  2. Presentation
  3. Full version download as PDF
  4. Ask questions to the author

Author retain copyright.

VIDEO RECORDING



PRESENTATION


Why a COVID registry for AD patient?


SECURE-AD Study Team


International Scientific Advisory Committee

  • Sébastien Barbarot MD PhD, France (ETFAD)
  • Esther Freeman MD PhD, USA (AAD/ILDS COVID-19 registry)
  • Emma Guttman MD PhD, USA (IEC)
  • Jo Lambert MD PhD, Belgium (SPIN)
  • Tamar Nijsten MD PhD, The Netherlands (EDEN)
  • Amy Paller MD, USA (IEC)
  • Carle Paul MD PhD, France (EADV)
  • Alain Taïeb MD PhD, France (ISAD)
  • Andreas Wollenberg MD PhD, Germany (ISAD/ETFAD)
  • Christian Vestergaard MD PhD, Denmark (ETFAD)
  • Andrea Chiricozzi MD, Italy (DA-COVID 19)
  • Ketty Peris MD, Italy (DA-COVID 19)


Physician-reported AD severity


AD systemic treatments


COVID-19 infection outcome data


Italian DA-COVID registry


Other evidence


Conclusions

  • The risk of COVID and its complications appears low overall in AD patients treated with systemics (but avoid oral corticosteroids at high doses)
  • Potential signal for hospital attendances with conventional immunosuppressives vs dupilumab (cave: confounders, larger n needed)
  • More data on conventional immuno-suppressives needed
  • Registries not necessarily representative of AD patients at large
  • Other population-based study designs are more suitable to answer some important questions (primary care electronic health records and national registry data) – overall risk of COVID in AD patients vs healthy individuals

Related COVID registries

Comparative analyses


SECURE-AD Partner Dermatology Societies/Organisations

SECURE-AD Patient Partner Organisations


Thank you for your attention

Everybody who enters a case will be included as a co-author under the SECURE-AD Study Group in resulting publications.


Ask questions to Carsten FLOHR:

[contact-form-7 id=”3756″ title=”Ask question LIVE”]


Conflict of interest :

  • Partly supported by the National Institute for Health Research Biomedical
  • Research Centre (NIHR BRC) at Guy’s and St Thomas’ Hospitals, London
  • CI TREatment of severe atopic eczema Trial (TREAT)
  • CI UK-Irish Atopic eczema Systemic Therapy Register (A-STAR)
  • Co-Lead International TREAT Registry Task Force
  • PI EU Horizon 2020 IMI programme BIOMAP
  • Co-Lead SECURE-AD registry
  • Microbiome research programme partly funded by Sanofi (iAwards Europe)
  • No consultancy/lectures with honoraria
  • No stocks/options