The Use of Biologics During the COVID-19 Pandemic

Dermatol Clin. 2021 Oct;39(4):545-553. doi: 10.1016/j.det.2021.05.010. Epub 2021 Jun 1.

Abstract

During the coronavirus disease 2019 (COVID-19) pandemic, there has been considerable discussion regarding the use of biologics in patients with inflammatory skin conditions, such as psoriasis, hidradenitis suppurativa, and atopic dermatitis. This article discusses clinical trial data, real-world evidence, and guidelines and recommendations for biologics that inhibit tumor necrosis factor, interleukin (IL)-12/23, IL-17, IL-23, and IL-4/13 during the COVID-19 pandemic. Across these inflammatory skin conditions, existing data generally suggest that biologics do not seem to increase the risk of COVID-19 infection or worsen COVID-19 outcomes. The impact of biologics on COVID-19 is an area of active exploration.

Keywords: Atopic dermatitis; Biologics; COVID-19; Dupilumab; Hidradenitis suppurativa; IL inhibitor; Psoriasis; TNF-Inhibitor.

Publication types

  • Review

MeSH terms

  • Biological Products / therapeutic use*
  • COVID-19 / complications
  • COVID-19 Drug Treatment*
  • Dermatitis, Atopic / drug therapy
  • Humans
  • Skin Diseases / drug therapy*
  • Skin Diseases / etiology*

Substances

  • Biological Products