Clinical Edge Journal Scan

Abrocitinib improves outcomes in severe or difficult-to-treat atopic dermatitis


 

Key clinical point: Abrocitinib led to greater and rapid improvements in itch and skin clearance compared with placebo in patients with severe or difficult-to-treat atopic dermatitis (AD).

Major finding: At week 16, a significantly higher proportion of patients achieved an Investigator’s Global Assessment score of 0 or 1, Eczema Area and Severity Index-75 and -90 responses, and a ≥4-point improvement in Peak Pruritus Numerical Rating Scale score with abrocitinib 200-mg vs placebo across all subgroups (all nominal P < .05).

Study details: This post hoc analysis of the JADE COMPARE trial (n = 837) included a subset of patients with severe or difficult-to-treat AD who were randomly assigned to receive oral abrocitinib (200 or 100 mg), subcutaneous dupilumab (300 mg), or placebo with medicated topical therapy for 16 weeks.

Disclosures: This study was funded by Pfizer Inc. Some authors declared receiving grants or personal fees or serving as consultants, speakers, board members, or investigators for various organizations, including Pfizer. Five authors declared being employees of or shareholders in Pfizer.

Source: Simpson EL et al. Efficacy and safety of abrocitinib in patients with severe and/or difficult totreat atopic dermatitis: A post hoc analysis of the randomized phase 3 JADE COMPARE trial. Am J Clin Dermatol. 2023 (May 22). doi: 10.1007/s40257-023-00785-5

Recommended Reading

Commentary: AD, RA, Probiotics, and a New JAK inhibitor, June 2023
MDedge Dermatology
Enthesitis, arthritis, tenosynovitis linked to dupilumab use for atopic dermatitis
MDedge Dermatology
Dupilumab outcomes stable at end of open label atopic dermatitis study
MDedge Dermatology
Abrocitinib remains effective at 96 weeks, in older as well as younger adults
MDedge Dermatology
Advising patients on AD treatment options: Expert pearls
MDedge Dermatology
A live topical biotherapeutic spray improves pruritus in atopic dermatitis
MDedge Dermatology
Atopic dermatitis positively linked with the risk for incident venous thromboembolism
MDedge Dermatology
Crisaborole once daily an effective long-term maintenance therapy for atopic dermatitis
MDedge Dermatology
Switching to upadacitinib from dupilumab improves atopic dermatitis
MDedge Dermatology
Successful dupilumab dose tapering in controlled atopic dermatitis
MDedge Dermatology