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Treatment of AD with Abrocitinib

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Clinical Cases in Atopic Dermatitis

Part of the book series: Clinical Cases in Dermatology ((CLIDADE))

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Abstract

Atopic dermatitis (AD) management may require the use of a systemic medication such as abrocitinib (Cibinqo), which is a targeted Janus kinase (JAK) 1 inhibitor that suppresses aberrant T helper 2 (Th2) signaling present in AD pathogenesis. Unique features that distinguish abrocitinib from other systemic treatments for AD include its oral route of administration, once daily dosing, approval for use in all adults, and lack of conjunctivitis as a reported side effect in clinical trials. Notably, seven phase II and phase III clinical trials have each shown that abrocitinib achieved superior clinical efficacy compared to placebo as measured through disease severity scales and worst reported itch—including one clinical trial that showed improved short-term AD outcomes compared to dupilumab use. Coupled with minimal lab monitoring once the drug is initiated, abrocitinib can be considered as a systemic option in patients with moderate-to-severe AD to achieve their treatment goals.

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References

  1. Ständer S. Atopic Dermatitis. Ropper AH, editor. N Engl J Med [Internet]. 2021 Mar 25 [cited 2022 Dec 23];384(12):1136–43. https://pubmed.ncbi.nlm.nih.gov/33761208/

  2. Lynde CW, Bourcier M, Gooderham M, Guenther L, Hong CH, Papp KA, et al. A treatment algorithm for moderate to severe Atopic dermatitis in adults. J Cutan Med Surg [Internet]. 2018;22(1):78–83. [cited 2022 Dec 23] Available from: https://pubmed.ncbi.nlm.nih.gov/29082775/

    Article  PubMed  Google Scholar 

  3. Linder C, Shourick J, Touhouche AT, Giordano-Labadie F, Severino-Freire M, Borjesson C, et al. Analysis of non-responders to dupilumab in clinical practice: a cohort study. J Eur Acad Dermatol Venereol [Internet]. 2021;35(3):e192–4. [cited 2022 Dec 23]. Available from: https://pubmed.ncbi.nlm.nih.gov/32870543/

    CAS  PubMed  Google Scholar 

  4. Vazquez ML, Kaila N, Strohbach JW, Trzupek JD, Brown MF, Flanagan ME, et al. Identification of N-{cis-3-[methyl(7H-pyrrolo[2,3-d]pyrimidin-4-yl)amino]cyclobutyl}propane-1-sulfonamide (PF-04965842): a selective JAK1 clinical candidate for the treatment of autoimmune diseases. J Med Chem [Internet]. 2018;61(3):1130–52. [cited 2022 Dec 23]. Available from: https://pubmed.ncbi.nlm.nih.gov/29298069/

    Article  CAS  PubMed  Google Scholar 

  5. Chovatiya R, Paller AS. JAK inhibitors in the treatment of atopic dermatitis. J Allergy Clin Immunol [Internet]. 2021;148(4):927–40. [cited 2022 Dec 23]. Available from: https://pubmed.ncbi.nlm.nih.gov/34437922/

    Article  CAS  PubMed  Google Scholar 

  6. Szalus K, Trzeciak M, Nowicki RJ. JAK-STAT inhibitors in atopic dermatitis from pathogenesis to clinical trials results. Microorganisms [Internet]. 2020;8(11):1–14. [cited 2022 Dec 23]. Available from: /pmc/articles/PMC7694787/

    Google Scholar 

  7. Perche PO, Cook MK, Feldman SR. Abrocitinib: a new FDA-approved drug for moderate-to-severe atopic dermatitis. Ann Pharmacother [Internet]. 2022;57(1):86–98. [cited 2022 Dec 23]. https://doi-org.ucsf.idm.oclc.org/101177/10600280221096713. Available from: https://journals-sagepub-com.ucsf.idm.oclc.org/doi/10.1177/10600280221096713?url_ver=Z39.88-2003&rfr_id=ori%3Arid%3Acrossref.org&rfr_dat=cr_pub++0pubmed

    Article  PubMed  Google Scholar 

  8. Nash P, Kerschbaumer A, Dörner T, Dougados M, Fleischmann RM, Geissler K, et al. Points to consider for the treatment of immune-mediated inflammatory diseases with Janus kinase inhibitors: a consensus statement. Ann Rheum Dis [Internet]. 2021;80(1):71–87. [cited 2022 Dec 23]. Available from: https://pubmed.ncbi.nlm.nih.gov/33158881/

    Article  CAS  PubMed  Google Scholar 

  9. Simpson EL, Silverberg JI, Nosbaum A, Winthrop KL, Guttman-Yassky E, Hoffmeister KM, et al. Integrated safety analysis of abrocitinib for the treatment of moderate-to-severe atopic dermatitis from the phase II and phase III clinical trial program. Am J Clin Dermatol [Internet]. 2021;22(5):693–707. [cited 2022 Dec 23]. Available from: https://pubmed.ncbi.nlm.nih.gov/34406619/

    Article  PubMed  Google Scholar 

  10. Alves C, Penedones A, Mendes D, Batel MF. The safety of systemic Janus kinase inhibitors in atopic dermatitis: a systematic review and network meta-analysis. Eur J Clin Pharmacol [Internet]. 2022;78(12):1923–33. [cited 2022 Dec 23]. Available from: https://link.springer.com/article/10.1007/s00228-022-03400-4

    Article  CAS  PubMed  Google Scholar 

  11. CIBINQO Indications and Usage (abrocitinib) | Pfizer Medical Information—US [Internet]. [cited 2022 Dec 23]. https://www.pfizermedicalinformation.com/en-us/cibinqo-0/indications-usage

  12. Ytterberg SR, Bhatt DL, Mikuls TR, Koch GG, Fleischmann R, Rivas JL, et al. Cardiovascular and cancer risk with tofacitinib in rheumatoid arthritis. N Engl J Med [Internet]. 2022;386(4):316–26. [cited 2023 Jan 10]. Available from: https://www.nejm.org/doi/full/10.1056/NEJMoa2109927

    Article  CAS  PubMed  Google Scholar 

  13. Le M, Berman-Rosa M, Ghazawi FM, Bourcier M, Fiorillo L, Gooderham M, et al. Systematic review on the efficacy and safety of oral janus kinase inhibitors for the treatment of atopic dermatitis. Front Med [Internet]. 2021;8:682547. [cited 2023 Jan 4]. Available from: /pmc/articles/PMC8440866/

    Article  Google Scholar 

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Correspondence to Tina Bhutani .

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Jin, J.Q. et al. (2024). Treatment of AD with Abrocitinib. In: Brownstone, N., Liao, W., Bhutani, T. (eds) Clinical Cases in Atopic Dermatitis. Clinical Cases in Dermatology. Springer, Cham. https://doi.org/10.1007/978-3-031-52147-8_15

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  • DOI: https://doi.org/10.1007/978-3-031-52147-8_15

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-52146-1

  • Online ISBN: 978-3-031-52147-8

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