Clinical Edge Journal Scan

Baricitinib improves outcomes in moderate-to-severe atopic dermatitis


 

Key clinical point: In patients with moderate-to-severe atopic dermatitis (AD), baricitinib with or without topical corticosteroids (TCS) resulted in rapid achievement of the recommended absolute Eczema Area and Severity Index (EASI) and SCORing of AD (SCORAD) outcomes, which were sustained until week 16.

Major finding: An EASI score of ≤7 and a SCORAD score of <25 were achieved by significantly more patients receiving baricitinib (2 or 4 mg) vs placebo at all timepoints from week 1 (all P ≤ .01 and all P ≤ .05, respectively) and those receiving 4 mg baricitinib + TCS vs placebo + TCS at all timepoints from week 2 (all P ≤ .05 for both).

Study details: This post hoc analysis included 1316 patients with moderate-to-severe AD who received baricitinib (2 or 4 mg) or placebo in BREEZE-AD1/AD2 or baricitinib (2 or 4 mg)+TCS or placebo+TCS in BREEZE-AD7 for 16 weeks.

Disclosures: This study was funded by Eli Lilly and Company. Some authors reported ties with various organizations, including Eli Lilly. Three authors declared being current or former employees or shareholders of Eli Lilly.

Source: Thyssen JP et al. Baricitinib provides rapid and sustained improvements in absolute EASI and SCORAD outcomes in adults with moderate-to-severe atopic dermatitis. J Dermatolog Treat. 2023;34(1):2216322 (Jun 21). Doi: 10.1080/09546634.2023.2216322

Recommended Reading

New guidelines for MTX use in pediatric inflammatory skin disease unveiled
MDedge Dermatology
JAK inhibitors efficacious for atopic dermatitis in Asian patients, study finds
MDedge Dermatology
Camp Discovery: A place for children to be comfortable in their own skin
MDedge Dermatology
Ocular complications of dermatologic treatments: Advice from a pediatric ophthalmologist
MDedge Dermatology
When treating AD in children, experts consider adherence, other aspects of treatment
MDedge Dermatology
Phase 3 trial supports long-term efficacy and safety of abrocitinib in moderate-to-severe atopic dermatitis
MDedge Dermatology
Lebrikizumab shows favorable benefit-risk profile in adolescents with moderate-to-severe atopic dermatitis
MDedge Dermatology
Atopic dermatitis not associated with malignancy overall but increases the risk for lymphoma
MDedge Dermatology
Dupilumab rapidly reduces Staphylococcus aureus abundance in moderate-to-severe atopic dermatitis
MDedge Dermatology
Upadacitinib offers long-term benefits against treatment-resistant moderate-to-severe atopic dermatitis
MDedge Dermatology