Abrocitinib for the treatment of atopic dermatitis

INTRODUCTION: Janus kinase (JAK) inhibitors are emerging treatments in dermatology. Also known as JAKinibs, these agents target JAK-signal transducers and activators of transcription (JAK-STAT) pathway for intracellular signaling. Among the various immune-mediated inflammatory skin diseases that the JAK-STAT pathway plays a role in, atopic dermatitis (AD) is an important one. AD has a complex and multifactorial pathophysiology that is not fully understood. Immune dysregulation can result in epidermal barrier disruption and intensify atopic dermatitis. The newly developed abrocitinib (PF-04965842) selectively inhibits the JAK1 protein, which is believed to modulate cytokines involved in AD pathophysiology.

AREAS COVERED: This work is a review of the current literature related to abrocitinib, including the phase I, II, and III clinical trials, for the treatment of AD. Immunological considerations of abrocitinib and JAK inhibition are also explored.

EXPERT OPINION: Abrocitinib is among the first JAK inhibitors evaluated for the treatment of AD. Similar to other JAKinhibs that mechanistically block the signaling of several cytokines, abrocitinib possesses both positive and negative clinical attributes. Nonetheless, the risk-benefit profile of abrocitinib remains favorable. Up to 61% of AD patients achieve an EASI 75 response while a minority of responding patients experience mild to moderate symptoms related to tolerability.

Medienart:

E-Artikel

Erscheinungsjahr:

2020

Erschienen:

2020

Enthalten in:

Zur Gesamtaufnahme - volume:16

Enthalten in:

Expert review of clinical immunology - 16(2020), 10 vom: 08. Okt., Seite 955-962

Sprache:

Englisch

Beteiligte Personen:

Crowley, Erika L [VerfasserIn]
Nezamololama, Novin [VerfasserIn]
Papp, Kim [VerfasserIn]
Gooderham, Melinda J [VerfasserIn]

Links:

Volltext

Themen:

73SM5SF3OR
Abrocitinib
Anti-Inflammatory Agents
Atopic dermatitis
Cytokines
Eczema
Hydroxyethylrutoside
JAK-STAT Pathway
JAK1
Janus Kinase Inhibitors
Journal Article
PF-04965842
Pyrimidines
Review
Sulfonamides

Anmerkungen:

Date Completed 22.10.2021

Date Revised 22.10.2021

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1080/1744666X.2021.1828068

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM315406151