- |||||||||| Adtralza (tralokinumab) / LEO Pharma, AstraZeneca, cendakimab (CC-93538) / AbbVie, BMS, lebrikizumab (LY3650150) / Roche, Almirall, Eli Lilly
Comparison of the affinity and in vitro activity of lebrikizumab, tralokinumab, and cendakimab () - Nov 11, 2021 - Abstract #ISDS2021ISDS_161; Our data show that, across these monoclonal antibodies, lebrikizumab has the highest affinity and in vitro potency, followed by cendakimab, and then tralokinumab. Overall, lebrikizumab binds human IL-13 with high affinity and neutralizes its functional activity with high potency, providing insight to the clinical efficacy seen by lebrikizumab in Phases 2b and 3 atopic dermatitis studies.
- |||||||||| Adtralza (tralokinumab) / LEO Pharma, AstraZeneca
Long-term treatment with tralokinumab normalizes the molecular gene signature of atopic dermatitis () - Nov 11, 2021 - Abstract #ISDS2021ISDS_126; P3 At 2 years, tralokinumab treatment also modified the transcriptomic profile of the non-lesional skin, improving the subclinical disease seen at baseline in normal-appearing skin. These shifts in the cutaneous biomarker profile highlight the role of IL-13 as a key driver of the AD molecular signature, and support the role of targeted biologic therapy for long-term AD management.
- |||||||||| Adtralza (tralokinumab) / LEO Pharma, AstraZeneca
EASI p-EASI: Predicting disease severity in atopic dermatitis patients treated with tralokinumab () - Nov 11, 2021 - Abstract #ISDS2021ISDS_124; P3 The biomarker signature p-EASI correlated with disease severity in moderate-severe AD patients treated with tralokinumab in a clinical trial setting. The use of objective biomarkers such as p-EASI may be considered as a tool to objectively assess treatment effect of new drugs for AD.
- |||||||||| Adtralza (tralokinumab) / LEO Pharma, AstraZeneca, lebrikizumab (LY3650150) / Roche, Almirall, Eli Lilly, Dupixent (dupilumab) / Sanofi, Regeneron
IL-13 and IL-4 promote proliferation and mRNA expression of MUC2 and MUC5AC in primary human conjunctival goblet cells () - Nov 11, 2021 - Abstract #ISDS2021ISDS_39; As CGCs are essential for maintaining homeostasis of the conjunctival mucosal surface, our findings may at least in part provide a mechanistic explanation behind the ophthalmological adverse events observed after treatment with biologics inhibiting IL-4 and IL-13 signaling. Due to the functional redundancy of IL-13 and IL-4 on CGC biology, targeted treatment with monoclonal antibodies that specifically neutralize IL-13 might be associated with a lower incidence of conjunctivitis in AD patients compared to inhibiting both IL-13 and IL-4 with dupilumab.
- |||||||||| Adtralza (tralokinumab) / LEO Pharma, AstraZeneca
Review, Journal: Tralokinumab in atopic dermatitis. (Pubmed Central) - Nov 11, 2021 Tralokinumab was significantly superior to placebo regarding the proportion of patients achieving IGA 0/1 and EASI-75 at week 16 (primary endpoints), as well as improving scores for worst daily pruritus, Dermatology Life Quality Index (DLQI), and Scoring Atopic Dermatitis (SCORAD) (secondary endpoints). The week 16 response was sustained during follow-up, and treatment with tralokinumab was found to be well-tolerated with an overall frequency and severity of adverse events comparable to placebo.
- |||||||||| Xolair (omalizumab) / Roche, Novartis
Biomarker, Review, Journal: Effect of monoclonal antibody drug therapy on mucosal biomarkers in airway disease: a systematic review. (Pubmed Central) - Nov 4, 2021 An understanding of the biological effect is essential to identify likely responders, reasons for treatment failure and necessary adjustments to monoclonal antibody treatment. Further investigation into the effect of monoclonal antibody therapy on disease mucosa and more precise endotyping are required to move closer to achieving personalized medicine.
- |||||||||| Adtralza (tralokinumab) / LEO Pharma, AstraZeneca
Review, Journal: Tralokinumab bei atopischer Dermatitis. (Pubmed Central) - Oct 22, 2021 Further investigation into the effect of monoclonal antibody therapy on disease mucosa and more precise endotyping are required to move closer to achieving personalized medicine. No abstract available
- |||||||||| Xolair (omalizumab) / Roche, Novartis
Review, Journal: Biologics for Atopic Dermatitis. (Pubmed Central) - Oct 6, 2021 Dupilumab has been approved for patients 6 years of age and older with moderate to severe AD. Monoclonal antibodies are in phase 3 trials and may become part of a precision medicine approach to AD.
- |||||||||| cyclosporine / Generic mfg.
Review, Journal: A new era has begun: Treatment of atopic dermatitis with biologics. (Pubmed Central) - Sep 18, 2021 In addition to antibody-based therapies, "small molecules" that, e.g., inhibit Janus kinases enrich the armamentarium of systemic AD therapies. With all these agents, not only will many more targeted therapies become available, but also will the complex and heterogeneous pathophysiological processes of this disease be better understood.
- |||||||||| Retrospective data, Review, Journal: Comparative efficacy and safety of systemic therapies used in moderate-to-severe atopic dermatitis: a systematic literature review and network meta-analysis. (Pubmed Central) - Aug 26, 2021
In monotherapy and combination therapy RCTs, the probability of treatment-emergent adverse events (TEAEs) was higher among all active treatments than with placebo (except for dupilumab 300 mg Q2W [odds ratio (OR), 0.96; 95% credible interval (CrI), 0.45-2.18] and abrocitinib 100 mg QD [OR, 0.95; 95% CrI, 0.35-2.66] in combination therapy RCTs), although active treatments did not significantly differ from one another. Abrocitinib, dupilumab, and upadacitinib were consistently the most effective systemic therapies in adult and adolescent patients with AD, with no significant TEAE differences in short-term RCTs.
- |||||||||| cyclosporine / Generic mfg.
Review, Journal: What's new in atopic eczema? An analysis of systematic reviews published in 2018. Part 2: systemic therapies. (Pubmed Central) - Jul 30, 2021 Biologic therapies in AE treatment are being increasingly investigated, and to date, the greatest quantity of data and evidence of efficacy relates to dupilumab...Other biologics showing some evidence of efficacy include nemolizumab, lebrikizumab and tralokinumab, although further data are needed...A Cochrane review on probiotics showed no significant benefit, and SRs and meta-analyses on complementary and alternative medicines, including probiotics, in paediatric AE demonstrated significant heterogeneity, thereby limiting their interpretation. This summary of recent SRs provides up-to-date evidence for clinicians on systemic therapies in AE.
- |||||||||| Dupixent (dupilumab) / Sanofi, Regeneron
[VIRTUAL] A computational model suggested potential therapies for dupilumab poor responders in atopic dermatitis () - Jul 8, 2021 - Abstract #ESDR2021ESDR_132; The model will serve as a computational platform for model-informed drug development for precision medicine, as it allows to evaluate the validity of potential drug targets, including combinations of multiple targets, in stratified patients. Similar mathematical models and simulation can be also applicable for other diseases and therapies when there are reported clinical efficacies of multiple drugs.
- |||||||||| Adtralza (tralokinumab) / LEO Pharma, AstraZeneca
[VIRTUAL] Impact of targeting interleukin-13 on Staphylococcus aureus colonization: results from a Phase 3, randomized, double-blind, placebo-controlled trial with tralokinumab in adult patients with atopic dermatitis () - Jun 29, 2021 - Abstract #RAD2021RAD_39; P3 This supports previous studies (Guttman-Yassky E, et al. Presented at: EADV, Paris, France; Poster P0283; 2018) and suggests that reduction of S. aureus colonization by neutralization of IL-13 contributes to the efficacy of tralokinumab in improving the hallmarks of atopic dermatitis and breaking the cycle of itching, scratching, skin barrier dysfunction, and immune-mediated inflammation.
- |||||||||| Review, Journal: Innovation in Atopic Dermatitis: From Pathogenesis to Treatment. (Pubmed Central) - Jun 26, 2021
g., baricitinib, upadacitinib, and abrocitinib)...In this article, we review the main advances in the treatment of atopic dermatitis. Characterization of clinical and molecular phenotypes with a key pathogenic role is essential for driving these advances.
- |||||||||| [VIRTUAL] Comparison of Efficacy of Targeted Therapies without Topical Corticosteroids for Moderate to severe Atopic Dermatitis: Systematic Review and Network Meta-analysis () - Jun 11, 2021 - Abstract #RAD2021RAD_26;
P3 When including the upadacitinib trials, the NMA analyzed 11 unique placebo-controlled trials encompassing 6,254 patients in 28 arms across five targeted therapies (abrocitinib, baricitinib, dupilumab, tralokinumab, upadacitinib). Among targeted therapies used as monotherapy without concomitant TCS, upadacitinib 30mg appears to be the most efficacious treatment for patients with moderate to severe AD, followed by abrocitinib 200mg, upadacitinib 15mg, and dupilumab.
- |||||||||| Adtralza (tralokinumab) / LEO Pharma, AstraZeneca
Clinical, P3 data, Journal: Tralokinumab for moderate-to-severe atopic dermatitis: results from two 52-week, randomized, double-blind, multicentre, placebo-controlled phase III trials (ECZTRA 1 and ECZTRA 2). (Pubmed Central) - Jun 3, 2021 P3 1 In the present study, COVID-19 cases were predominately mild or moderate (96%), and all patients continued tralokinumab treatment following COVID-19 diagnosis. Tralokinumab monotherapy was superior to placebo at 16 weeks of treatment and was well tolerated up to 52 weeks of treatment.
- |||||||||| Adtralza (tralokinumab) / LEO Pharma, AstraZeneca
Journal: Tralokinumab for atopic dermatitis: a promising new therapy. (Pubmed Central) - Jun 3, 2021 Tralokinumab 300 mg in combination with TCS as needed was effective and well tolerated in patients with moderate-to-severe AD. No abstract available
- |||||||||| Journal: Biologics for Treatment of Atopic Dermatitis: Current Status and Future Prospect. (Pubmed Central) - May 25, 2021
Dupilumab is the only biologic therapy that is Food and Drug Administration approved for the treatment of moderate-to-severe AD in patients 6 years and older, with consistent long-term efficacy and safety trial data. In this article, we review the mechanisms, safety, and efficacy of dupilumab from recent clinical trials, and we review the current data, mechanism of action, clinical efficacy, and limitations of new biologics currently in phase 2 and 3 clinical trials (lebrikizumab, tralokinumab, nemolizumab, tezepelumab, and ISB 830).
- |||||||||| Adtralza (tralokinumab) / LEO Pharma, AstraZeneca
Clinical, P2b data, Journal, HEOR: Health-related quality of life with tralokinumab in moderate-to-severe atopic dermatitisA phase 2b randomized study. (Pubmed Central) - May 20, 2021 P2b In this article, we review the mechanisms, safety, and efficacy of dupilumab from recent clinical trials, and we review the current data, mechanism of action, clinical efficacy, and limitations of new biologics currently in phase 2 and 3 clinical trials (lebrikizumab, tralokinumab, nemolizumab, tezepelumab, and ISB 830). No abstract available
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