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Efficacy and safety of abrocitinib in adults and adolescents with moderate-to-severe atopic dermatitis (JADE MONO-1): a multicentre, double-blind, randomised, placebo-controlled, phase 3 trial.阿布昔替尼治疗成人和青少年中重度特应性皮炎的疗效和安全性(JADE MONO-1):一项多中心、双盲、随机、安慰剂对照、3 期临床试验。
Lancet. 2020 Jul 25;396(10246):255-266. doi: 10.1016/S0140-6736(20)30732-7.
2
Safety, tolerability and efficacy of repeated intravenous infusions of KHK4083, a fully human anti-OX40 monoclonal antibody, in Japanese patients with moderate to severe atopic dermatitis.在日本中重度特应性皮炎患者中,重复静脉输注 KHK4083(一种全人源抗 OX40 单克隆抗体)的安全性、耐受性和疗效。
J Dermatol Sci. 2020 Aug;99(2):82-89. doi: 10.1016/j.jdermsci.2020.06.005. Epub 2020 Jun 13.
3
Retrospective Study of Dupilumab Treatment for Moderate to Severe Atopic Dermatitis in Korea: Efficacy and Safety of Dupilumab in Real-World Practice.韩国度普利尤单抗治疗中重度特应性皮炎的回顾性研究:度普利尤单抗在实际临床应用中的疗效与安全性
J Clin Med. 2020 Jun 24;9(6):1982. doi: 10.3390/jcm9061982.
4
Efficacy and safety of dupilumab with concomitant topical corticosteroids in children 6 to 11 years old with severe atopic dermatitis: A randomized, double-blinded, placebo-controlled phase 3 trial.度普利尤单抗联合外用皮质类固醇治疗 6 至 11 岁重度特应性皮炎儿童的疗效和安全性:一项随机、双盲、安慰剂对照的 3 期临床试验。
J Am Acad Dermatol. 2020 Nov;83(5):1282-1293. doi: 10.1016/j.jaad.2020.06.054. Epub 2020 Jun 20.
5
Dupilumab Provides Favorable Safety and Sustained Efficacy for up to 3 Years in an Open-Label Study of Adults with Moderate-to-Severe Atopic Dermatitis.在一项开放性研究中,度普利尤单抗为中重度特应性皮炎成人患者提供长达 3 年的良好安全性和持续疗效。
Am J Clin Dermatol. 2020 Aug;21(4):567-577. doi: 10.1007/s40257-020-00527-x.
6
Prevalence and Incidence of Atopic Dermatitis: A Systematic Review.特应性皮炎的患病率和发病率:系统评价。
Acta Derm Venereol. 2020 Jun 9;100(12):adv00160. doi: 10.2340/00015555-3510.
7
Dupilumab provides rapid and sustained improvement in SCORAD outcomes in adults with moderate-to-severe atopic dermatitis: combined results of four randomized phase 3 trials.度普利尤单抗可显著改善中重度特应性皮炎患者的 SCORAD 评分:四项随机 3 期临床试验的汇总结果。
J Dermatolog Treat. 2022 Feb;33(1):266-277. doi: 10.1080/09546634.2020.1750550. Epub 2020 Jun 8.
8
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Br J Dermatol. 2020 Aug;183(2):382-384. doi: 10.1111/bjd.18958. Epub 2020 Apr 13.
9
Effects of ruxolitinib cream on pruritus and quality of life in atopic dermatitis: Results from a phase 2, randomized, dose-ranging, vehicle- and active-controlled study.芦可替尼乳膏治疗特应性皮炎瘙痒和生活质量的疗效:一项 2 期、随机、剂量范围、赋形剂和活性对照研究的结果。
J Am Acad Dermatol. 2020 Jun;82(6):1305-1313. doi: 10.1016/j.jaad.2020.02.009. Epub 2020 Feb 11.
10
Delgocitinib ointment, a topical Janus kinase inhibitor, in adult patients with moderate to severe atopic dermatitis: A phase 3, randomized, double-blind, vehicle-controlled study and an open-label, long-term extension study.地夸磷索钠滴眼液治疗干眼病的有效性和安全性的 Meta 分析
J Am Acad Dermatol. 2020 Apr;82(4):823-831. doi: 10.1016/j.jaad.2019.12.015. Epub 2020 Feb 3.

生物药物治疗特应性皮炎——波兰皮肤病学会、波兰变态反应学会、波兰儿科学会和波兰家庭医学学会的当前建议

Biological drugs in the treatment of atopic dermatitis - current recommendations of the Polish Dermatological Society, the Polish Society of Allergology, the Polish Pediatric Society and the Polish Society of Family Medicine.

作者信息

Nowicki Roman J, Trzeciak Magdalena, Rudnicka Lidia, Szepietowski Jacek, Kulus Marek, Kupczyk Maciej, Mastalerz-Migas Agnieszka, Peregud-Pogorzelski Jaroslaw, Jahnz-Różyk Karina, Narbutt Joanna, Czarnecka-Operacz Magdalena, Czajkowski Rafał, Grubska-Suchanek Elżbieta, Krasowska Dorota, Kręcisz Beata, Kowalewski Cezary, Lesiak Aleksandra, Olszewska Małgorzata, Samochocki Zbigniew, Śpiewak Radosław, Wilkowska Aleksandra

机构信息

Department of Dermatology, Venereology and Allergology, Medical University of Gdansk, Gdansk, Poland.

Department of Dermatology, Medical University of Warsaw, Warsaw, Poland.

出版信息

Postepy Dermatol Alergol. 2020 Oct;37(5):617-624. doi: 10.5114/ada.2020.100496. Epub 2020 Nov 7.

DOI:10.5114/ada.2020.100496
PMID:33239998
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7675073/
Abstract

Atopic dermatitis (AD) is secondary to genetic, immunological and microbiological disorders as well as epidermal barrier defects, which are the main targets of therapy. The disease proceeds with periodic exacerbations. Its development and course are influenced by numerous environmental and individual factors. In recent decades, in industrialized countries, there has been a threefold increase in the incidence of AD. There is also an increasing number of cases resistant to topical treatment. Effective treatment of AD should provide control of clinical symptoms, prevent exacerbations and improve the quality of life of patients. The multifactorial etiopathogenesis and various endotypes and phenotypes of AD justify the tendency to optimize and personalize the therapy. Currently, we recommend the use of dupilumab for the treatment of patients from 12 years of age with moderate and severe atopic dermatitis, who do not respond to topical treatment.

摘要

特应性皮炎(AD)继发于遗传、免疫和微生物紊乱以及表皮屏障缺陷,这些是主要的治疗靶点。该病呈周期性加重。其发生和病程受众多环境和个体因素影响。近几十年来,在工业化国家,AD的发病率增加了两倍。对局部治疗耐药的病例也越来越多。AD的有效治疗应能控制临床症状、预防病情加重并改善患者生活质量。AD的多因素病因及各种内型和表型证明了优化和个性化治疗的趋势是合理的。目前,我们推荐使用度普利尤单抗治疗12岁及以上对局部治疗无反应的中度和重度特应性皮炎患者。