Queen's University School of Medicine, Kingston, Ontario, Canada.
Division of Dermatology, Queen's University, Kingston, Ontario, Canada.
Drugs Today (Barc). 2021 Dec;57(12):719-731. doi: 10.1358/dot.2021.57.12.3352760.
Delgocitinib ointment is a newly approved topical medication for the treatment of atopic dermatitis (AD). AD usually has onset in early childhood and is a common, often chronic relapsing inflammatory skin condition that affects all age groups. AD has a large impact on patients' quality of life including physical health and emotional impacts. Conventional management of AD consists of phototherapy and treatments that comprise corticosteroids (both topically and systemically), topical calcineurin inhibitors (tacrolimus and pimecrolimus) or systemic immunosuppressants like ciclosporin. New targeted therapies for AD, including interleukin (IL)-4/13 inhibitors, Janus kinase (JAK) inhibitors and IL-13 inhibitors have been introduced for both topical and systemic use. In this review, we give an overview of the use of delgocitinib, the first topical JAK inhibitor to be approved for AD, including its preclinical pharmacology, pharmacokinetics and metabolism, safety, existing clinical trials and future directions.
地夸磷索钠滴眼液是一种新批准的用于治疗干眼症的局部用药。干眼症通常在儿童早期发病,是一种常见的、常为慢性复发性炎症性皮肤疾病,影响所有年龄段。干眼症对患者的生活质量有很大影响,包括身体健康和情绪影响。干眼症的常规治疗包括光疗和皮质类固醇(局部和全身)、局部钙调神经磷酸酶抑制剂(他克莫司和吡美莫司)或环孢素等全身免疫抑制剂。新型针对 AD 的靶向治疗药物,包括白细胞介素(IL)-4/13 抑制剂、Janus 激酶(JAK)抑制剂和 IL-13 抑制剂,已被批准用于局部和全身使用。在这篇综述中,我们概述了地夸磷索钠滴眼液的用途,这是第一种被批准用于 AD 的局部 JAK 抑制剂,包括其临床前药理学、药代动力学和代谢、安全性、现有临床试验和未来方向。