Niculet Elena, Bobeica Carmen, Stefanopol Ioana Anca, Pelin Ana Maria, Nechifor Alexandru, Onisor Cristian, Tatu Alin Laurentiu
Department of Morphological and Functional Sciences, Faculty of Medicine and Pharmacy, "Dunărea de Jos" University, Galați, Romania.
Multidisciplinary Integrated Center of Dermatological Interface Research MIC-DIR (Centrul Integrat Multidisciplinar de Cercetare de Interfata Dermatologica - CIM-CID), 'Dunărea de Jos' University, Galați, Romania.
Ther Clin Risk Manag. 2022 Apr 13;18:399-407. doi: 10.2147/TCRM.S338661. eCollection 2022.
Atopic dermatitis (AD) is a chronic inflammatory skin disorder with high prevalence and a complex pathophysiology. This relapsing and remitting skin disorder has many negative consequences on the patient's quality of life and that of his family. Until now, moderate-to-severe AD treatment was a symptomatic one, using skin emollients, topical corticosteroids, phototherapy, antihistamines and systemic drugs - immune suppressants and other systemic treatments (dupilumab). Starting from 2021, abrocitinib, a Janus kinase-1 inhibitor, was approved for the treatment of moderate-to-severe cases of AD in Europe, in adults. Multiple phase three studies (JADE MONO-1 [NCT03349060]; JADE MONO-2 [NCT03575871]; JADE TEEN [NCT03796676]; JADE COMPARE; GOODERHAM; JADE EXTEND) have yielded positive results in adults and adolescents suffering from this disease, with efficacy, a good tolerance, safe profile, and with generally mild side effects. The positive results were obtained even starting from the first stages of the oral drug administration. The low frequency of side effects and the advantage of having an orally administered medication makes abrocitinib an important additional tool for the treatment of moderate-to-severe forms of AD.
特应性皮炎(AD)是一种慢性炎症性皮肤病,患病率高且病理生理复杂。这种反复发作和缓解的皮肤病对患者及其家人的生活质量有许多负面影响。到目前为止,中重度AD的治疗是对症治疗,使用皮肤润肤剂、外用皮质类固醇、光疗、抗组胺药和全身性药物——免疫抑制剂及其他全身性治疗药物(度普利尤单抗)。从2021年起,Janus激酶-1抑制剂阿布昔替尼在欧洲被批准用于治疗成人中重度AD病例。多项三期研究(JADE MONO-1 [NCT03349060];JADE MONO-2 [NCT03575871];JADE TEEN [NCT03796676];JADE COMPARE;GOODERHAM;JADE EXTEND)在患有这种疾病的成人和青少年中取得了积极成果,具有疗效、良好的耐受性、安全的特性,且副作用一般较轻。即使从口服药物给药的第一阶段开始就获得了积极结果。副作用发生率低以及口服给药的优势使阿布昔替尼成为治疗中重度AD的重要补充工具。