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阿布昔替尼100毫克与200毫克治疗特应性皮炎的随机对照试验的荟萃分析

Abrocitinib 100 mg versus 200 mg for atopic dermatitis: a meta-analysis of randomized controlled trials.

作者信息

Wang Junqiao, Yang Yuanjuan, Yang Haitao, Fu Xiaojuan

机构信息

Wenzhou Peace Plastic Surgery Hospital, Wenzhou, China.

Chongqing Medical and Pharmaceutical College, Chongqing, China.

出版信息

Postepy Dermatol Alergol. 2022 Oct;39(5):908-912. doi: 10.5114/ada.2022.114925. Epub 2022 Mar 27.

DOI:10.5114/ada.2022.114925
PMID:36457683
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9704456/
Abstract

INTRODUCTION

It is elusive to compare the efficacy and safety of abrocitinib 100 mg versus 200 mg once daily in patients with atopic dermatitis.

AIM

This meta-analysis aims to explore the influence of abrocitinib 100 mg versus 200 mg on the treatment of atopic dermatitis.

MATERIAL AND METHODS

Several databases including PubMed, EMbase, Web of science, EBSCO, and Cochrane library were systematically searched through July 2021. We included randomized controlled trials (RCTs) assessing the effect of abrocitinib 100 mg versus 200 mg for patients with atopic dermatitis.

RESULTS

Four RCTs were included in the meta-analysis. Compared with abrocitinib 100 mg for atopic dermatitis, abrocitinib 200 mg had a remarkably positive impact on IGA response (OR = 1.78; 95% CI: 1.39-2.28; < 0.00001), EASI-75 (OR = 2.03; 95% CI: 1.60-2.57; < 0.00001), NRS response (OR = 1.97; 95% CI: 1.27-3.08; = 0.003), and adverse events (OR = 1.43; 95% CI: 1.11-1.84; = 0.005), but it showed no obvious influence on serious adverse events (OR = 0.59; 95% CI: 0.25-1.37; = 0.22).

CONCLUSIONS

Abrocitinib 200 mg is better than abrocitinib 100 mg for the treatment of atopic dermatitis.

摘要

引言

比较每日一次服用100毫克与200毫克阿布昔替尼治疗特应性皮炎患者的疗效和安全性尚无定论。

目的

本荟萃分析旨在探讨100毫克与200毫克阿布昔替尼对特应性皮炎治疗的影响。

材料与方法

通过系统检索包括PubMed、EMbase、Web of science、EBSCO和Cochrane图书馆在内的多个数据库,检索时间截至2021年7月。我们纳入了评估100毫克与200毫克阿布昔替尼对特应性皮炎患者疗效的随机对照试验(RCT)。

结果

荟萃分析纳入了四项RCT。与100毫克阿布昔替尼治疗特应性皮炎相比,200毫克阿布昔替尼对IGA反应(OR = 1.78;95%CI:1.39 - 2.28;P < 0.00001)、EASI - 75(OR = 2.03;95%CI:1.60 - 2.57;P < 0.00001)、NRS反应(OR = 1.97;95%CI:1.27 - 3.08;P = 0.003)和不良事件(OR = 1.43;95%CI:1.11 - 1.84;P = 0.005)有显著积极影响,但对严重不良事件无明显影响(OR = 0.59;95%CI:0.25 - 1.37;P =

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a5d/9704456/8c2b463dde2e/PDIA-39-46722-g006.jpg
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Abrocitinib versus Placebo or Dupilumab for Atopic Dermatitis.阿泊替尼对比安慰剂或度普利尤单抗治疗特应性皮炎。
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