Department of Dermatology, Naval Medical Readiness and Training Command San Diego, California.
Cutis. 2022 Dec;110(6):316-320. doi: 10.12788/cutis.0668.
Janus kinase (JAK) inhibitors represent one of the newest and most promising additions to the available treatments of atopic dermatitis (AD). Janus kinase inhibitors offer several key benefits over injectable biologics to include more predictable pharmacokinetics, nonimmunogenicity, and flexible dosing, in addition to their oral and topical bioavailability. Recommended laboratory assessments before and during treatment in addition to medication side effects may limit the scope of use in the active-duty military population and specifically within special-duty populations. In this article, we review approved and emerging JAK inhibitors for the treatment of AD as well as important considerations for both military and nonmilitary patient populations.
Janus 激酶 (JAK) 抑制剂是特应性皮炎 (AD) 现有治疗方法中最新和最有前途的药物之一。与注射用生物制剂相比,JAK 抑制剂具有许多关键优势,包括更可预测的药代动力学、非免疫原性和灵活的给药方案,以及口服和局部生物利用度。除药物副作用外,在治疗前和治疗期间建议进行实验室评估,这可能会限制其在现役军人中的使用范围,特别是在特殊职业人群中。本文综述了批准用于 AD 治疗的 JAK 抑制剂以及军事和非军事患者人群的重要考虑因素。