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患有特应性皮炎的患者使用巴瑞替尼治疗后的传染性不良事件。

Infectious adverse events in patients with atopic dermatitis treated with baricitinib.

机构信息

Dermatologia, Dipartimento di Medicina e Chirurgia Traslazionale, Università Cattolica del Sacro Cuore, Rome, 00168, Italy.

UOC di Dermatologia, Dipartimento di Scienze Mediche e Chirurgiche, Fondazione Policlinico Universitario A Gemelli - IRCCS, Rome, 00168, Italy.

出版信息

Immunotherapy. 2023 Dec;15(18):1521-1529. doi: 10.2217/imt-2023-0078. Epub 2023 Oct 18.

DOI:10.2217/imt-2023-0078
PMID:37850366
Abstract

Baricitinib is a JAK1-2 inhibitor recently approved in Europe and Japan for the treatment of moderate-to-severe atopic dermatitis in adult patients at doses of 2 and 4 mg daily. The aim of this article is to discuss the safety profile of baricitinib in atopic dermatitis using data from clinical trials and the supporting literature, with a focus on infectious adverse events. An integrated analysis of safety data from eight clinical trials described infections as the most frequent treatment-emergent adverse events, mainly of mild-to-moderate severity, notably upper respiratory tract infections and herpes simplex exacerbations. Real-world data are still limited and will contribute to precisely profile the patients that might benefit from this treatment.

摘要

巴瑞替尼是一种 JAK1-2 抑制剂,最近在欧洲和日本获批用于治疗成人中重度特应性皮炎,剂量为每日 2 毫克和 4 毫克。本文旨在使用临床试验和相关文献数据讨论巴瑞替尼在特应性皮炎中的安全性概况,重点关注感染不良事件。对八项临床试验的安全性数据进行综合分析显示,感染是最常见的治疗中出现的不良事件,主要为轻度至中度严重程度,尤其是上呼吸道感染和单纯疱疹恶化。真实世界的数据仍然有限,将有助于更准确地确定可能从这种治疗中获益的患者。

相似文献

1
Infectious adverse events in patients with atopic dermatitis treated with baricitinib.患有特应性皮炎的患者使用巴瑞替尼治疗后的传染性不良事件。
Immunotherapy. 2023 Dec;15(18):1521-1529. doi: 10.2217/imt-2023-0078. Epub 2023 Oct 18.
2
Extended Safety Analysis of Baricitinib 2 mg in Adult Patients with Atopic Dermatitis: An Integrated Analysis from Eight Randomized Clinical Trials.巴瑞替尼2mg用于成人特应性皮炎患者的扩展安全性分析:八项随机临床试验的综合分析
Am J Clin Dermatol. 2021 May;22(3):395-405. doi: 10.1007/s40257-021-00602-x. Epub 2021 Apr 7.
3
Efficacy and safety of baricitinib in combination with topical corticosteroids in patients with moderate-to-severe atopic dermatitis with inadequate response, intolerance or contraindication to ciclosporin: results from a randomized, placebo-controlled, phase III clinical trial (BREEZE-AD4).巴瑞替尼联合局部皮质类固醇治疗对环孢素反应不足、不耐受或禁忌的中重度特应性皮炎患者的疗效和安全性:一项随机、安慰剂对照、III 期临床试验(BREEZE-AD4)的结果。
Br J Dermatol. 2022 Sep;187(3):338-352. doi: 10.1111/bjd.21630. Epub 2022 Jul 20.
4
Efficacy and Safety of Baricitinib Combined With Topical Corticosteroids for Treatment of Moderate to Severe Atopic Dermatitis: A Randomized Clinical Trial.巴瑞替尼联合外用皮质类固醇治疗中重度特应性皮炎的疗效和安全性:一项随机临床试验。
JAMA Dermatol. 2020 Dec 1;156(12):1333-1343. doi: 10.1001/jamadermatol.2020.3260.
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A Review of Safety Outcomes from Clinical Trials of Baricitinib in Rheumatology, Dermatology and COVID-19.巴瑞替尼在风湿病、皮肤病和 COVID-19 临床试验中的安全性结果综述。
Adv Ther. 2022 Nov;39(11):4910-4960. doi: 10.1007/s12325-022-02281-4. Epub 2022 Sep 5.
6
Safety of baricitinib for the treatment of atopic dermatitis over a median of 1.6 years and up to 3.9 years of treatment: an updated integrated analysis of eight clinical trials.巴瑞替尼治疗特应性皮炎 1.6 年及长达 3.9 年的安全性:八项临床试验的更新综合分析。
J Dermatolog Treat. 2023 Dec;34(1):2161812. doi: 10.1080/09546634.2022.2161812.
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Longer-term safety and efficacy of baricitinib for atopic dermatitis in pediatric patients 2 to <18 years old: a randomized clinical trial of extended treatment to 3.6 years.巴瑞替尼治疗 2 至<18 岁特应性皮炎患儿的长期安全性和疗效:一项扩展治疗至 3.6 年的随机临床试验。
J Dermatolog Treat. 2024 Dec;35(1):2411834. doi: 10.1080/09546634.2024.2411834. Epub 2024 Nov 10.
8
Baricitinib: therapeutic potential for moderate to severe atopic dermatitis.巴利昔替尼:治疗中重度特应性皮炎的潜力。
Expert Opin Investig Drugs. 2020 Oct;29(10):1089-1098. doi: 10.1080/13543784.2020.1800639. Epub 2020 Aug 14.
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Integrated Safety Update of Abrocitinib in 3802 Patients with Moderate-to-Severe Atopic Dermatitis: Data from More than 5200 Patient-Years with Up to 4 Years of Exposure.阿泊替尼治疗中重度特应性皮炎 3802 例患者的综合安全性更新:5200 多患者年数据,最长达 4 年暴露。
Am J Clin Dermatol. 2024 Jul;25(4):639-654. doi: 10.1007/s40257-024-00869-w. Epub 2024 Jun 18.
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Pooled safety analysis of baricitinib in adult patients with atopic dermatitis from 8 randomized clinical trials.8 项随机临床试验中成人特应性皮炎患者巴瑞替尼的汇总安全性分析。
J Eur Acad Dermatol Venereol. 2021 Feb;35(2):476-485. doi: 10.1111/jdv.16948. Epub 2020 Oct 6.

引用本文的文献

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Targeting Intracellular Pathways in Atopic Dermatitis with Small Molecule Therapeutics.用小分子疗法靶向特应性皮炎的细胞内信号通路
Curr Issues Mol Biol. 2025 Aug 15;47(8):659. doi: 10.3390/cimb47080659.
2
An exhaustive examination of the research progress in identifying potential JAK inhibitors from natural products: a comprehensive overview.从天然产物中鉴定潜在JAK抑制剂的研究进展详尽考察:全面综述
Chin Med. 2025 Aug 21;20(1):130. doi: 10.1186/s13020-025-01176-0.
3
Infections in Patients with Atopic Dermatitis and the Influence of Treatment.
特应性皮炎患者的感染及治疗的影响
Am J Clin Dermatol. 2025 Mar;26(2):183-197. doi: 10.1007/s40257-025-00917-z. Epub 2025 Feb 7.
4
Combination Therapy with Baricitinib and Narrowband Ultraviolet B for Active Non-Segmental Vitiligo: A Retrospective Controlled Study.巴瑞替尼与窄谱中波紫外线联合治疗活动性非节段型白癜风:一项回顾性对照研究。
Clin Cosmet Investig Dermatol. 2024 Dec 18;17:2933-2944. doi: 10.2147/CCID.S501688. eCollection 2024.