Abrocitinib 100 mg Once Daily for Moderate-to-Severe Atopic Dermatitis: A Review of Efficacy and Safety, and Expert Opinion on Use in Clinical Practice

Melinda J Gooderham; Andrew E Pink; Eric L Simpson; Jonathan I Silverberg; Erman Güler; Melissa Watkins

doi:10.1007/s13555-023-00948-6

Abrocitinib 100 mg Once Daily for Moderate-to-Severe Atopic Dermatitis: A Review of Efficacy and Safety, and Expert Opinion on Use in Clinical Practice

Dermatol Ther (Heidelb). 2023 Sep;13(9):1893-1907. doi: 10.1007/s13555-023-00948-6. Epub 2023 Jul 23.

Authors

Melinda J Gooderham¹, Andrew E Pink², Eric L Simpson³, Jonathan I Silverberg⁴, Erman Güler⁵, Melissa Watkins⁶

Affiliations

¹ SKiN Centre for Dermatology, Peterborough, and Queen's University, 775 Monaghan Road, Peterborough, Kingston, ON, K9J 5K2, Canada. mgooderham@centrefordermatology.com.
² St John's Institute of Dermatology, King's College London and Guy's and St Thomas' NHS Foundation Trust, London, UK.
³ Dermatology Department, Oregon Health & Science University, Portland, OR, USA.
⁴ Dermatology Department, The George Washington University School of Medicine and Health Sciences, Washington, DC, USA.
⁵ Pfizer Inc., Istanbul, Turkey.
⁶ Pfizer Inc., New York, NY, USA.

Abstract

Abrocitinib is a Janus kinase (JAK) 1-selective inhibitor approved for the treatment of moderate-to-severe atopic dermatitis (AD). Although specific dose recommendations for abrocitinib vary across regional product labels, abrocitinib 100 mg once daily is recommended as a starting and maintenance dose. This review summarizes the efficacy and safety of abrocitinib 100 mg once daily for patients with moderate-to-severe AD based on data from the pivotal phase 3 studies of the JAK1 Atopic Dermatitis Efficacy and Safety (JADE) clinical program, JADE MONO-1 (NCT03349060), JADE MONO-2 (NCT03575871), JADE COMPARE (NCT03720470), JADE TEEN (NCT03796676), and JADE REGIMEN (NCT03627767). Preliminary long-term efficacy and safety data are also summarized from the long-term extension study JADE EXTEND (NCT03422822). Expert opinion on use of abrocitinib 100 mg once daily in clinical practice is provided. In addition to efficacy, the decision to use abrocitinib for the treatment of AD should allow for individual patient factors such as age, comorbidities, previous therapy, quality of life, and treatment tolerability, and involve shared decision-making between the patient and clinician.

Keywords: Abrocitinib; Clinical practice; Flexible dosing; JAK1-selective inhibitor; Moderate-to-severe atopic dermatitis; Oral systemic therapy; Shared decision-making.

Publication types

Review