Atopic Dermatitis is an inflammatory skin disease characterised by ongoing
inflammation and a disrupted skin barrier. Advances in our knowledge of both
have made possible the use of targeted systemic therapies to treat the disease. The
following is a summary of current evidence on the use of biologic agents and Janus
kinase (JAK) Inhibitors as treatment options for patients with Moderate-to-Severe
Atopic Dermatitis, with emphasis on their efficacy, safety, and their place in
treatment plans. The Researchers conducted a narrative literature review using
studies on the epidemiology and pathophysiology of atopic dermatitis, along with
results from clinical trials evaluating the use of systemic biologics and JAK
inhibitors for its treatment. The Researchers used PubMed to search for all relevant
articles published through today describing either the use of systemic biologic or
JAK Inhibitor therapy for the treatment of moderate to severe atopic dermatitis. The
available data support the use of biologic treatment as the preferred option for longterm
disease control across all ages. At the same time, JAK inhibitors are alternative
options for patients who require additional efficacy or symptom relief sooner than
would typically occur with biologic therapy. Real-world data from long-term
studies will provide vital information to refine treatment protocols and enable more
individualised approaches to managing moderate to severe atopic dermatitis.
Keywords: atopic dermatitis; biologics; dupilumab; tralokinumab; JAK inhibitors;
abrocitinib; upadacitinib; targeted therapy; IL-4/IL-13 blockade;
immunomodulation
