Evidence map›Paper›PMID 33188482›Full record

ArticlePharmaceutical research2020

Evaluating Dermal Pharmacokinetics and Pharmacodymanic Effect of Soft Topical PDE4 Inhibitors: Open Flow Microperfusion and Skin Biopsies.

Stefan Eirefelt, Joanna Hummer, Line Hollesen Basse, Malene Bertelsen, Fredrik Johansson, Thomas Birngruber, Frank Sinner, Jens Larsen, Simon Feldbæk Nielsen, Maja Lambert

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Pharmaceutical research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Soft drugs: design principles and topical applications.Nature reviews. Drug discovery · 2026
    Review
  2. Article
  3. Equivalent Electrical Circuit Approach to Enhance a Transducer for Insulin Bioavailability Assessment.IEEE journal of translational engineering in health and medicine · 2024
    Article
  4. Review
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Stefan EirefeltLEO Pharma Global Research & Development, Industriparken 55, 2750, Ballerup, Denmark.
Joanna HummerJoanneum Research Forschungsgesellschaft mbH, Health-Institute for Biomedicine and Health Sciences, Neue Stiftingtalstraße 2, 8010, Graz, Austria.
Line Hollesen BasseDiscovery & Development PKPD, Novo Nordisk A/S, Novo Nordisk Park, 2760, Måløv, Denmark.
Malene BertelsenLEO Pharma Global Research & Development, Industriparken 55, 2750, Ballerup, Denmark.
Fredrik JohanssonLEO Pharma Global Research & Development, Industriparken 55, 2750, Ballerup, Denmark.
Thomas BirngruberJoanneum Research Forschungsgesellschaft mbH, Health-Institute for Biomedicine and Health Sciences, Neue Stiftingtalstraße 2, 8010, Graz, Austria.
Frank SinnerJoanneum Research Forschungsgesellschaft mbH, Health-Institute for Biomedicine and Health Sciences, Neue Stiftingtalstraße 2, 8010, Graz, Austria.
Jens LarsenLEO Pharma Global Research & Development, Industriparken 55, 2750, Ballerup, Denmark.
Simon Feldbæk NielsenLEO Pharma Global Research & Development, Industriparken 55, 2750, Ballerup, Denmark.
Maja LambertLEO Pharma Global Research & Development, Industriparken 55, 2750, Ballerup, Denmark. MLTDK@leo-pharma.com.ORCID http://orcid.org/0000-0003-0516-1359

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo investigate the difference in clinical efficacy in AD patients between two topical PDE4 inhibitors using dermal open flow microperfusion and cAMP as a pharmacodynamic read-out in fresh human skin explants.

methodsClinical formulations were applied to intact or barrier disrupted human skin explants and both skin biopsy samples and dermal interstitial fluid was sampled for measuring drug concentration. Furthermore, cAMP levels were determined in the skin biopsies as a measure of target engagement.

resultsElevated cAMP levels were observed with LEO 29102 while no evidence of target engagement was obtained with LEO 39652. In barrier impaired skin the dISF concentration of LEO 29102 was 2100 nM while only 33 nM for LEO 39652. For both compounds the concentrations measured in skin punch biopsies were 7-33-fold higher than the dISF concentrations.

conclusionsLow unbound drug concentration in dISF in combination with minimal target engagement of LEO 39652 in barrier impaired human skin explants supports that lack of clinical efficacy of LEO 39652 in AD patients is likely due to insufficient drug availability at the target. We conclude that dOFM together with a pharmacodynamic target engagement biomarker are strong techniques for establishing skin PK/PD relations and that skin biopsies should be used with caution.

Indexed as

MicrodialysisSkin AbsorptionAcetamidesAdministration, CutaneousBiopsyCells, CulturedClinical Trials, Phase II as TopicCyclic AMPDermatitis, AtopicDrug CompoundingDrug StabilityExtracellular FluidHumansKeratinocytesPhosphodiesterase 4 InhibitorsPyridines2-(6-(2-(3,5-dichloro-4-pyridyl)acetyl)-2,3-dimethoxyphenoxy)-N-propylacetamideAcetamidesCyclic AMPPhosphodiesterase 4 InhibitorsPyridinescAMPopen flow microperfusionPDE4 inhibitorsskin PK/PDtopical drug delivery

Identifiers

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.