Evidence map›Paper›PMID 34406619›Full record

Trial reportAmerican journal of clinical dermatology2021

Integrated Safety Analysis of Abrocitinib for the Treatment of Moderate-to-Severe Atopic Dermatitis From the Phase II and Phase III Clinical Trial Program.

Eric L Simpson, Jonathan I Silverberg, Audrey Nosbaum, Kevin L Winthrop, Emma Guttman-Yassky, Karin M Hoffmeister, Alexander Egeberg, Hernan Valdez, Min Zhang, Saleem A Farooqui and 4 more

Erratum issued 6 registry-linked trialsAbstract readClinical Trial, Phase IIClinical Trial, Phase IIIRandomized Controlled Trial
In one paragraph

Trial report in American journal of clinical dermatology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to 6 registered trials, which are not on this map. Cited by 68 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
68citing papers in PubMed, 7 pooled it
–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.

NCT02780167 phase2completednot on this map

A phase 2b randomized, double-blind, placebo-controlled, parallel, multicenter, dose-ranging, study to evaluate the efficacy and safety profile of pf-04965842 in subjects with moderate to severe atopic dermatitis

TypeinterventionalSponsorPfizerRan2016 to 2017Enrolled269ConditionsAtopic DermatitisArmsPF-04965842, Placebo
NCT03349060 phase3completednot on this map

A phase 3 randomized, double-blind, placebo-controlled, parallel group, multi-center study to evaluate the efficacy and safety of pf-04965842 monotherapy in subjects aged 12 years and older, with moderate to severe atopic dermatitis

TypeinterventionalSponsorPfizerRan2017 to 2019Enrolled387ConditionsDermatitis, AtopicArmsPF-04965842 100 mg, PF-04965842 200 mg, Placebo
NCT03422822 phase3completednot on this map

A phase 3 multi-center, long-term extension study investigating the efficacy and safety of abrocitinib, with or without topical medications, administered to subjects aged 12 years and older with moderate to severe atopic dermatitis

TypeinterventionalSponsorPfizerRan2018 to 2025Enrolled3,166ConditionsDermatitis, AtopicArmsAbrocitinib 100 mg, Abrocitinib 200 mg, Placebo
NCT03575871 phase3completednot on this map

A phase 3 randomized, double-blind, placebo-controlled, parallel group, multi-center study to evaluate the efficacy and safety of pf-04965842 monotherapy in subjects aged 12 years and older, with moderate to severe atopic dermatitis

TypeinterventionalSponsorPfizerRan2018 to 2019Enrolled391ConditionsDermatitis, AtopicArmsPF-04965842 100 mg, PF-04965842 200 mg, Placebo
NCT03627767 phase3completednot on this map

A phase 3 randomized withdrawal, double-blind, placebo-controlled, multi-center study investigating the efficacy and safety of pf-04965842 in subjects aged 12 years and over, with moderate to severe atopic dermatitis with the option of rescue treatment in flaring subjects

TypeinterventionalSponsorPfizerRan2018 to 2020Enrolled1,235ConditionsDermatitis, Dermatitis, Atopic, Eczema, Skin DiseasesArmsPF-04965842 100 mg, PF-04965842 200 mg, Placebo
NCT03720470 phase3completednot on this map

A phase 3 randomized, double-blind, double-dummy, placebo-controlled, parallel group, multi-center study investigating the efficacy and safety of pf-04965842 and dupilumab in comparison with placebo in adult subjects on background topical therapy, with moderate to severe atopic dermatitis

TypeinterventionalSponsorPfizerRan2018 to 2020Enrolled838ConditionsDermatitis, Dermatitis, Atopic, Eczema, Skin DiseasesArmsPF-04965842 100 mg, PF-04965842 200 mg, Dupilumab, Oral Placebo, Injectable Placebo
3 · Its place in the literature

Who cites it

68 citing papers in PubMed, 7 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. European Guideline (EuroGuiDerm) on atopic eczema: Living update.Journal of the European Academy of Dermatology and Venereology : JEADV · 2025
    Guideline
  6. Real-World Effectiveness and Safety of JAK Inhibitors in Atopic Dermatitis: A Systematic Review and Meta-Analysis.Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology · 2025
    Pooled it
  7. Pooled it
  8. Trial
  9. Trial
  10. Trial
  11. Article
  12. Review
  13. Review
  14. Article
  15. Article
  16. Article
  17. Review
  18. Review
  19. Review
  20. Article

8 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors.

Eric L SimpsonDepartment of Dermatology, Oregon Health and Science University, Portland, OR, USA.
Jonathan I SilverbergDepartment of Dermatology, The George Washington University School of Medicine and Health Sciences, Washington, DC, USA.
Audrey NosbaumDepartment of Allergy and Clinical Immunology, Centre Hospitalier Lyon-Sud, Hospices Civils de Lyon, Pierre-Bénite, France.
Kevin L WinthropDepartment of Dermatology, Oregon Health and Science University, Portland, OR, USA.
Emma Guttman-YasskyDepartment of Dermatology and Immunology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Karin M HoffmeisterVersiti, Translational Glycomics Center, Blood Research Institute, Milwaukee, WI, USA.
Alexander EgebergDepartment of Dermatology, Bispebjerg Hospital, University of Copenhagen, Copenhagen, Denmark.
Hernan ValdezPfizer Inc., New York, NY, USA.
Min ZhangPfizer Inc., La Jolla, CA, USA.
Saleem A FarooquiPfizer R & D UK Ltd., Kent, UK.
William RomeroPfizer Ltd., Surrey, UK.
Andrew J ThorpePfizer Inc., Collegeville, PA, USA.
Ricardo RojoPfizer Inc., Groton, CT, USA.
Susan JohnsonPfizer Inc., Collegeville, PA, USA. Susan.L.Johnson@pfizer.com.ORCID http://orcid.org/0000-0001-5016-5768

Funding

Carbohydrate-Mediated Platelet ClearanceR01HL089224 · NHLBI · VERSITI WISCONSIN, INC. · PI Karin Maria Hoffmeister · 2007 to 2026
$9.3M
NHLBI NIH HHS R01 HL089224
6 · The paper itself

Abstract

backgroundPivotal phase III studies demonstrated that abrocitinib, an oral, once-daily, JAK1-selective inhibitor, is effective treatment for moderate-to-severe atopic dermatitis (AD) as monotherapy and in combination with topical therapy.

objectiveThe aim of this study was to evaluate the long-term safety of abrocitinib 200 mg and 100 mg in an integrated analysis of a phase IIb study, four phase III studies, and one long-term extension study.

methodsTwo cohorts were analyzed: a placebo-controlled cohort from 12- to 16-week studies and an all-abrocitinib cohort including patients who received one or more abrocitinib doses. Adverse events (AEs) of interest and laboratory data are reported.

resultsTotal exposure in the all-abrocitinib cohort (n = 2856) was 1614 patient-years (PY); exposure was ≥ 24 weeks in 1248 patients and ≥ 48 weeks in 606 (maximum 108 weeks). In the placebo-controlled cohort (n = 1540), dose-related AEs (200 mg, 100 mg, placebo) were nausea (14.6%, 6.1%, 2.0%), headache (7.8%, 5.9%, 3.5%), and acne (4.7%, 1.6%, 0%). Platelet count was reduced transiently in a dose-dependent manner; 2/2718 patients (200-mg group) had confirmed platelet counts of < 50 × 10

conclusionAbrocitinib, with proper patient and dose selection, has a manageable tolerability and longer-term safety profile appropriate for long-term use in patients with moderate-to-severe AD. TRIAL REGISTRIES: ClinicalTrials.gov: NCT02780167, NCT03349060, NCT03575871, NCT03720470, NCT03627767, NCT03422822.

Indexed as

Acne VulgarisAdolescentAdultAgedCardiovascular DiseasesCholesterol, HDLCholesterol, LDLDermatitis, AtopicFemaleHeadacheHerpes SimplexHerpes ZosterHumansIncidenceInfectionsLymphocyte CountabrocitinibCholesterol, HDLCholesterol, LDLProtein Kinase InhibitorsPyrimidinesSulfonamides

Identifiers

PMID34406619
PMCPMC8370859

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

Registered trials

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.