Evidence map›Paper›PMID 35543919›Full record

ArticleDermatology and therapy2022

Indirect Treatment Comparison of Baricitinib versus Dupilumab in Adults with Moderate-to-Severe Atopic Dermatitis.

Marjolein S de Bruin-Weller, Esther Serra-Baldrich, Sebastien Barbarot, Susanne Grond, Christopher Schuster, Helmut Petto, Jean-Philippe Capron, Afaf Raibouaa, Thomas Werfel

Open access · goldAbstract read
In one paragraph

Article in Dermatology and therapy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
3.2field-weighted citation impact, top 8% of its field
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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Oral Janus Kinase Inhibitors in Pediatric Atopic Dermatitis.Current allergy and asthma reports · 2024
    Review
  4. Review
  5. Article
  6. Article
  7. Baricitinib: A Review in Moderate to Severe Atopic Dermatitis.American journal of clinical dermatology · 2022
    Review
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

9 authors at 5 institutions in 5 countries.

Marjolein S de Bruin-WellerDepartment of Dermatology and Allergology, University Medical Center, Utrecht, The Netherlands. m.s.debruin-weller@umcutrecht.nl.
Esther Serra-BaldrichDepartment of Dermatology, Cutaneous Allergy Unit, Hospital Sant Pau, Universitat Autònoma Barcelona, Barcelona, Spain.
Sebastien BarbarotDepartment of Dermatology, Nantes Université, CHU Nantes, INRAE, UMR 1280 PhAN, 44000, Nantes, France.
Susanne GrondEli Lilly and Company, Indianapolis, IN, USA.
Christopher SchusterEli Lilly and Company, Indianapolis, IN, USA.
Helmut PettoEli Lilly and Company, Indianapolis, IN, USA.
Jean-Philippe CapronEli Lilly and Company, Indianapolis, IN, USA.
Afaf RaibouaaEli Lilly and Company, Indianapolis, IN, USA.
Thomas WerfelDivision of Immunodermatology and Allergy Research, Department of Dermatology and Allergy, Hannover Medical School, Hannover, Germany.
Eli Lilly (United States) · USHospital de Sant Pau · ESMedizinische Hochschule Hannover · DEPhysioPathologie des Adaptations Nutritionnelles · FRUniversity Medical Center Utrecht · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIndirect treatment comparison was used to compare approved doses of baricitinib and dupilumab for treating adult patients with moderate-to-severe atopic dermatitis (AD) who are candidates for systemic therapy.

methodsBaricitinib and dupilumab were compared (Bucher method) at weeks 4 and 16. Performance in combination with topical corticosteroids (TCS) was analyzed in patients with inadequate response or inadvisable to topical therapies (population A) and cyclosporine (population B). Population A was additionally examined as monotherapy.

resultsFor the Eczema Area and Severity Index (EASI) 75, baricitinib and dupilumab were similar. A ≥ 4-point improvement in itch numerical rating scale (NRS) was significantly more likely with baricitinib 4 mg than dupilumab in population A as monotherapy (RR = 2.62, 95% CI 1.22, 5.61, p = 0.013) and in TCS combination at week 4. These differences were not significant by week 16. For the Dermatology Life Quality Index (DLQI), baricitinib 4 mg and dupilumab were similar on mean difference in change from baseline (MDcfb), though some differences were seen between baricitinib 2 mg and dupilumab at week 16 for the population A monotherapy (MDcfb = 2.05, 95% CI 0.53, 3.56, p = 0.016) and TCS combination therapy (MDcfb = 2.48, 95% CI 0.46, 4.50, p = 0.016) groups, and in population B (MDcfb = 3.38 95% CI 1.18, 5.58, p = 0.003).

conclusionsBaricitinib potentially offers more rapid improvement in itch while providing similar efficacy on EASI75 and DLQI outcomes compared with dupilumab.

Indexed as

Atopic dermatitisIndirect treatment comparisonSystemic therapies

Identifiers

PMID35543919
PMCPMC9209542
OpenAlexW4280541235

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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Registered trials

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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.