Evidence map›Paper›PMID 36207461›Full record

SynthesisEuropean journal of clinical pharmacology2022

The safety of systemic Janus kinase inhibitors in atopic dermatitis: a systematic review and network meta-analysis.

Carlos Alves, Ana Penedones, Diogo Mendes, Francisco Batel Marques

Abstract readSystematic ReviewNetwork Meta-Analysis
PubMed Publisher
In one paragraph

Synthesis in European journal of clinical pharmacology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 5 pooled it
5.7field-weighted citation impact, top 4% 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

18 citing papers in PubMed, 5 syntheses or guidelines pooled it, 28 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Infection risk with JAK inhibitors in dermatoses: a meta-analysis.International journal of dermatology · 2025
    Pooled it
  4. Pooled it
  5. Pooled it
  6. Article
  7. Review
  8. Article
  9. Article
  10. From Pathways to Patients in Atopic Dermatitis: Advanced Systemic Therapies.International journal of molecular sciences · 2025
    Review
  11. Article
  12. Article
  13. Review
  14. Review
  15. Review
  16. Article
  17. Article
  18. Global & regional health technology assessment
    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

4 authors at 2 institutions in 1 country.

Carlos AlvesLaboratory of Social Pharmacy and Public Health, Faculty of Pharmacy, University of Coimbra, Azinhaga de Santa Comba, Polo Ciencias da Saude, 3000-548, Celas, Portugal. carlosmiguel.costaalves@gmail.com.ORCID http://orcid.org/0000-0003-2814-3049
Ana PenedonesLaboratory of Social Pharmacy and Public Health, Faculty of Pharmacy, University of Coimbra, Azinhaga de Santa Comba, Polo Ciencias da Saude, 3000-548, Celas, Portugal.ORCID http://orcid.org/0000-0002-2061-4718
Diogo MendesLaboratory of Social Pharmacy and Public Health, Faculty of Pharmacy, University of Coimbra, Azinhaga de Santa Comba, Polo Ciencias da Saude, 3000-548, Celas, Portugal.ORCID http://orcid.org/0000-0003-4923-8717
Francisco Batel MarquesLaboratory of Social Pharmacy and Public Health, Faculty of Pharmacy, University of Coimbra, Azinhaga de Santa Comba, Polo Ciencias da Saude, 3000-548, Celas, Portugal.ORCID http://orcid.org/0000-0003-4031-7339
University of Coimbra · PTInstituto Superior Miguel Torga · PT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeJanus kinase (JAK) inhibitors have been developed to treat moderate to severe atopic dermatitis, but there is little evidence comparing the safety profile of these drugs. The aim of this study is to compare the relative safety of the different systemic JAK inhibitors in atopic dermatitis.

methodsMedline, EMBASE, and clinicaltrials.gov were searched to identify phase 2/3, clinical trials (RCTs) designed to evaluate the efficacy and safety of systemic JAK inhibitors in atopic dermatitis. Outcomes were the risk of any adverse event (AE), serious AEs, AEs leading to treatment discontinuation, any infection, serious infections, herpes zoster infection, and any cardiac or vascular event.

resultsEighteen RCTs were included. Compared with placebo, baricitinib (odds ratio [OR] 1.25, 95% credible interval [CrI] 1.03-1.55), abrocitinib (OR 1.54, 95% CrI 1.25-1.90), and upadacitinib (OR 1.46, 95% CrI 1.19-1.81) increase the risk of any adverse event. Abrocitinib (OR 1.62, 95% CrI 1.7-2.72), upadacitinib (OR 1.67, 95% CrI 1.19-2.43), and dupilumab (OR 1.69, 95% CrI 1.02-2.79) increase the risk of infections when compared with placebo. Dupilumab has a reduced risk of herpes zoster infection when compared with upadacitinib (OR 0.23; 95% CrI 0.08-0.81) No further statistically significant risk differences between treatments were identified.

conclusionsThe results suggest systemic JAK inhibitors for atopic dermatitis have a similar safety profile. However, as current data present limitations, postmarketing safety evidence will be crucial to draw definitive conclusions regarding the safety of JAK inhibitors.

Indexed as

Dermatitis, AtopicHerpes ZosterJanus Kinase InhibitorsHumansPyrimidinesSeverity of Illness IndexSulfonamidesTreatment OutcomeabrocitinibJanus Kinase InhibitorsPyrimidinesSulfonamidesAtopic dermatitisJAK inhibitorsMeta-analysisSafetySystematic review

Identifiers

PMID36207461
OpenAlexW4303488683

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.