Evidence map›Paper›PMID 37624488›Full record

ArticleAmerican journal of clinical dermatology2024

Interpreting the Relationship Among Itch, Sleep, and Work Productivity in Patients with Moderate-to-Severe Atopic Dermatitis: A Post Hoc Analysis of JADE MONO-2.

Gil Yosipovitch, Melinda J Gooderham, Sonja Ständer, Luz Fonacier, Jacek C Szepietowski, Mette Deleuran, Giampiero Girolomoni, John C Su, Andrew G Bushmakin, Joseph C Cappelleri and 8 more

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in American journal of clinical dermatology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03575871 (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), which is not on this map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
3.1field-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.

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
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 11 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Trial
  4. Review
  5. Article
  6. Development and psychometric evaluation of a new itch assessment questionnaire for use in multi-ethnic Asian population.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026
    Article
  7. Article
  8. Host-Microbiome Interactions in Chronic Itch.Journal of clinical medicine · 2025
    Review
  9. Article
  10. Article
  11. [Janus kinase inhibitors for skin disorders].Dermatologie (Heidelberg, Germany) · 2024
    Article
  12. The Psychology of Atopic Dermatitis.Journal of clinical medicine · 2024
    Review
  13. Atopic Dermatitis in the Elderly Population.Acta dermato-venereologica · 2023
    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

18 authors at 9 institutions in 8 countries.

Gil YosipovitchDepartment of Dermatology, Miami Itch Center, Miami, FL, USA.ORCID https://orcid.org/0000-0001-6303-1822
Melinda J GooderhamSKiN Centre for Dermatology, Peterborough, ON, Canada.ORCID https://orcid.org/0000-0001-8926-0113
Sonja StänderDepartment of Dermatology, Center for Chronic Pruritus, Münster University Hospital, Münster, Germany.ORCID https://orcid.org/0000-0003-3612-7786
Luz FonacierNYU Langone Hospital-Long Island Allergy and Immunology, Mineola, NY, USA.ORCID https://orcid.org/0000-0002-4381-1861
Jacek C SzepietowskiDepartment of Dermatology, Venereology and Allergology, Wroclaw Medical University, Wroclaw, Poland.ORCID https://orcid.org/0000-0003-0766-6342
Mette DeleuranDepartment of Dermatology, Aarhus University Hospital, Aarhus, Denmark.ORCID https://orcid.org/0000-0003-0593-9925
Giampiero GirolomoniDepartment of Medicine, University of Verona, Verona, Italy.ORCID https://orcid.org/0000-0001-8548-0493
John C SuDepartment of Paediatrics, Murdoch Children's Research Institute, Royal Children's Hospital, University of Melbourne, Parkville, Australia.
Andrew G BushmakinPfizer Inc., Groton, CT, USA.ORCID https://orcid.org/0000-0002-0082-6545
Joseph C CappelleriPfizer Inc., Groton, CT, USA.ORCID https://orcid.org/0000-0001-9586-0748
Claire FeeneyPfizer Ltd., Surrey, UK.ORCID https://orcid.org/0000-0003-4605-6571
Gary ChanPfizer Inc., Groton, CT, USA.ORCID https://orcid.org/0000-0002-1338-132X
Andrew J ThorpePfizer Inc., Collegeville, PA, USA.
Hernan ValdezPfizer Inc., New York, NY, USA.ORCID https://orcid.org/0000-0001-8058-1922
Pinaki BiswasPfizer Inc., New York, NY, USA.
Ricardo RojoPfizer Inc., Groton, CT, USA.
Marco DiBonaventuraPfizer Inc., New York, NY, USA.ORCID https://orcid.org/0000-0002-8333-4676
Daniela E MyersPfizer Inc., Collegeville, PA, USA. Daniela.Myers@pfizer.com.ORCID https://orcid.org/0000-0003-1426-9919
Pfizer (United States) · USAarhus University Hospital · DKIsland Hospital · USPfizer (United Kingdom) · GBRoyal Children's Hospital · AUSKiN Health · CAUniversity Hospital Münster · DEUniversity of Verona · ITWroclaw Medical University · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAbrocitinib, an oral, once-daily Janus kinase 1-selective inhibitor, improved itch severity, sleep, and work productivity versus placebo in patients with moderate-to-severe atopic dermatitis.

objectiveThe aim of this study was to investigate relationships among itch, sleep, and work productivity in the phase III JADE MONO-2 clinical trial.

methodsA repeated-measures longitudinal model was used to examine relationships between itch (using the Peak Pruritus Numerical Rating Scale [PP-NRS] or Nighttime Itch Scale [NTIS]) and sleep disturbance/loss (using the Patient-Oriented Eczema Measure sleep item and SCORing AD Sleep Loss Visual Analog Scale) and, separately, between itch and work productivity (using the Work Productivity and Activity Impairment-Atopic Dermatitis Version 2.0 questionnaire). Mediation modelling was used to investigate the effect of treatment (abrocitinib vs placebo) on work impairment via improvements in itch and sleep.

resultsThe relationships between itch/sleep and itch/work productivity were approximately linear. PP-NRS scores of 0, 4-6, and 10 were associated with 0 days, 3-4 days, and 7 days per week of disturbed sleep, respectively. PP-NRS or NTIS scores of 0-1, 4-5, and 10 were associated with 0-10%, 20-30%, and >50% overall work impairment, respectively. Seventy-five percent of the effect of abrocitinib on reducing work impairment was indirectly mediated by improvement in itch, followed by sleep.

conclusionThese results quantitatively demonstrate that reducing itch severity is associated with improvements in sleep and work productivity. Empirical evidence for the mechanism of action of abrocitinib showed that itch severity is improved, which reduces sleep loss/sleep disruption and, in turn, improves work productivity. CLINICAL

trial registrationNCT03575871.

Indexed as

Dermatitis, AtopicJanus Kinase InhibitorsPyrimidinesSulfonamidesDouble-Blind MethodHumansPruritusSeverity of Illness IndexSleepTreatment OutcomeabrocitinibJanus Kinase InhibitorsPyrimidinesSulfonamides

Identifiers

PMID37624488
PMCPMC10796557
OpenAlexW4386153609

What OpenQuestion holds

Textmetadata
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.