Evidence map›Paper›PMID 38696027›Full record

ArticleDermatology and therapy2024

Upadacitinib Rapidly Improves Patient-Reported Outcomes in Atopic Dermatitis: 16-Week Results from Phase 3 Clinical Trials (Measure Up 1 and 2).

Eric L Simpson, Vimal H Prajapati, Yael A Leshem, Raj Chovatiya, Marjolein S de Bruin-Weller, Sonja Ständer, Andrew E Pink, Brian M Calimlim, Wan-Ju Lee, Henrique Teixeira and 8 more

2 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in Dermatology and therapy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
4.8field-weighted citation impact, top 5% 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.

NCT03569293 phase3completednot on this map

A Phase 3 Randomized, Placebo-Controlled, Double-Blind Study to Evaluate Upadacitinib in Adolescent and Adult Subjects With Moderate to Severe Atopic Dermatitis

TypeinterventionalSponsorAbbVieRan2018 to 2025Enrolled912ConditionsAtopic DermatitisArmsPlacebo for Upadacitinib, Upadacitinib
NCT03607422 phase3completednot on this map

A Phase 3 Randomized, Placebo-Controlled, Double-Blind Study to Evaluate Upadacitinib in Adolescent and Adult Subjects With Moderate to Severe Atopic Dermatitis

TypeinterventionalSponsorAbbVieRan2018 to 2025Enrolled912ConditionsAtopic DermatitisArmsPlacebo for Upadacitinib, Upadacitinib
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Observational
  3. Review
  4. Skin pain in pediatric atopic dermatitis: mechanisms and management.Current opinion in allergy and clinical immunology · 2026
    Review
  5. Review
  6. Article
  7. 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 6 countries.

Eric L SimpsonDepartment of Dermatology, Oregon Health and Science University, 3303 S. Bond Avenue, Portland, OR, 97239, USA. simpsone@ohsu.edu.ORCID http://orcid.org/0000-0003-0853-0252
Vimal H PrajapatiDivision of Dermatology, Department of Medicine, University of Calgary, Calgary, AB, Canada.ORCID http://orcid.org/0000-0002-8315-2522
Yael A LeshemDivision of Dermatology, Rabin Medical Center, Petah Tikva, Israel.ORCID http://orcid.org/0000-0001-8740-9674
Raj ChovatiyaChicago Medical School, Rosalind Franklin University of Medicine and Science, North Chicago, IL, USA.ORCID http://orcid.org/0000-0001-6510-399X
Marjolein S de Bruin-WellerDepartment of Dermatology and Allergology, National Expertise Center for Atopic Dermatitis, University Medical Center Utrecht, Utrecht, The Netherlands.ORCID http://orcid.org/0000-0002-1249-6993
Sonja StänderCenter for Chronic Pruritus, Münster University Hospital, Münster, Germany.ORCID http://orcid.org/0000-0003-3612-7786
Andrew E PinkSt John's Institute of Dermatology, Guy's and St Thomas' NHS Foundation Trust, London, UK.ORCID http://orcid.org/0000-0001-5151-5539
Brian M CalimlimAbbVie Inc, North Chicago, IL, USA.ORCID http://orcid.org/0000-0002-6463-6433
Wan-Ju LeeAbbVie Inc, North Chicago, IL, USA.ORCID http://orcid.org/0000-0001-9263-6943
Henrique TeixeiraAbbVie Inc, North Chicago, IL, USA.
Barry LadizinskiAbbVie Inc, North Chicago, IL, USA.ORCID http://orcid.org/0000-0001-7459-0830
Xiaofei HuAbbVie Inc, North Chicago, IL, USA.ORCID http://orcid.org/0009-0009-1415-6843
Yang YangAbbVie Inc, North Chicago, IL, USA.ORCID http://orcid.org/0000-0001-6705-8360
Yingyi LiuAbbVie Inc, North Chicago, IL, USA.ORCID http://orcid.org/0009-0002-5243-0793
Meng LiuAbbVie Inc, North Chicago, IL, USA.ORCID http://orcid.org/0009-0000-7517-1769
Ayman GradaAbbVie Inc, North Chicago, IL, USA.ORCID http://orcid.org/0000-0002-5321-0584
Andrew M PlattAbbVie Inc, North Chicago, IL, USA.ORCID http://orcid.org/0009-0000-7950-2860
Jonathan I SilverbergDepartment of Dermatology, George Washington University School of Medicine and Health Sciences, Washington, DC, USA.ORCID http://orcid.org/0000-0003-3686-7805
AbbVie (United States) · USGeorge Washington University · USGuy's and St Thomas' NHS Foundation Trust · GBOregon Health & Science University · USRosalind Franklin University of Medicine and Science · USTel Aviv University · ILUniversity Hospital Münster · DEUniversity of Calgary · CAUtrecht University · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAtopic dermatitis (AD) is characterized by intense itch and other symptoms that negatively impact quality of life (QoL). This study evaluates the effect of upadacitinib (an oral selective Janus kinase inhibitor) monotherapy on patient-reported outcomes (PROs) among adults and adolescents with moderate-to-severe AD over 16 weeks.

methodsThis integrated analysis of the double-blind, placebo-controlled periods of phase 3 monotherapy clinical trials Measure Up 1 (NCT03569293) and Measure Up 2 (NCT03607422) assessed itch (Worst Pruritus Numerical Rating Scale [WP-NRS] and SCORing Atopic Dermatitis [SCORAD]), skin pain and symptom severity (AD Symptom Scale), symptom frequency (Patient-Oriented Eczema Measure), sleep (AD Impact Scale [ADerm-IS] and SCORAD), daily activities and emotional state (ADerm-IS), QoL (Dermatology Life Quality Index [DLQI] and Children's DLQI), mental health (Hospital Anxiety and Depression Scale), and patient impressions (Patient Global Impression of Severity, Patient Global Impression of Change, and Patient Global Impression of Treatment).

resultsData from 1683 patients (upadacitinib 15 mg, n = 557; upadacitinib 30 mg, n = 567; placebo, n = 559) were analyzed. A greater proportion of patients receiving upadacitinib versus placebo experienced improvements in itch (≥ 4-point improvement on WP-NRS) by week 1 (upadacitinib 15 mg, 11.2%; upadacitinib 30 mg, 17.7%; placebo, 0.5%; P < 0.001), with response rates sustained through week 16 (upadacitinib 15 mg, 47.1%; upadacitinib 30 mg, 59.8%; placebo, 10.4%; P < 0.001). Improvements were similar for PROs assessing skin pain/symptoms, sleep, daily activities, QoL, emotional state, mental health, and patient impressions of disease severity and treatment. Responses generally improved rapidly (within 1-2 weeks), increased through weeks 4-6, and were maintained through week 16.

conclusionsOnce-daily oral upadacitinib monotherapy improved response rates across PROs compared with placebo. Upadacitinib therapy resulted in rapid, sustained improvements in PROs measuring symptom burden and QoL in adults and adolescents with moderate-to-severe AD.

trial registrationClinicalTrials.gov identifiers, NCT03569293 and NCT03607422.

Indexed as

Atopic dermatitisItchPatient-reported outcome measuresQuality of lifeRandomized controlled trialsUpadacitinib

Identifiers

PMID38696027
PMCPMC11116320
OpenAlexW4396592360

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.