Evidence map›Paper›PMID 39903335›Full record

ArticleDermatology and therapy2025

Switching from Dupilumab to Abrocitinib in Patients With Moderate-to-Severe Atopic Dermatitis: A Post Hoc Analysis of Efficacy After Treatment With Dupilumab in JADE DARE.

Jonathan I Silverberg, Eric L Simpson, Andrew E Pink, Stephan Weidinger, Gary Chan, Pinaki Biswas, Claire Clibborn, Erman Güler

2 registry-linked trialsAbstract read
In one paragraph

Article in Dermatology and therapy, 2025. 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 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 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.

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
NCT04345367 phase3completednot on this map

A phase 3b randomized, double-blind, double-dummy, active controlled multi-center study assessing the efficacy and safety of abrocitinib compared with dupilumab in adult participants on background topical therapy with moderate to severe atopic dermatitis

TypeinterventionalSponsorPfizerRan2020 to 2021Enrolled727ConditionsAtopic DermatitisArmsAbrocitinib 200 mg, Dupilumab 300 mg
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Janus kinase inhibitors enhance the efficacy of dupilumab in refractory atopic dermatitis.Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2026
    Article
  4. Article
  5. Article
  6. Memory Cells in Atopic Dermatitis: Paving the Way to Disease Modification.International journal of molecular sciences · 2026
    Review
  7. Article
  8. Article
  9. Article
  10. 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

8 authors.

Jonathan I SilverbergThe George Washington University School of Medicine and Health Sciences, 2300 I St NW, Washington, DC, USA.ORCID http://orcid.org/0000-0003-3686-7805
Eric L SimpsonOregon Health and Science University, 3303 SW Bond Ave, Portland, OR, USA.ORCID http://orcid.org/0000-0003-0853-0252
Andrew E PinkSt. John's Institute of Dermatology, King's College London, 2 Lambeth Palace Rd, London, UK.ORCID http://orcid.org/0000-0001-5151-5539
Stephan WeidingerUniversity Hospital Schleswig-Holstein, Arnold-Heller-Str 3, Kiel, Germany.ORCID http://orcid.org/0000-0003-3944-252X
Gary ChanPfizer Inc., 500 Arcola Road, Groton, CT, USA.
Pinaki BiswasPfizer Inc., 66 Hudson Boulevard, New York, NY, USA.ORCID http://orcid.org/0009-0009-3494-4142
Claire ClibbornPfizer Ltd., Walton Oaks, Dorking Rd, Surrey, UK.ORCID http://orcid.org/0000-0002-2586-891X
Erman GülerPfizer Inc., Büyükdere Cd. No: 199, 34394, Levent, Istanbul, Turkey. Erman.Guler@pfizer.com.ORCID http://orcid.org/0009-0006-1240-5269

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPrimary results of the JADE DARE trial (NCT04345367) demonstrated that abrocitinib was superior to dupilumab in reducing the signs and symptoms of moderate-to-severe atopic dermatitis (AD). This post hoc analysis evaluated the efficacy and safety of abrocitinib in patients with moderate-to-severe AD who were responders or nonresponders to dupilumab using various definitions of response.

methodsData included dupilumab-treated patients from JADE DARE who switched to abrocitinib 200 mg when enrolled in the ongoing JADE EXTEND trial (NCT03422822). For this analysis, various response criteria at Week 26 of JADE DARE were defined post hoc based on Investigator's Global Assessment (IGA), Eczema Area and Severity Index (EASI), Peak Pruritus Numerical Rating Scale (PP-NRS), and Dermatology Life Quality Index (DLQI) scores or responses. Efficacy was analyzed at Week 12 of JADE EXTEND based on patients' fulfillment of the various response criteria at Week 26 of JADE DARE. EASI scores and percentage changes from baseline in EASI and PP-NRS at Week 26 in JADE DARE were compared with the corresponding scores and percentage changes at Week 12 in EXTEND. Safety was assessed.

resultsOf 365 dupilumab-treated patients in JADE DARE, 316 were enrolled in JADE EXTEND and 312 received abrocitinib 200 mg. Most dupilumab responders for IGA, EASI, PP-NRS, and DLQI at DARE Week 26 maintained their responses 12 weeks after switching to abrocitinib, while a considerable proportion of IGA, EASI, PP-NRS, or DLQI dupilumab nonresponders gained response after switching to abrocitinib. Lower EASI scores and greater percentage changes from baseline in EASI and PP-NRS scores were observed with abrocitinib at EXTEND Week 12 than with dupilumab at DARE Week 26. No new safety signals were observed.

conclusionAbrocitinib 200 mg may be an effective treatment option for patients with moderate-to-severe AD who do not achieve an optimal response with dupilumab treatment. CLINICAL

trial registrationClinicaltrials.gov: NCT04345367 (JADE DARE) and NCT03422822 (JADE EXTEND).

Indexed as

AbrocitinibAtopic dermatitisDupilumabJAK-1 selective inhibitorNonrespondersRespondersSwitch

Identifiers

PMID39903335
PMCPMC11833030

What OpenQuestion holds

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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.