Evidence map›Paper›PMID 39953372›Full record

ReviewDermatology and therapy2025

Lebrikizumab vs Other Systemic Monotherapies for Moderate-to-Severe Atopic Dermatitis: Network Meta-analysis of Efficacy.

Jonathan I Silverberg, Thomas Bieber, Amy S Paller, Lisa Beck, Masahiro Kamata, Luis Puig, Marni Wiseman, Khaled Ezzedine, Alan D Irvine, Peter Foley and 10 more

Abstract readReview
In one paragraph

Review in Dermatology and therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–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.

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

12 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Review
  5. Article
  6. Article
  7. Article
  8. The journal of allergy and clinical immunology. Global · 2025
    Article
  9. Article
  10. Article
  11. Review
  12. 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

20 authors.

Jonathan I SilverbergDepartment of Dermatology, The George Washington University School of Medicine and Health Sciences, Washington, USA. jonathanisilverberg@gmail.com.
Thomas BieberMedicine Campus Davos, Davos, Switzerland.
Amy S PallerDepartment of Dermatology, Northwestern University Feinberg School of Medicine, Chicago, USA.
Lisa BeckUniversity of Rochester Medical Center, Rochester, USA.
Masahiro KamataDepartment of Dermatology, Teikyo University School of Medicine, Tokyo, Japan.
Luis PuigDepartment of Dermatology, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain.
Marni WisemanDepartment of Dermatology, University of Manitoba, Winnipeg, Canada.
Khaled EzzedineEpiDermE, Université Paris-Est, Paris, France.
Alan D IrvineDepartment of Clinical Medicine, Trinity College, Dublin, Ireland.
Peter FoleySkin Health Institute, Carlton, VIC, Australia.
James Del RossoJDR Dermatology Research, Las Vegas, NV, USA.
Linda Stein GoldHenry Ford Hospital, Detroit, MI, USA.
Erin JohanssonEli Lilly and Company, Indianapolis, USA.
Martin DossenbachEli Lilly and Company, Indianapolis, USA.
Gaia GalloEli Lilly and Company, Indianapolis, USA.
Buelent AkmazAlmirall S.A., Barcelona, Spain.
Marta CasillasEli Lilly and Company, Indianapolis, USA.
Andrei KarlssonCostello Medical, London, UK.
Tristan CurteisCostello Medical, Manchester, UK.
Raj ChovatiyaRosalind Franklin University Chicago Medical School, North Chicago, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionA systematic literature review and network meta-analysis (NMA) were conducted to compare the short-term efficacy of lebrikizumab to other biologic and Janus kinase (JAK) inhibitor monotherapies approved for moderate-to-severe atopic dermatitis in adults and adolescents.

methodsThe NMA included randomized, double-blind, placebo-controlled monotherapy phase 2 and 3 trials of biologics (lebrikizumab 250 mg every 2 weeks [Q2W], dupilumab 300 mg Q2W, and tralokinumab 300 mg Q2W) and JAK inhibitors (abrocitinib 100/200 mg daily, baricitinib 2/4 mg daily, and upadacitinib 15/30 mg daily) at approved doses. Efficacy outcomes included the proportions of patients achieving Eczema Area and Severity Index (EASI) improvement, an Investigator Global Assessment of 0 or 1 (IGA 0/1), and a ≥ 4-point improvement in pruritus/itch numeric rating scale score at 12 weeks (abrocitinib) or 16 weeks (other treatments). Itch was also assessed at week 4. A Bayesian NMA employing baseline risk-adjusted random effects models was used to estimate treatment differences.

resultsTwenty-two monotherapy studies involving 8531 patients were included in the NMA. By week 12/16, lebrikizumab had superior odds of achieving IGA 0/1 and itch improvement compared to baricitinib and tralokinumab; similar odds to dupilumab, abrocitinib, and upadacitinib 15 mg; and inferior odds to upadacitinib 30 mg. Additionally, lebrikizumab had a higher probability of improving EASI than baricitinib 2 mg; similar probability to baricitinib 4 mg, tralokinumab, dupilumab, abrocitinib, and upadacitinib 15 mg; and lower probability than upadacitinib 30 mg daily. At week 4, lebrikizumab had superior odds of improving itch compared to tralokinumab; similar odds to baricitinib, dupilumab, and abrocitinib 100 mg; and inferior odds to abrocitinib 200 mg and upadacitinib.

conclusionAmong biologics, lebrikizumab was comparable to dupilumab and superior to tralokinumab in improving response rates at week 16. Upadacitinib 30 mg was the only JAK inhibitor with superior response rates compared to lebrikizumab.

Indexed as

Atopic dermatitisEczema Area and Severity IndexInvestigator Global AssessmentLebrikizumabNetwork meta-analysisPruritus/itch Numeric Rating Scale

Identifiers

PMID39953372
PMCPMC11909319

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.