Evidence map›Paper›PMID 40059465›Full record

Observational studyActa dermato-venereologica2025

Long-term Outcomes of New Systemic Agents in Atopic Dermatitis: Drug Survival Analyses and Treatment Patterns in Daily Practice.

Anne R Schlosser, Lars Nijman, Renske Schappin, Tamar E C Nijsten, Dirkjan Hijnen

Abstract readObservational StudyComparative Study
In one paragraph

Observational study in Acta dermato-venereologica, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing 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

17 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Dupilumab versus tralokinumab in atopic dermatitis: A propensity score adjusted comparison from BioDay.Journal of the European Academy of Dermatology and Venereology : JEADV · 2026
    Article
  7. Article
  8. Atopic dermatitis.Nature reviews. Disease primers · 2026
    Review
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Innovations and Emerging Therapies in Atopic Dermatitis Part 1.Current treatment options in allergy · 2025
    Article
  17. 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

5 authors.

Anne R SchlosserDepartment of Dermatology, Erasmus University Medical Center, Rotterdam, The Netherlands. a.schlosser@erasmusmc.nl.ORCID 0000-0003-0449-6077
Lars NijmanDepartment of Dermatology, Erasmus University Medical Center, Rotterdam, The Netherlands.
Renske SchappinDepartment of Dermatology, Erasmus University Medical Center, Rotterdam, The Netherlands.ORCID 0000-0002-5727-5852
Tamar E C NijstenDepartment of Dermatology, Erasmus University Medical Center, Rotterdam, The Netherlands.ORCID 0000-0001-9940-2875
Dirkjan HijnenDepartment of Dermatology, Erasmus University Medical Center, Rotterdam, The Netherlands.ORCID 0000-0003-3379-3425

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In recent years, several new systemic agents (biologics and Janus kinase inhibitors [JAKi]) have been registered for the treatment of moderate-to-severe atopic dermatitis (AD). However, comparisons of real-world drug survival data and insights into treatment patterns of these advanced systemics are limited. Data from a prospective observational single-centre registry were collected from 549 adult AD patients (759 treatment courses) receiving biologics (dupilumab, tralokinumab) or JAKi (abrocitinib, baricitinib, upadacitinib) and analysed using Kaplan-Meier survival curves. Cox regression analyses were used to evaluate predictors of survival. Frequencies and percentages summarized data on the initial and subsequent treatments received, with a Sankey diagram illustrating the switching patterns. The 18-month overall drug survival rates for dupilumab, abrocitinib, upadacitinib, tralokinumab, and baricitinib were 70.0%, 51.5%, 48.4%, 39.4%, and 20.4%, respectively. No significant predictors for drug survival were identified. Dupilumab was the predominant initial treatment (87.2%) and upadacitinib the most frequently used second and third treatment. In the total cohort, 57.9% of patients remained on their initial treatment and 26.8% switched to other treatments. In conclusion, dupilumab showed superior survival rates while baricitinib had the lowest survival rate. Frequent switching highlights the need for biomarkers that predict response to advanced systemic treatments to improve attrition rates.

Indexed as

Biological ProductsDermatitis, AtopicDermatologic AgentsJanus Kinase InhibitorsPractice Patterns, Physicians'Protein Kinase InhibitorsAdolescentAdultAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedAzetidinesDrug SubstitutionFemaleHeterocyclic Compounds, 3-RingHumansMaleabrocitinibAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedAzetidinesbaricitinibBiological ProductsDermatologic AgentsdupilumabHeterocyclic Compounds, 3-RingJanus Kinase InhibitorsProtein Kinase InhibitorsPurinesPyrazolesPyrimidinesSulfonamidestralokinumabupadacitinib

Identifiers

PMID40059465
PMCPMC11904833

What OpenQuestion holds

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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.