Evidence map›Paper›PMID 40549127›Full record

ArticleDermatology and therapy2025

Two-Year Efficacy and Safety of Lebrikizumab in Patients with Moderate-to-Severe Atopic Dermatitis: A Long-Term Extension (ADjoin).

Emma Guttman-Yassky, Stephan Weidinger, Eric L Simpson, Melinda Gooderham, Alan D Irvine, Lynda Spelman, Jonathan I Silverberg, Hany ElMaraghy, Louise DeLuca-Carter, Maria Lucia Buziqui Piruzeli and 5 more

Registry-linked trialAbstract 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 trial NCT04392154 (A Long-term Study to Assess the Safety and Efficacy of Lebrikizumab in Patients With Moderate-to-Severe Atopic Dermatitis), which is 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
–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.

NCT04392154 phase3completednot on this map

A Long-term Study to Assess the Safety and Efficacy of Lebrikizumab in Patients With Moderate-to-Severe Atopic Dermatitis (ADjoin)

TypeinterventionalSponsorEli Lilly and CompanyRan2020 to 2025Enrolled1,153ConditionsAtopic DermatitisArmsLebrikizumab
3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Trial
  2. Article
  3. Review
  4. Review
  5. Review
  6. Article
  7. Lebrikizumab for atopic dermatitis.Australian prescriber · 2025
    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

15 authors.

Emma Guttman-YasskyIcahn School of Medicine at Mount Sinai, 1425 Madison Avenue, Box 1047, New York, NY, USA. emma.guttman@mountsinai.org.
Stephan WeidingerDepartment of Dermatology and Allergy, University Hospital Schleswig-Holstein, Kiel, Germany.
Eric L SimpsonOregon Health & Science University, Portland, OR, USA.
Melinda GooderhamSKiN Centre for Dermatology, Probity Medical Research and Queen's University, Peterborough, ON, Canada.
Alan D IrvineClinical Medicine, Trinity College Dublin, Dublin, Ireland.
Lynda SpelmanVeracity Clinical Research, Woolloongabba, QLD, Australia.
Jonathan I SilverbergGeorge Washington University School of Medicine and Health Sciences, Washington, DC, USA.
Hany ElMaraghyEli Lilly and Company, Indianapolis, IN, USA.
Louise DeLuca-CarterEli Lilly and Company, Indianapolis, IN, USA.
Maria Lucia Buziqui PiruzeliEli Lilly and Company, Indianapolis, IN, USA.
Chaoran HuEli Lilly and Company, Indianapolis, IN, USA.
Fan Emily YangEli Lilly and Company, Indianapolis, IN, USA.
Evangeline PierceEli Lilly and Company, Indianapolis, IN, USA.
Laia BardoletAlmirall S.A, Barcelona, Spain.
Diamant ThaçiInstitute and Comprehensive Center for Inflammatory Medicine at the University of Lübeck, Lübeck, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe efficacy and safety of lebrikizumab, a high-affinity monoclonal antibody targeting interleukin-13, were investigated in patients with moderate-to-severe atopic dermatitis (AD) up to 52 weeks in phase 3 trials. This analysis evaluates safety and maintenance of response through 104 weeks of lebrikizumab treatment in patients with moderate-to-severe AD who achieved clinical response with lebrikizumab at week 16.

methodsADjoin is a 100-week phase 3 long-term extension study. Adult and adolescent patients with moderate-to-severe AD were enrolled into parent studies ADvocate1, ADvocate2, and ADhere. ADvocate1&2 week 16 lebrikizumab clinical responders (patients who achieved Investigator's Global Assessment [IGA] [0, 1] or Eczema Area and Severity Index [EASI] 75 without rescue) were re-randomized 2:2:1 to lebrikizumab 250 mg Q2W, Q4W, or placebo (lebrikizumab withdrawal). Patients who completed week 52 of ADvocate1&2 could enroll into ADjoin. ADhere week 16 lebrikizumab clinical responders could enroll into ADjoin and were randomized 2:1 to lebrikizumab 250 mg Q2W or Q4W. Analyses were performed on patients who received 104 weeks of lebrikizumab treatment in parent and extension studies combined. Efficacy analyses are reported as observed from week 16 for patients who were re-randomized to lebrikizumab Q2W or Q4W. Safety assessments included monitoring adverse events.

resultsIGA (0, 1) was maintained by 86.4% (Q2W) and 76.4% (Q4W) patients from ADvocate1&2 and 83.9% (Q2W) and 78.6% (Q4W) patients from ADhere at week 104. EASI 75 was maintained by 95.6% (Q2W) and 96.3% (Q4W) ADvocate1&2 patients and 95.1% (Q2W) and 96.0% (Q4W) ADhere patients at week 104. Pruritus NRS ≥ 4-point improvement was maintained by 100% (Q2W) and 89.7% (Q4W) ADvocate1&2 patients at week 104 and 81.8% (Q2W) and 90.0% (Q4W) ADhere patients at week 68. During ADjoin, adverse events were reported by 62.2% of patients from ADvocate1&2 and ADhere who received lebrikizumab Q2W or Q4W, with the majority being mild (31.5%) or moderate (27.0%) in severity, and 2.2% leading to discontinuation due to adverse event.

conclusionsSkin and itch outcomes were maintained over 2 years of continuous lebrikizumab 250 mg treatment. The safety profile of lebrikizumab in ADjoin is consistent with previous lebrikizumab studies in patients with moderate-to-severe AD.

trial registrationClinicalTrials.gov, NCT04392154.

Indexed as

Atopic dermatitisEfficacyLebrikizumabLong-term

Identifiers

PMID40549127
PMCPMC12256369

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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.