Evidence map›Paper›PMID 40569545›Full record

ArticleDermatology and therapy2025

Impact of Achieving Optimal Treatment Targets and Minimal Disease Activity on Health-Related Quality of Life and Satisfaction in Patients with Atopic Dermatitis.

Jonathan I Silverberg, Melinda Gooderham, Andreas Wollenberg, Andrew E Pink, Diego Ruiz Dasilva, Shawn G Kwatra, Yousef Binamer, Norito Katoh, Valeria Aoki, Alvaro Moreira and 5 more

3 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 3 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
–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.

NCT03568318 phase3active not recruitingnot on this map

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

TypeinterventionalSponsorAbbVieRan2018 to 2030Enrolled1,533ConditionsAtopic DermatitisArmsPlacebo, Upadacitinib, Topical corticosteroids (TCS)
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.

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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.

Jonathan I SilverbergDepartment of Dermatology, The George Washington University School of Medicine and Health Sciences, Washington, DC, USA. jonathanisilverberg@gmail.com.
Melinda GooderhamSKiN Centre for Dermatology, Peterborough, ON, Canada.
Andreas WollenbergDepartment of Dermatology and Allergy, University Hospital Augsburg, Augsburg, Germany.
Andrew E PinkSt John's Institute of Dermatology, Guy's and St. Thomas' NHS Foundation Trust and King's College London, London, UK.
Diego Ruiz DasilvaDepartment of Dermatology, Forefront Dermatology and Eastern Virginia Medical School, Virginia Beach, VA, USA.
Shawn G KwatraDepartment of Dermatology, University of Maryland School of Medicine, Baltimore, MD, USA.
Yousef BinamerDepartment of Dermatology, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia.
Norito KatohNorth Campus, Kyoto Prefectural University of Medicine, Kyoto, Japan.
Valeria AokiDepartment of Dermatology, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil.
Alvaro MoreiraAbbVie Inc, North Chicago, IL, USA.
Ayman GradaAbbVie Inc, North Chicago, IL, USA.
Chao LiAbbVie Inc, North Chicago, IL, USA.
Brian CalimlimAbbVie Inc, North Chicago, IL, USA.
Wan-Ju LeeAbbVie Inc, North Chicago, IL, USA.
Christopher G BunickProgram in Translational Biomedicine, Yale University School of Medicine, New Haven, CT, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionGuidance from the Aiming Higher in Eczema/Atopic Dermatitis initiative identified moderate and optimal treatment targets for clinician-reported outcomes (ClinROs) and patient-reported outcomes (PROs) and defined minimal disease activity (MDA) as simultaneously meeting optimal targets in ClinRO and PRO. This post hoc analysis investigates the impact of achieving individual optimal targets or MDA on patient health-related quality of life (HRQoL) outcomes in patients with atopic dermatitis.

methodsPatients from phase 3 Measure Up 1 (NCT03569293), Measure Up 2 (NCT03607422), and AD UP (NCT03568318) were randomized 1:1:1 to receive daily oral upadacitinib at either 15 mg or 30 mg, or placebo for the first 16 weeks. Patients were pooled for this analysis regardless of intervention and stratified into three mutually exclusive response groups meeting optimal, moderate, or neither treatment target for each ClinRO or PRO, and the achievement of MDA at week 16. Impact on the patient's HRQoL was measured across eight outcomes: itch, skin symptoms, quality of life, sleep, daily activities, emotional state, work productivity, and treatment satisfaction.

resultsPatients who achieved optimal treatment targets, compared with those achieving moderate or neither treatment target, reported greater improvement in patient HRQoL outcomes (1.1-20.2-fold for optimal versus moderate, 1.3 to > 50-fold for optimal versus neither target, and 1.2-16.3-fold for moderate versus neither target groups). In addition, patients who achieved MDA, versus those achieving optimal ClinRO or PRO alone, were more likely to report improved patient HRQoL outcomes.

conclusionsThese results highlight the value of reaching optimal treatment targets and MDA in disease management of atopic dermatitis.

Indexed as

Atopic dermatitisClinician-reported outcomeMinimal disease activityOptimal treatment targetPatent-reported outcomeQuality of life

Identifiers

PMID40569545
PMCPMC12256389

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.