Evidence map›Paper›PMID 40663228›Full record

ArticleDermatology and therapy2025

Lebrikizumab Rapidly Lowers Inflammatory Biomarkers with Clinical Correlations in Moderate-to-Severe Atopic Dermatitis.

Emma Guttman-Yassky, Zhe Sun, Laura Rebeca Mena, Nathan Hahn, Brian J Nickoloff, Christoph Preuss, Kimberly Siu, Chitra R Natalie, Gaia Gallo, Eric Wolf and 4 more

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 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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.

NCT04146363 phase3completednot on this map

A Randomized, Double-blind, Placebo Controlled Trial to Evaluate the Efficacy and Safety of Lebrikizumab in Patients With Moderate to Severe Atopic Dermatitis

TypeinterventionalSponsorEli Lilly and CompanyRan2019 to 2022Enrolled424ConditionsAtopic DermatitisArmsLebrikizumab, Placebo
NCT04178967 phase3completednot on this map

A Randomized, Double-blind, Placebo Controlled Trial to Evaluate the Efficacy and Safety of Lebrikizumab in Patients With Moderate to Severe Atopic Dermatitis.

TypeinterventionalSponsorEli Lilly and CompanyRan2019 to 2022Enrolled445ConditionsAtopic DermatitisArmsLebrikizumab, Placebo
3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Article
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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

14 authors.

Emma Guttman-YasskyDepartment of Dermatology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.ORCID http://orcid.org/0000-0002-9363-324X
Zhe SunEli Lilly and Company, Indianapolis, IN, USA.ORCID http://orcid.org/0000-0002-3591-860X
Laura Rebeca MenaEli Lilly and Company, Indianapolis, IN, USA.
Nathan HahnEli Lilly and Company, Indianapolis, IN, USA.ORCID http://orcid.org/0000-0003-0289-6261
Brian J NickoloffNet2Source Inc, Somerset, NJ, USA.
Christoph PreussEli Lilly and Company, Indianapolis, IN, USA.
Kimberly SiuEli Lilly and Company, Indianapolis, IN, USA.
Chitra R NatalieEli Lilly and Company, Indianapolis, IN, USA.
Gaia GalloEli Lilly and Company, Indianapolis, IN, USA.ORCID http://orcid.org/0009-0003-7354-7402
Eric WolfEli Lilly and Company, Indianapolis, IN, USA.ORCID http://orcid.org/0000-0002-9254-3402
Kilian EyerichDepartment of Dermatology, Medical Center, University of Freiburg, Freiburg, Germany.ORCID http://orcid.org/0000-0003-0094-2674
Mònica ApariciAlmirall, S.A, Barcelona, Spain.ORCID http://orcid.org/0000-0001-5853-5591
Robert J BenschopEli Lilly and Company, Indianapolis, IN, USA.ORCID http://orcid.org/0000-0001-6313-5218
Angela OkraglyEli Lilly and Company, Indianapolis, IN, USA. okragly_angela@lilly.com.ORCID http://orcid.org/0000-0002-1041-8000

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionLebrikizumab is a novel monoclonal antibody that selectively binds to interleukin (IL)-13 with high affinity and a slow dissociation rate.

methodsWe assayed serum from select patients enrolled in ADvocate1 and ADvocate2 to determine the impact of lebrikizumab on circulating biomarkers and pathways relevant to atopic dermatitis (AD) and to assess the correlation between key biomarkers and clinical measures of improvement.

resultsAt baseline, IL-13, CC motif chemokine ligand (CCL)13, CCL17, CCL22, total immunoglobulin (Ig)E, IL-5, and periostin were elevated in patients with moderate-to-severe AD versus healthy controls (p < 0.001). Baseline Eczema and Area Severity Index (EASI) and Investigator's Global Assessment (IGA) scores were significantly correlated with IL-13, IL-5, CCL13, CCL22, and CCL26. Lebrikizumab induced rapid and progressive reductions in CCL13, CCL17, CCL22, and periostin at weeks 4, 16, and 52 compared with baseline (p < 0.05). AD-associated pathways linked to cytokine signaling were significantly improved at weeks 4 and 16. Improvements in EASI, IGA, and the Pruritus Numeric Rating Scale were correlated with reductions in CCL13, CCL17, CCL22, CCL26, and periostin across all time points. After multiple testing correction and adjusting for sex and race as covariates, we identified the chemokine CCL26 as a pharmacodynamic marker for lebrikizumab response at weeks 4 and 16.

conclusionsSelective inhibition of IL-13 with lebrikizumab monotherapy induced progressive inhibition of systemic biomarkers and pathways of type 2 inflammation, which correlated with clinical measures of improvement in patients with moderate-to-severe AD. CLINICAL TRIAL REGISTRATIONS: NCT04146363 and NCT04178967.

Indexed as

Atopic dermatitisBiomarkersInterleukin-13Lebrikizumab

Identifiers

PMID40663228
PMCPMC12354421

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.