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ArticleDermatology and therapy2025

Do Allergic Comorbidities Alter the Efficacy and Safety of Abrocitinib or Dupilumab in Patients with Moderate-to-Severe Atopic Dermatitis?

Eric L Simpson, Jonathan I Silverberg, Bob Geng, José-Manuel Carrascosa, Thomas Bieber, Patrick M Brunner, Delphine Staumont-Sallé, Chao Ji, Pinaki Biswas, Claire Feeney and 3 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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

NCT03720470 phase3completednot on this map

A phase 3 randomized, double-blind, double-dummy, placebo-controlled, parallel group, multi-center study investigating the efficacy and safety of pf-04965842 and dupilumab in comparison with placebo in adult subjects on background topical therapy, with moderate to severe atopic dermatitis

TypeinterventionalSponsorPfizerRan2018 to 2020Enrolled838ConditionsDermatitis, Dermatitis, Atopic, Eczema, Skin DiseasesArmsPF-04965842 100 mg, PF-04965842 200 mg, Dupilumab, Oral Placebo, Injectable Placebo
NCT04345367 phase3completednot on this map

A phase 3b randomized, double-blind, double-dummy, active controlled multi-center study assessing the efficacy and safety of abrocitinib compared with dupilumab in adult participants on background topical therapy with moderate to severe atopic dermatitis

TypeinterventionalSponsorPfizerRan2020 to 2021Enrolled727ConditionsAtopic DermatitisArmsAbrocitinib 200 mg, Dupilumab 300 mg
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. 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

13 authors.

Eric L SimpsonDepartment of Dermatology, Oregon Health and Science University, Portland, OR, USA.ORCID https://orcid.org/0000-0003-0853-0252
Jonathan I SilverbergDepartment of Dermatology, The George Washington University School of Medicine and Health Sciences, Washington, DC, USA.ORCID https://orcid.org/0000-0003-3686-7805
Bob GengDepartment of Allergy and Immunology, UC San Diego School of Medicine, San Diego, CA, USA.ORCID http://orcid.org/0000-0002-4618-4445
José-Manuel CarrascosaDepartment of Dermatology, Hospital Universitari Germans Trias I Pujol, Universidad Autònoma de Barcelona, Germans Trias i Pujol Research Institute, Badalona, Spain.ORCID https://orcid.org/0000-0003-4266-0771
Thomas BieberChristine Kühne-Center for Allergy Research and Education, Medicine Campus Davos, Davos, Switzerland.ORCID https://orcid.org/0000-0002-8800-3817
Patrick M BrunnerDepartment of Dermatology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.ORCID https://orcid.org/0000-0002-3488-3345
Delphine Staumont-SalléService de Dermatologie, CHU Lille, University of Lille, Lille Inflammation Translational Research Institute, Lille, France.ORCID https://orcid.org/0000-0002-4780-4212
Chao JiDepartment of Dermatology, First Affiliated Hospital of Fujian Medical University, Fujian, China.ORCID https://orcid.org/0000-0002-1913-9702
Pinaki BiswasPfizer Inc., New York, NY, USA.ORCID https://orcid.org/0009-0009-3494-4142
Claire FeeneyPfizer Ltd., Tadworth, Surrey, UK.ORCID https://orcid.org/0000-0003-4605-6571
Irene Hernández-MartínPfizer SLU Spain, Madrid, Spain.ORCID https://orcid.org/0000-0001-9620-0485
Francisco José Rebollo LasernaPfizer SLU Spain, Madrid, Spain.ORCID https://orcid.org/0000-0003-3651-3687
Herwig KoppensteinerPfizer Corp. Austria GmbH, Floridsdorfer Hauptstraße 1, 1210, Vienna, Austria. herwig.koppensteiner@pfizer.com.ORCID http://orcid.org/0009-0004-4228-7553

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAllergic comorbidities are common in patients with atopic dermatitis (AD). Individual trials with abrocitinib or dupilumab demonstrated efficacy and safety in patients with moderate-to-severe AD and allergic comorbidities. This post hoc analysis of the phase 3 JADE COMPARE and DARE trials compared efficacy, safety, and quality of life following abrocitinib and dupilumab treatment in adults with moderate-to-severe AD, with or without comorbid asthma, allergic rhinitis, or food allergy.

methodsData were pooled from patients who received abrocitinib (200 mg/day) or dupilumab (300 mg/every 2 weeks) for 16 weeks with concomitant topical therapy. Assessments by self-reported asthma, allergic rhinitis, or food allergy included the proportion of patients achieving Investigator's Global Assessment of clear or almost clear (IGA 0/1), ≥ 75% improvement in Eczema Area and Severity Index (EASI-75), ≥ 4-point improvement in Peak Pruritus Numerical Rating Scale (PP-NRS4), least squares mean change from baseline in Dermatology Life Quality Index (DLQI) and SCORing Atopic Dermatitis (SCORAD), and safety.

resultsOf 1195 patients (abrocitinib, n = 588; dupilumab, n = 607), 377 (32%), 225 (19%), and 211 (18%) patients self-reported comorbid asthma, food allergy, or allergic rhinitis, respectively. Week 16 IGA 0/1 responses were comparable between patients with/without comorbidity with abrocitinib (52%/54% [with/without asthma], 50%/54% [with/without allergic rhinitis], and 53%/53% [with/without food allergy]) or dupilumab (42%/42%, 37%/43%, and 47%/41%). EASI-75 and PP-NRS4 responses and DLQI and SCORAD improvements were also comparable between patients with/without comorbidity in each treatment arm. Treatment-emergent adverse events were more common in patients with comorbidities in the abrocitinib (76%/67% [with/without asthma], 80%/67% [with/without allergic rhinitis], and 78%/67% [with/without food allergy]) and dupilumab (71%/53%, 71%/57%, and 62%/59%) arms.

conclusionAbrocitinib and dupilumab improved AD signs and symptoms with a manageable safety profile in patients with moderate-to-severe AD, regardless of asthma, allergic rhinitis, or food allergy. Graphical Abstract available for this article.

trial registrationClinicalTrials.gov identifier, NCT03720470 (JADE COMPARE) and NCT04345367 (DARE).

Indexed as

AbrocitinibAllergic rhinitisAsthmaComorbidityDupilumabFood allergyModerate-to-severe atopic dermatitisPruritusQuality of life

Identifiers

PMID40987931
PMCPMC12550080

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.