Evidence map›Paper›PMID 41071522›Full record

ArticleDermatology and therapy2025

Effectiveness, Safety, and Health-Related Quality of Life in Moderate-to-Severe Atopic Dermatitis Treated with Lebrikizumab: A 16-Week Nationwide Retrospective Cohort Study.

Gianluca Avallone, Andrea Bombelli, Luigi Gargiulo, Caterina Foti, Ilaria Trave, Mariateresa Rossi, Elisabetta Magnaterra, Flavia Pigliacelli, Piergiorgio Malagoli, Serena Giacalone and 36 more

Abstract 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. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Article
  2. Review
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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

46 authors.

Gianluca Avallone *Dermatology Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Via Pace, 9, 20122, Milan, Italy. gianluca.avallone2@gmail.com.ORCID http://orcid.org/0000-0001-7253-2370
Andrea Bombelli *Dermatology Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Via Pace, 9, 20122, Milan, Italy.ORCID http://orcid.org/0009-0005-4173-0282
Luigi GargiuloDermatology Unit, IRCCS Humanitas Research Hospital, Rozzano, Milan, Italy.ORCID http://orcid.org/0000-0002-6051-1676
Caterina FotiUnit of Dermatology, Department of Precision and Regenerative Medicine and Ionian Area, University of Bari Aldo Moro, Bari, Italy.ORCID http://orcid.org/0000-0001-6196-9788
Ilaria TraveSection of Dermatology, Department of Health Sciences (DISSAL), University of Genoa, IRCCS Ospedale Policlinico San Martino, Genoa, Italy.ORCID http://orcid.org/0000-0002-5469-4517
Mariateresa RossiDepartment of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy.ORCID http://orcid.org/0000-0002-5101-159X
Elisabetta MagnaterraSection of Dermatology, Department of Health Sciences, University of Florence, Florence, Italy.ORCID http://orcid.org/0000-0002-3263-4353
Flavia PigliacelliSan Gallicano Dermatological Institute-IRCCS, Rome, Italy.ORCID http://orcid.org/0000-0003-2118-0795
Piergiorgio MalagoliDepartment of Dermatology, Dermatology Unit Azienda Ospedaliera San Donato Milanese, Milan, Italy.ORCID http://orcid.org/0000-0002-6181-6922
Serena GiacaloneInstitute of Dermatology, ASST Valle Olona, Ospedale Sant'Antonio Abate, Gallarate, Italy.ORCID http://orcid.org/0000-0003-0464-3356
Antonio PortarapilloSection of Dermatology, Department of Clinical Medicine and Surgery, University of Naples Federico II, Naples, Italy.ORCID http://orcid.org/0009-0004-8445-7135
Cataldo PatrunoDepartment of Medicine and Health Sciences "Vincenzo Tiberio", University of Molise, Campobasso, Italy.ORCID http://orcid.org/0000-0001-8661-2822
Natale SchettiniSection of Dermatology and Infectious Diseases, Department of Medical Sciences, University of Ferrara, Ferrara, Italy.ORCID http://orcid.org/0000-0002-6693-766X
Laura BonzanoDermatology Unit, Azienda USL-IRCCS, Reggio Emilia, Italy.ORCID http://orcid.org/0000-0002-8933-4626
Elena PezzoloDepartment of Dermatology, San Bortolo Hospital, Vicenza, Italy.ORCID http://orcid.org/0000-0003-0121-4812
Camilla ChelloDermatology Clinic, Department of Clinical Internal, Anesthesiological and Cardiovascular Sciences, Sapienza University of Rome, Rome, Italy.ORCID http://orcid.org/0000-0002-3142-1831
Niccolò GoriDermatologia, Dipartimento Universitario Di Medicina E Chirurgia Traslazionale, Università Cattolica del Sacro Cuore, Rome, Italy.ORCID http://orcid.org/0000-0003-1987-0623
Giovanna BrunassoDepartment of Internal Medicine-Dermatology, Villa Scassi Hospital, ASL3, Genoa, Italy.ORCID http://orcid.org/0000-0001-9122-9975
Federica VeroneseDermatology Clinic, Department of Health Science, University of Eastern Piedmont, Novara, Italy.ORCID http://orcid.org/0000-0001-6438-5171
Michela OrtoncelliDermatologic Clinic, Department of Medical Science, University of Turin, Turin, Italy.ORCID http://orcid.org/0009-0002-6774-7080
Ersilia TolinoDermatology Unit "Daniele Innocenzi", Department of Medical-Surgical Sciences and Biotechnologies, Sapienza University of Rome, Polo Pontino, Rome, Italy.ORCID http://orcid.org/0000-0001-7861-9338
Alan AzzoliniDepartment of Dermatology Venereology and Allergology, Central Teaching Hospital Bolzano-Bozen, Bolzano, Italy.ORCID http://orcid.org/0009-0005-7971-2848
Francesco BellinatoSection of Dermatology and Venereology, Department of Medicine, University of Verona, Verona, Italy.ORCID http://orcid.org/0000-0002-6163-6921
Katharina HanselDermatology Section, Department of Medicine and Surgery, University of Perugia, Perugia, Italy.ORCID http://orcid.org/0000-0002-6674-4278
Eugenia Veronica Di BrizziDermatology Unit, Università Degli Studi Della Campania Luigi Vanvitelli, Naples, Italy.ORCID http://orcid.org/0000-0002-0278-2443
Carlotta GurioliDermatology Unit, IRCCS Azienda Ospedaliero-Universitaria Di Bologna, Bologna, Emilia-Romagna, Italy.ORCID http://orcid.org/0000-0003-1279-7451
Maria EspositoDepartment of Biotechnological and Applied Clinical Sciences, University of L'Aquila, L'Aquila, Italy.ORCID http://orcid.org/0000-0002-4773-6993
Roberta GiuffridaDepartment of Clinical and Experimental Medicine, Section of Dermatology, University of Messina, Messina, Italy.ORCID http://orcid.org/0000-0002-5492-3033
Francesca BareiDermatology Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Via Pace, 9, 20122, Milan, Italy.ORCID http://orcid.org/0000-0002-7188-7310
Paolo CalzariDepartment of Pathophysiology and Transplantation, Università Degli Studi Di Milano, Milan, Italy.ORCID http://orcid.org/0000-0001-7690-7221
Anna Graziella BurroniSection of Dermatology, Department of Health Sciences (DISSAL), University of Genoa, IRCCS Ospedale Policlinico San Martino, Genoa, Italy.ORCID http://orcid.org/0000-0003-0021-911X
Massimo GolaSection of Dermatology, Department of Health Sciences, University of Florence, Florence, Italy.
Maria MarianoSan Gallicano Dermatological Institute-IRCCS, Rome, Italy.ORCID http://orcid.org/0000-0002-7964-3388
Maria Concetta FargnoliSan Gallicano Dermatological Institute-IRCCS, Rome, Italy.ORCID http://orcid.org/0000-0002-7249-2556
Maddalena NapolitanoSection of Dermatology, Department of Clinical Medicine and Surgery, University of Naples Federico II, Naples, Italy.ORCID http://orcid.org/0000-0003-3309-8190
Teresa GriecoDermatology Clinic, Department of Clinical Internal, Anesthesiological and Cardiovascular Sciences, Sapienza University of Rome, Rome, Italy.ORCID http://orcid.org/0000-0001-7855-6621
Ketty PerisDermatologia, Dipartimento Universitario Di Medicina E Chirurgia Traslazionale, Università Cattolica del Sacro Cuore, Rome, Italy.ORCID http://orcid.org/0000-0002-5237-0463
Paola SavoiaDermatology Clinic, Department of Health Science, University of Eastern Piedmont, Novara, Italy.ORCID http://orcid.org/0000-0002-1636-8411
Simone RiberoDermatologic Clinic, Department of Medical Science, University of Turin, Turin, Italy.ORCID http://orcid.org/0000-0002-0098-1406
Giampiero GirolomoniSection of Dermatology and Venereology, Department of Medicine, University of Verona, Verona, Italy.ORCID http://orcid.org/0000-0001-8548-0493
Luca StingeniDermatology Section, Department of Medicine and Surgery, University of Perugia, Perugia, Italy.ORCID http://orcid.org/0000-0001-7919-8141
Anna BalatoDermatology Unit, Università Degli Studi Della Campania Luigi Vanvitelli, Naples, Italy.ORCID http://orcid.org/0000-0001-5485-0172
Antonio CostanzoDermatology Unit, IRCCS Humanitas Research Hospital, Rozzano, Milan, Italy.ORCID http://orcid.org/0000-0001-9697-2557
Angelo Valerio MarzanoDermatology Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Via Pace, 9, 20122, Milan, Italy.ORCID http://orcid.org/0000-0002-8160-4169
Alessandra Narcisi *Dermatology Unit, IRCCS Humanitas Research Hospital, Rozzano, Milan, Italy.ORCID http://orcid.org/0000-0002-1938-8581
Silvia Mariel Ferrucci *Dermatology Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Via Pace, 9, 20122, Milan, Italy.ORCID http://orcid.org/0000-0002-6734-1366

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAtopic dermatitis (AD) is a chronic inflammatory skin condition that significantly affects the quality of life (QoL). Lebrikizumab, a biologic drug targeting interleukin-13, demonstrated efficacy and safety in clinical trials. However, real-world data remain limited, largely restricted to Asian populations.

methodsThis 16-week retrospective multicenter study included 78 adults from a predominantly white cohort with moderate-to-severe AD treated with lebrikizumab throughout 2024. Patients were both naïve and experienced with biologics or Janus kinase inhibitors (bio/JAKi-naïve or -experienced). The primary outcome for disease severity and therapeutic response was measured using the Eczema Area and Severity Index (EASI). Secondary outcomes included the Dermatology Life Quality Index (DLQI), itch- and sleep-numerical rating scales (NRS), body surface area (BSA), Investigator Global Assessment (IGA), SCORing Atopic Dermatitis (SCORAD), and Patient-Oriented Eczema Measure (POEM). Atopic Dermatitis Control Tool (ADCT) and minimal disease activity (MDA) were used to estimate disease control, and Hospital Anxiety and Depression Scales to monitor mental health status.

resultsAt week 16, benefits in disease severity were observed for EASI (- 15.8 ± 9.4, p < 0.0001) and EASI head and neck (- 2.0 ± 1.7, p < 0.0001). QoL significantly improved in 70% of patients (DLQI reduction of - 12.6 ± 9.3, p < 0.0001), accompanied by decreased pruritus (Itch-NRS reduction of - 4.6 ± 3.2, p < 0.0001) and better sleep quality (sleep-NRS reduction of - 4.1 ± 3.4, p < 0.0001). A 76% reduction in BSA score was recorded, 85% of subjects improved their IGA index, with 62% achieving a score of 0-1, and SCORAD and POEM assessments significantly improved (p < 0.0001). Patients perceived a better control of the disease (ADCT, - 10.9 ± 7.1, p < 0.0001), and 14% of patients achieved MDA. Anxiety and depression levels decreased. Four mild adverse events were registered.

conclusionsThis is one of the first real-world multicenter studies in a predominantly adult white population showing that lebrikizumab is effective, safe and improves symptoms, QoL, and mental health in moderate-to-severe AD bio/JAKi-naïve and -experienced patients.

Indexed as

Atopic dermatitisBiologicsIL-13 inhibitorLebrikizumabMonoclonal antibodiesMulti-failureSkin disease

Identifiers

PMID41071522
PMCPMC12619886

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