Evidence map›Paper›PMID 41619222›Full record

SynthesisJournal of the European Academy of Dermatology and Venereology : JEADV2026

Biomarkers for therapeutic response and adverse outcomes in atopic dermatitis: A systematic review.

Eva Hilger, Kaitlyn Chan, Alphonsus Yip, Xingyue Maria Wang, Conor Broderick, Bernd Arents, Karin van Bart, Kilian Eyerich, Joseph Rastrick, Stephan Weidinger and 2 more

Abstract readSystematic Review
In one paragraph

Synthesis in Journal of the European Academy of Dermatology and Venereology : JEADV, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–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 synthesis or guideline pooled it.

  1. Biomarkers for therapeutic response and adverse outcomes in atopic dermatitis: A systematic review.Journal of the European Academy of Dermatology and Venereology : JEADV · 2026
    Pooled it
  2. Article
  3. Article
  4. Article
  5. Biomarkers in atopic dermatitis: Current evidence and unmet needs.Journal of the European Academy of Dermatology and Venereology : JEADV · 2026
    Article
  6. Article
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

12 authors.

Eva HilgerUnit for Paediatric and Population-Based Dermatology Research, School of Basic and Medical Biosciences, St John's Institute of Dermatology, King's College London, London, UK.ORCID https://orcid.org/0009-0004-8163-823X
Kaitlyn ChanUnit for Paediatric and Population-Based Dermatology Research, School of Basic and Medical Biosciences, St John's Institute of Dermatology, King's College London, London, UK.
Alphonsus YipUnit for Paediatric and Population-Based Dermatology Research, School of Basic and Medical Biosciences, St John's Institute of Dermatology, King's College London, London, UK.
Xingyue Maria WangUnit for Paediatric and Population-Based Dermatology Research, School of Basic and Medical Biosciences, St John's Institute of Dermatology, King's College London, London, UK.
Conor BroderickUnit for Paediatric and Population-Based Dermatology Research, School of Basic and Medical Biosciences, St John's Institute of Dermatology, King's College London, London, UK.ORCID https://orcid.org/0000-0002-3588-5000
Bernd ArentsDutch Association for People with Atopic Dermatitis, Nijkerk, The Netherlands.
Karin van BartRoyal College of Physicians, National Guideline Centre, London, UK.
Kilian EyerichDepartment of Dermatology and Allergy, School of Medicine, Technical University of Munich, Munich, Germany.ORCID https://orcid.org/0000-0003-0094-2674
Joseph RastrickImmunology Research, New Medicines UCB Pharma, Slough, UK.
Stephan WeidingerDepartment of Dermatology and Allergy, University Hospital Schleswig-Holstein, Kiel, Germany.
Carsten FlohrUnit for Paediatric and Population-Based Dermatology Research, School of Basic and Medical Biosciences, St John's Institute of Dermatology, King's College London, London, UK.ORCID https://orcid.org/0000-0003-4884-6286
BIOMAP Consortium

Funding

Innovative Medicines Initiative 2 Joint Undertaking (JU) 821511
6 · The paper itself

Abstract

INTRODUCTION AND

objectivesAtopic dermatitis (AD) is a chronic, inflammatory cutaneous disease characterized by intense itch that affects approximately 20% of children and up to 10% of adults. Our systematic review aims to identify biomarkers with clinical significance for predicting response to systemic therapies and treatment-related adverse events (AEs) for AD patients. MATERIALS AND

methodsA systematic search was conducted across the electronic databases Embase and MEDLINE from database inception to September 2024. All records were independently screened at both the title/abstract and full-text stages. Included articles were randomized controlled trials, cohort studies or case-control studies that reported relevant data for investigating associations between biomarkers and disease progression and/or change in disease activity over time. All discrepancies at any stage were resolved through adjudication by a senior reviewer.

resultsWe identified 28 papers evaluating biomarkers for treatment response and 11 for AEs. Across treatment response studies, biomarkers investigated included IgE, eosinophils, LDH, TARC, cytokines, genetic variants and the skin microbiome. Most studies investigated the association between biomarkers and dupilumab, while studies reporting associations between biomarkers and AEs were limited to dupilumab-related conjunctivitis and ocular surface disease (DAOSD). The primary findings on treatment response were inconsistent, demonstrating that while elevated LDH was associated with poorer response to dupilumab, neither IgE nor eosinophil count showed consistent predictive value. Regarding the association between biomarkers and AEs, IgE was identified as the most promising predictor of DAOSD.

conclusionsPredicting therapeutic responses and identifying patients at risk of developing AEs will be increasingly important with an expanding range of treatment options for AD. Finding robust predictive biomarkers for AD, however, is complicated by its clinical heterogeneity and multifactorial aetiology. Collaborative projects, such as BIOMAP, hold great potential to advance precision medicine and enhance individualized care.

Indexed as

BiomarkersDermatitis, AtopicAntibodies, Monoclonal, HumanizedChemokine CCL17CytokinesEosinophilsHumansImmunoglobulin EL-Lactate DehydrogenaseTreatment OutcomeAntibodies, Monoclonal, HumanizedBiomarkersChemokine CCL17CytokinesdupilumabImmunoglobulin EL-Lactate Dehydrogenaseadverse eventsatopic dermatitisbiomarkerseczematreatment response

Identifiers

PMID41619222
PMCPMC13308671

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

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.