Evidence map›Paper›PMID 42272192›Full record

Trial reportActa dermato-venereologica2026

Efficacy and Safety of Nemolizumab at Week 48: Results from the Maintenance Phase of Two Global Phase 3 Pivotal Studies (ARCADIA 1&2) in Patients with Moderate-to-Severe Atopic Dermatitis.

Andreas Wollenberg, Jonathan I Silverberg, Franz J Legat, Marie Tauber, Vivian T Laquer, April W Armstrong, Andrew E Pink, Luigi Naldi, Grażyna Pulka, Jacek Zdybski and 10 more

Abstract readClinical Trial, Phase IIIRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in Acta dermato-venereologica, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. European Guideline (EuroGuiDerm) on atopic eczema: Living update.Journal of the European Academy of Dermatology and Venereology : JEADV · 2025
    Guideline
  2. 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

20 authors.

Andreas WollenbergDepartment of Dermatology and Allergy, University Hospital Augsburg, Augsburg, Germany; Comprehensive Center for Inflammation Medicine, University of Luebeck, Luebeck, Germany; Department of Dermatology and Allergy, Ludwig-Maximilian University of Munich, Munich, Germany.
Jonathan I SilverbergDepartment of Dermatology, George Washington University School of Medicine and Health Sciences, Washington, DC, United States.
Franz J LegatDepartment of Dermatology, Medical University of Graz, Graz, Austria.
Marie TauberDepartment of Allergy and Clinical Immunology, Lyon Sud Hospital, Hospices Civils de Lyon, Inserm U1111 Centre International de Recherche en Infectiology, Lyon, France.
Vivian T LaquerFirst OC Dermatology Research, Fountain Valley, CA, United States.
April W ArmstrongDepartment of Dermatology, Keck School of Medicine, University of Southern California, Los Angeles, CA, United States.
Andrew E PinkSt. John's Institute of Dermatology, Guy's & St. Thomas' NHS Foundation Trust, London, United Kingdom.
Luigi NaldiAcademic Research Centre, Centro Studi GISED, Bergamo, Italy.
Grażyna PulkaSchool of Medicine, Jagiellonian University Medical College, Kraków, Poland.
Jacek ZdybskiKlinika Zdybski Dermedic, Ostrowiec Świętokrzyski, Poland.
Athanasios TsianakasDepartment of Dermatology, Fachklinik Bad Bentheim, Bad Bentheim, Germany.
Jorge DiazDoral Medical Research, Doral, FL, United States.
Inese SvarcaHealth and Aesthetics Private Ambulatory Practice, Riga, Latvia.
Jennifer BeeckerDivision of Dermatology, Ottawa Hospital, Ottawa, ON, Canada; Ottawa Hospital Research Institute, Ottawa, ON, Canada; University of Ottawa, Ottawa, ON, Canada; Probity Medical Research, Waterloo, ON, Canada.
Galina BalakirskiCenter for Dermatology, Allergology and Dermatosurgery, Helios University Hospital Wuppertal, University of Witten/Herdecke, Heusnerstraße, Wuppertal, Germany.
Sylvia PauserKlinische Forschung Osnabrück, Osnabrück, Germany.
Liliana UlianovGalderma R&D, Lausanne, Switzerland.
Anna RyzhkovaGalderma R&D, Zug, Switzerland.
Jean-Loup MachuGalderma R&D, Lausanne, Switzerland.
Christophe PikettyGalderma R&D, Zug, Switzerland. christophe.piketty@galderma.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Nemolizumab with background topical therapy (corticosteroids±calcineurin inhibitors) significantly improved skin lesions, itch and sleep in two global phase 3 trials (ARCADIA 1&2) in adolescents and adults with moderate-to-severe atopic dermatitis through week (W)16. Efficacy and safety of nemolizumab, combined with background topical therapy, were evaluated for an additional 32 weeks (W16-W48) with a focus on maintained skin responses in clinical responders (patients achieving Investigator's Global Assessment [IGA] score of 0/1 [clear/almost clear] or ≥75% improvement in Eczema Area and Severity Index [EASI-75] at W16). At W16, clinical responders (N=507) to nemolizumab every 4 weeks (Q4W) were rerandomized (1 : 1 : 1) to receive nemolizumab 30 mg-Q4W/-Q8W/placebo (nemolizumab-withdrawal) subcutaneously with background topical therapy. At W48, 61.5% (strata-adjusted difference versus nemolizumab-withdrawal group [Δ], 11.8% [95% CI 1.3-22.3]) and 76.3% (Δ, 12.4% [95% CI 2.7- 22.0]) of patients in nemolizumab-Q4W; 60.4% (Δ, 10.7% [95% CI 0.3-21.0]) and 75.7% (Δ, 11.8% [95% CI 2.1-21.5]) in nemolizumab-Q8W; and 49.7% and 63.9% in nemolizumab-withdrawal group maintained response rate for IGA success and EASI-75, respectively. The percentage of patients who experienced ≥1 adverse events were similar across the groups (range: 53.5%-58.3%). Up to W48, skin responses were maintained without notable differences in the safety profile of both nemolizumab dosing regimens.

Indexed as

Antibodies, Monoclonal, HumanizedDermatitis, AtopicDermatologic AgentsSkinAdministration, CutaneousAdolescentAdrenal Cortex HormonesAdultChildDouble-Blind MethodDrug Therapy, CombinationFemaleHumansImmunosuppressive AgentsMaleMiddle AgedAdrenal Cortex HormonesAntibodies, Monoclonal, HumanizedDermatologic AgentsImmunosuppressive Agentsnemolizumab

Identifiers

PMID42272192
PMCPMC13253760

What OpenQuestion holds

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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.