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ArticleDermatology and therapy2026

Cumulative Disease Control with Upadacitinib in Moderate-to-Severe Atopic Dermatitis-A 52-Week Multicenter Real-World Study: IL-AD (Italian Landscape Atopic Dermatitis).

Luca Potestio, Matteo Bianco, Luca Mastorino, Francesca Maria Gaiani, Francesca Barei, Francesca di Vico, Stefano Bighetti, Raul Armando Luyo Saboya, Martina Maurelli, Eugenia Veronica Di Brizzi and 36 more

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Article in Dermatology and therapy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Luca PotestioDepartmental Faculty of Medicine UniCamillus, "Saint Camillus International, University of Health and Medical Sciences", Rome, Italy. potestioluca@gmail.com.ORCID http://orcid.org/0000-0001-5940-0592
Matteo BiancoDermatology Unit, IRCCS Humanitas Research Hospital, Rozzano, Milan, Italy.
Luca MastorinoDepartment of Medical Sciences, Dermatology Clinic, University of Turin, Turin, Italy.
Francesca Maria GaianiDepartment of Dermatology, Dermatology Unit Azienda Ospedaliera San Donato Milanese, Milan, Italy.
Francesca BareiDermatology Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Francesca di VicoSection of Dermatology, Department of Clinical Medicine and Surgery, University of Naples Federico II, Naples, Italy.
Stefano BighettiDermatology Department, ASST Spedali Civili Hospital, University of Brescia, Brescia, Italy.
Raul Armando Luyo SaboyaDepartment of Dermatology, San Bortolo Hospital, Vicenza, Italy.
Martina MaurelliDepartment of Medicine, Section of Dermatology, University of Verona, Verona, Italy.
Eugenia Veronica Di BrizziUnit of Dermatology, University of Campania Luigi Vanvitelli, Naples, Italy.
Flavia Manzo MargiottaDepartment of Dermatology, University of Pisa, Pisa, Italy.
Mattia CristalloDepartment of Precision and Regenerative Medicine and Ionian Area, University of Bari Aldo Moro - Azienda Ospedaliero Universitaria Consorziale Policlinico Di Bari, Bari, Italy.
Anna Francesca CavaliereSection of Dermatology and Venereology, Department of Precision and Regenerative Medicine and Ionian Area (DiMePRe-J), University of Bari "Aldo Moro", Bari, Italy.
Manfredi MagliuloAllergological and Pediatric Dermatology Unit, Department of Health Sciences, University of Florence, Florence, Italy.
Andrea CarugnoDermatology Unit, Department of Medicine and Surgery, University of Insubria, Varese, Italy.
Antonio Podo BrunettiUnit of Dermatology Clinic, IRCCS Ospedale San Raffaele, Università Vita-Salute, Milan, Italy.
Ruggero Cascio IngurgioDermatology Unit, IRCCS Humanitas Research Hospital, Rozzano, Milan, Italy.
Giulia CarpentieriDepartment of Medical Sciences, Dermatology Clinic, University of Turin, Turin, Italy.
Francesco MessinaDepartment of Dermatology, Dermatology Unit Azienda Ospedaliera San Donato Milanese, Milan, Italy.
Marco CampoliSection of Dermatology, Italian Neurotraumatology Institute (I.N.I.), Grottaferrata, Italy.
Chiara AssorgiDermatology Unit, Department of Medical and Cardiovascular Sciences, University of "La Sapienza", Rome, Italy.
Franco RongiolettiUnit of Dermatology Clinic, IRCCS Ospedale San Raffaele, Università Vita-Salute, Milan, Italy.
Nicola ZerbinatiDermatology Unit, Department of Medicine and Surgery, University of Insubria, Varese, Italy.
Massimo GolaAllergological and Pediatric Dermatology Unit, Department of Health Sciences, University of Florence, Florence, Italy.
Francesco LoconsoleSection of Dermatology and Venereology, Department of Precision and Regenerative Medicine and Ionian Area (DiMePRe-J), University of Bari "Aldo Moro", Bari, Italy.
Maria Concetta FargnoliDepartment of Biotechnological and Applied Clinical Sciences, University of L'Aquila, L'Aquila, Italy.
Maria EspositoDepartment of Biotechnological and Applied Clinical Sciences, University of L'Aquila, L'Aquila, Italy.
Anna Graziella BurroniSection of Dermatology, Department of Health Sciences (DISSAL), IRCCS Ospedale Policlinico San Martino, University of Genoa, Genoa, Italy.
Eustachio NettisDepartment of Precision and Regenerative Medicine and Ionian Area, University of Bari Aldo Moro - Azienda Ospedaliero Universitaria Consorziale Policlinico Di Bari, Bari, Italy.
Marco RomanelliDepartment of Dermatology, University of Pisa, Pisa, Italy.
Pietro MorroneDermatology, Azienda Provinciale Di Cosenza, Cosenza, Italy.
Anna BalatoUnit of Dermatology, University of Campania Luigi Vanvitelli, Naples, Italy.
Giampiero GirolomoniDepartment of Medicine, Section of Dermatology, University of Verona, Verona, Italy.
Elena PezzoloDepartment of Dermatology, San Bortolo Hospital, Vicenza, Italy.
Mario Bruno GuantiDepartment of Dermatology, University of Modena and Reggio Emilia, Modena, Italy.
Mariateresa RossiDermatology Department, ASST Spedali Civili Hospital, University of Brescia, Brescia, Italy.
Cataldo PatrunoDepartment of Medicine and Health Sciences "Vincenzo Tiberio", University of Molise, Campobasso, Italy.
Maddalena NapolitanoSection of Dermatology, Department of Clinical Medicine and Surgery, University of Naples Federico II, Naples, Italy.
Angelo Valerio MarzanoDermatology Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Silvia Mariel FerrucciDermatology Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Piergiorgio MalagoliDepartment of Dermatology, Dermatology Unit Azienda Ospedaliera San Donato Milanese, Milan, Italy.
Michela OrtoncelliDepartment of Medical Sciences, Dermatology Clinic, University of Turin, Turin, Italy.
Simone RiberoDepartment of Medical Sciences, Dermatology Clinic, University of Turin, Turin, Italy.
Antonio CostanzoDermatology Unit, IRCCS Humanitas Research Hospital, Rozzano, Milan, Italy.
Alessandra NarcisiDermatology Unit, IRCCS Humanitas Research Hospital, Rozzano, Milan, Italy.
Diego OrsiniSection of Dermatology, Department of Clinical Medicine and Surgery, University of Naples Federico II, Naples, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionFixed-timepoint endpoints may not fully capture longitudinal treatment benefit in atopic dermatitis (AD). We evaluated the 52-week real-world effectiveness and safety of upadacitinib, focusing on cumulative disease control.

methodsThis multicenter retrospective analysis of prospectively collected LANDSCAPE registry data included patients with moderate-to-severe AD receiving stable upadacitinib 15 mg or 30 mg once daily. Patients who underwent dose modification from 15 to 30 mg or from 30 to 15 mg during the 52-week observation period were excluded from the present analysis to ensure that longitudinal outcomes and cumulative disease-control estimates could be consistently attributed to a stable upadacitinib dose. Outcomes were assessed at baseline and weeks 16, 32, and 52. Moderate disease control was defined as EASI75 plus peak pruritus numerical rating scale (pp-NRS) ≤ 4, and optimal disease control/minimal disease activity (MDA) as EASI90 plus pp-NRS ≤ 1. Cumulative control was estimated as equivalent days in target using a time-in-target approach.

resultsOverall, 433 patients were included; 315 (72.7%) received 15 mg and 118 (27.3%) received 30 mg. At week 52, EASI75 and EASI90 were achieved by 85.7% and 72.7% of patients, respectively; moderate and optimal disease control/MDA were achieved by 80.6% and 62.6%. Patients spent a mean of 253.3 ± 101.9 equivalent days in moderate disease control and 176.1 ± 124.4 days in optimal control/MDA. Sustained moderate and optimal disease control from weeks 16 to 52 were achieved by 63.0% and 38.3%, respectively. Overall, 27.0% experienced at least one adverse event, with no permanent treatment discontinuations due to adverse events.

conclusionUpadacitinib provided sustained real-world disease control over 52 weeks. Time-in-target measures may complement conventional endpoints by better reflecting persistence of therapeutic benefit.

Indexed as

Atopic dermatitisMinimal disease activityReal-world evidenceTime-in-targetUpadacitinib

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