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Le M, Berman-Rosa M, Ghazawi FM, Bourcier M, Fiorillo L, Gooderham M, Guenther L, Hanna S, Hong HCH, Landells I, Lansang P, Marcoux D, Wiseman MC, Yeung J, Lynde C, Litvinov IV. Systematic Review on the Efficacy and Safety of Oral Janus Kinase Inhibitors for the Treatment of Atopic Dermatitis. Front Med (Lausanne) 2021; 8:682547. [PMID: 34540860 PMCID: PMC8440866 DOI: 10.3389/fmed.2021.682547] [Citation(s) in RCA: 15] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/18/2021] [Accepted: 06/21/2021] [Indexed: 12/24/2022] Open
Abstract
Background: Atopic dermatitis is a chronic, relapsing and remitting disease that can be difficult to treat despite a recently approved biologic therapy targeting IL-4/IL-13 receptor. Oral janus kinase inhibitors (JAKi) represent a novel therapeutic class of targeted therapy to treat moderate-to-severe atopic dermatitis (AD). Objective: To review the efficacy, safety, and pharmacokinetic characteristics of oral JAKi in the treatment of AD. Methods: A PRISMA systematic review was conducted using MEDLINE, EMBASE (Ovid), and PubMed databases for studies assessing the efficacy, safety, and/or pharmacokinetic properties of oral forms of JAKi in the treatment of AD in pediatric or adult populations from inception to June 2021. Results: 496 papers were reviewed. Of 28 articles that underwent full text screening, 11 met our inclusion criteria for final qualitative review. Four studies examined abrocitinib; three studies examined baricitinib; three examined upadacitinib and one examined gusacitinib (ASN002). Significant clinical efficacy and a reassuring safety profile was reported for all JAKi agents reviewed. Rapid symptom control was reported for abrocitinib, baricitinib and upadacitinib. Limitations: Given the relatively limited evidence for each JAKi and the differences in patient eligibility criteria between studies, the data was not deemed suitable for a meta-analysis at this time. Conclusion: Given their ability to achieve rapid symptom control with a reassuring safety profile, we recommend considering the use of JAKi as a reliable systemic treatment option for adult patients with moderate-to-severe AD, who are unresponsive to topical or skin directed treatments.
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Affiliation(s)
- Michelle Le
- Division of Dermatology, McGill University Health Centre, Montreal, QC, Canada
| | - Melissa Berman-Rosa
- Division of Dermatology, McGill University Health Centre, Montreal, QC, Canada
| | - Feras M. Ghazawi
- Division of Dermatology, University of Ottawa, Ottawa, ON, Canada
| | - Marc Bourcier
- Faculty of Medicine, University of Sherbrooke, Sherbrooke, QC, Canada
| | - Loretta Fiorillo
- Division of Pediatric Dermatology, University of Alberta, Edmonton, AB, Canada
| | - Melinda Gooderham
- SKiN Centre for Dermatology, Probity Medical Research, and Queens University, Peterborough, ON, Canada
| | - Lyn Guenther
- Division of Dermatology, University of Western Ontario, London, ON, Canada
| | | | - H. Chih-Ho Hong
- Department of Dermatology and Skin Sciences, University of British Columbia, Vancouver, BC, Canada
| | - Ian Landells
- Division of Dermatology, Memorial University of Newfoundland, St. John's, NL, Canada
| | - Perla Lansang
- Division of Dermatology, University of Toronto, Toronto, ON, Canada
| | - Danielle Marcoux
- Division of Pediatric Dermatology, University of Montreal, Montreal, QC, Canada
| | - Marni C. Wiseman
- Section of Dermatology, Department of Medicine, University of Manitoba, Winnipeg, MB, Canada
| | - Jensen Yeung
- Division of Dermatology, University of Toronto, Toronto, ON, Canada
- Probity Medical Research, Waterloo, ON, Canada
| | | | - Ivan V. Litvinov
- Division of Dermatology, McGill University Health Centre, Montreal, QC, Canada
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Ferris LK, Ott E, Jiang J, Hong HCH, Li S, Han C, Baran W. Efficacy and safety of guselkumab, administered with a novel patient-controlled injector (One-Press), for moderate-to-severe psoriasis: results from the phase 3 ORION study. J DERMATOL TREAT 2019; 31:152-159. [DOI: 10.1080/09546634.2019.1587145] [Citation(s) in RCA: 17] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Affiliation(s)
- Laura K. Ferris
- Department of Dermatology, University of Pittsburgh, Pittsburgh, PA, USA
| | - Elyssa Ott
- Janssen Scientific Affaits, LLC, Horsham, PA, USA
| | - Jingzhi Jiang
- Janssen Research & Development, LLC, Fremont, CA, USA
| | - H. Chih-Ho Hong
- University of British Columbia, Department of Dermatology and Skin Science and Probity Medical Research, Surrey, Canada
| | - Shu Li
- Janssen Research & Development, LLC, Spring House, PA, USA
| | - Chenglong Han
- Janssen Research & Development, LLC, Malvern, PA, USA
| | - Wojciech Baran
- Department of Dermatology, Venereology and Allergology, Wroclaw Medical University, Wrocław, Poland
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Silver SG, Hong HCH, Ting PT, Ball NJ. Kikuchi—Fujimoto's Necrotizing Lymphadenitis in Association with Discoid Lupus Erthematosus: A Case Report. J Cutan Med Surg 2016. [DOI: 10.1177/120347540400800607] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Background: Kikuchi–Fujimoto's necrotizing lymphadenitis (KFNL) is a rare, benign, self-limited condition characterized by constitutional symptoms, lymphadenopathy, and skin lesions. Objective: We report a case of KFNL in a 43-year-old East Indian woman with a ten-year history of discoid lupus erythematosus (DLE) of the scalp and a three-month history of a erythematous plaque on the left nasal bridge, cervical lymphadenopathy, and fever. Skin biopsy samples were taken from the face and lymph node. Results: Histopathological examination of the skin revealed a mixed infiltrate of inflammatory cells, nuclear dust, and histiocytes phagocytosing nuclear debris in the reticular dermis. The lymph node showed interfollicular liquefactive necrosis, immunoblasts, and a similar cellular infiltrate as the skin. The non-necrotic areas demonstrated follicular hyperplasia. These pathological changes are associated with a diagnosis of KFNL. Conclusions: KFNL is reported in association with systemic lupus erythematosus, but only two other cases of systemic KFNL in association with DLE exist in the literature. This case is unique in that the patient presented with cutaneous and systemic KFNL in the setting of longstanding DLE.
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Affiliation(s)
- Shane G. Silver
- Division of Dermatology, University of British Columbia, Vancouver, British Columbia, Canada
- Division of Dermatology, University of Manitoba, Winnipeg, Manitoba, Canada
| | - H. Chih-Ho Hong
- Division of Dermatology, University of British Columbia, Vancouver, British Columbia, Canada
| | | | - Nigel J. Ball
- Department of Pathology, University of British Columbia, Vancouver, British Columbia, Canada
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