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A new era has begun: Treatment of atopic dermatitis with biologics
The era of biologics for the treatment of moderate-to-severe atopic dermatitis (AD) began in 2017 with the approval of dupilumab, a monoclonal antibody that binds to the α-subunit of the interleukin IL-4 receptor. Until then, only conventional immunosuppressants were available for systemic treatment...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Dustri-Verlag Dr. Karl Feistle
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8439107/ https://www.ncbi.nlm.nih.gov/pubmed/34532635 http://dx.doi.org/10.5414/ALX02259E |
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author | Stölzl, Dora Weidinger, Stephan Drerup, Katharina |
author_facet | Stölzl, Dora Weidinger, Stephan Drerup, Katharina |
author_sort | Stölzl, Dora |
collection | PubMed |
description | The era of biologics for the treatment of moderate-to-severe atopic dermatitis (AD) began in 2017 with the approval of dupilumab, a monoclonal antibody that binds to the α-subunit of the interleukin IL-4 receptor. Until then, only conventional immunosuppressants were available for systemic treatment, of which only cyclosporine is approved for the treatment of severe AD. In the meantime, the therapeutic landscape of AD has been changing rapidly, and additional biologics have been developed which target IL-13, the IL-31 receptor, OX40, and OX40L, among others. Many of these substances have already shown promising results in phase 1, 2, and in some cases also phase 3 trials. In June 2021, tralokinumab, an IL-13 antibody, has been approved in Europe for the treatment of moderate-to-severe AD in adults. In addition to antibody-based therapies, “small molecules” that, e.g., inhibit Janus kinases enrich the armamentarium of systemic AD therapies. With all these agents, not only will many more targeted therapies become available, but also will the complex and heterogeneous pathophysiological processes of this disease be better understood. |
format | Online Article Text |
id | pubmed-8439107 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Dustri-Verlag Dr. Karl Feistle |
record_format | MEDLINE/PubMed |
spelling | pubmed-84391072021-09-15 A new era has begun: Treatment of atopic dermatitis with biologics Stölzl, Dora Weidinger, Stephan Drerup, Katharina Allergol Select Review Article The era of biologics for the treatment of moderate-to-severe atopic dermatitis (AD) began in 2017 with the approval of dupilumab, a monoclonal antibody that binds to the α-subunit of the interleukin IL-4 receptor. Until then, only conventional immunosuppressants were available for systemic treatment, of which only cyclosporine is approved for the treatment of severe AD. In the meantime, the therapeutic landscape of AD has been changing rapidly, and additional biologics have been developed which target IL-13, the IL-31 receptor, OX40, and OX40L, among others. Many of these substances have already shown promising results in phase 1, 2, and in some cases also phase 3 trials. In June 2021, tralokinumab, an IL-13 antibody, has been approved in Europe for the treatment of moderate-to-severe AD in adults. In addition to antibody-based therapies, “small molecules” that, e.g., inhibit Janus kinases enrich the armamentarium of systemic AD therapies. With all these agents, not only will many more targeted therapies become available, but also will the complex and heterogeneous pathophysiological processes of this disease be better understood. Dustri-Verlag Dr. Karl Feistle 2021-08-27 /pmc/articles/PMC8439107/ /pubmed/34532635 http://dx.doi.org/10.5414/ALX02259E Text en © Dustri-Verlag Dr. K. Feistle https://creativecommons.org/licenses/by/2.5/This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Review Article Stölzl, Dora Weidinger, Stephan Drerup, Katharina A new era has begun: Treatment of atopic dermatitis with biologics |
title | A new era has begun: Treatment of atopic dermatitis with biologics |
title_full | A new era has begun: Treatment of atopic dermatitis with biologics |
title_fullStr | A new era has begun: Treatment of atopic dermatitis with biologics |
title_full_unstemmed | A new era has begun: Treatment of atopic dermatitis with biologics |
title_short | A new era has begun: Treatment of atopic dermatitis with biologics |
title_sort | new era has begun: treatment of atopic dermatitis with biologics |
topic | Review Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8439107/ https://www.ncbi.nlm.nih.gov/pubmed/34532635 http://dx.doi.org/10.5414/ALX02259E |
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