Table 1.
Summary of emerging systemic AD therapies
| Drug | Target | Administration route | Dosage | Most frequent TEAEs | Clinical trial phasea |
|---|---|---|---|---|---|
| Dupilumab | IL-4Rα | Subcutaneous |
600 mg LD followed by 300 mg every 2 weeks OR 400 mg LD followed by 200 mg every 2 weeksb OR 300 mg followed by 300 mg after 2 weeks, then 300 mg every 4 weeksc |
Conjunctivitis, oral herpes simplex virus reactivation, arthralgia, eosinophilia, injection site reactions | IV |
| Lebrikizumab | IL-13 | Subcutaneous |
500 mg LD followed by 250 mg every 2 or 4 weeks OR 250 mg LD followed by 125 mg every 4 weeks |
URTI, nasopharyngitis, headache, fatigue, injection site reactions | III |
| Tralokinumab | IL-13 | Subcutaneous | 600 mg LD followed by 300 mg every 2 weeks | Viral URTI, URTI, conjunctivitis | III |
| Nemolizumab | IL-31Rα | Subcutaneous |
60 mg every 4 weeks OR 60 mg LD followed by 30 mg every 4 weeks |
Nasopharyngitis, URTI, blood levels of CPK increased, urticaria, acne | III |
| Upadacitinib | JAK-1 | Oral | 30 mg or 15 mg once daily | URTI, acne, herpes simplex virus reactivation, headache, blood levels of CPK increased, cough, folliculitis | IV |
| Baricitinib | JAK-1/JAK-2 | Oral | 4 mg or 2 mg once daily | Headache, blood levels of CPK increased, URTI, nasopharyngitis | III |
| Abrocitinib | JAK-1 | Oral | 200 mg or 100 mg once daily | Nausea, nasopharyngitis, headache, URTI, herpes simplex, or herpes zoster virus reactivation | IV |
| GBR 830 | OX40 | Intravenous | 10 mg/kg every 2 weeks | Pyrexia, chills, aphthous ulcer, blood uric acid increased, nasopharyngitis, erythema, hordeolum | II |
TEAEs treatment-emergent adverse events, LD loading dose, URTI upper respiratory tract infection, CPK creatine phosphokinase
aClinical trials available at clinicaltrials.gov as of November 18, 2022
bIn adolescent patients 12–17 years of age with a body weight of less than 60 kg
cIn children 6–11 years of age with a body weight of 15 to less than 60 kg