Table II.
Drug | MW [Da] |
cLogP | Fu* | dOFM avg [nM] |
dISFtot avg [nM] |
dISFu avg [nM] |
Biopsy upper dermis [μM] |
Biopsy lower dermis [μM] |
Main evidence of clinical efficacy |
---|---|---|---|---|---|---|---|---|---|
Diclofenac 2% |
296 | 4.3 | 0.01 | 31.0 | 301 | 3.0 | 74.8 | 2.5 | Rx osteoarthritis pain [46] |
Crisaborole 2% | 251 | 2.6 | 0.04 | 11.2 | 99 | 4.2 | 29.2 | 2.5 | Rx atopic dermatitis [47] |
Brepocitinib 3% | 389 | 1.6 | 0.68 | 3.1 | 10 | 6.9 | 12.8 | 1.3 | Atopic dermatitis Ph2 [48] |
Ruxolitinib 1.5% | 306 | 2.5 | 0.16 | 1.6 | 10 | 1.7 | n.a | n.a | Rx atopic dermatitis and vitiligo [49] |
Tofacitinib 2% |
312 | 1.5 | 0.75 | 1.4 | 4.3 | 3.3 | 2.9 | 0.2 | Atopic dermatitis Ph2 [50] |
PF-06763809 2.3% | 498 | 3.8 | 0.05 | 0.2 | 1.8 | 0.1 | 3.1 | 0.2 | Failed psoriasis plaque test [51] |
PF-06263276 4% | 567 | ~ 4.0 | ~ 0.001 | 0.1 | 1.1 | 0.001 | 2.9 | 0.2 | Failed psoriasis plaque test [52] |
Fu* refers to the fraction of unbound drug assessed by rapid equilibrium dialysis (RED) in dOFM samples from pigs. The data for all drugs in Study#1 are shown. Ruxolitinib was added from Study#2 (no biopsies). The drugs from Pfizer and their clinical efficacies were blinded until finalization of data analysis. Concentration data are geometric means (dISFtot/dISFu average 0–8 h: N = 12 profiles for brepocitinib, N = 6 profiles for others; biopsies at 8 h: N = 36 for brepocitinib, N = 18 for others). Bold letters indicate dISF concentrations which are considered most relevant for local drug efficacy. Note: dISFu concentrations are from lower dermis thus representing an underestimate of the concentrations in the upper dermis and epidermis.