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Table 1 Novel AD treatments. The table is modified from Heratizadeh and Werfel [178], Lauffer and Ring [179], Noda et al. [180], Nomura and Kabashima [173], and Werfel et al. [11]

From: The etiopathogenesis of atopic dermatitis: barrier disruption, immunological derangement, and pruritus

Mechanism of action

Route

Compound

Company

Type of clinical trial

Result

Targeting pathogenic cytokines and their cognate receptors

 IL-4/IL-13 receptor α-chain antagonist

SC

Dupilumab

Regeneron

Phase III

Improvement in clinical outcomes, pruritus, and quality of life

 IL-13 antagonist

SC

Lebrikizumab

Roche

Phase II

Not yet available

SC

Tralokinumab

AstraZeneca

Phase II

Not yet available

 IL-23p40 antagonist

SC

Ustekinumab

Janssen

Phase II

Not yet available

 IL-22 antagonist

IV

Fezakinumab

Pfizer

Phase II

Not yet available

 IL-31 receptor antagonist

SC

Nemolizumab

Roche

Phase II

Improvement in pruritus and EASI score

 IL-31 antagonist

SC, IV

BMS-981164

Bristol-Myers Squibb

Phase I

Not yet available

 IL-1R1 antagonist

SC

Anakinra

Sobi

Phase I

Unpublished

 IL-6

SC, IV

Tocilizumab

Genentech

Case series

Improvement in EASI score

Targeting pathogenic molecules

 PDE-4 inhibitors

Topical

Crisaborole

Anacor

Phase III

ISGA score success

Topical

E6005

Eisai

Phase II

EASI score and SCORAD improvement

Topical

DRM02

QLT

Phase II

Not yet available

Oral

Apremilast

Celgene

Phase II

EASI score improvement

 CRTh2 antagonist

Oral

ODC-9101

Oxagen

Phase II

Not yet available

Oral

Fevipiprant

Novartis

Phase II

Not yet available

 JAK inhibitor

Topical

Tofacitinib

Pfizer

Phase II

Decrease in EASI score

Oral

Pf-04965842

Pfizer

Phase II

Not yet available

 TSLP antagonist

SC

Tezepelumab

Amgen

Phase II

Not yet available

Targeting IgE

 IgE antagonist

SC

Omalizumab

Novartis

Stopped after proof-of-concept study

Heterogeneous results

SC

Ligelizumab

Novartis

Phase II

Not yet available

  1. Abbreviations: PDE phosphodiesterase, CRTh2 chemoattractant receptor-homologous molecule expressed on Th2 lymphocytes, JAK, Janus kinase, TSLP thymic stromal lymphopoietin, SC subcutaneous injection, IV intravenous, ISGA Investigator’s Static Global Assessment, SCORAD SCORing Atopic Dermatitis, EASI Eczema Area and Severity Index