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Multidisciplinary Approaches to the Management of Atopic Dermatitis - Episode 9

Expectations for Efficacy and Duration of Response With Systemic Atopic Dermatitis Treatments

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Panelists discuss treatment expectations for newer systemic agents, highlighting data on efficacy onset and persistence, including rapid improvement in pruritus with dupilumab by week 2 (SOLO trials), early Investigator Global Assessment (IGA) and Eczema Area and Severity Index (EASI)-75 improvement with lebrikizumab by week 2 to 4 (ADvocate trials), and EASI-75 improvement with tralokinumab by week 4 (ECZTRA 6 trial), emphasizing the importance of setting realistic expectations with patients and caregivers regarding the onset of action and duration of treatment.

Video content above is prompted by the following:

  • Let’s shift now to treatment expectations. What are the data about efficacy onset and persistence when considering these newer systemic agents?
  • How do you set expectations with patients starting on systemic treatment and their caregivers in terms of onset of action and duration of treatment?
  • Dupilumab in the SOLO trials showed improvement on Peak Pruritus Numerical Rating Scale score at week 2 (in adults).
  • Lebrikizumab in the ADvocate trials showed some IGA improvement at week 4 and some EASI-75 improvement at week 2.
  • Tralokinumab in the ECZTRA 6 trial showed some EASI-75 improvement at 4 weeks (in adolescents).
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