Effectiveness of Tralokinumab Across Atopic
Dermatitis Phenotypes
Anno:
2025
Tipologia prodotto:
Articolo in Rivista
Tipologia ANVUR:
Articolo su rivista
Lingua:
Inglese
Referee:
No
Nome rivista:
JOURNAL OF CLINICAL MEDICINE
ISSN Rivista:
2077-0383
Intervallo pagine:
1-12
Parole chiave:
atopic dermatitis; tralokinumab
Breve descrizione dei contenuti:
Tralokinumab, a fully human monoclonal antibody
targeting IL-13, has shown efficacy and safety in clinical trials and real-life studies for
atopic dermatitis (AD). However, data on its effectiveness across AD phenotypes are lim-
ited. Methods: A multicentric study evaluated tralokinumab’s efficacy over 52 weeks in
416 severe AD patients. EASI (Eczema Area and Severity Index), P-NRS (Pruritus Numeri-
cal Rating Scale), DLQI (Dermatology Life Quality Index), and ADCT (Atopic Dermatitis
Control Tool) were recorded up to 52 weeks of treatment. Results: The EASI, P-NRS, DLQI,
and ADCT trends across phenotypes showed significant improvement in all phenotype
subgroups. By week 16, classical and generalized lichenoid phenotypes showed the highest
EASI improvements compared to the generalized inflammatory (75.0 vs. 45.5 [p < 0.001]
and 79.3 vs. 45.5 [p < 0.001]), with most achieving EASI-75 (p < 0.001, χ
2 = 25.96). By week
24, generalized lichenoid reached 100% EASI improvement, significantly outperforming other phenotypes. The highest EASI-75 rates were seen in classical, generalized lichenoid,
and portrait/head and neck phenotypes (p = 0.016, χ
2 = 13.85). No significant differences
were observed at weeks 32, 40, or 52. Conclusions: Our results suggest that tralokinumab’s
durability and tolerability are consistent across the various phenotypes. The classical and
generalized lichenoid were the fastest phenotypes to improve. However, given the uneven
distribution of phenotypes and the gradual reduction in patient numbers over time, larger
prospective studies are essential to confirm the observed trends.