Clinical Edge Journal Scan

Tralokinumab Normalizes Expression of Inflammatory Biomarkers in Atopic Dermatitis


 

Key clinical point: Tralokinumab-mediated inhibition of interleukin (IL)-13 improved epidermal pathology and reduced the expression of key atopic dermatitis (AD) biomarkers in the serum of patients with moderate to severe AD.

Major finding: At week 16, tralokinumab vs placebo led to a significantly greater decrease from baseline in serum levels of type 2 biomarkers (CCL17/TARC, periostin, immunoglobulin E, and IL-22; all P < .05), a greater mean percentage change in the Eczema Area Severity Index score (−55.6 vs −36.7), and improved expression of genes dysregulated in AD (46.6% vs 16.4%; P < .001).

Study details: This study involved the collection of blood samples from 802 patients with moderate to severe AD randomized in the ECZTRA 1 and ECZTEND trials, followed by the selection of a subset of 299 patients with relevant samples available who had received tralokinumab (n = 223) or placebo (n = 76).

Disclosures: LEO Pharma A/S funded both ECZTRA 1 and the ongoing ECZTEND trial. Six authors declared being employees or shareholders of LEO Pharma. Several authors declared receiving research grants from or having other ties with various sources, including LEO Pharma.

Source: Guttman-Yassky E, Kabashima K, Staumont-Salle D, et al. Targeting IL-13 with tralokinumab normalizes type 2 inflammation in atopic dermatitis both early and at 2 years. Allergy. 2024 (Apr 2). doi: 10.1111/all.16108 Source

Recommended Reading

Patients with Atopic Dermatitis Value Safety the Most When Choosing Treatments
MDedge Dermatology
Skin Inflammatory Biomarker Predictive of Atopic Dermatitis in Infants With Filaggrin Wild Genotype
MDedge Dermatology
Topical Roflumilast Effective in 4 Weeks for Atopic Dermatitis in Young Children
MDedge Dermatology
Lebrikizumab Found Effective for Atopic Dermatitis in Patients With Darker Skin Tones
MDedge Dermatology
Nemolizumab Efficacy for Prurigo Nodularis Persists at 1 Year
MDedge Dermatology
Commentary: Choosing Treatments of AD, and Possible Connection to Learning Issues, April 2024
MDedge Dermatology
Childhood Atopic Dermatitis Linked to IBD Risk
MDedge Dermatology
What’s ‘Tried and True’ in Atopic Dermatitis? An Expert Reflects
MDedge Dermatology
How Does Moderate to Severe Eczema Affect Growth in Children?
MDedge Dermatology
Atopic Dermatitis in Early Life Tied to Subsequent Risk for Inflammatory Bowel Disease
MDedge Dermatology