Research Article

Upadacitinib in the Treatment of Atopic Dermatitis: A Systematic Review and Meta-Analysis

Table 1

Characteristics of included studies in this meta-analysis.

StudyStudy typeTotal patientsFollow-up durationTreatment regimenTreatment durationEfficacy assessmentRegion

Blauvelt et al. [9]CT348February 21, 2019, to December 9, 2020Once-daily upadacitinib 30 mg24 weeksEASI129 centers located in 22 countries across Europe, North and South America, Oceania, and the Asia-Pacific region
NRS

Guttman-Yassky et al. [19]CT126
Group 1: 42
Group 2: 42
Group 3: 42
November 21, 2016, to April 20, 2017Once-daily upadacitinib oral monotherapy
Group 1: 7.5 mg
Group 2: 15 mg
Group 3: 30 mg
16 weeksEASIAustralia, Canada, Finland, Germany, Japan, the Netherlands, Spain, and the United States
IGA
NRS
SCORAD
BSA
POEM

Guttman-Yassky et al. [19]
(Measure up 1)
CT566
Group 1: 281
Group 2: 285
August 13, 2018, to December 23, 2019Once-daily upadacitinib oral monotherapy
Group 1: 15 mg
Group 2: 30 mg
16 weeksEASI and IGA151 clinical centers in 24 countries across Europe, North and South America, Oceania, and the Asia-Pacific region
WP-NRS
ADerm-IS, ADerm-SS
POEM
HADS
DLQI

Guttman-Yassky et al. [19]
(Measure up 2)
CT558
Group 1: 276
Group 2: 282
July 27, 2018, to January 17, 2020Once-daily upadacitinib oral monotherapy
Group 1: 15 mg
Group 2: 30 mg
16 weeksEASI and IGA54 clinical centers in 23 countries across Europe, North America, Oceania, and the Asia-Pacific region
WP-NRS
ADerm-IS, ADerm-SS
POEM
HADS
DLQI

Katoh et al. [20]CT182
Group 1: 91
Group 2: 91
From November 17, 2018Once-daily upadacitinib oral with medium-potency topical corticosteroids (TCSs)
Group 1: 15 mg
Group 2: 30 mg
24 weeksEASI and IGAJapan
NRS

Chiricozzi et al. [24]OS, P43October 2020 to June 2021Once-daily upadacitinib 30 mg16 weeksEASIItaly
BSA
NRS
DLQI
POEM

Bello et al. [27]CS, R10NRMostly upadacitinib 15 mg8 weeksEASI and NRSItaly

Hagino et al. [23]OS, R31September 2021 to March 2022Once-daily 15 mg upadacitinib oral with plus twice daily topical corticosteroids of medium to strongest classes12 weeksEASIJapan
IGA
ADCT
NRS

Pereyra-Rodriguez et al. [25]OS, R43October 2020 to March 2022Mostly once-daily upadacitinib 30 mg (60%)16 weeksSCORADSpain
EASI
DLQI
NRS
BSA
IGA

Napolitano et al. [28]OS, R9From June 2021Once-daily upadacitinib 30 mg16 weeksEASIItaly
DLQI
NRS

Feraru et al. [26]CS, R12July 2020 to November 2021Once-daily upadacitinib 30 mg or 15 mg24 weeksvIGAIsrael

ADCT, atopic dermatitis control tool; ADerm-IS, atopic dermatitis impact scale; ADerm-SS, atopic dermatitis symptom scale; BSA, body surface area; CT, clinical trial; CS, case series; DLQI, dermatology life quality index; HADS, hospital anxiety and depression scale; NRS, numerical rating scale; OS, observational study; P, prospective; POEM, patient oriented eczema measure; R, retrospective; SCORAD, scoring atopic dermatitis; vIGA-AD, validated investigator’s global assessment for atopic dermatitis.