Research Article

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

Table 2

Characteristics of included patients in this meta-analysis.

StudyDosage regimen (mg)Disease durationAge (y) (SD)Sex(M: F)BMI (kg/m2) (SD)Concomitant treatmentDiscontinuationReason

Blauvelt et al. [9]3025.0 (14.8)36.9 (14.09)194:15025.99 (5.72)Monotherapy32Adverse event, 10
Withdrew consent, 8
Lost to follow-up, 4
Lack of efficacy, 6
Other, 2
COVID-19 logistics, 1

Guttman-Yassky et al. [18] (Group 1)7.530.4 (18.1)41.5 (15.4)28: 1427.9 (6.3)Monotherapy11Adverse event, 2
Lack of efficacy, 6
Withdrew consent, 1
Lost to follow-up, 1
Progressive disease, 1

Guttman-Yassky et al. [18] (Group 2)1522.6 (15.8)38.5 (15.2)30: 1227.4 (6.7)Monotherapy5Adverse event, 2
Lack of efficacy, 2
Withdrew consent, 1

Guttman-Yassky et al. [18] (Group 3)3024.2 (13.6)39.9 (15.3)22: 2027.4 (6.0)Monotherapy4Adverse event, 2
Lack of efficacy, 1
Other, 1

Guttman-Yassky et al. [19] (Measure up 1 Group 1)1520.5 (15.9)34.1 (12–74)157: 12425.8 (6.1)Monotherapy8Lost to follow-up, 3
Withdrew consent, 2
Poor efficacy, 2
Adverse event, 1

Guttman-Yassky et al. [19] (Measure up 1 Group 2)3020.4 (14.3)33.6 (12–75)155: 13025.6 (5.9)Monotherapy15Adverse event, 7
Withdrew consent, 4
Lost to follow-up, 2
Other, 1
Systemic rescue medication required, 1

Guttman-Yassky et al. [19] (Measure up 2 Group 1)1518.8 (13.3)33.3 (12–74)155: 12125.8 (5.6)Monotherapy16Adverse event, 7 Other, 4
Poor efficacy, 3
Withdrew consent, 1
Systemic rescue medication required, 1

Guttman-Yassky et al. [19] (Measure up 2 Group 2)3020.8 (14.3)34.1 (12–75)162: 12025.9 (5.8)Monotherapy14Withdrew consent, 5
Adverse event, 4
Other, 3
Lost to follow-up, 1
Systemic rescue medication required, 1

Katoh et al. [20] (Group 1)1523.0 (14.3)35.9 (13.2)68: 23Weight: 65.1 (14.2)In combination with medium-potency topical corticosteroids once daily4Adverse event, 2
Lost to follow-up, 1
Lack of efficacy, 1

Katoh et al. [20] (Group 2)3020.7 (14.1)34.7 (12.7)69: 22Weight: 66.2 (14.4)In combination with medium-potency topical corticosteroids once daily6Withdrew consent, 4
Adverse event, 1
Other, 1

Reich et al. [22] (Group 1)1522.9 (13.9)32.5 (13–74)179: 12125.8 (6.2)In combination with topical corticosteroids once daily11Withdrew consent, 3
Adverse event, 3
Poor efficacy, 2
Lost to follow-up, 2
Other, 1

Reich et al. [22] (Group 2)3023.1 (16.1)35.5 (12–72)190: 10725.7 (5.4)In combination with topical corticosteroids once daily10Other, 4
Adverse event, 3
Withdrew consent, 2
Lost to follow-up, 1

Chiricozzi et al. [24]30NA45.91 (15.8)28: 1524.6 (3.5)In combination with emollients daily, or with topical corticosteroids of different potencies or topical calcineurin inhibitors4Lost to follow-up, 2
Adverse event, 2

Bello et al. [27]15NA35.4 (14.1)8: 2Weight: 77.2 (8.9)NA0NA

Hagino et al. [23]1530.1 (14.3)41.2 (16.5)24: 724.5 (3.9)In combination with twice daily topical corticosteroids of medium to strongest classes1Adverse event, 1

Pereyra-Rodriguez et al. [25]15 or 3021.1 (11.3)34.4 (13.5)23: 2024.5 (4.9)9.5% used topical corticosteroids, 6.9% used oral corticosteroids, 2.3% received phototherapy1Adverse event, 1

Napolitano et al. [28]3020.22 (5.21)28.7 (10.3)6: 3NANANANA

Feraru et al. [26]15 or 30NA51.3 (27–85)9: 3NATopical treatment for AD was offered and prescribed as needed3Lack of efficacy, 1
Sustained significant improvement, 2

The dosage regimen of this group was upadacitinib 7.5 mg once daily, so we did not incorporate it in the subsequent statistical analysis. NA, not available.