Research Article

Upadacitinib Is a Better Choice than Abrocitinib for Patients with Moderate-to-Severe Atopic Dermatitis: An Updated Meta-Analysis

Table 1

Characteristics of studies included in the meta-analysis.

Author yearPublication typeIntervention (inhibitor type)ExposureComparatorNumberAgeSex (male/female)Disease duration (years)End of treatmentFunding

Simpson et al. 2020 [12]Multicentre III-RCT (NCT03349060)Abrocitinib100 mg (n = 156)Placebo (n = 77)387100 mg: 32.6 ± 15.4100 mg: 90/66100 mg: 24.9 ± 16.112 weeksPfizer Inc
200 mg (n = 154)200 mg: 33.0 ± 17.4200 mg: 81/73200 mg: 22.7 ± 14.5
Placebo: 31.5 ± 14.4Placebo: 49/28Placebo: 22.5 ± 14.4

Sliverberg et al. 2020 [13]Multicentre III-RCT (NCT03575871)Abrocitinib100 mg (n = 158)Placebo (n = 78)391100 mg: 37.4 ± 15.8100 mg: 94/64100 mg: 21.1 ± 14.812 weeksPfizer Inc
200 mg (n = 155)200 mg: 33.5 ± 14.7200 mg: 88/67200 mg: 20.5 ± 14.8
Placebo: 33.4 ± 13.8Placebo: 47/31Placebo: 21.7 ± 14.3

Gooderham et al. 2019 [11]Multicentre II-RCT (NCT02780167)Abrocitinib10 mg (n = 49)Placebo (n = 55)26710 mg: 44.3 ± 15.910 mg: 21/2810 mg: 30.2 (1.8–60.6)12 weeksPfizer Inc
30 mg (n = 50)30 mg: 37.6 ± 15.930 mg: 22/2930 mg: 20.5 (1.2–66.6)
100 mg (n = 55)100 mg: 41.1 ± 15.6100 mg: 31/25100 mg: 23.8 (1.1–66.7)
200 mg (n = 54)200 mg: 38.7 ± 17.6200 mg: 28/27200 mg: 19.6 (1.9–68.8)
Placebo: 42.6 ± 15.1Placebo: 21/35Placebo: 25.6 (1.1–67.1)

Bieber et al. 2021 [14]Multicentre III-RCT (NCT03720470)Abrocitinib100 mg (n = 238)Placebo (n = 131)838100 mg: 37.3 ± 14.8100 mg: 120/118100 mg: 22.7 ± 16.316 weeksPfizer Inc
200 mg: 38.8 ± 14.5200 mg: 104/122200 mg: 23.4 ± 15.6
200 mg (n = 226)300 mg: 37.1 ± 14.6300 mg: 108/134300 mg: 22.8 ± 14.8
Placebo: 37.4 ± 15.2Placebo: 77/54Placebo: 21.4 ± 14.4

Guttman-Yassky et al. 2020 [15]Multicentre IIB-RCT (NCT02925117)Upadacitinib7.5 mg (n = 42)Placebo (n = 41)1677.5 mg: 41.5 ± 15.47.5 mg: 28/147.5 mg: 30.4 ± 18.116 weeksAbbVie Inc
15 mg (n = 42)15 mg: 38.5 ± 15.215 mg: 30/1215 mg: 22.6 ± 15.8
30 mg (n = 42)30 mg: 39.9 ± 15.330 mg: 22/2030 mg: 24.2 ± 13.6
Placebo: 39.9 ± 17.5Placebo: 17/24Placebo: 26.8 ± 18.8

Guttman-Yassky et al. 2021 [16] (1)Multicentre III-RCT (NCT03569293)Upadacitinib15 mg (n = 281)Placebo (n = 281)84715 mg: 34.1 (12–74)15 mg: 157/12415 mg: 20.5 ± 15.916 weeksAbbVie Inc
30 mg (n = 285)30 mg: 33.6 (12–75)30 mg: 155/13030 mg: 20.4 ± 14.3
Placebo: 34.4 (12–75)Placebo: 144/137Placebo: 21.3 ± 15.3

Guttman-Yassky et al. 2021 [16] (2)Multicentre III-RCT (NCT03607422)Upadacitinib15 mg (n = 276)Placebo (n = 278)83615 mg: 33.3 (12–74)15 mg: 155/12115 mg: 18.8 ± 13.316 weeksAbbVie Inc
30 mg (n = 282)30 mg: 34.1 (12–75)30 mg: 162/12030 mg: 20.8 ± 14.3
Placebo: 33.4 (13–71)Placebo: 154/124Placebo: 21.1 ± 13.6

Reich et al. 2021 [17]Multicentre III-RCT (NCT03568318)Upadacitinib15 mg (n = 300)Placebo (n = 304)90115 mg: 32.5 (13–74)15 mg: 179/12115 mg: 22.9 ± 13.916 weeksAbbVie Inc
30 mg (n = 297)30 mg: 35.5 (12–72)30 mg: 190/10730 mg: 23.1 ± 16.1
Placebo: 34.3 (12–75)Placebo: 178/126Placebo: 24.3 ± 15.2

Results of both RCTs were published in the same study.