30/12/2025
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Published Today (December 29, 2025) - This study evaluates the efficacy and safety of upadacitinib compared to other systemic treatments for moderate-to-severe atopic dermatitis, focusing on skin clearance and itch reduction. TITLE: EFFICACY AND SAFETY OF UPADACITINIB IN PATIENTS WITH MODERATE-TO-SEVERE ATOPIC DERMATITIS: A SYSTEMATIC REVIEW AND NETWORK META-ANALYSIS
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ผ Link: https://doi.org/10.1038/s41598-025-28756-2
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ผ Key Findings:
Upadacitinib (30 mg) demonstrated superior skin clearance (EASI-75) compared to dupilumab and other JAK inhibitors.
Both 15 mg and 30 mg doses of upadacitinib significantly improved pruritus (itch) scores within the first few weeks of treatment.
The safety profile of upadacitinib was found to be manageable, with common adverse events including acne and upper respiratory tract infections.
Network meta-analysis ranked upadacitinib 30 mg as the most effective intervention for achieving EASI-90 and EASI-100 responses.
Results remained consistent across various patient subgroups, confirming robust efficacy in diverse clinical settings for atopic dermatitis.
While highly effective, the study highlights the necessity of monitoring for JAK-related adverse events during long-term administration.
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ผ Clinical Relevance
Upadacitinib offers a potent oral alternative for patients with moderate-to-severe atopic dermatitis who fail to respond to traditional therapies. Its rapid onset of action in reducing itch and achieving high levels of skin clearance makes it a valuable option in dermatological practice. Clinicians should balance these high efficacy rates with individualized patient safety monitoring.
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