The Future of Atopic Dermatitis Treatment

Adv Exp Med Biol. 2024:1447:227-244. doi: 10.1007/978-3-031-54513-9_19.

Abstract

This chapter thoroughly examines recent breakthroughs in atopic dermatitis (AD) treatment, with a primary focus on the medications in the development pipeline. Biologics agents targeting new interleukin receptors like interleukin-31, interleukin-22, and interleukin-2 are discussed along with the novel pathway looking at the OX40-OX40L interaction. Oral agents and small molecule therapies like Janus kinase inhibitors, sphingosine-1-phosphate modulators, and Bruton's tyrosine kinase inhibitors are also discussed along with the various new topical medications. Newly approved topicals like phosphodiesterase-4 and JAK inhibitors are highlighted while also discussing the potential of tapinarof and emerging microbiome-targeted therapies. Beyond conventional approaches, the chapter touches upon unconventional therapies currently being studied. The goal of this chapter is to discuss new advances in AD treatment from medications in the initial stages of development to those nearing FDA approval.

Keywords: Atopic dermatitis; Clinical trials; Future management; Future treatment; Immune targets; Management; Microbiome; Monoclonal antibodies; Personalized care; Targeted treatment.

Publication types

  • Review

MeSH terms

  • Animals
  • Biological Products / therapeutic use
  • Dermatitis, Atopic* / drug therapy
  • Dermatitis, Atopic* / immunology
  • Dermatitis, Atopic* / microbiology
  • Dermatitis, Atopic* / therapy
  • Dermatologic Agents / therapeutic use
  • Humans
  • Janus Kinase Inhibitors / therapeutic use
  • Molecular Targeted Therapy / methods
  • Phosphodiesterase 4 Inhibitors / therapeutic use

Substances

  • Biological Products
  • Phosphodiesterase 4 Inhibitors
  • Janus Kinase Inhibitors
  • Dermatologic Agents