JAK Inhibitor Use for the Inpatient Dermatologist

• Damsky W, King BA. JAK inhibitors in dermatology: the promise of a new drug class. J Am Acad Dermatol. 2017;76(4):736–44. https://doi.org/10.1016/j.jaad.2016.12.005. Provides a broad overview of the use of JAK inhibitors in various dermatologic conditions.

• Chapman S, Kwa M, Gold LS, Lim HW. Janus kinase inhibitors in dermatology: part I. A comprehensive review. J Am Acad Dermatol. 2022;86(2):406–13. https://doi.org/10.1016/j.jaad.2021.07.002. Part 1 of a two-part review of JAK inhibitors in dermatology focusing on atopic dermatitis and psoriasis. Part 1 also covers select smaller studies addressing other dermatologic conditions such as hidradenitis suppurativa and graft vs host disease.

Hu X, Li J, Fu M, Zhao X, Wang W. The JAK/STAT signaling pathway: from bench to clinic. Signal Transduct Target Ther. 2021;6(1):402. https://doi.org/10.1038/s41392-021-00791-1.

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Samuel C, Cornman H, Kambala A, Kwatra SG. A review on the safety of using JAK inhibitors in dermatology: clinical and laboratory monitoring. Dermatol Ther (Heidelb). 2023;13(3):729–49. https://doi.org/10.1007/s13555-023-00892-5.

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•• Guttman-Yassky E, Teixeira HD, Simpson EL, Papp KA, Pangan AL, Blauvelt A, et al. Once-daily upadacitinib versus placebo in adolescents and adults with moderate-to-severe atopic dermatitis (Measure Up 1 and Measure Up 2): results from two replicate double-blind, randomised controlled phase 3 trials. Lancet. 2021;397(10290):2151–68. https://doi.org/10.1016/S0140-6736(21)00588-2. Results from two different phase 3 trials suggesting upadacitinib monotherapy may be a safe, effective option in teenagers and adults with atopic dermatitis.

King B, Ohyama M, Kwon O, Zlotogorski A, Ko J, Mesinkovska NA, et al. Two Phase 3 Trials of baricitinib for alopecia areata. N Engl J Med. 2022;386(18):1687–99. https://doi.org/10.1056/NEJMoa2110343.

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• Chang PH, Huang SF, Chang PS, Yu Y. Safety considerations of systemic Janus kinase inhibitors in atopic dermatitis applications. J Dermatol. 2021;48(11):1631–9. https://doi.org/10.1111/1346-8138.16116. Reviews the evidence of the safety and adverse effects of JAK inhibitors used in the treatment of atopic dermatitis.

•• Papp K, Szepietowski JC, Kircik L, Toth D, Eichenfield LF, Leung DYM, et al. Efficacy and safety of ruxolitinib cream for the treatment of atopic dermatitis: results from 2 phase 3, randomized, double-blind studies. J Am Acad Dermatol. 2021;85(4):863–72. https://doi.org/10.1016/j.jaad.2021.04.085. Results from 2 phase 3 trials supporting the safety and efficacy of the topical JAK inhibitor ruxolitinib cream in treating atopic dermatitis.

•• Armstrong AW, Gooderham M, Warren RB, Papp KA, Strober B, Thaci D, et al. Deucravacitinib versus placebo and apremilast in moderate to severe plaque psoriasis: efficacy and safety results from the 52-week, randomized, double-blinded, placebo-controlled phase 3 POETYK PSO-1 trial. J Am Acad Dermatol. 2023;88(1):29–39. https://doi.org/10.1016/j.jaad.2022.07.002. Results from a phase 3 trial supporting the efficacy and safety profile of deucravacitinib compared with placebo and apremilast in plaque psoriasis.

Gooderham MJ, Forman SB, Bissonnette R, Beebe JS, Zhang W, Banfield C, et al. Efficacy and safety of oral Janus kinase 1 inhibitor abrocitinib for patients with atopic dermatitis: a phase 2 randomized clinical trial. JAMA Dermatol. 2019;155(12):1371–9. https://doi.org/10.1001/jamadermatol.2019.2855.

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• Hoisnard L, Lebrun-Vignes B, Maury S, Mahevas M, El Karoui K, Roy L, et al. Adverse events associated with JAK inhibitors in 126,815 reports from the WHO pharmacovigilance database. Sci Rep. 2022;12(1):7140. https://doi.org/10.1038/s41598-022-10777-w. Restrospective study of the WHO pharmacovigilance database assessing safety data and adverse effects of the first three approved JAK inhibitors: ruxolitinib, tofacitinib and baricitinib.

Greif CS, Srivastava D, Nijhawan RI. Janus kinase inhibitors and non-melanoma skin cancer. Curr Treat Options Oncol. 2021;22(2):11. https://doi.org/10.1007/s11864-020-00815-y.

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Papp KA, Krueger JG, Feldman SR, Langley RG, Thaci D, Torii H, et al. Tofacitinib, an oral Janus kinase inhibitor, for the treatment of chronic plaque psoriasis: long-term efficacy and safety results from 2 randomized phase-III studies and 1 open-label long-term extension study. J Am Acad Dermatol. 2016;74(5):841–50. https://doi.org/10.1016/j.jaad.2016.01.013.

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Wieringa JW, van der Woude CJ. Effect of biologicals and JAK inhibitors during pregnancy on health-related outcomes in children of women with inflammatory bowel disease. Best Pract Res Clin Gastroenterol. 2020;44–45:101665. https://doi.org/10.1016/j.bpg.2019.101665.

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• Nash P, Kerschbaumer A, Dorner T, Dougados M, Fleischmann RM, Geissler K, et al. Points to consider for the treatment of immune-mediated inflammatory diseases with Janus kinase inhibitors: a consensus statement. Ann Rheum Dis. 2021;80(1):71–87. https://doi.org/10.1136/annrheumdis-2020-218398. A consensus study that assesses the efficacy and safety of JAK inhibitors and provides points to consider/management guidelines.

Na CH, Chung J, Simpson EL. Quality of life and disease impact of atopic dermatitis and psoriasis on children and their families. Children (Basel). 2019;6(12). https://doi.org/10.3390/children6120133.

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Haque A, Ahmed F, Amanullah A. Atopic dermatitis therapeutic algorithm of JAK-inhibitors and IL-4/IL-13 antagonists utilizing patient profiles and drug efficacy. J Clin Aesthet Dermatol. 2023;16(2):11–3.

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