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酪氨酸激酶 2 抑制剂治疗特应性皮炎的研究进展。

Recent progress in tyrosine kinase 2 inhibitors for atopic dermatitis.

机构信息

Department of Dermatology, Affiliated Hospital of Jiangsu University, Zhenjiang, China.

Laboratory for Regeneration Medicine, Jiangsu University, Zhenjiang, China.

出版信息

Expert Opin Investig Drugs. 2024 Oct;33(10):1001-1007. doi: 10.1080/13543784.2024.2391825. Epub 2024 Aug 21.

Abstract

INTRODUCTION

Atopic dermatitis (AD) is a chronic inflammatory skin disease characterized by persistent itching. Conventional treatments for AD include topical corticosteroids and calcineurin inhibitors, but there are emerging therapies targeting the JAK-TYK2 pathway that are promising for the treatment of AD.

AREAS COVERED

This review comprehensively explores the pathogenesis, triggers, clinical manifestations, and conventional treatment options for AD. In addition, we discuss novel therapeutic agents targeting alternative signaling pathways, with a focus on clinical trials evaluating tyrosine kinase 2 (TYK2) inhibitors, including systemic and topical agents. We also provide a detailed assessment of ICP-332 efficacy, safety, and potential adverse effects in moderate-to-severe AD.

EXPERT OPINION

Janus kinase inhibitors that have been recently approved have shown promise for the treatment of AD, especially for patients with severe phenotypes. Preliminary findings from randomized controlled trials suggest that TYK2 inhibitors exhibit rapid efficacy and acceptable safety in the management of AD; however, additional investigations, including long-term trials, are warranted to fully understand their efficacy and safety profile.

摘要

简介

特应性皮炎(AD)是一种慢性炎症性皮肤病,其特征为持续瘙痒。AD 的常规治疗包括局部皮质类固醇和钙调磷酸酶抑制剂,但针对 JAK-TYK2 通路的新兴疗法在 AD 的治疗方面具有广阔的前景。

涵盖领域

本综述全面探讨了 AD 的发病机制、诱因、临床表现和常规治疗选择。此外,我们还讨论了靶向替代信号通路的新型治疗药物,重点关注评估酪氨酸激酶 2(TYK2)抑制剂的临床试验,包括全身性和局部制剂。我们还详细评估了 ICP-332 在中重度 AD 中的疗效、安全性和潜在不良反应。

专家意见

最近批准的 Janus 激酶抑制剂在 AD 的治疗方面显示出良好的应用前景,尤其是对严重表型的患者。随机对照试验的初步结果表明,TYK2 抑制剂在 AD 治疗中具有快速的疗效和可接受的安全性;然而,需要进行更多的研究,包括长期试验,以全面了解其疗效和安全性特征。

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