Treatment landscape for atopic dermatitis is shifting

Atopic dermatitis treatment sees promising future with new drug approvals, says GlobalData.

A generic image of an oil-based treatment to restore barrier function (Image: Unsplash)

Atopic dermatitis is experiencing a transformative shift in treatment management with recent drug approvals that address critical unmet needs. The introduction of novel therapies, such as Dermavant’s VTAMA (tapinarof) (Japan) and Arcutis’s ZORYVE (roflumilast) (US), with innovative mechanisms of action, offers hope for improved patient outcomes. As these treatments enter the market, they underscore the increasing focus on enhancing care for those affected by this widespread condition, says GlobalData, a leading data and analytics company.

GlobalData’s report, Atopic Dermatitis Epidemiology Analysis and Forecast, reveals that the number of the diagnosed prevalent cases of atopic dermatitis across the seven major markets (7MM*) is expected to increase at an annual growth rate of more than 0.02% between 2020 and 2030.

Filippos Maniatis, Healthcare Analyst at GlobalData, comments: “It is an exciting time for the treatment landscape of atopic dermatitis as multiple therapies are coming closer to approval. VTAMA (tapinarof) and ZORYVE (roflumilast) in Japan and the US, respectively, bring further excitement to the wider community for what the future holds in the treatment landscape of atopic dermatitis.”

Topical and systemic treatments

The severity of disease helps physicians to decide on the treatment that will be followed for atopic dermatitis patients. The basic treatment aims to help with avoiding triggers through bath oils and emollients, whereas in mild cases (EASI score), emollients are used to restore the skin barrier. 

The current therapies for atopic dermatitis encompass topical and systemic treatments, including inhibitors that target Janus kinases (JAK), phosphodiesterases, calcineurin, and interleukins (ILs), as well as aryl hydrocarbon receptor agonist (AhR) modulators and immunosuppressants. 

Maniatis continues: “Many of these therapies are used off label. Vtama and Zoryve possess interesting mechanisms of action (MoAs). Vtama is an AhR agonist and presents a novel mechanism for AD, as no other marketed therapies employ it. Zoryve is a phosphodiesterase-4 (PDE4) inhibitor, and this MoA has been previously seen in Pfizer’s Eucrisa (crisaborole).” 

A dynamic space for innovation

Following recent approvals, the atopic dermatitis community is looking forward to promising outcomes from both therapies upon their use in atopic dermatitis patients. The atopic dermatitis space is dynamic, with multiple pipeline agents currently in clinical trials. The addition of Vtama and Zoryve is promising and may provide an additional benefit to atopic dermatitis patients as their unmet needs related to the lack of effective atopic dermatitis therapies are further addressed. 

Maniatis concludes: “Atopic dermatitis is currently experiencing increased attention by pharma companies as there are still unmet needs that need to be addressed. Clinical trials are evaluating new mechanisms of action against atopic dermatitis, such as BTLA and OX40 inhibitors, which have shown promising results as potential therapies for atopic dermatitis in Phase 2 and Phase 3 trials, denoting the opportunity for further research around potential atopic dermatitis treatments.”

*7MM: The US, France, Germany, Italy, Spain, the UK, and Japan.

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