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Published on: September 27, 2017
New and Emerging Therapies for Pediatric Atopic Dermatitis
Henry L Nguyen1, Katelyn R Anderson1, Megha M Tollefson2
1Department of Dermatology, Mayo Clinic, 200 1st Street SW, Rochester, MN, 55902, USA.
Insights
New therapies offer improved efficacy and safety for atopic dermatitis (AD). Emerging treatments like JAK-STAT inhibitors and biologics show promise for managing this chronic inflammatory skin condition.
Area of Science:
- Dermatology
- Immunology
- Pharmacology
Background:
- Atopic dermatitis (AD) is a chronic inflammatory skin disease with limited treatment options.
- Current therapies have potential side effects and variable efficacy.
- Understanding AD pathogenesis has led to targeted therapeutic approaches.
Purpose of the Study:
- To review novel and emerging therapies for atopic dermatitis.
- To discuss the mechanisms of action for these new treatments.
- To evaluate the potential of these therapies based on clinical data.
Main Methods:
- Review of recent clinical studies on new atopic dermatitis treatments.
- Analysis of mechanisms of action for emerging drugs.
- Synthesis of data on efficacy and safety profiles.
Main Results:
- FDA-approved crisaborole and dupilumab offer new treatment avenues.
- JAK-STAT inhibitors demonstrate promising results in clinical trials.
- Other emerging therapies include IL-4/IL-13 antagonists and IL-31Rα antagonists.
Conclusions:
- Novel therapies targeting specific pathways show increased efficacy for AD.
- Emerging treatments have the potential for fewer systemic side effects compared to traditional options.
- Further research and clinical data will define the role of these new agents in AD management.
Abstract:
Atopic dermatitis (AD) is a chronic, inflammatory skin disease characterized by pruritus, inflammatory erythematous skin lesions, and skin-barrier defect. Current mainstay treatments of emollients, steroids, calcineurin inhibitors, and immunosuppressants have limited efficacy and potentially serious side effects. Recent advances and understanding of the pathogenesis of AD have resulted in new therapies that target specific pathways with increased efficacy and the potential for less systemic side effects. New FDA-approved therapies for AD are crisaborole and dupilumab. The JAK-STAT inhibitors (baricitinib, upadacitinib, PF-04965842, ASN002, tofacitinib, ruxolitinib, and delgocitinib) have the most promising results of the emerging therapies. Other drugs with potential include the aryl hydrocarbon receptor modulating agent tapinarof, the IL-4/IL-13 antagonists lebrikizumab and tralokinumab, and the IL-31Rα antagonist nemolizumab. In this review, new and emerging AD therapies will be discussed along with their mechanisms of action and their potential based on clinical study data.
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