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Current and emerging biologics for the treatment of pediatric atopic dermatitis
Rima Ghamrawi1, Katheryn A Bell1, Esther A Balogh1
1Center for Dermatology Research, Department of Dermatology, Wake Forest School of Medicine , Winston-Salem, NC, USA.
Insights
Biologics offer new hope for treating pediatric atopic dermatitis (AD), a chronic inflammatory skin condition. While promising, further research is needed to understand the long-term effects of these advanced therapies in children.
Area of Science:
- Dermatology
- Immunology
- Pediatrics
Background:
- Atopic dermatitis (AD) is a chronic inflammatory skin condition in children, marked by redness, itching, and skin barrier issues.
- Current treatments for pediatric AD have limitations in efficacy and safety, with few systemic options available.
- Advancements in understanding AD pathogenesis have led to the development of targeted biologic therapies.
Purpose of the Study:
- To review current and emerging biologic therapies for pediatric atopic dermatitis (AD).
- To provide a comprehensive comparison of biologic medications and their clinical trials.
- To offer expert insights into future advancements in treating pediatric AD.
Main Methods:
- Literature review of current and emerging biologic therapies for pediatric AD.
- Analysis of clinical trial data for efficacy and safety of biologic agents.
- Expert opinion on the use of biologics in the pediatric population.
Main Results:
- Several biologic agents are in clinical trials for pediatric AD, offering new treatment avenues.
- Dupilumab has existing safety data, positioning newer biologics likely as second-line options.
- The long-term impact and risks of novel biologics on children's immature immune systems require further investigation.
Conclusions:
- Biologics represent a promising frontier for managing pediatric atopic dermatitis.
- Cautious optimism and continued research are essential for the safe and effective integration of biologics in treating children with AD.
- Optimizing patient treatment plans requires a thorough understanding of available and emerging biologic therapies.
Introduction:
Atopic dermatitis (AD) is a chronic inflammatory skin condition characterized by erythematous lesions, pruritus, and a skin barrier defect. Long-term treatment in children is challenging, as there is only one Food and Drug Administration-approved systemic medication. Current treatments may have limited efficacy or serious side effects in children. With a deeper understanding of AD pathogenesis and the advent of target-specific medications, several biologics are undergoing clinical trials for future use in pediatric AD.
Areas Covered:
This article reviews the current and emerging biologic therapies for treatment of pediatric AD. It allows for comprehensive comparison of medications and their clinical trials to help providers optimize patient treatment plans while providing expert insight into upcoming advancements in the treatment of pediatric AD.
Expert Opinion:
Treating pediatric AD is complicated given the variety of disease severity, psychosocial impact, and relative lack of approved medications for severe disease. Given the safety data on dupilumab, newer biologics will likely be second-line. We do not yet understand the long-term impact of newer biologics on an immature immune system, nor do we fully understand their risks and toxicities. We should proceed optimistically, yet cautiously, with the study of biologics in children.
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