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Biologics for pediatric atopic dermatitis: A protocol of a systematic review and meta-analysis
Rui Cao1, Jiaxing Lu1, Zhao Chen2
1North China University of Science and Technology, Hebei, Tangshan, China.
Insights
This systematic review evaluates biologic treatments for pediatric atopic dermatitis (AD). It synthesizes evidence on efficacy and safety, offering clinical guidance for this common childhood skin condition.
Area of Science:
- Dermatology
- Pediatrics
- Immunology
Background:
- Atopic dermatitis (AD) is a chronic, itchy inflammatory skin condition prevalent in children.
- Biologic therapies have shown promising results in recent clinical trials for AD treatment.
Purpose of the Study:
- To evaluate the efficacy and safety of biologic agents in treating pediatric atopic dermatitis (AD).
- To provide evidence-based data for the clinical application of biologics in children with AD.
Main Methods:
- Extensive search of RCTs in Embase, Cochrane Library, Web of Science, and PubMed until May 15, 2022.
- Primary outcomes: EASI 75/90/100 at 12-16 weeks. Secondary outcomes: NRS, IGA, BSA, DLQI, and adverse events.
- Risk of bias assessment using Cochrane System Review Manual 5.1.0; meta-analysis using RevMan V.5.3.0.
Main Results:
- The research results will provide a reference for the clinical application of biological agents in pediatric atopic dermatitis.
Conclusions:
- The study aims to evaluate the efficacy and safety of biologics in pediatric atopic dermatitis.
- Evidence-based data will be provided for easier clinical application.
Background:
Atopic dermatitis is a chronic pruritic inflammatory skin disease commonly occurring in children. The objective of this study is to evaluate the treatment of pediatric atopic dermatitis with biologics, as they have displayed immense promising results in several recent clinical trials on atopic dermatitis (AD).
Methods:
We will conduct an extensive search for RCTs in several databases, including Embase, Cochrane Library, Web of Science, and PubMed, from the inception of the study till 15th May 2022. The primary outcomes will be the proportion of patients with EASI 75/90/100 after 12-16 weeks of treatment. The secondary outcomes will include the Numerical Rating Scale (NRS), Investigator Global Assessment (IGA)0-1, body surface area (BSA), Dermatology Life Quality Index (DLQI) scores, and incidence of adverse reactions. All studies will be screened by two independent researchers. They will assess the risk of bias in the included studies according to the RCTs bias risk evaluation tool in Cochrane System Review Manual 5.1.0. Meta-analysis will be performed using RevMan V.5.3.0 software.
Results:
The research results will provide a reference for the clinical application of biological agents in pediatric atopic dermatitis.
Conclusion:
We aim to evaluate the efficacy and safety of biologics in pediatric atopic dermatitis cases and provide evidence-based data for easy clinical application.
Prospero Registration Number:
CRD42022319052 (https://www.crd.york.ac.uk/PROSPERO/#joinuppage).
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