New therapies for atopic dermatitis: Additional treatment classes

Paras P. Vakharia, Jonathan I Silverberg*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

36 Scopus citations


Background: A wide array of miscellaneous agents is being studied for the treatment of atopic dermatitis (AD), including targeted topical, oral systemic, and biologic agents. Objective: To review the known efficacy and safety to date for such agents being studied for the treatment of AD. Methods: A nonsystematic review of the literature was performed. PubMed and were searched for studies assessing agents not described previously for the treatment of AD. Randomized controlled trials were primarily sought, but other study types were also included if they contained pertinent data. Agents are presented by mechanism of action, with analysis of mechanism of action and data regarding efficacy and safety in patients with AD. Results: Data regarding the following agents are presented: omiganan (an antimicrobial peptide), tapinarof (a nonsteroidal anti-inflammatory agent), PR022 (hypochlorous acid), asimadoline (a κ-opioid agonist), DS107 (dihomo-γ-linolenic acid), ZPL-389 (a histamine H4 receptor antagonist), secukinumab (an interleukin 17A inhibitor), and fezakinumab (interleukin 22 inhibitor). Limitations: Limited clinical data exist for many of the described agents. Conclusions: As recent research has improved our understanding of AD pathogenesis, various agents with unique mechanisms of action have been studied for the treatment of AD. Many of these hold great therapeutic promise for AD, and continued research and development is warranted.

Original languageEnglish (US)
Pages (from-to)S76-S83
JournalJournal of the American Academy of Dermatology
Issue number3
StatePublished - Mar 2018


  • asimadoline
  • atopic dermatitis
  • emerging agents
  • fezakinumab
  • hypocholrous acid
  • omiganan
  • secukinumab
  • tapinarof

ASJC Scopus subject areas

  • Dermatology


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