Análisis de costo- utilidad de Baricitinib y Upadacitinib comparado con Dupilumab en monoterapia en pacientes adultos con dermatitis atópica moderada a severa en Colombia

La dermatitis atópica (DA) es una enfermedad de la piel con un alto impacto social y económico tanto para el sistema de salud como para el paciente, en Colombia las moléculas de Dupilumab, Upadacitinib y Baricitinib tienen aprobación por el Invima para su uso en casos de enfermedad moderada a severa...

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Fecha de publicación:
2023
Institución:
Universidad del Rosario
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Repositorio EdocUR - U. Rosario
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spa
OAI Identifier:
oai:repository.urosario.edu.co:10336/41836
Acceso en línea:
https://doi.org/10.48713/10336_41836
https://repository.urosario.edu.co/handle/10336/41836
Palabra clave:
Dermatitis atópica
Biológicos
Ihibidores JAK
Costos
Análisis de costos
Atopic dermatitis
Biologics
JAK inhibitors
Cost
Cost analysis
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id EDOCUR2_2c0848c20072718c79ff3682c2c5ede0
oai_identifier_str oai:repository.urosario.edu.co:10336/41836
network_acronym_str EDOCUR2
network_name_str Repositorio EdocUR - U. Rosario
repository_id_str
dc.title.none.fl_str_mv Análisis de costo- utilidad de Baricitinib y Upadacitinib comparado con Dupilumab en monoterapia en pacientes adultos con dermatitis atópica moderada a severa en Colombia
dc.title.TranslatedTitle.none.fl_str_mv Cost-utility analysis of Baricitinib and Upadacitinib compared with Dupilumab monotherapy in adult patients with moderate to severe atopic dermatitis in Colombia
title Análisis de costo- utilidad de Baricitinib y Upadacitinib comparado con Dupilumab en monoterapia en pacientes adultos con dermatitis atópica moderada a severa en Colombia
spellingShingle Análisis de costo- utilidad de Baricitinib y Upadacitinib comparado con Dupilumab en monoterapia en pacientes adultos con dermatitis atópica moderada a severa en Colombia
Dermatitis atópica
Biológicos
Ihibidores JAK
Costos
Análisis de costos
Atopic dermatitis
Biologics
JAK inhibitors
Cost
Cost analysis
title_short Análisis de costo- utilidad de Baricitinib y Upadacitinib comparado con Dupilumab en monoterapia en pacientes adultos con dermatitis atópica moderada a severa en Colombia
title_full Análisis de costo- utilidad de Baricitinib y Upadacitinib comparado con Dupilumab en monoterapia en pacientes adultos con dermatitis atópica moderada a severa en Colombia
title_fullStr Análisis de costo- utilidad de Baricitinib y Upadacitinib comparado con Dupilumab en monoterapia en pacientes adultos con dermatitis atópica moderada a severa en Colombia
title_full_unstemmed Análisis de costo- utilidad de Baricitinib y Upadacitinib comparado con Dupilumab en monoterapia en pacientes adultos con dermatitis atópica moderada a severa en Colombia
title_sort Análisis de costo- utilidad de Baricitinib y Upadacitinib comparado con Dupilumab en monoterapia en pacientes adultos con dermatitis atópica moderada a severa en Colombia
dc.contributor.advisor.none.fl_str_mv Bareño Silva, José
dc.subject.none.fl_str_mv Dermatitis atópica
Biológicos
Ihibidores JAK
Costos
Análisis de costos
topic Dermatitis atópica
Biológicos
Ihibidores JAK
Costos
Análisis de costos
Atopic dermatitis
Biologics
JAK inhibitors
Cost
Cost analysis
dc.subject.keyword.none.fl_str_mv Atopic dermatitis
Biologics
JAK inhibitors
Cost
Cost analysis
description La dermatitis atópica (DA) es una enfermedad de la piel con un alto impacto social y económico tanto para el sistema de salud como para el paciente, en Colombia las moléculas de Dupilumab, Upadacitinib y Baricitinib tienen aprobación por el Invima para su uso en casos de enfermedad moderada a severa. Dupilumab continúa siendo la primera línea de manejo para la dermatitis atópica, mientras que los inhibidores de la Janus Kinasa (JAK) son considerados únicamente en fallo terapéutico del anticuerpo monoclonal, pues su uso es más frecuente en patologías de reumatología que en enfermedades de la piel. Objetivo: Establecer la costó-utilidad de Baricitinib y Upadacitinib comparado con Dupilumab en monoterapia en pacientes adultos con dermatitis atópica a moderada a severa en Colombia, desde la perspectiva del tercer pagador. Metodología: Se realizó́ un análisis de costo-utilidad basado en un modelo de decisiones de Márkov a partir de fuentes secundarias, con revisión de la literatura. Teniendo en cuenta los precios en Colombia del 2023, desde la perspectiva del tercer pagador. Resultados: Upadacitinib a dosis de 15 mg y 30 mg resulto ser costo–útil para el tratamiento de la dermatitis atópica, respecto al tratamiento estándar Dupilumab Discusión: El Upadacitinib, aunque no es la primera línea de tratamiento para la dermatitis atópica en Colombia, según el presente estudio resultó ser más efectiva y económica para esta patología.
publishDate 2023
dc.date.accessioned.none.fl_str_mv 2023-12-05T12:09:28Z
dc.date.available.none.fl_str_mv 2023-12-05T12:09:28Z
dc.date.created.none.fl_str_mv 2023-11-28
dc.type.none.fl_str_mv bachelorThesis
dc.type.coar.fl_str_mv http://purl.org/coar/resource_type/c_7a1f
dc.type.document.none.fl_str_mv Trabajo de grado
dc.type.spa.none.fl_str_mv Trabajo de grado
dc.identifier.doi.none.fl_str_mv https://doi.org/10.48713/10336_41836
dc.identifier.uri.none.fl_str_mv https://repository.urosario.edu.co/handle/10336/41836
url https://doi.org/10.48713/10336_41836
https://repository.urosario.edu.co/handle/10336/41836
dc.language.iso.none.fl_str_mv spa
language spa
dc.rights.*.fl_str_mv Attribution-NoDerivatives 4.0 International
dc.rights.coar.fl_str_mv http://purl.org/coar/access_right/c_abf2
dc.rights.acceso.none.fl_str_mv Abierto (Texto Completo)
dc.rights.uri.*.fl_str_mv http://creativecommons.org/licenses/by-nd/4.0/
rights_invalid_str_mv Attribution-NoDerivatives 4.0 International
Abierto (Texto Completo)
http://creativecommons.org/licenses/by-nd/4.0/
http://purl.org/coar/access_right/c_abf2
dc.format.extent.none.fl_str_mv 67 pp
dc.format.mimetype.none.fl_str_mv application/pdf
dc.publisher.spa.fl_str_mv Universidad del Rosario
dc.publisher.department.spa.fl_str_mv Escuela de Medicina y Ciencias de la Salud
dc.publisher.program.spa.fl_str_mv Maestría en Epidemiología
institution Universidad del Rosario
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Thaçi, Diamant; L. Simpson, Eric; Deleuran, Mette; Kataoka, Yoko; Chen, Zhen; Gadkari, Abhijit; Eckert, Laurent; Akinlade, Bolanle; Graham, Neil M.H.; Pirozzi, Gianluca; Ardeleanu, Marius (2019) Efficacy and safety of dupilumab monotherapy in adults with moderate-to-severe atopic dermatitis: a pooled analysis of two phase 3 randomized trials (LIBERTY AD SOLO 1 and LIBERTY AD SOLO 2). En: Journal of Dermatological Science. Vol. 94; No. 2; pp. 266 - 275; Japanese Society for Investigative Dermatology; Disponible en: https://doi.org/10.1016/j.jdermsci.2019.02.002. Disponible en: 10.1016/j.jdermsci.2019.02.002.
Silverberg, Jonathan I.; Rubini, Norma P.M.; Pires, Mario C.; Rossi, Ana B.; Zhang, Annie; Chen, Zhen; Levit, Noah A.; Chao, Jingdong; Shumel, Brad; Bégo-Le Bagousse, Gaëlle (2022) Dupilumab Treatment Reduces Hospitalizations in Adults with Moderate-to-Severe Atopic Dermatitis. En: Journal of Allergy and Clinical Immunology: In Practice. Vol. 10; No. 5; pp. 1279 - 1285.e1; The Authors; Disponible en: https://doi.org/10.1016/j.jaip.2021.11.034. Disponible en: 10.1016/j.jaip.2021.11.034.
Heinz, Katja C.; Willems, Damon; Hiligsmann, Mickaël (2022) Economic evaluation of a JAK inhibitor compared to a monoclonal antibody for treatment of moderate-to-severe atopic dermatitis from a UK perspective. En: Journal of Medical Economics. Vol. 25; No. 1; pp. 491 - 502; Taylor & Francis; Disponible en: https://doi.org/10.1080/13696998.2022.2059220. Disponible en: 10.1080/13696998.2022.2059220.
Talamonti, Marina; Galluzzo, Marco; Silvaggio, Dionisio; Lombardo, Paolo; Tartaglia, Chiara; Bianchi, Luca (2021) Quality of life and psychological impact in patients with atopic dermatitis. En: Journal of Clinical Medicine. Vol. 10; No. 6; pp. 1 - 9; Disponible en: 10.3390/jcm10061298.
Tsai, Hou Ren; Lu, Jing Wun; Chen, Li Yu; Chen, Tai Li (2021) Application of janus kinase inhibitors in atopic dermatitis: An updated systematic review and meta-analysis of clinical trials. En: Journal of Personalized Medicine. Vol. 11; No. 4; Disponible en: 10.3390/jpm11040279.
Mortz, C. G.; Andersen, K. E.; Dellgren, C.; Barington, T.; Bindslev-Jensen, C. (2015) Atopic dermatitis from adolescence to adulthood in the TOACS cohort: Prevalence, persistence and comorbidities. En: Allergy: European Journal of Allergy and Clinical Immunology. Vol. 70; No. 7; pp. 836 - 845; Disponible en: 10.1111/all.12619.
Hanifin, J. M.; Thurston, M.; Omoto, M.; Cherill, R.; Tofte, S. J.; Graeber, M. (2001) The eczema area and severity index (EASI): Assessment of reliability in atopic dermatitis. En: Experimental Dermatology. Vol. 10; No. 1; pp. 11 - 18; Disponible en: 10.1034/j.1600-0625.2001.100102.x.
Wollenberg, A.; Christen-Zäch, S.; Taieb, A.; Paul, C.; Thyssen, J. P.; de Bruin-Weller, M.; Vestergaard, C.; Seneschal, J.; Werfel, T.; Cork, M. J.; Kunz, B.; Fölster-Holst, R.; Trzeciak, M.; Darsow, U.; Szalai, Z.; Deleuran, M.; von Kobyletzki, L.; Barbarot, S.; Heratizadeh, A.; Gieler, U.; Hijnen, D. J.; Weidinger, S.; De Raeve, L.; Svensson; Simon, D.; Stalder, J. F.; Ring, J. (2020) ETFAD/EADV Eczema task force 2020 position paper on diagnosis and treatment of atopic dermatitis in adults and children. En: Journal of the European Academy of Dermatology and Venereology. Vol. 34; No. 12; pp. 2717 - 2744; Disponible en: 10.1111/jdv.16892.
Colombiana, Asociación; Dermatología, De; Dermatológica, Cirugía (2018) Asociación Colombiana de Dermatología y Cirugía Dermatológica e Instituto de Evaluación Tecnológica en Salud (IETS). Guía de práctica clínica para el diagnóstico y tratamiento de la dermatitis atópica en Colombia. pp. 250 - 250; Disponible en: https://revistasocolderma.org/sites/default/files/guia_de_practica_clinica_dermatitis_atopica_oct_2018.pdf.
Reich, Kristian; Teixeira, Henrique D.; de Bruin-Weller, Marjolein; Bieber, Thomas; Soong, Weily; Kabashima, Kenji; Werfel, Thomas; Zeng, Jiewei; Huang, Xiaohong; Hu, Xiaofei; Hendrickson, Barbara A.; Ladizinski, Barry; Chu, Alvina D.; Silverberg, Jonathan I. (2021) Safety and efficacy of upadacitinib in combination with topical corticosteroids in adolescents and adults with moderate-to-severe atopic dermatitis (AD Up): results from a randomised, double-blind, placebo-controlled, phase 3 trial. En: The Lancet. Vol. 397; No. 10290; pp. 2169 - 2181; Elsevier Ltd; Disponible en: http://dx.doi.org/10.1016/S0140-6736(21)00589-4. Disponible en: 10.1016/S0140-6736(21)00589-4.
Guttman-Yassky, Emma; Teixeira, Henrique D.; Simpson, Eric L.; Papp, Kim A.; Pangan, Aileen L.; Blauvelt, Andrew; Thaçi, Diamant; Chu, Chia Yu; Hong, H. Chih ho; Katoh, Norito; Paller, Amy S.; Calimlim, Brian; Gu, Yihua; Hu, Xiaofei; Liu, Meng; Yang, Yang; Liu, John; Tenorio, Allan R.; Chu, Alvina D.; Irvine, Alan D. (2021) Once-daily upadacitinib versus placebo in adolescents and adults with moderate-to-severe atopic dermatitis (Measure Up 1 and Measure Up 2): results from two replicate double-blind, randomised controlled phase 3 trials. En: The Lancet. Vol. 397; No. 10290; pp. 2151 - 2168; Disponible en: 10.1016/S0140-6736(21)00588-2.
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spelling Bareño Silva, José7c3e2a4d-af6b-4a05-bf76-e786f91ac575-1Godoy Collazos, Ana MaríaOspina Bocanegra, Fabio EnriqueMagíster en EpidemiologíaMaestríaPart time8517fe25-4f3f-4650-b0c4-17e6712c0792-1977de9e3-b4bd-421e-8580-dcfbe2aa14f5-12023-12-05T12:09:28Z2023-12-05T12:09:28Z2023-11-28La dermatitis atópica (DA) es una enfermedad de la piel con un alto impacto social y económico tanto para el sistema de salud como para el paciente, en Colombia las moléculas de Dupilumab, Upadacitinib y Baricitinib tienen aprobación por el Invima para su uso en casos de enfermedad moderada a severa. Dupilumab continúa siendo la primera línea de manejo para la dermatitis atópica, mientras que los inhibidores de la Janus Kinasa (JAK) son considerados únicamente en fallo terapéutico del anticuerpo monoclonal, pues su uso es más frecuente en patologías de reumatología que en enfermedades de la piel. Objetivo: Establecer la costó-utilidad de Baricitinib y Upadacitinib comparado con Dupilumab en monoterapia en pacientes adultos con dermatitis atópica a moderada a severa en Colombia, desde la perspectiva del tercer pagador. Metodología: Se realizó́ un análisis de costo-utilidad basado en un modelo de decisiones de Márkov a partir de fuentes secundarias, con revisión de la literatura. Teniendo en cuenta los precios en Colombia del 2023, desde la perspectiva del tercer pagador. Resultados: Upadacitinib a dosis de 15 mg y 30 mg resulto ser costo–útil para el tratamiento de la dermatitis atópica, respecto al tratamiento estándar Dupilumab Discusión: El Upadacitinib, aunque no es la primera línea de tratamiento para la dermatitis atópica en Colombia, según el presente estudio resultó ser más efectiva y económica para esta patología.Atopic dermatitis (AD) is a skin disease with a high social and economic impact on the health system and the patient. In Colombia, the Dupilumab, Upadacitinib, and Baricitinib molecules are approved by Invima for their use in cases of moderate to severe disease. Dupilumab continues to be the first line of management for atopic dermatitis. At the same time, Janus Kinase (JAK) inhibitors are considered only in the therapeutic failure of the monoclonal antibody, since their use is more frequent in rheumatology pathologies than in skin diseases. Objective: To establish the cost-utility of Baricitinib and Upadacitinib compared to Dupilumab in monotherapy in adult patients with moderate to severe atopic dermatitis in Colombia, from the perspective of the third payer. Methodology: A cost-utility analysis was carried out based on a Markov decision model from secondary sources, with a literature review, using the prices in Colombia in 2023, from the perspective of the third payer. Results: Upadacitinib at doses of 15 mg and 30 mg turned out to be cost-useful for the treatment of atopic dermatitis, compared to the standard treatment of Dupilumab. Discussion: Upadacitinib, although it is not the first line of treatment for atopic dermatitis in Colombia, according to the present study turned out to be more effective and economical for this pathology.67 ppapplication/pdfhttps://doi.org/10.48713/10336_41836 https://repository.urosario.edu.co/handle/10336/41836spaUniversidad del RosarioEscuela de Medicina y Ciencias de la SaludMaestría en EpidemiologíaAttribution-NoDerivatives 4.0 InternationalAbierto (Texto Completo)EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma. PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe. EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización. -------------------------------------- POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. 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(2020) The Validated Investigator Global Assessment for Atopic Dermatitis (vIGA-AD): The development and reliability testing of a novel clinical outcome measurement instrument for the severity of atopic dermatitis. En: Journal of the American Academy of Dermatology. Vol. 83; No. 3; pp. 839 - 846; Mosby Inc.; Disponible en: 10.1016/j.jaad.2020.04.104.Hartmut Beck a, ⇑, Michael Härter a, Bastian Haß b, Carsten Schmeck a, Lars Baerfacker a (2022) Small molecules and their impact in drug discovery: A perspective on the occasion of the 125th anniversary of the Bayer Chemical Research Laboratory. Disponible en: https://doi.org/10.1016/j.drudis.2022.02.015This.Tiz, Davide Benedetto; Bagnoli, Luana; Rosati, Ornelio; Marini, Francesca; Santi, Claudio; Sancineto, Luca (2022) FDA-Approved Small Molecules in 2022: Clinical Uses and Their Synthesis. En: Pharmaceutics. 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(2017) Inpatient Financial Burden of Atopic Dermatitis in the United States. En: Journal of Investigative Dermatology. Vol. 137; No. 7; pp. 1461 - 1467; Elsevier B.V.; Disponible en: 10.1016/j.jid.2017.02.975.Davison, Niall J.; Thompson, Alexander J.; Turner, Alexander J.; Longworth, Louise; McElhone, Kathleen; Griffiths, Christopher E.M.; Payne, Katherine (2018) Generating EQ-5D-3L Utility Scores from the Dermatology Life Quality Index: A Mapping Study in Patients with Psoriasis. En: Value in Health. Vol. 21; No. 8; pp. 1010 - 1018; Elsevier Ltd; Disponible en: 10.1016/j.jval.2017.10.024.Cuervo, Miguel Mateo; Sanclemente, Gloria; Barrera, Lina Marcela (2021) Clinical and sociodemographic features and quality of life in patients with atopic dermatitis who attended dermatology teaching clinics in Medellm, Antioquia and its metropolitan area. En: Biomedica. Vol. 41; No. 4; pp. 1 - 38; Instituto Nacional de Salud; Disponible en: 10.7705/BIOMEDICA.5978.Drucker, Aaron M.; Qureshi, Abrar A.; Amand, Caroline; Villeneuve, Sara; Gadkari, Abhijit; Chao, Jingdong; Kuznik, Andreas; Bégo-Le-Bagousse, Gaëlle; Eckert, Laurent (2018) Health Care Resource Utilization and Costs Among Adults with Atopic Dermatitis in the United States: A Claims-Based Analysis. En: The Journal of Allergy and Clinical Immunology: In Practice. Vol. 6; No. 4; pp. 1342 - 1348; Disponible en: 10.1016/j.jaip.2017.10.024.dane (2023) https://www.dane.gov.co/index.php/estadisticas-por-tema/cuentas-nacionales/cuentas-nacionales-trimestrales/pib-informacion-tecnica. Blauvelt, Andrew; Teixeira, Henrique D; Simpson, Eric L; Costanzo, Antonio; De Bruin-Weller, Marjolein; Barbarot, Sebastien; Prajapati, Vimal H; Lio, Peter; Hu, Xiaofei; Wu, Tianshuang; Liu, John; Ladizinski, Barry; Chu, Alvina D; Eyerich, Kilian (2021) Efficacy and Safety of Upadacitinib vs Dupilumab in Adults With Moderate-to-Severe Atopic Dermatitis: A Randomized Clinical Trial. En: JAMA dermatology. Vol. 157; No. 9; pp. 1047 - 1055; Disponible en: 10.1001/jamadermatol.2021.3023.de Bruin-Weller, Marjolein S; Serra-Baldrich, Esther; Barbarot, Sebastien; Grond, Susanne; Schuster, Christopher; Petto, Helmut; Capron, Jean-Philippe; Raibouaa, Afaf; Werfel, Thomas (2022) Indirect Treatment Comparison of Baricitinib versus Dupilumab in Adults with Moderate-to-Severe Atopic Dermatitis. En: Dermatology and therapy. Vol. 12; No. 6; pp. 1481 - 1491; Disponible en: 10.1007/s13555-022-00734-w.Liu, Bo; Song, Xiaoting; Liao, Shuanglu; Luan, Tingting; Zhao, Zuotao (2023) Comparison of Efficacy of Baricitinib and Dupilumab in the Treatment of Chinese Moderate-To-Severe Atopic Dermatitis: A Retrospective Study. En: International Archives of Allergy and Immunology. pp. 1 - 9; Disponible en: 10.1159/000530394.Mar Javier, Antoñanzas Fernando, Pradas Roberto, Arrospide Arantzazu (2010) Los modelos de Markov probabilísticos en la evaluación económica de tecnologías sanitarias: una guía práctica. En: Gac Sanit [Internet].Deleuran, Mette; Thaçi, Diamant; Beck, Lisa A; de Bruin-Weller, Marjolein; Blauvelt, Andrew; Forman, Seth; Bissonnette, Robert; Reich, Kristian; Soong, Weily; Hussain, Iftikhar; Foley, Peter; Hide, Michihiro; Bouaziz, Jean-David; Gelfand, Joel M; Sher, Lawrence; Schuttelaar, Marie L A; Wang, Chen; Chen, Zhen; Akinlade, Bolanle; Gadkari, Abhijit; Eckert, Laurent; Davis, John D; Rajadhyaksha, Manoj; Staudinger, Heribert; Graham, Neil M H; Pirozzi, Gianluca; Ardeleanu, Marius (2020) Dupilumab shows long-term safety and efficacy in patients with moderate to severe atopic dermatitis enrolled in a phase 3 open-label extension study. En: Journal of the American Academy of Dermatology. 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Guía de práctica clínica para el diagnóstico y tratamiento de la dermatitis atópica en Colombia. pp. 250 - 250; Disponible en: https://revistasocolderma.org/sites/default/files/guia_de_practica_clinica_dermatitis_atopica_oct_2018.pdf.Reich, Kristian; Teixeira, Henrique D.; de Bruin-Weller, Marjolein; Bieber, Thomas; Soong, Weily; Kabashima, Kenji; Werfel, Thomas; Zeng, Jiewei; Huang, Xiaohong; Hu, Xiaofei; Hendrickson, Barbara A.; Ladizinski, Barry; Chu, Alvina D.; Silverberg, Jonathan I. (2021) Safety and efficacy of upadacitinib in combination with topical corticosteroids in adolescents and adults with moderate-to-severe atopic dermatitis (AD Up): results from a randomised, double-blind, placebo-controlled, phase 3 trial. En: The Lancet. Vol. 397; No. 10290; pp. 2169 - 2181; Elsevier Ltd; Disponible en: http://dx.doi.org/10.1016/S0140-6736(21)00589-4. 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