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Atopic Dermatitis (AD)

Published: April 2025
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1. Disease Overview:

  • Atopic dermatitis (eczema) is a chronic disease that causes inflammation, redness, and skin irritation.
  • Atopic dermatitis is not contagious and cannot be spread from person to person.
  • It is estimated that 1-2% of people will develop persistent postoperative corneal oedema.
  • AD is a common condition that causes itchy, dry, and inflamed skin. It usually begins in childhood but can start at any age.

2. Epidemiology Analysis (Current & Forecast)

  • The prevalence of atopic dermatitis is high, affecting up to 15-20% of children and up to 1-3% (up to 10% in some) of adults.
  • The burden of disease ranks 15th worldwide for non-fatal diseases and number one for skin diseases, measured in disability-adjusted lifeyears (DALYs)
  • Onset of disease is most common by 5 years of age, and early diagnosis and treatment are essential to avoid complications of AD and improve quality of life
Eczema (atopic dermatitis)

 

3. Approved Drugs (Current SoC) - Sales & Forecast

Atopic dermatitis (AD) is a chronic inflammatory skin condition characterized by itching, redness, and skin barrier dysfunction. Treatment varies by severity, with topical therapies for mild cases and systemic biologics or JAK inhibitors for moderate-to-severe AD.

Atopic Dermatitis Approved Drugs - Sales and Forecast
Atopic Dermatitis Treatment Algorithm Image


 

4. Pipeline Analysis and Expected Approval Timelines

The treatment landscape for atopic dermatitis (AD) is rapidly evolving, with several promising therapies in the pipeline.

Atopic Dermatitis (AD) - Emerging Therapies (Biologics)
Atopic Dermatitis (AD) - Regulatory Timelines

 

5. Market Size & Forecasting

The atopic dermatitis market was valued at ~$16.2 billion in 2024 and is anticipated to be valued at US$ XX Bn by 2033, registering a CAGR of ~10-11% over the forecast period.

CAGR Growth Forecast Graph for Atopic Dermatitis
Atopic Dermatitis Market Growth Forecast Period - 2024 → 2033 

 

Unmet Needs

Despite recent advancements, significant gaps remain in the treatment of atopic dermatitis (AD), particularly for moderate-to-severe cases. Addressing these unmet needs is crucial for better patient outcomes and improving quality of life.

 

Below are key gaps in current therapeutic approaches:

  1. Therapies that provide lasting immune modulation with fewer relapses.
  2. Treatments with rapid itch relief and quick skin clearance (within days).
  3. Less frequent dosing (quarterly or annual treatments).
  4. Broader targeting of inflammatory pathways (e.g., IL-31, OX40, PDE4).
  5. More personalized treatment selection based on biomarkers.
  6. Systemic therapies with fewer long-term risks.
  7. Steroid-free options with better efficacy & tolerability.
  8. Topicals for moderate-to-severe AD to delay systemic therapy initiation.


 

6. Competitive Landscape and Market Positioning

The AD market is highly competitive, with a mix of biologics, JAK inhibitors, and emerging therapies. Companies are positioning their drugs based on efficacy, safety, speed of action, and convenience to gain market share.

SegmentDrug (Brand Name)CompanyMoAMarket Positioning

Key

Advantages

Challenges
Market LeaderDupixent (Dupilumab)Sanofi/RegeneronIL-4 & IL-13 InhibitorGold standard biologicBroad efficacy, well-established safety, multiple indicationsHigh cost, emerging competition from IL-13 inhibitors
Biologics (IL-13 & IL-31 Inhibitors)Adbry (Tralokinumab)LEO PharmaIL-13 InhibitorAlternative to DupixentMore selective IL-13 targetingCompetes directly with Dupixent, slower uptake
LebrikizumabEli LillyIL-13 InhibitorDupixent competitor (pending FDA approval)Potentially improved efficacy & convenienceRegulatory delay in US, strong competition from Dupixent
NemolizumabGaldermaIL-31 InhibitorFirst-in-class pruritus-focused biologicTargets severe itch, different MOALimited data vs. IL-4/IL-13 inhibitors
JAK Inhibitors (Oral & Topical)Rinvoq (Upadacitinib)AbbVieJAK1 InhibitorOral alternative to biologicsFast symptom relief, effective for severe ADBlack box warning (safety concerns)
Cibinqo (Abrocitinib)PfizerJAK1 InhibitorCompetes with RinvoqSimilar efficacy, rapid onsetSafety warnings, physician hesitation
Opzelura (Ruxolitinib, topical)IncyteJAK1/JAK2 InhibitorFirst topical JAK inhibitorEffective for mild/moderate ADSafety concerns limit long-term use
Next-Gen & Emerging TherapiesRocatinlimab (AMG 451)Amgen/Kyowa KirinOX40 InhibitorPotential disease-modifying biologicTargets long-term immune modulationLonger clinical development timeline (2026-2027)
Tapinarof (VTAMA, topical)Dermavant/OrganonAhR AgonistSteroid-free topical for mild/moderate ADNon-immunosuppressive, safe for long-term useLimited data in severe AD
Roflumilast Cream 0.15%Arcutis BiotherapeuticsPDE4 InhibitorAlternative to topical steroidsBetter tolerability, low systemic absorption
 



 7. Target Opportunity Profile (TOP) & Benchmarking

The ideal AD therapy should address efficacy, safety, convenience, and affordability while filling unmet needs. Below is a framework for evaluating emerging therapies:

CriteriaCurrent Standard (Dupixent, JAKs)Unmet Need (TOP Target)
Efficacy50-75% EASI-75 response≥80% EASI-75 response
Onset of Action4-8 weeks for biologics; JAKs work faster (1-2 weeks)Fast onset (<2 weeks) for all therapies
Long-Term ControlBiologics require chronic useDisease-modifying potential (remission after stopping treatment)
Safety ProfileBiologics: good safety; JAKs: black box warningsLower risk, no immunosuppression
ConvenienceInjections (biologics), daily pills (JAKs)Less frequent dosing (monthly/quarterly)
Pruritus ReliefModerate itch reliefRapid, significant itch relief
Patient AccessHigh cost ($30K+/year), insurance barriersLower-cost alternatives, biosimilars
Atopic Dermatitis - Endpoint Comparision - Approved IL inhibitors
Endpoint Comparision - Emerging IL inhibitors
Endpoint Comparision - Oral JAK Inhibitors
Emerging Therapies Endpoint Comparision - anti-OX40L

 

Key companies

Key Companies Atomic Dermatitis



 


 



 

 

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