AUTHOR=Zhang Li , Peng Ge , Wang Mingyue , Niyonsaba François , Gao Xinghua 

TITLE=Beyond the blockade: unmet needs in systemic targeted atopic dermatitis therapy

JOURNAL=Frontiers in Immunology

VOLUME=Volume 16 - 2025

YEAR=2025

URL=https://www.frontiersin.org/journals/immunology/articles/10.3389/fimmu.2025.1712757

DOI=10.3389/fimmu.2025.1712757

ISSN=1664-3224

ABSTRACT=Current atopic dermatitis treatments have been revolutionized by systemic targeted therapies that modulate inflammatory cytokine signaling pathways. While agents such as Janus kinase inhibitors and interleukin-4/interleukin-13 pathway inhibitors have shown significant efficacy, unmet needs persist. These needs include challenges in achieving stable disease control and remission, addressing nonresponders, managing potential side effects, and alleviating the ongoing struggle with pruritus. Future directions will focus on developing dual/multitarget drugs, creating longer-acting formulations, improving administration convenience, reducing dosing frequency, identifying novel therapeutic targets, and incorporating patient-reported outcomes in clinical assessments.