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Information on how to access Cibinqo®▼ (abrocitinib) prescribing information and adverse event reporting can be found at the bottom of the page.
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Cibinqo is a Janus kinase (JAK)1 inhibitor.1 |
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JAKs are intracellular enzymes which transmit signals arising from cytokine or growth factor-receptor interactions on the cell surface to influence haematopoiesis and immune cell function.1 |
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JAKs phosphorylate and activate STATs, which in turn modulate activity in the cell. Inhibition of JAK1 interrupts signalling pathways by preventing the phosphorylation and activation of STATs.1 |
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INFLAMMATION2,7IL-4 and IL-13 are important mediators of type 2 inflammation and are major drivers of atopic inflammation. |
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ITCH2,4,6IL-31 is a type 2 inflammatory cytokine that plays a role in mediating itch and atopic inflammation. |
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BARRIER DISRUPTION2,4IL-22 helps induce epidermal hyperplasia and skin barrier disruption in AD. |
In addition to the roles of the cytokines described here, these, and other cytokines are believed to play multiple roles in AD pathophysiology.8,9
The JAK/STAT pathway is believed to be an important mediator of the pathophysiology of atopic dermatitis.11 JAKs are a family of intracellular cytoplasmic protein tyrosine kinases that are associated with cytokine and growth factor receptor subunits.2,3,10–12
Upon binding of proinflammatory cytokines, cytokine receptors dimerise, bringing JAK pairs into close proximity.2,3,10–12
The paired JAKs then phosphorylate and activate each other.2,3,10–12
JAK-mediated phosphorylation of the cytokine receptor creates a binding site for STATs.2,3,10–12
STATs are recruited and phosphorylated by activated JAKs.2,3,10–12
Activated STAT dimers move into the nucleus resulting in increased transcription of proinflammatory cytokine genes.2,3,10–12
Cibinqo has been studied across six Phase III trials as monotherapy or in combination with medicated topical therapies.1–7
3,128 patients were treated with Cibinqo in clinical studies in AD representing 2,089 patient-years of exposure.1
References:
Cibinqo Risk Minimisation Programme (RMP) materials, including a Patient Card and Prescriber Brochure, are available from https://www.medicines.org.uk/emc. Patients treated with Cibinqo should be given the Patient Card.
Adverse events should be reported. Reporting forms and information can be found at www.mhra.gov.uk/yellowcard or search
for MHRA Yellow Card in Google Play or Apple App Store
Adverse events should also be reported to Pfizer Medical Information on 01304 616161
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