Rapid Onset of Itch Relief With Tapinarof in Two Phase 3 Trials in Atopic Dermatitis

  • Eric L. Simpson
  • , Jonathan I. Silverberg
  • , Robert Bissonnette
  • , Linda Stein Gold
  • , April Armstrong
  • , Adelaide A. Hebert
  • , Rocco T. Serrao
  • , Jeannette R. Jakus
  • , Philip M. Brown
  • , David S. Rubenstein
  • , Stephen C. Piscitelli
  • , Anna M. Tallman
  • , Lawrence F. Eichenfield

Research output: Contribution to journalArticlepeer-review

Abstract

Background: In the ADORING 1 and 2 phase 3 trials, tapinarof cream 1% once daily (QD) demonstrated significant efficacy and was well tolerated in adults and children down to 2 years of age with atopic dermatitis (AD). Here we evaluate the time to onset of itch relief in the trials. Do Not Copy Methods: Eight hundred thirteen (813) patients were randomized Penalties to tapinarof Apply cream 1% or vehicle QD for 8 weeks. Pruritus relief was assessed by Peak Pruritus Numerical Rating Scale (PP-NRS) scores (daily and by visit at weeks 1, 2, 4, and 8). Results: Mean baseline PP-NRS scores in ADORING 1 and 2 were 6.7 and 6.8, respectively. Greater reductions in mean daily PP-NRS scores were observed for tapinarof vs vehicle as early as day 1, 24 hours after initial application (–1.2 vs –1.0; pooled post hoc analysis), with significant improvements at day 2 (–1.6 vs –1.1, P=0.0115). Daily pruritus improvements continued through week 8. Significantly greater reductions in mean weekly PP-NRS scores with tapinarof vs vehicle were demonstrated at week 1 in ADORING 1, –2.0 vs –1.2 (P<0.0001) and ADORING 2, –2.0 vs –1.3 (P=0.0010), continuing through week 8, –4.1 vs –2.6 and –4.1 vs –2.4 (both P<0.0001).

Original languageEnglish
Pages (from-to)600-607
Number of pages8
JournalJournal of Drugs in Dermatology
Volume24
Issue number6
DOIs
StatePublished - Jun 2025
Externally publishedYes

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