PMID- 30587053 OWN - NLM STAT- MEDLINE DCOM- 20200525 LR - 20200525 IS - 1744-8409 (Electronic) IS - 1744-666X (Linking) VI - 15 IP - 4 DP - 2019 Apr TI - Topical agents for the treatment of atopic dermatitis. PG - 369-382 LID - 10.1080/1744666X.2019.1564038 [doi] AB - Atopic dermatitis (AD) is perhaps the most common inflammatory skin disorder worldwide, with an increasing incidence in developed countries. The mainstay treatment for patients with AD is topical therapies, which are used not only by the mild patients but also by the moderate-to-severe patients, in conjunction with systemic treatment. While topical steroids and calcineurin antagonists are widely used, these are associated with long-term cutaneous adverse effects (AEs) or a black box warning, preventing their chronic use. Areas covered: The aim of this review is to provide a comprehensive overview of new and upcoming topical therapies currently in development and undergoing clinical trials, as well as their safety and efficacy profiles, and discuss current topicals used in the management of AD. Expert opinion: AD is a heterogeneous disease with complex pathophysiology. Treatments available to date for AD provide disease control; however, patients struggle to find an optimized therapeutic regimen they may use long term and without severe effects. Novel therapies are currently under investigation, with the hope of shifting the paradigm of AD management from symptom control to disease eradication. FAU - Diaz, Aisleen AU - Diaz A AD - a Department of Dermatology , Icahn School of Medicine , New York , NY , USA. AD - b Laboratory for Inflammatory Skin Diseases , New York , NY , USA. AD - c Ponce Health Sciences University School of Medicine , Ponce , PR , USA. FAU - Guttman-Yassky, Emma AU - Guttman-Yassky E AD - a Department of Dermatology , Icahn School of Medicine , New York , NY , USA. AD - b Laboratory for Inflammatory Skin Diseases , New York , NY , USA. LA - eng PT - Journal Article PT - Review DEP - 20190108 PL - England TA - Expert Rev Clin Immunol JT - Expert review of clinical immunology JID - 101271248 RN - 0 (Calcineurin Inhibitors) RN - 0 (Immunosuppressive Agents) RN - WM0HAQ4WNM (Tacrolimus) SB - IM MH - Administration, Topical MH - Animals MH - Calcineurin Inhibitors/*therapeutic use MH - Clinical Trials as Topic MH - Dermatitis, Atopic/*drug therapy MH - Expert Testimony MH - Humans MH - Immunosuppressive Agents/*therapeutic use MH - Skin/drug effects/*pathology MH - Tacrolimus/*therapeutic use OTO - NOTNLM OT - Atopic dermatitis OT - crisaborole OT - tapinarof OT - topical calcineurin inhibitors OT - topical corticosteroids OT - topical janus kinase inhibitors OT - topical phosphodiaesterase-4 inhibitors EDAT- 2018/12/28 06:00 MHDA- 2020/05/26 06:00 CRDT- 2018/12/28 06:00 PHST- 2018/12/28 06:00 [pubmed] PHST- 2020/05/26 06:00 [medline] PHST- 2018/12/28 06:00 [entrez] AID - 10.1080/1744666X.2019.1564038 [doi] PST - ppublish SO - Expert Rev Clin Immunol. 2019 Apr;15(4):369-382. doi: 10.1080/1744666X.2019.1564038. Epub 2019 Jan 8.