Tackling Atopic Dermatitis From Multiple Angles
A conversation with two Sanofi physicians on a quest to bring new first and best-in-class medicines to people suffering from atopic dermatitis and other debilitating skin conditions caused by chronic inflammation.
Trapped in One’s Own Skin
For Dr. Karl Yen, Global Project Head at Sanofi, atopic dermatitis (AD) is personal.
“As a pediatrician and a father to a child with AD, I’ve experienced first-hand the effect that this disease can have on both a patient and their family. Imagine having a full-body rash that won’t go away, not being able to sleep at night because of severe itching or waking up every morning with blood on your pajamas and sheets from scratching. It takes a real toll on your life.”
When Carlos Peralta, VP, Global Head of Dermatology for Sanofi, started his career as a dermatologist, there was little he could do for the people who came to his office with the debilitating symptoms of AD. For decades, the mainstays of treatment remained skin moisturizers and topical steroids; for both Drs Yen and Peralta, it was tremendously gratifying to join Sanofi’s quest for new therapies.
Transforming Care in Atopic Dermatitis
A lot has happened in the past few years to address unmet patient needs. There has been a major shift in scientific research toward understanding AD as a systemic, chronic inflammatory disease.
“With the availability of new treatments, general awareness of AD has improved, too, and patients found their voice to ask for effective treatments,” says Carlos. “This is incredibly motivating.”
Together with our partner, Regeneron, Sanofi brought the first biologic therapy for AD to the market, targeting IL-4 alpha receptors that play a role in the underlying immune response.
The Vision is Clear: To Change the Future of Immunology
Despite these significant advancements, unmet needs remain for people suffering from AD. As is the case with most chronic diseases, patients and physicians require a diverse toolkit of options for addressing their needs.
We’ve been dedicated to creating a robust pipeline of novel medicines with mechanisms of action that hit core immune pathways with the potential to have meaningful impact in a variety of diseases with the main goal of raising efficacy ceilings, intervening early in the disease and changing its course.
For AD, we are conducting phase 2 and phase 3 studies exploring a novel mechanism targeting OX40 Ligand, a nodal pathway in the inflammatory process, hypothesized to restore balance to the adaptive and innate immune system.
“Today, Sanofi researchers are looking beyond type 2 inflammation to discover new solutions for patients with mixed inflammatory responses. For example, my team is pursuing multiple programs targeting OX40-Ligand, a key immune mediator, as a target to potentially stop inflammation at its root,” says Karl.
An additional study for an IL-1 receptor–associated kinase 4 (IRAK4) is ongoing, with a IL13/TSLP NANOBODY® VHH study planned in AD.
Our contributions to AD care go beyond what happens in the labs. We have embarked on additional research on how AD disrupts the skin barrier, sleep patterns, or the unique considerations for patients with skin of color to contribute to the development of treatment options tailored to the specific needs of different patients.
Since joining Sanofi, Carlos has been a part of these efforts but still manages to stay in contact with some of his patients from nearly two decades earlier, “Having treatment options available has been an important advancement for them”, says Carlos. “Our commitment to developing first and best-in-class medicines is dedicated to them.”
Find out More About Immunology and Inflammation Research
Redefining R&D: How Immunoscience is Driving the Pipeline of the Future
Improving Quality of Care in Atopic Dermatitis
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References
- Eichenfield, Lawrence F., et al. Guidelines of care for the management of atopic dermatitis: section 1. Diagnosis and assessment of atopic dermatitis. J Am Acad Dermatol 70.2 (2014): 338-351.
- National Institutes of Health (NIH). Health Topics: Atopic Dermatitis. Available at: https://www.niams.nih.gov/health-topics/atopic-dermatitis. Last accessed August 2024.
- Yosipovitch G, Papoiu AD. What causes itch in atopic dermatitis? Curr Allergy Asthma Rep. 2008 Jul;8(4):306-11.
- Kaufman BP, Guttman-Yassky E, Alexis AF. Atopic dermatitis in diverse racial and ethnic groups-Variations in epidemiology, genetics, clinical presentation and treatment. Exp Dermatol. 2018 Apr;27(4):340-357.
- Chang YS, Chiang BL. Sleep disorders and atopic dermatitis: A 2-way street? J Allergy Clin Immunol. 2018 Oct;142(4):1033-1040.
- Schonmann Y, et al. Atopic Eczema in Adulthood and Risk of Depression and Anxiety: A Population-Based Cohort Study. J Allergy Clin Immunol Pract. 2020 Jan; 8(1): 248–257.e16
- Zuberbier T et al. Patient perspectives on the management of atopic dermatitis. J Allergy Clin Immunol. 2006 Jul;118(1):226-32.