Lilly's EBGLYSS® (lebrikizumab-lbkz) single monthly maintenance injection achieved completely clear skin at three years in half of patients with moderate-to-severe atopic dermatitis

Core Insights - Eli Lilly's EBGLYSS has shown significant long-term efficacy in treating moderate-to-severe atopic dermatitis, with 50% of patients achieving complete skin clearance and 87% achieving almost-clear skin after three years of treatment [1][20][24] - The drug was approved in the U.S. as a first-line monotherapy biologic treatment option in September 2024, following topical therapies [1][20] - EBGLYSS is an interleukin-13 (IL-13) inhibitor that effectively targets the inflammatory processes associated with atopic dermatitis [1][19] Efficacy and Study Results - In the ADjoin long-term extension study, 50% of patients receiving once-monthly maintenance doses achieved complete skin clearance (EASI 100 or IGA 0) at three years, while 87% maintained almost-clear skin (EASI 90) [1][5] - Over 83% of Week 16 responders did not require concomitant therapies such as topical corticosteroids during the study [1] - Additional studies (ADmirable and ADapt) demonstrated significant improvements in itch, skin pain, and sleep loss due to itch among diverse patient groups [1][26][27] Safety Profile - The safety profile of EBGLYSS in recent studies was consistent with previous Phase 3 studies, with no new safety signals reported [2] - Most adverse events were mild or moderate, with conjunctivitis and injection-site reactions being the most common treatment-related side effects [2] Market Position and Development - EBGLYSS is the only first-line biologic treatment option for patients with moderate-to-severe atopic dermatitis uncontrolled by topical therapies, offering a once-monthly maintenance dosing regimen [3][20] - Eli Lilly has exclusive rights for the development and commercialization of EBGLYSS in the U.S. and other regions outside Europe, while Almirall holds rights for European dermatology indications [3][20] Future Directions - Further data from the ADmirable study, focusing on patients with skin of color, is expected to be shared in 2025, indicating ongoing commitment to diverse patient populations [19][26]