Tapinarof cream 1% once daily was well tolerated in adults and children with atopic dermatitis in two phase 3 randomized trials

Background: Tapinarof cream 1% once daily (QD) demonstrated significant efficacy in patients down to age 2 years with atopic dermatitis (AD) in the ADORING 1 and 2 phase 3 trials. We report local tolerability outcomes.Methods: Patients received Tapinarof or vehicle cream QD for 8 weeks. Tolerability...

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Main Authors: Linda Stein Gold, James Del Rosso, Benjamin D. Ehst, Matthew J. Zirwas, Lawrence J. Green, Philip M. Brown, David S. Rubenstein, Stephen C. Piscitelli, Anna M. Tallman
Format: Article
Language:English
Published: Taylor & Francis Group 2025-12-01
Series:Journal of Dermatological Treatment
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Online Access:https://www.tandfonline.com/doi/10.1080/09546634.2024.2444489
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author Linda Stein Gold
James Del Rosso
Benjamin D. Ehst
Matthew J. Zirwas
Lawrence J. Green
Philip M. Brown
David S. Rubenstein
Stephen C. Piscitelli
Anna M. Tallman
author_facet Linda Stein Gold
James Del Rosso
Benjamin D. Ehst
Matthew J. Zirwas
Lawrence J. Green
Philip M. Brown
David S. Rubenstein
Stephen C. Piscitelli
Anna M. Tallman
author_sort Linda Stein Gold
collection DOAJ
description Background: Tapinarof cream 1% once daily (QD) demonstrated significant efficacy in patients down to age 2 years with atopic dermatitis (AD) in the ADORING 1 and 2 phase 3 trials. We report local tolerability outcomes.Methods: Patients received Tapinarof or vehicle cream QD for 8 weeks. Tolerability was evaluated using patient/parent/caregiver and investigator 5-point Local Tolerability Scales (LTS). Investigators assessed tolerability for sensitive skin areas, including face/neck.Results: 813 patients were randomized (∼80% pediatric). Mean pretreatment baseline overall LTS scores were similar across groups and trials: 1.0–1.9 (patient-assessed) indicating slight burning/stinging and itching; and 0.3–0.6 (investigator-assessed) indicating no-to-minimal irritation. Tapinarof was well tolerated with improvement from pretreatment baseline and no-to-minimal burning/stinging and itching from first application through Week 8 (patient-reported): mean Week 8 LTS scores were 0.2–0.4 (burning/stinging) and 0.6–0.8 (itching). Investigators reported improvement from pretreatment baseline with no-to-minimal irritation (dryness/erythema/peeling) from first Tapinarof application through Week 8 (mean LTS scores: 0.2 and 0.1 in ADORING 1 and 2, respectively). Across sensitive skin, investigators reported no-to-minimal irritation from first application through Week 8 (mean scores [Tapinarof versus vehicle]: 0–0.3 versus 0–1.0).Conclusion: Tapinarof was well tolerated locally from first application through Week 8, including on sensitive skin areas.Clinicaltrials.gov numbers NCT05014568, NCT05032859
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spelling doaj-art-c9d8f63fc5a24ca388e73879e00d532a2025-01-12T23:29:49ZengTaylor & Francis GroupJournal of Dermatological Treatment0954-66341471-17532025-12-0136110.1080/09546634.2024.2444489Tapinarof cream 1% once daily was well tolerated in adults and children with atopic dermatitis in two phase 3 randomized trialsLinda Stein Gold0James Del Rosso1Benjamin D. Ehst2Matthew J. Zirwas3Lawrence J. Green4Philip M. Brown5David S. Rubenstein6Stephen C. Piscitelli7Anna M. Tallman8Henry Ford Health System, Detroit, MI, USAJDR Dermatology Research/Thomas Dermatology, Las Vegas, NV, USAOregon Medical Research Center, Portland, OR, USADOCS Dermatology, Bexley, OH, USAThe George Washington University School of Medicine and Health Sciences, Washington, DC, USADermavant Sciences, Inc., Morrisville, NC, USAFormerly of Dermavant Sciences, Inc, Morrisville, NC, USADermavant Sciences, Inc., Morrisville, NC, USADermavant Sciences, Inc., Morrisville, NC, USABackground: Tapinarof cream 1% once daily (QD) demonstrated significant efficacy in patients down to age 2 years with atopic dermatitis (AD) in the ADORING 1 and 2 phase 3 trials. We report local tolerability outcomes.Methods: Patients received Tapinarof or vehicle cream QD for 8 weeks. Tolerability was evaluated using patient/parent/caregiver and investigator 5-point Local Tolerability Scales (LTS). Investigators assessed tolerability for sensitive skin areas, including face/neck.Results: 813 patients were randomized (∼80% pediatric). Mean pretreatment baseline overall LTS scores were similar across groups and trials: 1.0–1.9 (patient-assessed) indicating slight burning/stinging and itching; and 0.3–0.6 (investigator-assessed) indicating no-to-minimal irritation. Tapinarof was well tolerated with improvement from pretreatment baseline and no-to-minimal burning/stinging and itching from first application through Week 8 (patient-reported): mean Week 8 LTS scores were 0.2–0.4 (burning/stinging) and 0.6–0.8 (itching). Investigators reported improvement from pretreatment baseline with no-to-minimal irritation (dryness/erythema/peeling) from first Tapinarof application through Week 8 (mean LTS scores: 0.2 and 0.1 in ADORING 1 and 2, respectively). Across sensitive skin, investigators reported no-to-minimal irritation from first application through Week 8 (mean scores [Tapinarof versus vehicle]: 0–0.3 versus 0–1.0).Conclusion: Tapinarof was well tolerated locally from first application through Week 8, including on sensitive skin areas.Clinicaltrials.gov numbers NCT05014568, NCT05032859https://www.tandfonline.com/doi/10.1080/09546634.2024.2444489Tapinarof cream 1% once dailyaryl hydrocarbon receptor agonistatopic dermatitisphase 3 trialsadults and childrenlocal tolerability scale
spellingShingle Linda Stein Gold
James Del Rosso
Benjamin D. Ehst
Matthew J. Zirwas
Lawrence J. Green
Philip M. Brown
David S. Rubenstein
Stephen C. Piscitelli
Anna M. Tallman
Tapinarof cream 1% once daily was well tolerated in adults and children with atopic dermatitis in two phase 3 randomized trials
Journal of Dermatological Treatment
Tapinarof cream 1% once daily
aryl hydrocarbon receptor agonist
atopic dermatitis
phase 3 trials
adults and children
local tolerability scale
title Tapinarof cream 1% once daily was well tolerated in adults and children with atopic dermatitis in two phase 3 randomized trials
title_full Tapinarof cream 1% once daily was well tolerated in adults and children with atopic dermatitis in two phase 3 randomized trials
title_fullStr Tapinarof cream 1% once daily was well tolerated in adults and children with atopic dermatitis in two phase 3 randomized trials
title_full_unstemmed Tapinarof cream 1% once daily was well tolerated in adults and children with atopic dermatitis in two phase 3 randomized trials
title_short Tapinarof cream 1% once daily was well tolerated in adults and children with atopic dermatitis in two phase 3 randomized trials
title_sort tapinarof cream 1 once daily was well tolerated in adults and children with atopic dermatitis in two phase 3 randomized trials
topic Tapinarof cream 1% once daily
aryl hydrocarbon receptor agonist
atopic dermatitis
phase 3 trials
adults and children
local tolerability scale
url https://www.tandfonline.com/doi/10.1080/09546634.2024.2444489
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