On September 13, 2024, the U.S. Food and Drug Administration (FDA) approved Ebglyss™ (lebrikizumab-lbkz), a new biologic treatment for moderate-to-severe atopic dermatitis that is uncontrolled with topical therapies. Atopic dermatitis, or eczema, is an inflammatory condition that causes skin to be dry, itchy and inflamed. Symptoms can vary from person to person, in addition to the range of affected areas, although typically individuals will experience dry, cracked skin, itchiness, a rash or small raised bumps. Ebglyss™, developed by Eli Lilly and Company, reduces skin inflammation throughout the body by targeting an inflammation regulator known as IL-13.The medication is approved for adults and children at least 12 years old and 88 pounds with moderate-to-severe- eczema that is uncontrolled with topical prescription medications. Ebglyss™ is an injection that can be given with or without topical corticosteroids. Injections are given every two weeks until week 16, or once an adequate clinical response is achieved; then a patient may transition to a single monthly maintenance injection.
Approval of the medication is based on the results of the ADvocate 1, ADvocate 2, and ADhere studies where the primary endpoint was evaluated at 16 weeks and measured as clear or almost clear skin. Over 1,000 adults and children with moderate-to-severe-eczema uncontrolled by topical medications were included and results found that 38% of individuals who received Ebglyss™ achieved clear or almost clear skin at week 16 and 10% saw results four weeks early. Furthermore, 77% of patients maintained these results at one year with monthly dosing. Side effects of the medication include eye and eyelid inflammation, injection site reactions and shingles. The medication will be available in the coming weeks in the United States and the manufacturer, Eli Lilly and Company, will offer a patient support program, including copay assistance, for eligible patients.