Chronic Prurigo: Current Knowledge, Treatment Strategies, Future Perspectives, and Unmet Needs

Authors

  • Ignasi Figueras Derpartment of Dermatology, University Hospital of Bellvitge, L’Hospitalet de Llobregat, Spain
  • Esther Serra-Baldrich Department of Dermatology, University Hospital of Santa Creu i Sant Pau, Barcelona, Spain
  • Sonja Ständer Department of Dermatology, Center for Chronic Pruritus, University Hospital Münster, Münster, Germany

DOI:

https://doi.org/10.2340/actadv.v106.44285

Keywords:

Prurigo Nodularis, chronic prurigo, pruritus., unmet needs, Treatment

Downloads

Download data is not yet available.

References

Müller S, Zeidler C, Ständer S. Chronic prurigo including prurigo nodularis: new insights and treatments. Am J Clin Dermatol 2024; 25: 15–33. DOI: https://doi.org/10.1007/s40257-023-00818-z

Ständer S, Pereira MP, Berger TM, Zeidler C, Augustin M, Bobko S, et al. IFSI-guideline on chronic prurigo including prurigo nodularis. Itch 2020; 5: e42. DOI: https://doi.org/10.1097/itx.0000000000000042

Mahmoud O, Oladipo O, Mahmoud RH, Yosipovitch G. Itch: from the skin to the brain – peripheral and central neural sensitization in chronic itch. Front Mol Neurosci 2023; 16: 1272230. DOI: https://doi.org/10.3389/fnmol.2023.1272230

Parthasarathy V, Yosipovitch G, Kwatra SG. Pathogenesis of prurigo nodularis: current perspectives and future directions. Front Med (Lausanne) 2022; 9: 1011142. DOI: https://doi.org/10.3389/fmed.2022.1011142

Rodriguez D, Kwatra SG, Dias-Barbosa C, Zeng F, Jabbar Lopez ZK, Piketty C, et al. Patient perspectives on living with severe prurigo nodularis. JAMA Dermatol 2023; 1205–1212. DOI: https://doi.org/10.1001/jamadermatol.2023.3251

Chisolm SS. A review of the current management and burden of prurigo nodularis in the United States. Am J Manag Care 2023; 29: S63–S72. DOI: https://doi.org/10.37765/ajmc.2023.89366

Yin M, Yang C, Guo Y, Yang X, Dou X. Comorbidities of chronic prurigo: a systematic review and meta-analysis. Dermatology 2024; 240: 32–41. DOI: https://doi.org/10.1159/000534660

Morgan CL, Thomas M, Heywood BR, Ständer S, Kwatra SG, Jabbar-Lopez ZK, et al. Incident comorbidity, resource use, and all-cause mortality associated with prurigo nodularis: a United Kingdom retrospective database analysis. JID Innov 2023; 3: 100233. DOI: https://doi.org/10.1016/j.xjidi.2023.100233

Elmariah S, Kim B, Berger T, Chisolm S, Kwatra SG, Mollanazar N, et al. Practical approaches for diagnosis and management of prurigo nodularis: United States expert panel consensus. J Am Acad Dermatol 2021; 84: 747–760. DOI: https://doi.org/10.1016/j.jaad.2020.07.025

Yosipovitch G, Mollanazar N, Ständer S, Kwatra SG, Kim BS, Laws E, et al. Dupilumab in patients with prurigo nodularis: two randomized, double-blind, placebo-controlled phase 3 trials. Nat Med 2023; 29: 1180–1190. DOI: https://doi.org/10.1038/s41591-023-02320-9

Ständer S, Yosipovitch G, Legat FJ, Reich A, Paul C, Simon D, et al. Efficacy and safety of nemolizumab in patients with moderate to severe prurigo nodularis: the OLYMPIA 1 randomized clinical phase 3 trial. JAMA Dermatol 2025; 161: 147–156. DOI: https://doi.org/10.1001/jamadermatol.2024.4796

Paganini C, Talamonti M, Maffei V, Di Raimondo C, Bianchi L, Galluzzo M. Real-world effectiveness of dupilumab for prurigo nodularis. J Clin Med 2024; 13: 878. DOI: https://doi.org/10.3390/jcm13030878

Bianco M, D’Oria F, Falcidia C, Foggi G, Matteodo E, Di Giulio S, et al. New and emerging biologics and JAK inhibitors for the treatment of prurigo nodularis: a narrative review. Medicina (Kaunas) 2025; 61: 631. DOI: https://doi.org/10.3390/medicina61040631

Sofen H, Bissonnette R, Yosipovitch G, Silverberg JI, Tyring S, Loo WJ, et al. Efficacy and safety of vixarelimab, a human monoclonal oncostatin M receptor β antibody, in moderate-to-severe prurigo nodularis: a randomized, double-blind, placebo-controlled, phase 2a study. EClinicalMedicine 2023; 57: 101826. DOI: https://doi.org/10.1016/j.eclinm.2023.101826

ClinicalTrials.gov. Study of rocatinlimab in prurigo nodularis (NCT06527404). ClinicalTrials.gov [Accessed March 2025]. Available from: www.clinicaltrials.gov/study/NCT06527404

Published

2026-01-08

How to Cite

Figueras, I., Serra-Baldrich, E., & Ständer, S. (2026). Chronic Prurigo: Current Knowledge, Treatment Strategies, Future Perspectives, and Unmet Needs. Acta Dermato-Venereologica, 106, adv44285. https://doi.org/10.2340/actadv.v106.44285

Issue

Section

Short Communication

Categories