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• if the evidence is sufficient and in accordance with the consensus process, the recommendations should be made.the evidence is insufficient or conflicting to make a recommendations or if there is no available evidence that can be used to draw a clear conclusion about the effectiveness of one of the interventions. however, the gmc believes that different options exist for the treatment of scoliosis and the optimum treatment plan for any patient must be decided on an individual basis in consultation with the patient.

the three studies that evaluated the efficacy and safety of rinvoq in adults and adolescents with moderate to severe atopic dermatitis were randomized, placebo-controlled trials. measure up 1 and measure up 2 were 4-week studies without the use of tcs in which skin clearing was the primary endpoint; ad up was a 52-week study with the use of topical corticosteroids and was a secondary endpoint. in all three studies, rinvoq demonstrated significant improvement in skin clearance and reduction in itchin compared to placebo. the co-primary endpoints included at least a 75 percent improvement in easi (easi 75) from baseline and a validated viga-ad score of 0/1 (clear or almost clear) at week 16. additionally, more patients treated with either dose of upadacitinib experienced a clinically meaningful reduction in itch, defined as improvement in worst pruritus nrs4.

data from the three pivotal phase 3 trials were published in full in 2006 and 2007. the original findings publication of these trials was published in 2007, but a few small abstracts of preliminary results were presented at major international meetings (american academy of orthopaedic surgeons, american academy of dermatology) in 2004 and 2005, before the data had been published in full. the data from the three pivotal studies of rinvoq were considered to be sufficient and in accordance with the consensus process. however, the gmc considers that more recent data is required before making any recommendations regarding the use of upadacitinib for the treatment of atopic dermatitis. therefore, the implications of each of the recommendations below are qualified by an accompanying footnote providing the latest evidence that is available.


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