Tapinarof Cream 1% Once Daily: Consistent Efficacy Across Age Groups for Children Down to 2 Years of Age with Atopic Dermatitis in Two Pivotal Phase 3 Trials

Main Article Content

Luz Fonacier
Mark Boguniewicz
Jason Ohayon
Philip M. Brown
David S. Rubenstein
Anna M. Tallman
Jonathan I. Silverberg

Keywords

tapinarof cream 1% once daily, atopic dermatiits, Tapinarof

Abstract

- Tapinarof (VTAMA®, Dermavant Sciences, an Organon Company) is a non-steroidal, topical aryl hydrocarbon receptor (AhR) agonist approved by the FDA for the treatment of atopic dermatitis (AD) in adults and children down to 2 years of age, and for the treatment of plaque psoriasis in adults, with no warnings, contraindications, drug–drug interactions, or restrictions on duration, location, or extent of use1
- Tapinarof cream is cosmetically elegant, easily applied, quickly absorbed, and not greasy or sticky2
- Tapinarof binds to and activates AhR to restore the skin barrier by upregulating key barrier 
components, downregulating pro-inflammatory cytokines associated with AD, and reducing oxidative 
stress (Figure 1)3
- In ADORING 1 and 2, two pivotal phase 3, randomized, double-blind, vehicle-controlled trials, tapinarof cream 1% once daily (QD) demonstrated statistically significant efficacy and was well tolerated in adults and children down to 2 years of age with AD4

References

1. Dermavant Sciences. VTAMA® (tapinarof) cream, 1%: US prescribing information; 2024. Available at: https://www.vtama.com/PI/. Accessed September 2025.

2. Bagel J, et al. J Am Acad Dermatol. 2023;89:936–944.

3. Eichenfield LF, et al. J Dermatolog Treat. 2024;35:2300354.

4. Silverberg JI, et al. J Am Acad Dermatol. 2024;91:457–465.

5. Stein Gold L, et al. J Dermatolog Treat. 2025;36:2444489.

6. Bissonnette R, et al. J Am Acad Dermatol. 2025;93:707–714.

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