未治療関節リウマチ患者におけるトファシチニブ, バリシチニブ, ウパダシチニブ, フィルゴチニブのメトトレキサートに対する相対的寛解および低疾患活動性達成率

Pharmacology 2023;108(6):589–598 doi 10.1159/000527186

The results of a Bayesian network meta-analysis by Lee and Song showed that JAK inhibitors were more likely to achieve remission and LDA in DMARD-naive RA patients than MTX. However, there were no significant differences in remission rates nor LDA rates between the JAK inhibitors investigated.

This meta-analysis included four RCTs that captures remission (DAS28-CRP<2.6) and LDA (DAS28-CRP≤3.2) rates resulting from treatment with tofacitinib, baricitinib, upadacitinib, and filgotinib monotherapy, versus MTX in patients with DMARD-naive RA.