Publications

Kontrol Noktası (Checkpoint) İnhibitörleri Tarafından İndüklenen Artiritin Tosilizumab ile Başarılı Tedavisi: Bir Vaka Serisi

Ann Rheum Dis 2017;76:2061-64. doi: 10.1136/annrheumdis-2017-211560

Kim ST,

Tayar J,

Trinh VA,

Suarez-Almazor M,

Garcia S,

Hwu P,

Johnson DH,

Uemura M,

Diab A

This case series evaluated the use of tocilizumab (TCZ) as an effective treatment for patients who develop arthritis as an adverse event (AE) of immune checkpoint inhibitor (ICI) cancer treatment. Results suggested that TCZ was an effective treatment, as it reduced the arthritis disease progression.ICIs have been defined as a revolutionary treatment for metastatic melanomas; however, a common AE is the development of polyarthritis. Current arthritis treatments reduce the efficiency of ICI therap...

Romatoid Artritde Tofasitinib Tedavisi: Biyolojik-naif ve - Deneyimli Hastaların Doğrudan Karşılaştırmalı Bir Çalışması

Intern Med. 2018 Mar 1;57(5):663-670. doi: 10.2169/internalmedicine.9341-17

Mori S,

Yoshitama T,

Ueki Y

This 6-month prospective direct comparison study analysed the effectiveness of tofacitinib (TOF) therapy on bDMARD-naïve and bDMARD-experienced patients. bDMARD-naïve patients were more responsive to TOF therapy than bDMARD-experienced patients.The study analysed the data of 113 patients diagnosed with high or moderate disease activity, defined using CDAI scores. All patients had failed to achieve CDAI low disease activity or remission with MTX therapy for ≥3 months. Patients were given 5 mg TOF...

Keywords:

• JAK,
• Tofacitinib,
• Phase 4

Lymphoma in the Tofacitinib Rheumatoid Arthritis Clinical Development Program

Arthritis Care Res (Hoboken). 2018 May;70(5):685-694. doi: 10.1002/acr.23421

Mariette X,

Chen C,

Biswas P,

Kwok K,

Boy MG

Analysis of 19 studies involving the use of tofacitinib to treat RA showed that lymphoma incidence rate and type were consistent with expectations in the RA population as a whole, and did not increase with tofacitinib exposure time.Previous research has suggested that there is a link between the likelihood of developing malignant tumours and RA. Previously, it has been unclear whether the increased rates seen are due to the use of immunomodulatory therapies, such as tofacitinib, which are used a...

Keywords:

• JAK,
• Tofacitinib,
• Phase 2,
• Phase 3,
• Malignancy

Tümör Nekroz Faktörü Inhibitörleri Arasında Değişim veya Yeni Etki Mekanizmali Tedaviye Geçişin Tedavide Sürekliliği ve Klinik Sonuçları : ABD'de Tümör Nekroz Faktör İnhibitörü Tedavisi Almış Romatoid Artritli Hastaların Gerçek-Dünya Gözlemsel Çalışması

Adv Ther. 2017 Aug;34(8):1936-1952. doi: 10.1007/s12325-017-0578-8

Wei W,

Knapp K,

Wang L,

Chen C-I,

Craig GL,

Ferguson K Schwartzman S

This retrospective, observational study used a real-world US clinical database to demonstrate greater effectiveness of switching to a therapy with an alternative mechanism of action (MOA) vs cycling between TNF inhibitors (TNFis) in patients in which TNFi therapy has failed.Between 1 April 2010 and 31 March 2015, a total of 613 of the observed patients failed a TNFi therapy and then either cycled to another TNFi therapy (54.2%) or switched to a therapy with an alternative MOA (45.8%). The most c...

Romatoid Artritde Hedeflenen Tedaviler 1Romatoid Artrit Tedavisinden Patogenetik Anlayış

Lancet 2017;389:2328–37 DOI 10.1016/S0140-6736(17)31472-1

McInnes I,

Schett G

This review paper examines the understanding gained from looking at the effects of specific immune interventions in the treatment of RA.The introduction of novel IL-6 agents has provided the ideal opportunity to explore the distinct effect of cytokine inhibition, as opposed to receptor inhibition, at the molecular level. Mechanistic insights into TNF could also be obtained in the future with advanced molecular and informatics approaches, and future biopsy studies will be important to explore the...

Keywords:

• Basic Science,
• Review

Romatoid Artritli Hastalarda Tofasitinib'in Düşük Hastalık Aktivitesi Sağlandıktan Sonra Kesilmesi: Çok Merkezli, Gözlemsel Çalışma

Rheumatology. Doi 10.1093/rheumatology/kex068

Kubo S,

Yamaoka K,

Amano K,

Nagano S,

Tohma S,

Suematsu E,

Nagasawa H,

Iwata K and Tanaka Y

This study showed that in patients who achieved low disease activity (LDA), it is possible to discontinue tofacitinib without flare in approximately one-third of patients. Patients from the tofacitinib Phase 3 programme and long-term extension study were enroled. Discontinuation was based on physician-patient decision making with informed consent. The primary endpoint was the proportion of patients who remained tofacitinib free at post-treatment Week 52. Of 64 patients treated with tofacitinib w...

Keywords:

• JAK,
• Tofacitinib,
• Real-World

Romatolojik Hastalıklarda JAK İnhibitörlerinin Güvenlilik Profili

Nature Reviews Rheumatology 2017;13:234–43

Kevin L. Winthrop

This review discusses the current understanding of the safety of JAK inhibitors, including providing an overview of the changes in laboratory parameters, infection and malignancy risks associated with each JAK inhibitor compound.The review discusses the adverse event profiles and cellular changes characteristically seen with each JAK inhibitor, as well as the overlap or differences between the various compounds. The relative specificities for different JAKs between each compound do not always p...

Keywords:

• JAK,
• Safety,
• Review

Romatoid Artrit Hastalarında Selektif JAK-1 inhibitörü olan ABT-494 Faz 2b Çalışması

Arthritis Rheumatol 2016;68:2867–77

Kremer JM,

Emery P,

Camp HS,

Friedman A,

Wang L,

Othman AA,

Khan N,

Pangan AL,

Jungerwirth S and Keystone EC

The summary and accompanying slide deck have been developed in conjunction with the Genovese et al. study (Study 1) which examined ABT-494 in MTX-IR patients in order to compare and contrast the data. In these two Phase 2b studies, ABT-494 (a novel selective JAK-1 inhibitor) was shown to be effective in patients with active RA who were non-responders to MTX or at least one TNF inhibitor.Patients with active RA who had an inadequate response to MTX (study 1) or were refractory to or intolerant of...

Keywords:

• JAK,
• Updacitinib,
• Phase 2

Romatoid Artrit Hastalarında Selektif JAK-1 inhibitörü olan ABT-494 Faz 2b Çalışması

Arthritis Rheumatol 2016;68:2857–66

Genovese MC,

Smolen JS,

Weinblatt ME,

Burmester GR,

Meerwein S,

Camp HS,

Wang L,

Othman AA,

Khan N,

Pangan AL and Jungerwirth S

The summary and accompanying slide deck have been developed in conjunction with the Kremer et al. study (Study 2) which examined ABT-494 in TNF-IR patients in order to compare and contrast the data. In these two Phase 2b studies, ABT-494 (a novel selective JAK-1 inhibitor) was shown to be effective in patients with active RA who were non-responders to MTX or at least one TNF inhibitor.Patients with active RA who had an inadequate response to MTX (study 1) or were refractory to or intolerant of p...

Keywords:

• JAK,
• Updacitinib,
• Phase 2

Hamilelikte Tocilizumab Kullanımı: Klinik Çalışmalar ve Pazarlama Sonrası Verileri Içeren Global Güvenlik Veritabanı Analizi

Semin Arthritis Rheum 2016;46:238–45. DOI 10.1016/j.seminarthrit.2016.05.004.

Hoeltzenbein M,

Beck E,

Rajwanshib R,

GøtestamSkorpen C,

Berberb E,

Schaefera C,

Østensenc M

This dataset is the largest series of tocilizumab (TCZ)-exposed pregnancies to date; considering the limitations of global safety databases, the data presented provide information to assist physicians and patients in making informed decisions.At present, published experience on TCZ use during pregnancy is very limited. In the current analysis, all pregnancy-related reports in the Roche Global Safety Database until December 31, 2014 were analysed. Outcomes assessed included: spontaneous abortion,...

Keywords:

• IL-6,
• Tocilizumab,
• Pregnancy / Fertility