Publications

Geleneksel Hastalık Modifiye Edici Anti-romatizmal İlaç (DMARD) Başarısız Romatoid Artrit Hastalarında Biyolojik veya Tofasitinib Monoterapi: Cochrane Sistematik Derlemesi ve Network Meta-analizi

Cochrane Database Syst Rev 2016;11:CD012437.

Singh JA,

Hossain A,

Tanjong Ghogomu E,

Mudano AS,

Tugwell P,

Wells GA

Treatment options for RA patients who are MTX/DMARD incomplete responders (IR) include other DMARDs, biologics or tofacitinib (TOF). However, there is a lack of direct head-to-head comparator trials of biologics in people with RA. This review provides an update of the 2009 Cochrane overview, ‘Biologics for rheumatoid arthritis’,1 and provides comparisons and estimates for biologic or TOF monotherapy in MTX/DMARD-IR people with RA.The benefits and harms of biologic monotherapy (TNFis: adalimumab,...

Keywords:

• JAK,
• Tofacitinib,
• Meta analysis

Metotreksat veya diğer geleneksel hastalık modifiye edici anti-romatizmal tedavilere yetersiz yanıt veren Romatoid Artrit hastalarında biyolojikler veya Tofasitinib: Bir Sistematik Derleme ve Network Meta-analizi

Cochrane Database of Systematic Reviews 2016 Issue 5. Art. No.: CD012183 [DOI: 10.1002/14651858.CD012183].

Singh et al

Treatment options for RA patients who are MTX/DMARD incomplete responders (IR) include other DMARDs, biologics or tofacitinib (TOF). However, there is a lack of head-to-head studies to show any important differences between these options in terms of benefits and harms. This review provides an update of the 2009 Cochrane overview and network meta-analysis (NMA) of biologics for RA.1Nine biologics (abatacept, adalimumab, anakinra, certolizumab pegol, etanercept, golimumab, infliximab, rituximab, a...

Keywords:

• JAK,
• Tofacitinib,
• Meta analysis

Romatoid Artrit Hastalarında Tofasitinib, Tocilizumab veya Diğer Biyolojik Tedavilerin Gastrointestinal Perforasyon Riskleri

Arthritis Rheumatol. 2016 May 17. DOI 10.1002/art.39761 [Epub ahead of print]

Xie et al.

Historically, patients with RA have suffered with upper tract gastrointestinal perforation (GIPs), associated with NSAID use. More recently, the IL-6 receptor antagonist tocilizumab (TCZ) has been associated with lower tract GIPs. Janus kinase (JAK) inhibitors, including tofacitinib (TOF), with some downstream effects on IL-6 signalling, also have potential for an increased risk of GIPs.There is limited real-world evidence and almost no comparative evidence on the risk for GIP associated with TC...

Keywords:

• IL-6,
• Tocilizumab,
• Safety,
• GI

Tofasitinib ve Biyolojik Tedavi Alan Romatoid Artrit Hastalarında Herpes Virüs Enfeksiyonlarının Gerçek-Dünya Karşılaştırmalı Riskleri

Ann Rheum Dis. 2016 Apr 25;0:1–5 doi: 10.1136/annrheumdis-2016-209131

Curtis et al.

Herpes Zoster (HZ) complications can cause considerable morbidity including debilitating pain syndromes. Clinical trials of tofacitinib have suggested it may increase the risk of HZ. Although unclear, the mechanism may involve reduced CD4 T-cell function and interference of interferon signalling. Following approval of tofacitinib in the US in 2012, real-world data from Medicare (2006–2013) and from the US longitudinal database, Marketscan, (2010–2014) were analysed. A total of 2526 patients who...

Keywords:

• JAK,
• Tofacitinib,
• Real-World,
• Infections

Erişkin US Hastalarında Sık Görülen Dört Inflamatuar Hastalıkta Biyolojik ve JAK inhibitör Tedavilerinin Kullanımı ve Maliyetlerinin Karşılaştırıldığı Retrospektif Kohort Çalışması

Adv Ther. 2016 Mar 12. DOI 10.1007/s12325-016-0312-y

Chastek et al.

Biologics are used to treat several inflammatory diseases, including RA, PsO, PsA, and AS; however, the cost of biologic therapies is high compared to non-biologic DMARDs. By using evidence-based assessment of comparative costs between biologics, healthcare resources can be properly allocated. This study used medical and pharmacy claims data to assess the utilitisation and cost of biologic treatment for RA, PsO, PsA, and AS. ETN (45%), ADA (32%), and INF (9%) were the most common medications and...

Keywords:

• JAK,
• Cost / Cost Effectiveness,
• Review

Romatoid Artrit tanılı yaşlı hastalarda biyolojik tedavilerin kardiyovasküler risk üzerindeki etkileri

Ann Rheum Dis 2016;0:1–6 doi:10.1136/ annrheumdis-2015-207870 [Epub ahead of print]

Zhang et al.

Since RA patients are at an increased risk of a CV event, there have been several studies to determine if RA treatments alter this risk. In a retrospective study, Zhang and colleagues assess the risk of CV events in patients initiating bDMARDs.Using Medicare medical and pharmacy claims data, the incidence rate (IR) of acute myocardial infarction (AMI) and of a composite CHD* was calculated across RA patients initiating 8 different biologics: ABA, ADA, CER, ETA, GOL, INF, RIT, and TOC. There were...

Keywords:

• Safety,
• Cardiovascular

Romatoid Artrit Klinik Çalışmalarında Tofasitinib ve Biyolojik DMARD Tedavisi ile Gözlenen Ciddi Infeksiyonların Sistematik Derleme ve Metaanalizi

Arthritis Res Ther. 2015 Dec 15;17(1):362

Strand V,

Ahadieh S,

French J,

Geier J,

Krishnaswami S,

Menon S,

Checchio T,

Tensfeldt TG,

Hoffman E,

Riese R,

Boy M,

Gomez-Reino JJ

Tofacitinib is an oral Janus kinase inhibitor for the treatment of RA. By modulating the signalling of cytokines that are integral to lymphocyte activation, proliferation, and function, tofacitinib may suppress multiple elements of immune response. A systematic literature search including all biologics and tofacitinib procured 66 RCTs and 22 LTEs that were included in a meta-analysis to provide estimated incidence rates, risk ratios, and risk differences of serious infection for each therapy. Es...

Keywords:

• JAK,
• Tofacitinib,
• Safety,
• Meta analysis,
• Infections