Publications

X線変化を伴う体軸型脊椎関節炎におけるixekizumabの 効果に関するCRP上昇またはMRI変化の影響

Rheumatology Expert, 2022 DOI: 10.1093/rheumatology/keac104

Maksymowych WP,

Bolce R,

Gallo G,

Seem E,

Geneus VJ,

Sandoval DM,

Østergaard M,

Tada K,

Baraliakos X,

Deodhar A,

Gensler LS

Maksymowych et al., evaluated the efficacy of Ixekizumab in patients with radiographic axial spondyloarthritis (r-axSpA) with and without objective measures of inflammation.

Keywords:

• IL-17,
• Ixekizumab,
• Efficacy,
• Imaging

活動性強直脊椎炎患者におけるMRI上仙腸関節病変 に対するfilgotinibの効果 (TORTUGA 試験)

Rheumatology 2022;61:2063–71 doi:10.1093/rheumatology/keab543

Maksymowych WP,

Østergaard M,

Landewe R,

Barchuk W,

Liu K,

Tasset C,

Gilles L,

Hendrikx T,

Besuyen R,

and Baraliakos X

Maksymowych et al., carried out a post-hoc analysis to assess the effect of filgotinib on MRI measures of structural change in the SI joint in patients with active AS in the TORTUGA trial. This study evaluated lesions using SPARCC SSS definitions for erosion, backfill, fat metaplasia and ankylosis by two independent scoring readers.

Keywords:

• JAK,
• Filgotinib,
• Efficacy,
• Imaging

関節リウマチ関連間質性肺炎に対するJAK阻害薬または アバタセプトの効果を検討した後方視的研究

Inflammopharmacology. 2022. Epub ahead of print doi: 10.1007/s10787-022-00936-w

Tardella M,

 Di Carlo M,

 Carotti M,

 Ceccarelli L,

 Giovagnoni A,

 Salaffi F.

This study of the effectiveness of JAKinibs or abatacept in patients with RA-interstitial lung disease (RA-ILD) shows that treatment is related to stability or improvement of RA-ILD in over 80% of patients.

Keywords:

• JAK,
• Safety,
• Lung / ILD,
• Review

早期関節リウマチ患者におけるバリシチニブ単剤, バリシチニブとメトトレキサート併用, メトトレキサート 単剤による疼痛コントロール

RMD Open. 2022;8(1):e001994 doi: 10.1136/rmdopen-2021-001994

Taylor PC,

Alten R,

Álvaro Gracia JM,

Kaneko Y,

Walls C,

Quebe A,

Jia B,

Bello N,

Terres JR,

Fleischmann R

Post hoc analysis of the RA-BEGIN trial finds that, over a one-year period, patients treated with baricitinib (monotherapy or in combination with methotrexate [MTX]) report greater pain relief and a more rapid attainment of clinically meaningful thresholds of pain improvement, than patients who receive MTX monotherapy.Often overlooked, when treating RA solely to a disease activity target, patient-reported pain is common in RA, even in those reaching inflammatory remission. The fact that pain per...

Keywords:

• JAK,
• Baricitinib,
• Efficacy,
• Pain

オーラルサーベイランス試験とJAK阻害薬の安全性: 相対的な評価

Nat Rev Rheumatol. 2022. Epub ahead of print doi: 10.1038/s41584-022-00767-7

Winthrop KL,

Cohen SB.

Putting the data into context, Winthrop, et al. conclude that the ORAL Surveillance data are not dissimilar to those from the original developmental programme, which suggested additional safety concerns at the 10 mg dosage and that resulted in the 5 mg twice daily dosage as the approved dose for RA.Following the recent results of the ORAL Surveillance (ORALSURV) study, and the consequent changes to the utilisation of JAKinibs, made by the regulatory authorities, Winthrop, et al. aim to put the O...

Keywords:

• JAK,
• Tofacitinib,
• Safety

乾癬性関節炎患者を対象としたフェーズ３試験におけ るセクキヌマブの患者報告アウトカム

Lancet. 2022. Epub ahead of print

Strand V,

Kaeley GS,

Bergman MJ,

Gladman DD,

Coates LC,

Sherif B,

Hur P,

Parikh B,

Gilloteau I,

Mease PJ

Predefined analysis of FUTURE 5, the largest Phase 3 randomised trial of secukinumab in patients with PsA to date, demonstrates that secukinumab results in early, statistically significant, clinically meaningful, sustained improvements in PROs across all doses, compared with placebo.The fully human anti-interleukin 17A monoclonal antibody, secukinumab has shown clinical and radiographical efficacy in patients with PsA, yet the clinical significance of improvements across a wide variety of PROs r...

Keywords:

• IL-17,
• Secukinumab,
• PRO / QoL,
• Phase 3

RAにおけるbDMARDsと比較したバリシチニブと トファシチニブの有効性: スウェーデンのナショナル レジストリコホートを用いた結果

Rheumatology (Oxford). 2022. Epub ahead of print doi: 10.1093/rheumatology/keac068

Barbulescu A,

Askling J,

Chatzidionysiou K,

Forsblad-d'Elia H,

Kastbom A,

Lindström U,

Turesson C,

Frisell T

Data from the Swedish Rheumatology Quality Register and Swedish Registries, show a higher treatment retention and overall equivalent or better treatment response on baricitinib, compared with bDMARDs or tofacitinib, but no statistically significant differences between tofacitinib and bDMARDs.In this largest population-based study to date, comparing RA patients initiating baricitinib, tofacitinib or bDMARDs, Barbulescu, et al. help to fill some of the current knowledge gaps surrounding the effica...

Keywords:

• JAK,
• Baricitinib,
• Real-World,
• Efficacy

ヤヌスキナーゼを標的としたリウマチ性疾患治療: メカニズムに基づいたアプローチ

Nat Rev Rheumatol. 2022 Jan 5:1–13. Epub ahead of print doi: 10.1038/s41584-021-00726-8

Tanaka Y,

Luo Y,

O'Shea JJ,

Nakayamada S

The development of targeted small-molecule therapies such as JAK inhibitors, which have varied selective inhibitory profiles, has enabled a paradigm shift in the treatment of diverse disorders, to the extent that they could ultimately enable either complete withdrawal or avoidance of glucocorticoid use in some autoimmune diseases, and could have the potential to regulate any active factor inhibiting the transition to cure.In this review paper, Tanaka, et al. describe the progress in JAK-targetin...

Keywords:

• JAK,
• Basic Science

関節リウマチ患者におけるトファシチニブの用量調節の有効 性と安全性に対する影響: オープンラベル長期延長試験の post hoc 解析 (ORAL Sequel)

Clin Rheumatol. 2022 Jan 1. Epub ahead of print doi: 10.1007/s10067-021-05908-z

Mueller RB,

Schulze-Koops H,

Furst DE,

Cohen SB,

Kwok K,

Wang L,

Killeen T,

von Kempis J

Post-hoc analysis shows that dosing up from tofacitinib 5 to 10 mg BID is associated with improved efficacy for up to 12 months, versus staying on 5 mg BID, and dosing down from 10 to 5 mg BID is not generally associated with a significant loss of efficacy.Although clinical trials have generally shown no significant differences, in terms of efficacy and safety, when switching tofacitinib dose up or down, these per-protocol switches are not directly informative for clinical decision-making in dai...

Keywords:

• JAK,
• Tofacitinib,
• Safety,
• Efficacy,
• Dosing

トファシチニブ治療中関節リウマチ患者の間質性肺疾患発生率

J Clin Rheumatol. 2021;27(8):e482–e490

Citera G,

Mysler E,

Madariaga H,

Cardiel MH,

Castañeda O,

Fischer A,

Richette P,

Chartrand S,

Park JK,

Strengholt S,

Rivas JL,

Thorat AV,

Girard T,

Kwok K,

Wang L,

Ponce de Leon D

This post hoc analysis of pooled data from 21 clinical trials in the tofacitinib clinical trial programme highlights the importance of identifying known risk factors of RA-interstitial lung disease (ILD) in clinical practice.Citera, et al. investigated incidence rates of ILD – an extra-articular manifestation of RA – in patients with RA, receiving tofacitinib 5 or 10 mg BID and sort to identify potential risk factors for ILD in these patients....

Keywords:

• JAK,
• Tofacitinib,
• Safety,
• Lung / ILD