Publications

Risk of major adverse cardiovascular and venous thromboembolism events in patients with rheumatoid arthritis exposed to JAK inhibitors versus adalimumab: a nationwide cohort study

Ann Rheum Dis. 2022. doi: 10.1136/ard-2022-222824

Hoisnard L,

Pina Vegas L,

Dray-Spira R,

Weill A,

Zureik M,

Sbidian E

Real-world population study of patients with RA provides reassuring data regarding the risks of major adverse cardiovascular events (MACEs) and venous thromboembolism events (VTEs) in patients initiating a JAKinib versus adalimumab, including patients at high risk of cardiovascular diseases.

Keywords:

• JAK,
• Safety,
• Cardiovascular,
• Thrombosis

Risk of MACE with Tofacitinib Versus TNFi in Patients with RA With or Without a History of Atherosclerotic CV: A Post Hoc Analysis from ORAL Surveillance

Ann Rheum Dis. 2022. doi: 10.1136/ard-2022-222259

Charles-Schoeman C,

Buch MH,

Dougados M,

Bhatt DL,

Giles JT,

Ytterberg SR,

Koch GG,

Vranic I,

Wu J,

Wang C,

Kwok K,

Menon S,

Rivas JL,

Yndestad A,

Connell CA,

Szekanecz Z.

Post hoc analysis from ORAL Surveillance observes higher major adverse cardiovascular events (MACE) risk with tofacitinib vs TNFi in patients with RA and history of atherosclerotic cardiovascular disease (ASCVD).

Keywords:

• JAK,
• Tildrakizumab,
• Safety,
• Cardiovascular

Infections in patients with rheumatoid arthritis receiving tofacitinib versus tumour necrosis factor inhibitors: results from the open-label, randomised controlled ORAL Surveillance trial

doi: 10.1136/ard-2022-222405

Balanescu AR,

Citera G,

Pascual-Ramos V,

Bhatt DL,

Connell CA,

Gold D,

Chen AS,

Sawyerr G,

Shapiro AB,

Pope JE,

Schulze-Koops H

Post hoc analysis, using the final dataset from ORAL Surveillance, reveals a higher risk of non-serious infections and herpes zoster with tofacitinib vs TNFi, and higher risk of serious infection events with tofacitinib 10 mg BID versus TNFi, particularly in patients aged ≥65 years.

Keywords:

• JAK,
• Tofacitinib,
• Safety,
• Infections

Identification of novel off targets of baricitinib and tofacitinib by machine learning with a focus on thrombosis and viral infection

Sci Rep. 2022 doi: 10.1038/s41598-022-11879-1

Faquetti ML,

Grisoni F,

Schneider P,

Schneider G,

Burden AM

Established machine learning approaches, based on ligand similarity, identified previously unknown off-target interactions of baricitinib and tofacitinib, and adds to the evidence that these JAK inhibitors are promiscuous binders, and highlight the potential for repurposing.

Keywords:

• JAK,
• Baricitinib,
• Tofacitinib,
• Safety,
• Infections,
• Thrombosis

Effect of Tofacitinib on Pain, Fatigue, Health-related Quality of Life and Work Productivity in Patients with Active Ankylosing Spondylitis: Results from A Phase III, Randomised, Double-blind, Placebo-controlled Trial

RMD Open 2022 doi:10.1136/rmdopen-2022-002253

Navarro-Compán V,

Wei JC-C,

Van den Bosch F,

Magrey M,

Wang L,

Fleishaker D,

Cappelleri JC,

Wang C,

Wu J,

Dina O,

Fallon L,

Strand V

Navarro-Compán et al, determined the effectiveness of tofacitinib in patients with active ankylosing spondylitis in a Phase III, randomised, double-blind, placebo-controlled trial.

Keywords:

• JAK,
• Tofacitinib,
• Phase 3,
• PRO / QoL

Oral surveillance y la seguridad de los inhibidores JAK: la teoría de la relatividad

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

Impacto de tofacitinib en fatiga, sueño, y cualidad de vida relacionada con salud en pacientes con artritis reumatoide: un análisis post hoc de datos desde ensayos de fase 3

Arthritis Res Ther. 2022;24(1):83 doi:10.1186/s13075-022-02724-x

Bartlett SJ,

Bingham CO,

van Vollenhoven R,

Murray C,

Gruben D,

Gold DA,

Cella D.

This was an exploratory post hoc analysis of pooled data, from over 2000 patients in three Phase 3 studies of tofacitinib, which demonstrates an association between tofacitinib treatment and significantly greater improvements in fatigue, sleep, and health-related quality of life (HRQoL), compared with placebo.

Keywords:

• JAK,
• Tofacitinib,
• PRO / QoL,
• Phase 3

Efectividad de baricitinib y tofacitinib frente a bDMARDs en AR: resultados de un estudio de cohorte utilizando los datos del registro nacional sueco

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

Efecto de los ajustes de dosis en la eficacia y seguridad de tofacitinib en pacientes con artritis reumatoide: un análisis post hoc de un estudio abierto, de extensión a largo plazo (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

Efecto de los inhibidores JAK en lipoproteínas de alta y baja densidad en pacientes con artritis reumatoide: una revisión sistemática y metanálisis

Clin Rheumatol. 2022. Epub ahead of print doi: 10.1007/s10067-021-06003-z

Li N,

Gou ZP,

Du SQ,

Zhu XH,

Lin H,

Liang XF,

Wang YS,

Feng P.

Systematic review and network meta-analysis highlight that RA patients who receive recommended doses of the five approved JAK inhibitors (tofacitinib, baricitinib, upadacitinib, filgotinib, and peficitinib) are likely to experience an increase in serum low- and high-density lipoprotein (LDL and HDL) levels.JAK inhibitors have been associated with alterations in levels of LDL and HDL cholesterol, which may lead to dyslipidaemia (an important risk factor for cardiovascular disease). However, the e...

Keywords:

• JAK,
• Meta analysis,
• Review