Pediatric rheumatology

Biomarker Changes in Response to Tofacitinib Treatment in Patients With Polyarticular‐Course Juvenile Idiopathic Arthritis

Arthritis Care Res (Hoboken)Published Secondary analysis of the clinical trial

Authors' conclusion

Among the CBBs included, only resistin was significantly associated with treatment response, and no CBB was identified that forecasts JIA improvement after initiation of tofacitinib.

Study context

Population
Patients with polyarticular-course juvenile idiopathic arthritis (JIA) treated with tofacitinib in a clinical trial143 with paired samples
Participants
166 patients
Primary endpoint
Association of candidate blood-based biomarkers with JIA response to treatment (JADAS-27 decrease, JIA-ACR90 response)
Follow-up
Week 18
Methodological detailsbiomarker analysis, serial serum samples
  • Biomarker analysis
  • Serial serum samples

Primary result

As reported in the abstract

Association of CBBs with treatment response
Decrease in resistin associated with week 18 improvement in Juvenile Arthritis Disease Activity Score (JADAS-27) (adjusted for age, sex, JIA disease duration, baseline resistin): r2
0.79
Resistin decrease and JADAS-27 improvement: SE
0.070
Resistin decrease and JADAS-27 improvement: P
P < 0.01
Resistin decrease and JIA-ACR90 response: OR
1.134 (1.018-1.264) (95% CI)

Further findings

JIA-ACR response rates · week 18

JIA-ACR90
50 of 143 (35%)
JIA-ACR70
90 (63%)
JIA-ACR50
121 (85%)
JIA-ACR30
137 (96%)

HLA-B27 positivity and not achieving JIA-ACR90 response · week 18

HLA-B27 positivity significantly associated with not achieving JIA-ACR90
P = 0.0097

Original publication

Biomarker Changes in Response to Tofacitinib Treatment in Patients With Polyarticular‐Course Juvenile Idiopathic Arthritis. Arthritis Care Res (Hoboken). Published 17 September 2024. doi:10.1002/acr.25417

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