Pediatric rheumatology

Clinically Inactive Disease and Remission in Patients With Juvenile Idiopathic Arthritis Receiving Tofacitinib: Post Hoc Analysis of a Phase III Trial

J RheumatolPublished Post hoc analysis of a phase III randomised withdrawal trial

Authors' conclusion

In patients with JIA receiving tofacitinib, JADAS10-CID and ACR-CID rates improved rapidly and were sustained over time, and a small proportion of patients achieved JADAS10 remission.

Study context

Population
Patients with active juvenile idiopathic arthritis (JIA) (polyarticular-course JIA, PsA, or enthesitis-related arthritis); part 2 randomised those achieving American College of Rheumatology (ACR) improvement ≥ 30%173 randomised in part 2
Participants
225 patients
Comparison
Continued tofacitinib vs switch to placebo
Primary endpoint
Rates of JADAS10-CID (2021 polyarthritis thresholds, CRP-based), JADAS10 remission (≥ 24 continuous weeks of JADAS10-CID), ACR-CID and ACR clinical remission
Follow-up
Week 44
Methodological detailsrandomized withdrawal, open-label part 1 (weeks 0-18), part 2 (weeks 18-44) randomized
  • Randomized withdrawal
  • Open-label part 1 (weeks 0-18)
  • Part 2 (weeks 18-44) randomized

Primary result

As reported in the abstract

JADAS10-CID

Further findings

ACR-CID · week 44

JADAS10 remission · week 44

JADAS10-CID and ACR CID (ACR-CID), open-label tofacitinib (part 1) · week 18

JADAS10-CID
30.5%
ACR-CID
15.8%

Original publication

Clinically Inactive Disease and Remission in Patients With Juvenile Idiopathic Arthritis Receiving Tofacitinib: Post Hoc Analysis of a Phase III Trial. J Rheumatol. Published 1 May 2025. doi:10.3899/jrheum.2024-0536

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