Autoinflammatory & rare systemic diseases

Effectiveness of tofacitinib monotherapy for patients with immunoglobulin G4-related disease (IgG4-RD) or idiopathic retroperitoneal fibrosis

Clin Exp RheumatolPublished Case series

Authors' conclusion

Tofacitinib is a potentially effective treatment for IgG4-RD and IRF and it is reasonable to conduct clinical trial to validate its efficacy.

Study context

Population
Patients with IgG4-RD or idiopathic retroperitoneal fibrosis (IRF) administered tofacitinib monotherapy
Participants
2 vs 2
Exposure
IRF vs IgG4-RD
  • IRFn = 2
  • IgG4-RDn = 2
Outcome
Response to tofacitinib monotherapy (IgG4-RD RI)
Methodological detailsretrospective clinical data collection, immunohistochemistry
  • Retrospective clinical data collection
  • Immunohistochemistry

Main finding

As reported in the abstract

IRF (both patients): complete remission with diminished retroperitoneal mass and decreased CRP; IgG4-RD RI decreased from 6 to 1
2

Observational data: associations, not effects.

Further findings

JAK expression in lesions (immunohistochemistry; 3 IgG4-RD salivary glands, 1 IRF retroperitoneal tissue)

JAK1, JAK2, JAK3 and TYK2 expression detected in biopsy tissues
JAK family staining intensity in IRF lesion similar to IgG4-RD lesions

Original publication

Effectiveness of tofacitinib monotherapy for patients with IgG4-RD or idiopathic retroperitoneal fibrosis. Clin Exp Rheumatol. Published 7 December 2023. doi:10.55563/clinexprheumatol/61mt03

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