Inflammatory myopathies

Janus kinase inhibitors therapy in idiopathic inflammatory myopathies: a case series

Clin Exp RheumatolPublished Retrospective case series

Authors' conclusion

JAKi therapy appears to be clinically effective, well tolerated, and safe in patients with refractory IIM, with a particular benefit in ILD.

Study context

Population
Adult patients with refractory idiopathic inflammatory myopathies (IIM) treated with Janus kinase inhibitors (JAKi) at a single centre; ASyS most common subtype (n=5, 50%)6 female
Participants
10 patients
Exposure
Before vs after JAKi therapy
  • JAKin = 10
Outcome
Manual muscle test 8 score, baseline vs after therapy
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

MMT8 at baseline, median (IQR 25.5)
136
MMT8 after therapy, median (IQR 8)
147
Statistically significant increase
p<0.05

Observational data: associations, not effects.

Further findings

Daily corticosteroid dose

Median daily dose before therapy
10mg
Median daily dose after therapy
2.5mg
Statistically significant reduction
P < 0.05
Patients who discontinued corticosteroids
4

DLCO in patients with interstitial lung disease (ILD)

DLCO before therapy (IQR 19.31)
68.33%
DLCO after therapy (IQR 7.27)
93%
Significant improvement
P < 0.01
  • Six patients with ILD

Serum inflammatory markers, creatine kinase, FEV1, FVC

No significant changes

Original publication

Janus kinase inhibitors therapy in idiopathic inflammatory myopathies: a case series. Clin Exp Rheumatol. Published 29 July 2025. doi:10.55563/clinexprheumatol/0yu9gm

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