Rheumatoid arthritis

Potential impact of European Medicines Agency measures to minimize risk of serious side effects on JAKi prescribing and utilization in the UK

Rheumatology (Oxford)Published Cohort study

Authors' conclusion

Four-fifths of RA patients who had commenced a JAKi before the EMA advisory were considered 'at-risk', with prescribing only advised if there was no suitable alternative.

Study context

Population
Rheumatoid arthritis (RA) patients starting first-ever JAKi therapy in BSRBR-RA between 13 February 2017 and 31 May 2022, before European Medicines Agency (EMA) risk-minimization measures
Participants
1,341 patients
Outcome
Percentage of patients meeting the EMA risk criteria
Methodological detailslarge national cohort (BSRBR-RA)
  • Large national cohort (BSRBR-RA)

Main finding

As reported in the abstract

Met ≥1 EMA risk criterion

Patients meeting ≥1 EMA risk criterion (N = 1075)

80%

Observational data: associations, not effects.

Further findings

Prior bDMARD classes among at-risk patients

JAKi as first or second b/tsDMARD class (529 patients)
49%
≥3 prior bDMARD classes (299 patients)
28%

Original publication

Potential impact of European Medicines Agency measures to minimize risk of serious side effects on JAKi prescribing and utilization in the UK. Rheumatology (Oxford). Published 15 May 2024. doi:10.1093/rheumatology/keae279

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