Rheumatoid arthritis

Real-world comparative effectiveness study of Janus kinase inhibitors compared to biologic disease-modifying antirheumatic drugs in Korean patients with rheumatoid arthritis

Semin Arthritis RheumPublished Prospective observational cohort study

Authors' conclusion

In this observational real-world study of Korean patients with RA who were eligible for targeted therapy, JAKis demonstrated comparable effectiveness and safety to bDMARDs.

Study context

Population
Korean patients with rheumatoid arthritis (RA) with inadequate response to MTX, naive to Janus kinase inhibitors (JAKis) and biologic disease-modifying antirheumatic drugs (bDMARDs), 17 centres in the Republic of Korea
Participants
506 patients
Exposure
JAKi vs bDMARD in RA after inadequate response to MTX
  • JAKin = 253
  • bDMARDn = 253reference
Outcome
Proportion achieving low disease activity (LDA) by DAS28-ESR
Follow-up
24 weeks
Methodological detailsmulticentre, real-world, comparative effectiveness
  • Multicentre
  • Real-world
  • Comparative effectiveness

Main finding

As reported in the abstract

LDA (DAS28-ESR)

Observational data: associations, not effects.

Secondary outcomes

Remission · 24 weeks

Safety

Exposure-adjusted event rate (EAER) of overall adverse events (AEs) (per 100 person-years) · 48 weeks

No significant intergroup differences

Original publication

Real-world comparative effectiveness study of Janus kinase inhibitors compared to biologic disease-modifying antirheumatic drugs in Korean patients with rheumatoid arthritis. Semin Arthritis Rheum. Published 14 April 2025. doi:10.1016/j.semarthrit.2025.152720

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