Rheumatoid arthritis

Safety of Janus Kinase Inhibitors: A Real-World Multicenter Retrospective Cohort Study

J RheumatolPublished Retrospective cohort study

Authors' conclusion

Our real-world data confirm that JAKis are effective and carry a low risk of AESIs, especially in patients who do not display CV risk factors at baseline.

Study context

Population
Patients with rheumatoid arthritis (RA) who ever received 1 JAKi, 4 tertiary care centres in Milan, Italy
Participants
685 patients1,137 patient-years
Exposure
BAR vs tofacitinib (TOF) vs UPA vs FIL
Outcome
JAKi safety outcomes: major CV events and adverse events of special interest (AESIs: serious and opportunistic infections, VTE, herpes zoster, liver injury, malignancies, deaths)
Methodological detailsmulticentre, real-world
  • Multicentre
  • Real-world

Main finding

As reported in the abstract

Adverse events of special interest (AESIs)

123

18%

Stroke

1

Deaths, all due to severe infections

3

Observational data: associations, not effects.

Further findings

AESIs in patients with higher cardiovascular (CV) risk (subgroup)

Frequency of AESIs
23%

Differences between Janus kinase inhibitors (JAKis)

Could not identify differences between JAKis

Safety

AESIs
123 (18%)
Deaths, all due to severe infections
3
Stroke
1

Original publication

Safety of Janus Kinase Inhibitors: A Real-World Multicenter Retrospective Cohort Study. J Rheumatol. Published 1 August 2023. doi:10.3899/jrheum.2023-0145

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