Vasculitis & polymyalgia rheumatica

Tofacitinib in combination with glucocorticoids in the treatment of eosinophilic granulomatosis with polyangiitis: a pilot study of 11 cases

Rheumatology (Oxford)Published Prospective cohort study

Authors' conclusion

Tofacitinib, which can induce remission, prevent recurrence and taper the GC dosage, was well tolerated and may be an effective agent for the treatment of EGPA.

Study context

Population
Active eosinophilic granulomatosis with polyangiitis (EGPA) patients from a prospective single-centre cohort; 5 newly diagnosed, 6 refractory to glucocorticoids (GCs) plus immunosuppressants
Participants
11 patients
Outcome
Efficacy and safety of tofacitinib (treatment response)
Methodological detailssingle-centre, pilot study, single-arm
  • Single-centre
  • Pilot study
  • Single-arm

Main finding

As reported in the abstract

Response rate (CR + PR)

Response at 3 months

10 of 11

Response rate (complete remission (CR) + partial remission (PR)) at 6 and 9 months

100%

CR rate at 6 months

60%

CR rate at 9 months

80%

Observational data: associations, not effects.

Further findings

Inflammatory parameters, eosinophils and GC dose · 6 months

ESR and CRP normalized, eosinophils count significantly decreased and GC dose tapered in all patients

Relapse · median follow-up 15 months

No relapse

Original publication

Tofacitinib in combination with glucocorticoids in the treatment of eosinophilic granulomatosis with polyangiitis: a pilot study of 11 cases. Rheumatology (Oxford). Published 18 August 2025. doi:10.1093/rheumatology/keaf397

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