Lupus & antiphospholipid syndrome

Upadacitinib enhances platelet procoagulant responses in a subset of healthy individuals and patients with SLE: a pilot study

Lupus Sci MedPublished Mechanistic study

Authors' conclusion

Upadacitinib was associated with enhanced platelet activation and procoagulant responses in vitro in a subset of individuals with SLE and healthy controls.

Study context

Population
Patients with SLE and healthy controls; whole blood preincubated with upadacitinib in vitro
Participants
10 vs 10
Comparison
Upadacitinib (0, 60 and 300 ng/mL) preincubation of whole blood from patients with SLE and healthy controls
  • SLEn = 10
  • Healthy controlsn = 10reference
Outcome
Platelet procoagulant membrane dynamics (PMD) markers on JAK inhibition and associated cytokine signatures
Methodological detailspilot study, in vitro
  • Pilot study
  • In vitro

Main finding

As reported in the abstract

Platelet responses were heterogeneous; ≈30% of both groups had increased platelet activation and procoagulant responses (JAKi-activated), the remainder unaffected

≈30%

Further findings

Recombinant IL-4 and TNF-β in vitro

Directly activated platelets or primed platelet responses to procoagulant agonists

Original publication

Upadacitinib enhances platelet procoagulant responses in a subset of healthy individuals and patients with SLE: a pilot study. Lupus Sci Med. Published 7 July 2026. doi:10.1136/lupus-2026-001983

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