Inflammatory myopathies

Use of Janus kinase inhibitors in dermatomyositis: a systematic literature review

Clin Exp RheumatolPublished Systematic literature review

Authors' conclusion

Although the conclusions that can be drawn from this analysis are limited because of the differences in assessments used across publications, overall treatment of patients with DM or JDM with a JAK inhibitor was associated with significant improvement of a wide range of DM manifestations, including skin lesions, muscle weakness, and ILD.

Study context

Population
Patients with dermatomyositis (DM) or juvenile DM (JDM) treated with a JAKi, reported in peer-reviewed publications (PubMed, Embase, Web of Science, Scopus, Dimensions)48 publications
Participants
145 patients
Comparison
Adult DM vs JDM
  • Adult DMn = 84
  • JDMn = 61
Outcome
Improvement in refractory skin disease after JAKi
Methodological detailscase-level data from published reports, Assessments differed across publications
  • Case-level data from published reports
  • Assessments differed across publications

Main finding

As reported in the abstract

GroupValueImproved / with refractory skin disease
Adult DM61 events61 of 61
JDM95%57 of 60

Value

Adult DM61 events
JDM95%

Improved / with refractory skin disease

Adult DM61 of 61
JDM57 of 60

Further findings

OutcomeAdult DMJDM
Improvement in refractory muscle disease16 events83%
Improved / with refractory muscle disease16 of 1630 of 36
Improvement in ILD94%4 events
With ILD33— not stated in the abstract
Reduction in serum IFN or IFN gene expression in those elevated at baseline17 events16 events

— not stated in the abstract

Reduction in serum interferon (IFN) or IFN gene expression in those elevated at baseline

All patients with elevated baseline IFN showed reduction

Original publication

Use of Janus kinase inhibitors in dermatomyositis: a systematic literature review. Clin Exp Rheumatol. Published 17 February 2022. doi:10.55563/clinexprheumatol/hxin6o

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