Across rheumatic diseases

Venous and arterial thromboembolic risk of Janus kinase inhibitors: a systematic review with meta-analysis

Rheumatology (Oxford)Published Systematic review and meta-analysis of randomised trials

Pooled result · Thromboembolic eventsResult — go to the resultOdds ratio 0.82 95% CI 0.43–1.56

Authors' conclusion

JAKi do not increase thromboembolic risk compared with placebo in IMID patients enrolled in selected RCTs.

Study context

Population
Patients with immune-mediated inflammatory diseases (IMIDs) in randomized controlled trials (RCTs) of JAKi identified in MEDLINE and EMBASE until October 2021RCTs on JAKi in IMIDs
Participants
19,443 vs 6,354
Comparison
JAKi vs control
  • JAKin = 19,443
  • Controln = 6,354reference
Outcome
Venous and arterial thromboembolic events
Methodological detailsbeta-binomial model, Cochrane risk of bias assessment
  • Beta-binomial model
  • Cochrane risk of bias assessment

Pooled result

Thromboembolic events · mean follow-up of 16.8 weeks

Odds ratio

0.82

95% CI 0.43–1.56

Events by group

JAKivs Control
OR 0.82 (95% CI 0.43–1.56)

As reported in the abstract

Further pooled results

No statistically different results in subanalyses for each investigated IMID, drug and dosage

Original publication

Venous and arterial thromboembolic risk of Janus kinase inhibitors: a systematic review with meta-analysis. Rheumatology (Oxford). Published 18 May 2023. doi:10.1093/rheumatology/kead211

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