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Tofacitinib for the treatment of moderate to severe rheumatoid arthritis
1Camberley, Surrey, UK. scientific.prousjournals@thomsonreuters.com.
Abstract:
The autoimmune disease rheumatoid arthritis (RA) causes severe disability through chronic and destructive inflammation of the synovial joints. Currently available therapeutic options, including disease-modifying antirheumatic drugs (DMARDs) and biologic agents, often fail to adequately prevent disease progression. Tofacitinib (CP-690550) is an inhibitor of the Janus kinase family; tyrosine kinase receptors expressed in lymphoid cells that are involved in the signaling of cytokines important for the production and function of various immune cells implicated in RA pathogenesis. Tofacitinib has been evaluated in phase II, phase III and long-term extension studies, as both monotherapy and in combination with methotrexate and other DMARDs, and demonstrates statistically significant and clinically meaningful improvements in the signs and symptoms of RA, patient health, physical functioning and quality of life, while having a manageable safety profile. It is currently under evaluation for approval for the treatment of adults with RA by several regulatory agencies around the world.
Insights
Tofacitinib, a Janus kinase inhibitor, shows significant improvements in rheumatoid arthritis (RA) symptoms and patient quality of life. This new treatment offers a manageable safety profile for adults with RA.
Area of Science:
- Immunology
- Rheumatology
- Pharmacology
Background:
- Rheumatoid arthritis (RA) is an autoimmune disease causing joint inflammation and disability.
- Current treatments like DMARDs and biologics may not fully halt RA progression.
- Janus kinase (JAK) inhibitors represent a novel therapeutic target for autoimmune conditions.
Purpose of the Study:
- To evaluate the efficacy and safety of tofacitinib (CP-690550) in treating rheumatoid arthritis.
- To assess tofacitinib's impact on RA signs, symptoms, and patient-reported outcomes.
- To determine the clinical utility of tofacitinib as a monotherapy and in combination with other RA treatments.
Main Methods:
- Clinical trials including Phase II, Phase III, and long-term extension studies.
- Evaluation of tofacitinib as monotherapy and in combination with methotrexate and other DMARDs.
- Assessment of efficacy through standardized measures of RA signs, symptoms, physical function, and quality of life.
Main Results:
- Tofacitinib demonstrated statistically significant and clinically meaningful improvements in RA.
- Improvements were observed in disease activity, physical functioning, and patient quality of life.
- Tofacitinib exhibited a manageable safety profile across studies.
Conclusions:
- Tofacitinib is an effective treatment option for rheumatoid arthritis.
- The drug offers significant benefits for patients with RA, addressing unmet needs.
- Tofacitinib is under regulatory review for broader clinical use in RA treatment.
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