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Published on: May 16, 2025
Abstract:
Rheumatoid arthritis (RA) is a chronic, progressive autoimmune disease that causes inflammation and destruction of the joints.1-3 It can also affect the eyes, the heart and the lungs and is associated with significant disability and increased mortality. RA is estimated to affect just under 1% of the population aged over 16 years, equating to more than 400,000 people in the UK.4 ▼Baricitinib (Olumiant) and ▼tofacitinib (Xeljanz) were launched in the UK in April 2017 and represent a new therapeutic class of medicines known as targeted synthetic disease modifying antirheumatic drugs.5,6 Here, we review the evidence for the safety and effectiveness of these new oral agents.
Insights
New targeted synthetic disease-modifying antirheumatic drugs, baricitinib and tofacitinib, offer a new oral treatment for rheumatoid arthritis (RA). This review examines their safety and effectiveness in managing this chronic autoimmune joint disease.
Area of Science:
- Rheumatology
- Immunology
- Pharmacology
Background:
- Rheumatoid arthritis (RA) is a chronic, progressive autoimmune disease causing joint inflammation and destruction.
- RA impacts joints, eyes, heart, and lungs, leading to disability and increased mortality.
- RA affects nearly 1% of UK adults, over 400,000 individuals.
Purpose of the Study:
- To review the evidence for the safety and effectiveness of baricitinib and tofacitinib.
- To evaluate these new oral targeted synthetic disease-modifying antirheumatic drugs (DMARDs) for RA treatment.
Main Methods:
- Literature review of safety and effectiveness data for baricitinib and tofacitinib.
- Analysis of evidence for targeted synthetic DMARDs in rheumatoid arthritis management.
Main Results:
- Baricitinib and tofacitinib represent a new class of oral targeted synthetic DMARDs.
- Evidence for the safety and effectiveness of these agents in RA is presented.
Conclusions:
- Baricitinib and tofacitinib offer a novel oral therapeutic option for rheumatoid arthritis.
- Further review of evidence supports their role in managing RA.
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