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Tofacitinib: Real-World Data and Treatment Persistence in Rheumatoid Arthritis
Ilaria Bertoldi1, Roberto Caporali2
1Medical Department, Pfizer Italy, Rome, Italy.
Abstract:
Tofacitinib is an oral Janus kinase (JAK) inhibitor indicated for the treatment of rheumatoid arthritis (RA). The efficacy and safety/tolerability of tofacitinib have been extensively evaluated as monotherapy and combination therapy in multiple, randomised, multicentre studies in patients with RA. Tofacitinib as monotherapy (as first- and second-line treatment) or as combination with methotrexate (MTX) or other csDMARDs as second- and third-line treatment is effective and generally well tolerated in patients with RA. This article focuses on recent real-world evidence investigating the effectiveness, treatment persistence and safety/tolerability of tofacitinib in patients with RA. With this purpose, a literature review was conducted from April 2018 up to October 2020 for the effectiveness, persistence and safety of tofacitinib for the treatment of RA, primarily focusing on real-world studies. These retrospective and prospective and observational studies demonstrate the effectiveness of tofacitinib, thus supporting pivotal data from the clinical trial programme. Treatment persistence was generally comparable to that of biologic disease-modifying anti-rheumatic drugs. Safety findings in these observational studies were consistent with the known safety profile of the approved dose of 5 mg twice daily.
Insights
Tofacitinib effectively treats rheumatoid arthritis (RA) in real-world settings, showing comparable persistence to biologic therapies and a safety profile consistent with clinical trials.
Area of Science:
- Rheumatology
- Pharmacology
- Immunology
Background:
- Tofacitinib is an oral Janus kinase (JAK) inhibitor for rheumatoid arthritis (RA).
- Extensive clinical trial data support its efficacy and safety in RA.
- Real-world evidence is crucial for understanding long-term outcomes.
Purpose of the Study:
- To review recent real-world evidence on tofacitinib's effectiveness in RA.
- To evaluate treatment persistence and safety/tolerability in routine clinical practice.
- To compare real-world findings with existing clinical trial data.
Main Methods:
- Literature review of studies published from April 2018 to October 2020.
- Focus on retrospective, prospective, and observational real-world studies.
- Analysis of effectiveness, treatment persistence, and safety/tolerability data.
Main Results:
- Real-world studies confirm tofacitinib's effectiveness in RA patients.
- Treatment persistence was comparable to biologic disease-modifying anti-rheumatic drugs (bDMARDs).
- Safety findings align with the established profile for tofacitinib 5 mg twice daily.
Conclusions:
- Real-world data support the efficacy of tofacitinib in RA management.
- Tofacitinib demonstrates favorable treatment persistence and a consistent safety profile.
- Findings reinforce the value of tofacitinib in diverse RA patient populations.
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