Tofacitinib: Real-World Data and Treatment Persistence in Rheumatoid Arthritis

Ilaria Bertoldi1, Roberto Caporali2

  • 1Medical Department, Pfizer Italy, Rome, Italy.

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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