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Real-Life Use of Filgotinib in Rheumatoid Arthritis: A Retrospective Cohort Study
Vincenzo Raimondo1, Maurizio Caminiti2, Domenico Olivo3
1Rheumatology Clinic, ASP Crotone, 88836 Crotone, Italy.
This study shows filgotinib (FIL) is effective and safe for rheumatoid arthritis (RA) in real-world use. It significantly reduced symptoms and achieved remission in many patients, including those with difficult-to-treat RA.
Area of Science:
- Rheumatology
- Immunology
- Pharmacology
Background:
- Janus kinase inhibitors (JAKis) target cytokine signaling in immune dysregulation.
- Filgotinib (FIL) selectively inhibits JAK1, a key enzyme in inflammatory pathways.
- Understanding FIL's real-world effectiveness and safety in rheumatoid arthritis (RA) is crucial.
Purpose of the Study:
- To evaluate the real-life effectiveness and safety of filgotinib in adult RA patients.
- To assess treatment outcomes at 3 and 6 months in a routine clinical practice setting.
Main Methods:
- A multicenter, retrospective cohort study design.
- Retrieved demographic, disease, and treatment data from clinical records.
- Monitored patients at baseline, 3 months, and 6 months.
Main Results:
- Significant reductions in pain and joint involvement observed.
- High rates of DAS28-CRP remission achieved at 3 months (46.3%) and 6 months (66.2%).
- Treatment was generally well-tolerated, with few discontinuations due to adverse events.
Conclusions:
- Filgotinib demonstrates effectiveness in a real-world RA population.
- The drug shows promise even in challenging cases, including those with cardiovascular risk factors.
- Real-world data complements clinical trial findings for filgotinib in RA management.
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