State of the art : approved and emerging JAK inhibitors for rheumatoid arthritis

INTRODUCTION: Rheumatoid arthritis (RA) is the most common autoimmune inflammatory arthritis in adults. In the past decade, many treatments have emerged to expand the therapeutic armamentarium of rheumatologists. Among emerging treatments, Janus Kinase inhibitors (JAKi) are promising in treating RA and several other inflammatory conditions, such as psoriatic arthritis (PsA). The JAK/STAT signaling pathway is located downstream certain cytokines receptors that are known to be involved in RA pathogenesis. So far, three JAKi are approved for the treatment of RA, while other JAKi, are under investigation.

AREAS COVERED: Herein, the authors review those JAKi approved and emerging for the treatment of RA and provide their expert perspectives on the subject area.

EXPERT OPINION: JAKi represent an interesting alternative to other DMARDs when MTX has failed. Long-term extension studies are still ongoing, but one can assume that most of the major safety concerns have already come out. Switching from one JAKi to another DMARD has been little studied, but in such cases, preferring a treatment which does not interfere with the JAK/STAT pathway seems to be a reasonable choice.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:22

Enthalten in:

Expert opinion on pharmacotherapy - 22(2021), 2 vom: 23. Feb., Seite 205-218

Sprache:

Englisch

Beteiligte Personen:

El Jammal, Thomas [VerfasserIn]
Sève, Pascal [VerfasserIn]
Gerfaud-Valentin, Mathieu [VerfasserIn]
Jamilloux, Yvan [VerfasserIn]

Links:

Volltext

Themen:

Antirheumatic Agents
Baricitinib
Filgotinib
JAK inhibitor
Janus Kinase Inhibitors
Journal Article
Review
Rheumatoid arthritis
Tofacitinib
Upadacitinib

Anmerkungen:

Date Completed 23.02.2021

Date Revised 20.04.2022

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1080/14656566.2020.1822325

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM315383631