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Review
. 2020 Jun 11;31(Suppl 1):120-128.
doi: 10.31138/mjr.31.1.120. eCollection 2020 Jun.

Beyond Methotrexate and Biologics in RA - Efficacy of JAK Inhibitors and their Place in the Current Treatment Armamentarium

Affiliations
Review

Beyond Methotrexate and Biologics in RA - Efficacy of JAK Inhibitors and their Place in the Current Treatment Armamentarium

Katerina Chatzidionysiou. Mediterr J Rheumatol. .
No abstract available

Keywords: JAK inhibitors; biologics; methotrexate; rheumatoid arthritis; treatment.

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Figures

Figure 1.
Figure 1.
Biologic DMARDs and targeted synthetic DMARDs approved for the treatment of rheumatoid arthritis. DMARDs, disease-modifying antirheumatic drugs; IFN, interferon; IL, interleukin; IL6R, interleukin 6 receptor; INFγ, interferon γ; JAK-STAT, Janus Kinase/Signal Transducer and Activator of Transcription proteins; mAb, monoclonalantibody; MHC, major histocompatibility complex; mIL6R, membraneinterleukin 6 receptor; sIL-6R, soluble interleukin 6 receptor; TCR, T cellreceptor; TNF, tumor necrosis factor.
Figure 2.
Figure 2.
ACR70 response and remission rates (based on DAS28<2.6) for tofacitinib, baricitinib and upadacitinib in DMARD naïve RA patients. All three JAK inhibitors yielded significantly higher clinical efficacy compared to methotrexate (MTX).
Figure 3.
Figure 3.
ACR70 response and remission rates (based on DAS28<2.6) for tofacitinib, baricitinib and upadacitinib in csDMARDs-IR (inadequate responders) RA patients. The JAK inhibitors were associated with significant clinical efficacy compared to methotrexate (MTX) and in some of these trials compared also to a bDMARD (ADA=adalimumab).
Figure 4.
Figure 4.
ACR70 response and remission rates (based on DAS28<2.6) for tofacitinib, baricitinib and upadacitinib in RA patients who have failed one or more bDMARDs.

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