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Real-world evidence on JAK inhibitors in rheumatology practice: comparative safety, efficacy, and outcomes between JAK inhibitors - PubMed

4 hours ago
  • #Real-world evidence
  • #JAK inhibitors
  • #Rheumatology
  • Study compares real-world drug survival, safety, and prescribing patterns of three JAK inhibitors (tofacitinib, baricitinib, upadacitinib) in rheumatic diseases.
  • Tofacitinib had the highest 6-month survival rate (81.9%) and was most often first-line; upadacitinib had the lowest (69.6%) and was typically used after advanced therapy failure.
  • Secondary non-response was the primary reason for discontinuation, with adverse events accounting for less than 10%.
  • JAK inhibitors showed favorable retention and safety across various inflammatory rheumatic diseases, regardless of prior biologic exposure.
  • Upadacitinib demonstrated high continuation rates even in refractory cases, highlighting its role as a viable late-line treatment option.