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DRUG:

tofacitinib

i
Other names: CP-690,550, CP-690550, CP690550
Company:
Generic mfg.
Drug class:
JAK inhibitor
17h
Targeting inflammatory and angiogenic responses by small-molecule kinase inhibitors in a 3D macrophage-containing spheroid model of rheumatoid arthritis synovial tissue. (PubMed, Arthritis Res Ther)
This human 3D multicellular in vitro spheroid model of synovial inflammation recapitulates key RA pathological processes and provides a robust platform for mechanistic studies and therapeutic evaluation.
Journal
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IL6 (Interleukin 6) • TNFA (Tumor Necrosis Factor-Alpha) • CXCL8 (Chemokine (C-X-C motif) ligand 8) • JAK1 (Janus Kinase 1) • SPP1 (Secreted Phosphoprotein 1) • CSF1 (Colony stimulating factor 1)
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tofacitinib
14d
Analysis of drug use and expenditure of conventional and biological disease-modifying anti-rheumatic drugs: a study from Northwest China. (PubMed, Clin Rheumatol)
National centralized procurement policy achieved dramatic cost reductions (e.g., tofacitinib DDDc decreased by 93.3%), directly driving increased utilization of tsDMARDs and bDMARDs. This study provides empirical evidence that aggressive pharmaceutical pricing policies can rapidly improve access to advanced rheumatologic therapies in resource-limited settings, offering a replicable model for healthcare systems worldwide. Key Points • Overall disease-modifying antirheumatic drugs (DMARDs) use showed modest growth from 2018 to 2022. • tsDMARDs and bDMARDs exhibited rapid increases in use and revenue. • Methotrexate and leflunomide remained key csDMARDs in clinical practice.
Journal
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TNFA (Tumor Necrosis Factor-Alpha)
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tofacitinib • Cosentyx (secukinumab) • Simponi (golimumab) • leflunomide
21d
Utilization of a Microdevice for Psoriasis and Atopic Dermatitis (clinicaltrials.gov)
P4, N=10, Not yet recruiting, University of California, San Francisco | Initiation date: Jan 2026 --> Aug 2026
Trial initiation date
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5-fluorouracil • Jakafi (ruxolitinib) • hydroxychloroquine • cyclosporine • roflumilast • tofacitinib • Cosentyx (secukinumab) • Dupixent (dupilumab) • Ilumya (tildrakizumab-asmn) • chloroquine phosphate
21d
ODEN: Observational Study To Assess The Effectiveness and Treatment Adherence Of Tofacitinib of Ulcerative Colitis In Clinical Practice In Sweden (clinicaltrials.gov)
P=N/A, N=102, Completed, Pfizer | Recruiting --> Completed | Trial completion date: Mar 2026 --> Sep 2025 | Trial primary completion date: Mar 2026 --> Sep 2025
Trial completion • Trial completion date • Trial primary completion date
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tofacitinib
22d
TB risk during treatment with biological agents and Janus kinase inhibitors: an umbrella review. (PubMed, Int J Tuberc Lung Dis)
Risk of bias was assessed using ROBIS.RESULTSAnti-TNF monoclonal antibodies (infliximab, adalimumab) were consistently associated with the highest TB risk (odds ratio commonly 3-5), with greater proportions of disseminated/extra-pulmonary disease compared to etanercept...JAK inhibitors (notably tofacitinib) conferred geographically variable risk, higher in intermediate/high-burden countries. Immune checkpoint inhibitors, especially PD-1/PD-L1 agents, were linked to TB incidence far above background rates.CONCLUSIONTB risk varies markedly across biologic and targeted agents. Risk-based TB infection screening and tailored prophylaxis beyond anti-TNF therapy are warranted, particularly in endemic regions..
Journal
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IL6 (Interleukin 6) • IL17A (Interleukin 17A) • IL23A (Interleukin 23 Subunit Alpha)
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tofacitinib
22d
SMART-JIA: Trial of Sequential Medications AfteR TNFi Failure in Juvenile Idiopathic Arthritis (clinicaltrials.gov)
P3, N=400, Recruiting, Duke University | Trial primary completion date: Jun 2026 --> Dec 2026
Trial primary completion date
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tofacitinib • Orencia (abatacept)
24d
New P1/2 trial
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Venclexta (venetoclax) • everolimus • azacitidine • Rylaze (asparaginase erwinia chrysanthemi (recombinant)-rywn) • tofacitinib
1m
TARA: A Phase 3 Study Comparing TLL-018 to Tofacitinib in RA Subjects With Inadequate Response or Intolerance to bDMARDs (clinicaltrials.gov)
P3, N=459, Active, not recruiting, Hangzhou Highlightll Pharmaceutical Co., Ltd | Trial completion date: Dec 2028 --> Dec 2026 | Trial primary completion date: Jul 2026 --> Jan 2026
Trial completion date • Trial primary completion date • Head-to-Head
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tofacitinib
1m
TARA: A Phase 3 Study Comparing TLL-018 to Tofacitinib in RA Subjects With Inadequate Response or Intolerance to bDMARDs (clinicaltrials.gov)
P3, N=459, Active, not recruiting, Hangzhou Highlightll Pharmaceutical Co., Ltd | Recruiting --> Active, not recruiting | Trial completion date: Sep 2025 --> Dec 2028 | Trial primary completion date: Feb 2025 --> Jul 2026
Enrollment closed • Trial completion date • Trial primary completion date • Head-to-Head
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tofacitinib
1m
New P2 trial
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tofacitinib
1m
Efficacy and safety of dual-targeted therapy with tofacitinib and TNF inhibitors in refractory spondyloarthritis: a case series from a tertiary care center. (PubMed, Ther Adv Musculoskelet Dis)
Case 1 (PsA): Long-standing disease (24 years) failed optimized adalimumab; following DTT, disease activity in psoriatic arthritis (DAPSA) score improved from high disease activity (36) to low disease activity (8). Our real-world findings demonstrate improved disease control and safety when monotherapy fails. Future prospective studies are essential to optimize the selection, dosing, and long-term safety of DTT.
Journal
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CRP (C-reactive protein)
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tofacitinib
1m
Enrollment closed
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tofacitinib • Entyvio (vedolizumab) • Simponi (golimumab)