Evidence map›Paper›PMID 25951857›Full record

Trial reportBMC dermatology2015

Effects of tofacitinib on lymphocyte sub-populations, CMV and EBV viral load in patients with plaque psoriasis.

Fernando Valenzuela, Kim A Papp, David Pariser, Stephen K Tyring, Robert Wolk, Marjorie Buonanno, Jeff Wang, Huaming Tan, Hernan Valdez

Registry-linked trialOpen access · diamondAbstract readClinical Trial, Phase IIRandomized Controlled Trial
In one paragraph

Trial report in BMC dermatology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00678210 (A Phase 2B, Multicenter, Randomized, Double-Blind, Parallel-Group, Placebo-Controlled Trial Evaluating The Efficacy And Safety Of Dose Regimens With Oral CP-690,550 In The Treatment Of Subjects With Moderate To Severe Chronic Plaque Psoriasis), which is not on this map. Cited by 23 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 4 pooled it
2.1field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00678210 phase2completednot on this map

A Phase 2B, Multicenter, Randomized, Double-Blind, Parallel-Group, Placebo-Controlled Trial Evaluating The Efficacy And Safety Of Dose Regimens With Oral CP-690,550 In The Treatment Of Subjects With Moderate To Severe Chronic Plaque Psoriasis

TypeinterventionalSponsorPfizerRan2008 to 2009Enrolled197ConditionsPsoriasisArmsCP-690,550, Placebo
3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 4 syntheses or guidelines pooled it, 36 citations in OpenAlex.

  1. Pooled it
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  5. Updated review of Janus kinase inhibitors for the management of inflammatory bowel disease.World journal of gastrointestinal pharmacology and therapeutics · 2026
    Review
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  12. Observational
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  19. Tofacitinib: A New Oral Therapy for Psoriasis.Clinical drug investigation · 2018
    Review
  20. HiJAKing Innate Lymphoid Cells?Frontiers in immunology · 2017
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 5 institutions in 3 countries.

Fernando ValenzuelaDepartment of Dermatology, Faculty of Medicine, University of Chile and Probity Medical Research, Santiago, Chile. fvalenzuela.cl@gmail.com.
Kim A PappClinical Research and Probity Medical Research, Waterloo, ON, Canada. kapapp@probitymedical.com.
David PariserDepartment of Dermatology, Eastern Virginia Medical School and Virginia Clinical Research Inc., Norfolk, VA, USA. dpariser@pariserderm.com.
Stephen K TyringDepartment of Dermatology, University of Texas Medical School, Houston, TX, USA. styring@ccstexas.com.
Robert WolkPfizer Inc, Groton, CT, USA. Robert.Wolk@pfizer.com.
Marjorie BuonannoPfizer Inc, Groton, CT, USA. marjorie.s.buonanno@pfizer.com.
Jeff WangQuintiles, Cambridge, MA, USA. jianyuanwang@yahoo.com.
Huaming TanPfizer Inc, Groton, CT, USA. Huaming.Tan@pfizer.com.
Hernan ValdezPfizer Inc, New York, NY, USA. hernan.valdez@pfizer.com.
Pfizer (United States) · USIQVIA (United States) · USProbity Medical Research · CAUniversity of Chile · CLVirginia Clinical Research · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPlaque psoriasis is a debilitating skin condition that affects approximately 2% of the adult population and for which there is currently no cure. Tofacitinib is an oral Janus kinase inhibitor that is being investigated for psoriasis.

methodsThe design of this study has been reported previously (NCT00678210). Patients with moderate to severe chronic plaque psoriasis received tofacitinib (2 mg, 5 mg, or 15 mg) or placebo, twice daily, for 12 weeks. Lymphocyte sub-populations, cytomegalovirus (CMV) and Epstein-Barr virus (EBV) DNA were measured at baseline and up to Week 12.

resultsTofacitinib was associated with modest, dose-dependent percentage increases from baseline in median B cell count at Week 4 (24-68%) and Week 12 (18-43%) and percentage reductions from baseline in median natural killer cell count at Week 4 (11-40%). The proportion of patients with detectable CMV and EBV DNA (defined as >0 copies/500 ng total DNA) increased post-baseline in tofacitinib-treated patients. However, multivariate analyses found no relationship between changes in CMV or EBV viral load and changes in lymphocyte sub-populations or tofacitinib treatment.

conclusionsTwelve weeks of treatment with tofacitinib had no clinically significant effects on CMV or EBV viral load, suggesting that lymphocyte sub-populations critical to the response to chronic viral infections and viral reactivation were not significantly affected. Replication of these findings during long-term use of tofacitinib will allow confirmation of this observation.

Indexed as

AdultC-Reactive ProteinCytomegalovirusDNA, ViralDose-Response Relationship, DrugFemaleHerpesvirus 4, HumanHumansLymphocyte CountLymphocyte SubsetsMaleMiddle AgedPiperidinesProtein Kinase InhibitorsPsoriasisPyrimidinesC-Reactive ProteinDNA, ViralPiperidinesProtein Kinase InhibitorsPyrimidinesPyrrolestofacitinib

Identifiers

PMID25951857
PMCPMC4436155
OpenAlexW1604305908

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.