Evidence map›Paper›PMID 32979899›Full record

ArticleTurkish journal of medical sciences2021

Efficacy, retention, and safety of tofacitinib in real-life: Hur-bio monocentric experience

Emre Bilgin, Furkan Ceylan, Emine Duran, Bayram Farisoğullari, Ertuğrul Çağri Bölek, Gözde Kübra Yardimci, Levent Kiliç, Alİ Akdoğan, Ömer Karadağ, Şaziye Şule Apraş Bilgen and 3 more

Open access · greenAbstract read
In one paragraph

Article in Turkish journal of medical sciences, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 12% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. [Real-world evidence on the use of generic tofacitinib in patients with rheumatoid arthritis]Revista de la Facultad de Ciencias Medicas (Cordoba, Argentina) · 2026
    Article
  4. Article
  5. Article
  6. Observational
  7. Article
  8. Article
  9. Efficacy of Janus kinase inhibitors in rheumatoid arthritis.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2023
    Review
  10. Review
  11. Article
  12. Article
  13. Tofacitinib: Real-World Data and Treatment Persistence in Rheumatoid Arthritis.Open access rheumatology : research and reviews · 2021
    Review
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

13 authors at 1 institution in 1 country.

Emre BilginDivision of Rheumatology, Department of Internal Medicine, Medical School of Hacettepe University, Ankara, TurkeyORCID 0000-0002-2260-4660
Furkan CeylanDepartment of Internal Medicine, Medical School of Hacettepe University, Ankara, TurkeyORCID 0000-0002-1944-0861
Emine DuranDivision of Rheumatology, Department of Internal Medicine, Medical School of Hacettepe University, Ankara, TurkeyORCID 0000-0003-0257-1061
Bayram FarisoğullariDivision of Rheumatology, Department of Internal Medicine, Medical School of Hacettepe University, Ankara, TurkeyORCID 0000-0002-9394-1103
Ertuğrul Çağri BölekDivision of Rheumatology, Department of Internal Medicine, Medical School of Hacettepe University, Ankara, TurkeyORCID 0000-0003-3886-2813
Gözde Kübra YardimciDivision of Rheumatology, Department of Internal Medicine, Medical School of Hacettepe University, Ankara, TurkeyORCID 0000-0001-9543-4685
Levent KiliçDivision of Rheumatology, Department of Internal Medicine, Medical School of Hacettepe University, Ankara, TurkeyORCID 0000-0003-1064-9690
Alİ AkdoğanDivision of Rheumatology, Department of Internal Medicine, Medical School of Hacettepe University, Ankara, TurkeyORCID 0000-0001-7592-3844
Ömer KaradağDivision of Rheumatology, Department of Internal Medicine, Medical School of Hacettepe University, Ankara, TurkeyORCID 0000-0002-3443-3117
Şaziye Şule Apraş BilgenDivision of Rheumatology, Department of Internal Medicine, Medical School of Hacettepe University, Ankara, TurkeyORCID 0000-0001-8208-1585
Sedat KirazDivision of Rheumatology, Department of Internal Medicine, Medical School of Hacettepe University, Ankara, TurkeyORCID 0000-0003-2802-6061
Ali İhsan ErtenliDivision of Rheumatology, Department of Internal Medicine, Medical School of Hacettepe University, Ankara, TurkeyORCID 0000-0002-3904-0769
Umut KalyoncuDivision of Rheumatology, Department of Internal Medicine, Medical School of Hacettepe University, Ankara, TurkeyORCID 0000-0001-7129-2109
Hacettepe University · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background/aim: To assess the real-life efficacy, retention rate, and safety data of tofacitinib in rheumatoid arthritis (RA) patients. Materials and methods: We analyzed all patients registered in the HURBİO database who received at least 1 dose of tofacitinib. Patients who received at least one dose were included in retention analysis; patients with at least 1 control visit were included in efficacy and safety analysis. Factors predicting good response at the last follow-up visit were analyzed by logistic regression analysis. Drug retention rates were calculated using the Kaplan–Meier method and predictors of drug retention were determined by Cox proportional hazard model. Adverse events, reasons for switching, and discontinuation were also determined. Results: Two hundred and forty-seven (210, 85.0% female) patients were included in the study. The median duration of tofacitinib treatment was 10.2 (20.2) [med, (IQR)] months. Two hundred and four (82.6%) patients were included in safety and efficacy analysis; 45.6% of patients were in low-disease activity (LDA) state (DAS28-CRP ≤ 3.2). Predictors of LDA were being biologic-naïve [aOR 2.53 (1.31–4.88); 95% CI] and RF negativity [aOR 2.14 (1.12–4.07); 95% CI]. At 1 year, the overall tofacitinib retention rate was 63.9% with no relevant predicting factor. Response and retention rates of tofacitinib were similar in patients with and without concomitant csDMARDs. Treatment failure was the most common cause of discontinuation. The most common infectious and laboratory adverse events were herpes zoster infection (3.9 per 100 patient-years) and elevation in ALT (x3UNL: 9.7 per 100 patient-years), respectively. Conclusion: Tofacitinib is effective as monotherapy or in combination with csDMARDs. It is a well-tolerated treatment option in Turkish RA patients.

Indexed as

Arthritis, RheumatoidDrug MonitoringPiperidinesPyrimidinesAntirheumatic AgentsDrug Therapy, CombinationDuration of TherapyFemaleHerpes ZosterHumansKaplan-Meier EstimateLongitudinal StudiesMaleMiddle AgedOutcome and Process Assessment, Health CarePatient AcuityAntirheumatic AgentsPiperidinesPyrimidinestofacitinibpredictorreal-lifeRheumatoid arthritistofacitinib

Identifiers

PMID32979899
PMCPMC7991862
OpenAlexW3088380721

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

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.