Evidence map›Paper›PMID 33158881›Full record

GuidelineAnnals of the rheumatic diseases2021

Points to consider for the treatment of immune-mediated inflammatory diseases with Janus kinase inhibitors: a consensus statement.

Peter Nash, Andreas Kerschbaumer, Thomas Dörner, Maxime Dougados, Roy M Fleischmann, Klaus Geissler, Iain McInnes, Janet E Pope, Désirée van der Heijde, Michaela Stoffer-Marx and 19 more

Abstract readConsensus StatementPractice GuidelineSystematic Review
In one paragraph

Guideline in Annals of the rheumatic diseases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 148 papers, 15 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
148citing papers in PubMed, 15 pooled it
–field-weighted citation impact
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

148 citing papers in PubMed, 15 syntheses or guidelines pooled it.

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88 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

29 authors.

Peter NashSchool of Medicine, Griffith University, Brisbane, Queensland, Australia josef.smolen@meduniwien.ac.at drpnash@tpg.com.au.ORCID 0000-0002-2571-788X
Andreas KerschbaumerDivision of Rheumatology, Department of Medicine 3, Medical University of Vienna, 1090 Vienna, Austria.ORCID 0000-0002-6685-8873
Thomas DörnerDept. Med./Rheumatology and Clinical Immunology, Charite Univ. Hospital, Berlin, Germany.ORCID 0000-0002-6478-7725
Maxime DougadosHopital Cochin, Rheumatology, Université Paris Descartes, Paris, France.
Roy M FleischmannDepartment of Medicine, Southwestern University of Texas, Dallas, Texas, USA.ORCID 0000-0002-6630-1477
Klaus GeisslerHietzing Hospital, Wien, Austria.
Iain McInnesInstitute of Infection, Immunity and Inflammation, University of Glasgow, Glasgow, UK.
Janet E PopeMedicine, Division of Rheumatology, The University of Western Ontario, London, Ontario, Canada.ORCID 0000-0003-1479-5302
Désirée van der HeijdeRheumatology, Leiden University Medical Center, Leiden, The Netherlands.ORCID 0000-0002-5781-158X
Michaela Stoffer-MarxSection for Outcomes Research, Center for Medical Statistics, Informatics, and Intelligent Systems, Medical University of Vienna, Vienna, Austria.
Tsutomu TakeuchiRheumatology, Keio Univ, School of Medicine, Tokyo, Japan.
Michael TraunerDivision of Gastroenterology and Hepatology, Department of Medicine 3, Medical University of Vienna, Vienna, Austria.
Kevin L WinthropOregon Health Sciences University, Portland, Oregon, USA.ORCID 0000-0002-3892-6947
Maarten de WitMedical Humanities, Amsterdam University Medical Centre, Amsterdam, Netherlands.ORCID 0000-0002-8428-6354
Daniel AletahaDivision of Rheumatology, Department of Medicine 3, Medical University of Vienna, 1090 Vienna, Austria.ORCID 0000-0003-2108-0030
Xenofon BaraliakosRheumazentrum Ruhrgebiet, Herne, Germany.
Wolf-Henning BoehnckeDermatology, University Hospitals of Geneva, Geneva, Switzerland.
Paul EmeryLeeds Institute of Rheumatic and Musculoskeletal Medicine, Leeds, UK.ORCID 0000-0002-7429-8482
John D IsaacsMusculoskeletal Research Group, Newcastle University, Newcastle upon Tyne, UK.
Joel KremerRheumatology, Albany Medical College, Albany, New York, USA.
Eun Bong LeeInternal Medicine, Seoul National University College of Medicine, Seoul, Korea (the Republic of).ORCID 0000-0003-0703-1208
Walter P MaksymowychMedicine, University of Alberta Faculty of Medicine and Dentistry, Edmonton, Alberta, Canada.ORCID 0000-0002-1291-1755
Marieke VoshaarMedical Humanities, Amsterdam University Medical Centre, Amsterdam, Netherlands.
Lai-Shan TamDepartment of Medicine & Therapeutics, Chinese University of Hong Kong Shaw College, New Territories, Hong Kong.
Yoshiya TanakaFirst Department of Internal Medicine, University of Occupational and Environmental Health, Japan, Kitakyushu, Japan.ORCID 0000-0002-0807-7139
Filip van den BoschRheumatology, University Hospital Gent, Gent, Belgium.
René WesthovensKU Leuven University Hospitals Leuven, Leuven, Belgium.ORCID 0000-0002-3432-3073
Ricardo XavierDivision of Rheumatology, Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil.
Josef S SmolenDivision of Rheumatology, Department of Medicine 3, Medical University of Vienna, 1090 Vienna, Austria josef.smolen@meduniwien.ac.at drpnash@tpg.com.au.ORCID 0000-0002-4302-8877

Funding

Medical Research Council G1001518
6 · The paper itself

Abstract

objectivesJanus kinase inhibitors (JAKi) have been approved for use in various immune-mediated inflammatory diseases. With five agents licensed, it was timely to summarise the current understanding of JAKi use based on a systematic literature review (SLR) on efficacy and safety.

methodsExisting data were evaluated by a steering committee and subsequently reviewed by a 29 person expert committee leading to the formulation of a consensus statement that may assist the clinicians, patients and other stakeholders once the decision is made to commence a JAKi. The committee included patients, rheumatologists, a gastroenterologist, a haematologist, a dermatologist, an infectious disease specialist and a health professional. The SLR informed the Task Force on controlled and open clinical trials, registry data, phase 4 trials and meta-analyses. In addition, approval of new compounds by, and warnings from regulators that were issued after the end of the SLR search date were taken into consideration.

resultsThe Task Force agreed on and developed four general principles and a total of 26 points for consideration which were grouped into six areas addressing indications, treatment dose and comedication, contraindications, pretreatment screening and risks, laboratory and clinical follow-up examinations, and adverse events. Levels of evidence and strengths of recommendations were determined based on the SLR and levels of agreement were voted on for every point, reaching a range between 8.8 and 9.9 on a 10-point scale.

conclusionThe consensus provides an assessment of evidence for efficacy and safety of an important therapeutic class with guidance on issues of practical management.

Indexed as

AdamantaneAdvisory CommitteesAntirheumatic AgentsArthritis, PsoriaticArthritis, RheumatoidAzetidinesCytokinesDrug Therapy, CombinationEuropeHeterocyclic Compounds, 3-RingHumansInflammatory Bowel DiseasesJanus Kinase InhibitorsNiacinamidePiperidinesPsoriasisAdamantaneAntirheumatic AgentsAzetidinesbaricitinibCytokinesGLPG0634Heterocyclic Compounds, 3-RingJanus Kinase InhibitorsNiacinamidepeficitinibPiperidinesPurinesPyrazolesPyridinesPyrimidinesSulfonamidestofacitinibTriazolesupadacitinibAutoimmune DiseasesInflammationTherapeutics

Identifiers

PMID33158881
PMCPMC7788060

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.