Evidence map›Paper›PMID 33188136›Full record

SynthesisRMD open2020

Points to consider for the treatment of immune-mediated inflammatory diseases with Janus kinase inhibitors: a systematic literature research.

Andreas Kerschbaumer, Josef S Smolen, Peter Nash, Thomas Doerner, Maxime Dougados, Roy Fleischmann, Klaus Geissler, Iain B McInnes, Tsutomu Takeuchi, Michael Trauner and 5 more

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in RMD open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 4 pooled it
6.5field-weighted citation impact, top 2% 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

29 citing papers in PubMed, 4 syntheses or guidelines pooled it, 57 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Guideline
  5. Trial
  6. Trial
  7. Review
  8. Nanoparticle Delivery Systems in Rheumatoid Arthritis: More Than Vehicles.Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition · 2026
    Review
  9. Review
  10. Janus kinase inhibitors in pulmonary and extra-pulmonary sarcoidosis: A case series and a systematic review of the literature.Sarcoidosis, vasculitis, and diffuse lung diseases : official journal of WASOG · 2025
    Article
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  12. Article
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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

15 authors at 12 institutions in 9 countries.

Andreas KerschbaumerAbteilung Für Rheumatologie, Medizinische Universitat Wien Universitatsklinik Fur Innere Medizin III, Wien, Austria andreas.kerschbaumer@meduniwien.ac.at.ORCID 0000-0002-6685-8873
Josef S SmolenMedicine 3, Division of Rheumatology, Medizinische Universitat Wien, Wien, Austria.
Peter NashGriffith University School of Medicine, Gold Coast, Australia.ORCID 0000-0002-2571-788X
Thomas DoernerRheumatology, Charite Medical Faculty Berlin, Berlin, Germany.ORCID 0000-0002-6478-7725
Maxime DougadosHopital Cochin, Rheumatology, Universite Paris Descartes Faculte De Medecine Site Cochin, Paris, France.
Roy FleischmannMetroplex Clinical Research Center, University of Texas Southwestern Medical Center at Dallas, Dallas, Texas, USA.ORCID 0000-0002-6630-1477
Klaus GeisslerSigmund Freud Private University Vienna, Wien, Austria.
Iain B McInnesInstitute of Infection, Immunity & Inflammation, University of Glasgow, Glasgow, UK.ORCID 0000-0003-4449-8501
Tsutomu TakeuchiRheumatology, Keio Univ, School of Medicine, Tokyo, Japan.
Michael TraunerAbteilung Für Gastroenterologie, Medizinische Universitat Wien Universitatsklinik Fur Innere Medizin III, Wien, Austria.
Kevin WinthropOregon Health & Science University, Portland, Oregon, USA.
Maarten de WitPatient Research Partner, EULAR, Zaltbommel, Netherlands.ORCID 0000-0002-8428-6354
Wolf-Henning BoehnckeDivision of Dermatology and Venereology, Geneva University Hospitals, Geneve, Switzerland.
Louise FalzonCenter for Personalized Health, Feinstein Institutes for Medical Research, Northwell Health, Manhasset, New York, USA.
Desirée van der HeijdeRheumatology, LUMC, Leiden, Netherlands.ORCID 0000-0002-5781-158X
Medical University of Vienna · ATCharité - Universitätsmedizin Berlin · DEGriffith University · AUKeio University · JPLeiden University Medical Center · NLMetroplex Clinical Research Center · USNorthwell Health · USOregon Health & Science University · USSigmund Freud Privatuniversität Wien · ATUniversité Paris Cité · FRUniversity of Geneva · CHUniversity of Glasgow · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesReview of efficacy and safety of Janus kinase (JAK) inhibition in immune-mediated inflammatory diseases (IMIDs).

methodsA systematic literature research (SLR) of all publications on JAK inhibitors (JAKi) treatment published until March 2019 using MEDLINE, EMBASE and the Cochrane Library. Efficacy and safety were assessed in randomised controlled trials (RCTs), integrating long-term extension periods additionally for safety evaluation.

results3454 abstracts were screened with 85 included in the final analysis (efficacy and RCT safety: n=72; safety only: n=13). Efficacy of RCTs investigating tofacitinib (TOFA, n=27), baricitinib (BARI, n=9), upadacitinib (UPA, n=14), filgotinib (FILGO, n=7), decernotinib (DEC, n=3) and peficitinib (PEF, n=7) was evaluated. Six head-to-head trials comparing JAKi with tumour necrosis factor inhibitors (TNFi) were included. Efficacy of JAKi was shown in rheumatoid arthritis (RA) for all agents, psoriatic arthritis (TOFA, FILGO), ankylosing spondylitis (TOFA, FILGO), systemic lupus erythematosus (BARI), chronic plaque psoriasis (TOFA, BARI, PEF), ulcerative colitis (TOFA, UPA), Crohn's disease (UPA, FILGO) and atopic dermatitis (TOFA, BARI, UPA). Safety analysis of 72 RCTs, one cohort study and 12 articles on long-term extension studies showed increased risks for infections, especially herpes zoster, serious infections and numerically higher rates of venous thromboembolic events. No increased malignancy rates or major adverse cardiac events were observed.

conclusionJAKi provide good efficacy compared to placebo (and to TNFi in RA and Pso) across various IMIDs with an acceptable safety profile. This SLR informed the task force on points to consider for the treatment of IMIDs with JAKi with the available evidence.

Indexed as

Arthritis, PsoriaticArthritis, RheumatoidJanus Kinase InhibitorsPsoriasisSpondylitis, AnkylosingHumansJanus Kinase InhibitorsankylosingArthritislupus erythematosuspsoriaticrheumatoidspondylitissystemic

Identifiers

PMID33188136
PMCPMC7856126
OpenAlexW3102566107

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.