Evidence map›Paper›PMID 33541985›Full record

ArticleBMJ case reports2021

First use of tofacitinib to treat an immune checkpoint inhibitor-induced arthritis.

Kieran Murray, Achilleas Floudas, Ciara Murray, Aurelie Fabre, John Crown, Ursula Fearon, Douglas Veale

Open access · greenAbstract readCase Reports
In one paragraph

Article in BMJ case reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.7field-weighted citation impact, top 13% 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, 23 citations in OpenAlex.

  1. Article
  2. JAK/STAT inhibition reprograms T cell activation and metabolism in inflammatory arthritis patients.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2026
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  10. Facts and Hopes in Prediction, Diagnosis, and Treatment of Immune-Related Adverse Events.Clinical cancer research : an official journal of the American Association for Cancer Research · 2022
    Review
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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

7 authors at 3 institutions in 3 countries.

Kieran MurrayEULAR Centre for Arthritis and Rheumatic Disease, St. Vincent's University Hospital, Dublin, Ireland.ORCID http://orcid.org/0000-0001-6201-8116
Achilleas FloudasEULAR Centre for Arthritis and Rheumatic Disease, St. Vincent's University Hospital, Dublin, Ireland.
Ciara MurrayPathology, Oncology and Medicine, University College Dublin, Dublin, Ireland.
Aurelie FabrePathology, Oncology and Medicine, University College Dublin, Dublin, Ireland.
John CrownPathology, Oncology and Medicine, University College Dublin, Dublin, Ireland.
Ursula FearonEULAR Centre for Arthritis and Rheumatic Disease, St. Vincent's University Hospital, Dublin, Ireland.
Douglas VealeEULAR Centre for Arthritis and Rheumatic Disease, St. Vincent's University Hospital, Dublin, Ireland douglas.veale@ucd.ie.
University College Dublin · IETrinity College Dublin · IESt. Vincent's University Hospital · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Immune checkpoint inhibitors have revolutionised cancer treatment; however, immune-related adverse events do occur, with up to 7% developing inflammatory arthritis. Common rheumatoid arthritis therapies such as methotrexate, prednisolone and biologics have been used to treat this arthritis in small, uncontrolled case series with varying success. In this case of personalised medicine, we report the first use of tofacitinib, a small molecular inhibitor of the Janus kinase-signal transducer and activator of transcription pathway, to treat checkpoint inhibitor-related inflammatory arthritis. This resulted in a rapid clinical response and complete, sustained remission of the arthritis with associated marked reduction in synovial molecular and cellular immune response.

Indexed as

Immune Checkpoint InhibitorsArthritis, RheumatoidHumansLung NeoplasmsMaleMiddle AgedPiperidinesPrecision MedicineProtein Kinase InhibitorsPyrimidinesImmune Checkpoint InhibitorsPiperidinesProtein Kinase InhibitorsPyrimidinestofacitinibdrugs: musculoskeletal and joint diseasesmalignant disease and immunosuppression

Identifiers

PMID33541985
PMCPMC7868229
OpenAlexW3127403375

What OpenQuestion holds

Textmetadata
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.