Evidence map›Paper›PMID 33976699›Full record

ArticleCase reports in medicine2021

Tofacitinib for the Treatment of Severe Interstitial Lung Disease Related to Rheumatoid Arthritis.

Caterina Vacchi, Andreina Manfredi, Giulia Cassone, Stefania Cerri, Giovanni Della Casa, Dario Andrisani, Carlo Salvarani, Marco Sebastiani

Registry-linked trialOpen access · goldAbstract readCase Reports
In one paragraph

Article in Case reports in medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05246293 (Safety and Tolerability of Tofacitinib in the Treatment of Rheumatoid Arthritis-related Interstitial Lung Disease), which is not on this map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
4.3field-weighted citation impact, top 5% 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.

NCT05246293 phase2unknown statusnot on this mapstarted 2022, after this paper: background citation

Safety and Tolerability of Tofacitinib in the Treatment of Rheumatoid Arthritis-related Interstitial Lung Disease (RAILDTo Trial).

TypeinterventionalSponsorNational Institute of Respiratory Diseases, MexicoRan2022 to 2025Enrolled60ConditionsRheumatoid Arthritis, Interstitial Lung DiseaseArmsTofacitinib
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.

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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

8 authors at 1 institution in 1 country.

Caterina VacchiPhD Program in Clinical and Experimental Medicine, University of Modena and Reggio Emilia, Via Del Pozzo 71, Modena 41125, Italy.
Andreina ManfrediRheumatology Unit, University of Modena and Reggio Emilia, Via Del Pozzo 71, Modena 41125, Italy.
Giulia CassonePhD Program in Clinical and Experimental Medicine, University of Modena and Reggio Emilia, Via Del Pozzo 71, Modena 41125, Italy.
Stefania CerriRespiratory Diseases Unit and Centre for Rare Lung Diseases, University of Modena Reggio Emilia, Via Del Pozzo 71, Modena 41125, Italy.
Giovanni Della CasaRadiology Unit, University of Modena and Reggio Emilia, Via Del Pozzo 71, Modena 41125, Italy.
Dario AndrisaniPhD Program in Clinical and Experimental Medicine, University of Modena and Reggio Emilia, Via Del Pozzo 71, Modena 41125, Italy.
Carlo SalvaraniRheumatology Unit, University of Modena and Reggio Emilia, Via Del Pozzo 71, Modena 41125, Italy.
Marco SebastianiRheumatology Unit, University of Modena and Reggio Emilia, Via Del Pozzo 71, Modena 41125, Italy.ORCID https://orcid.org/0000-0002-1294-6421
University of Modena and Reggio Emilia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Rheumatoid arthritis (RA) is a chronic systemic inflammatory disease characterized by chronic symmetrical erosive synovitis and extra-articular manifestations, including interstitial lung disease (ILD), whose treatment is nowadays challenging due to high infectious risk and possible pulmonary iatrogenic toxicity. Janus kinase inhibitors, namely, tofacitinib, baricitinib, and upadacitinib, are the latest drug class for the treatment of RA with a good safety profile. We present the case of a patient with RA-ILD successfully treated with tofacitinib. A 52-year-old man was referred to our multidisciplinary clinic for rheumatic and pulmonary diseases for an active erosive seropositive RA and progressive ILD. Previous treatments were GC, hydroxychloroquine, methotrexate, etanercept, withdrawn after ILD detection, and tocilizumab, discontinued due to relapsing infections. After our evaluation, we proposed rituximab in addition to low-dose GC and hydroxychloroquine, ineffective on joint involvement. Therefore, we proposed tofacitinib which allowed us to control joint involvement, stabilize ILD improving respiratory symptoms, and manage the frequent infectious episodes that occurred initially. The short half-life and rapid-acting of tofacitinib are two helpful characteristics regarding this aspect. Despite limited data from randomized trials and real-life, tofacitinib could represent a safe therapeutic option for RA-ILD patients. Longitudinal studies are required to confirm this encouraging report.

Identifiers

PMID33976699
PMCPMC8084679
OpenAlexW3152903533

What OpenQuestion holds

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LicenceCC BY
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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.