Evidence map›Paper›PMID 34993729›Full record

SynthesisClinical rheumatology2022

Effect of JAK inhibitors on high- and low-density lipoprotein in patients with rheumatoid arthritis: a systematic review and network meta-analysis.

Na Li, Zhong-Ping Gou, Shuang-Qing Du, Xiao-Hong Zhu, Hui Lin, Xiu-Fang Liang, Yong-Sheng Wang, Ping Feng

Erratum issuedAbstract readSystematic ReviewNetwork Meta-Analysis
PubMed Publisher
In one paragraph

Synthesis in Clinical rheumatology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 43 papers.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed
8.9field-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

43 citing papers in PubMed, 58 citations in OpenAlex.

  1. Trial
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  12. Adverse effects of Janus kinase inhibitors with relevance for daily practice in dermatology.Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG · 2025
    Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Na LiNational Medical Products Administration Key Laboratory for Clinical Research and Evaluation of Innovative Drugs, Institute of Clinical Trial Center, West China Hospital, Sichuan University, Sichuan, 610041, Chengdu, China.
Zhong-Ping GouNational Medical Products Administration Key Laboratory for Clinical Research and Evaluation of Innovative Drugs, Institute of Clinical Trial Center, West China Hospital, Sichuan University, Sichuan, 610041, Chengdu, China.
Shuang-Qing DuNational Medical Products Administration Key Laboratory for Clinical Research and Evaluation of Innovative Drugs, Institute of Clinical Trial Center, West China Hospital, Sichuan University, Sichuan, 610041, Chengdu, China.
Xiao-Hong ZhuNational Medical Products Administration Key Laboratory for Clinical Research and Evaluation of Innovative Drugs, Institute of Clinical Trial Center, West China Hospital, Sichuan University, Sichuan, 610041, Chengdu, China.
Hui LinDepartment of Rheumatology, West China Hospital, Sichuan University, Chengdu, 610041, Sichuan, China.
Xiu-Fang LiangNational Medical Products Administration Key Laboratory for Clinical Research and Evaluation of Innovative Drugs, Institute of Clinical Trial Center, West China Hospital, Sichuan University, Sichuan, 610041, Chengdu, China.
Yong-Sheng WangNational Medical Products Administration Key Laboratory for Clinical Research and Evaluation of Innovative Drugs, Institute of Clinical Trial Center, West China Hospital, Sichuan University, Sichuan, 610041, Chengdu, China.
Ping FengNational Medical Products Administration Key Laboratory for Clinical Research and Evaluation of Innovative Drugs, Institute of Clinical Trial Center, West China Hospital, Sichuan University, Sichuan, 610041, Chengdu, China. fengping@wchscu.cn.ORCID http://orcid.org/0000-0001-5488-0814
National Medical Products Administration · CNSichuan University · CN

Funding

The National Science and Technology Major Project of the Ministry of Science and Technology of China 2017ZX09304023
6 · The paper itself

Abstract

objectivesJanus kinase (JAK) inhibitors are a new class of medication for treatment of rheumatoid arthritis (RA), and such inhibitors alter levels of high-density lipoprotein (HDL) and low-density lipoprotein (LDL) in RA patients. However, the extent of such changes has not been systematically reviewed.

methodA systematic review and network meta-analysis was performed on randomized trials in RA patients in response to JAKi identified from Pubmed, Medline, Embase, and Cochrane Controlled Trials Register. The primary outcome was mean change of HDL-C and LDL-C from baseline. Mean treatment differences and the rank of the effect of various JAKi on HDL-C and LDL-C were estimated.

resultsBased on data from 18 unique studies involving five approved JAK inhibitors and 6697 RA patients (JAKi = 3341, placebo = 3356), such inhibitors led to a mean increase of 8.11 mg/dl (95% CI 6.65-9.58, I

conclusionsOur analysis suggests that, at their recommended doses, all five JAK inhibitors lead to an increase in HDL and LDL levels in RA patients. Further long-term research is required to extend these results and understand whether changes in lipid levels in RA patients can affect cardiovascular risk. Key Points • This is the first systematic review and NMA examining the effect of all five clinically approved JAK inhibitors on lipid levels in RA patients. • Recommended doses of JAK inhibitors used for the treatment of RA patients can induce a significant increase in HDL and LDL levels. • Indirect pairwise comparisons suggest that only upadacitinib and peficitinib have significantly different ability to induce LDL change in RA patients.

Indexed as

Antirheumatic AgentsArthritis, RheumatoidJanus Kinase InhibitorsHeart Disease Risk FactorsHumansLipoproteins, HDLLipoproteins, LDLAntirheumatic AgentsJanus Kinase InhibitorsLipoproteins, HDLLipoproteins, LDLCholesterol, DyslipidemiaHDLJanus kinase inhibitorLDL

Identifiers

PMID34993729
OpenAlexW4206136843

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.