Evidence map›Paper›PMID 37942277›Full record

ArticleTherapeutic advances in musculoskeletal disease2023

Rheumatoid arthritis disease activity and adverse events in patients receiving tofacitinib or tumor necrosis factor inhibitors: a

George A Karpouzas, Zoltán Szekanecz, Eva Baecklund, Ted R Mikuls, Deepak L Bhatt, Cunshan Wang, Gosford A Sawyerr, Yan Chen, Sujatha Menon, Carol A Connell and 2 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Therapeutic advances in musculoskeletal disease, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02092467 (PHASE 3B/4 RANDOMIZED SAFETY ENDPOINT STUDY OF 2 DOSES OF TOFACITINIB IN COMPARISON TO A TUMOR NECROSIS FACTOR), which is not on this map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
4.7field-weighted citation impact, top 4% 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.

NCT02092467 phase4completednot on this map

Phase 3b/4 randomized safety endpoint study of 2 doses of tofacitinib in comparison to a tumor necrosis factor (tnf) inhibitor in subjects with rheumatoid arthritis

TypeinterventionalSponsorPfizerRan2014 to 2020Enrolled4,372ConditionsArthritis, RheumatoidArmstofacitinib, adalimumab, etanercept
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 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

12 authors at 7 institutions in 3 countries.

George A KarpouzasDivision of Rheumatology, Harbor-UCLA Medical Center, and the Lundquist Institute, Torrance, CA, USA.
Zoltán SzekaneczDepartment of Rheumatology, Faculty of Medicine, University of Debrecen, Debrecen, Hungary.
Eva BaecklundDepartment of Medical Sciences, Uppsala University, Uppsala, Sweden.
Ted R MikulsDivision of Rheumatology, University of Nebraska Medical Center and VA Nebraska-Western Iowa Health Care System, Omaha, NE, USA.
Deepak L BhattMount Sinai Heart, Icahn School of Medicine at Mount Sinai Health System, New York, NY, USA.
Cunshan WangInflammation and Immunology, Pfizer Inc, Groton, CT, USA.
Gosford A SawyerrInflammation and Immunology, Pfizer Inc, New York, NY, USA.
Yan ChenInflammation and Immunology, Pfizer Inc, Collegeville, PA, USA.
Sujatha MenonInflammation and Immunology, Pfizer Inc, Groton, CT, USA.
Carol A ConnellInflammation and Immunology, Pfizer Inc, Groton, CT, USA.
Steven R YtterbergDivision of Rheumatology, Mayo Clinic, Rochester, MN, USA.
Mahta MortezaviInflammation and Immunology, Pfizer Inc, 66 Hudson Boulevard, New York, NY 10001, USA.ORCID https://orcid.org/0000-0003-4666-071X
Pfizer (United States) · USMayo Clinic in Arizona · USMount Sinai Health System · USUCLA Medical Center · USUniversity of Debrecen · HUUppsala University · SEVA Nebraska Western Iowa Health Care System · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: In patients with rheumatoid arthritis (RA), persistent inflammation and increasing disease activity are associated with increased risk of adverse events (AEs). Objectives: To assess relationships between RA disease activity and AEs of interest in patients treated with tofacitinib or tumor necrosis factor inhibitors (TNFi). Design: This was a Methods: In ORAL Surveillance, 4362 patients aged ⩾50 years with active RA despite methotrexate, and ⩾1 additional cardiovascular (CV) risk factor, were randomized 1:1:1 to tofacitinib 5 or 10 mg twice daily or TNFi for up to 72 months. Results: Across treatments, risk for NSI was higher when patients had CDAI-defined active disease Conclusion: In ORAL Surveillance, higher NSI risk was observed in the presence of active RA Registration: NCT02092467.

Indexed as

autoinflammatory conditionsDMARDsinflammationoutcome measuresrheumatoid arthritis

Identifiers

PMID37942277
PMCPMC10629315
OpenAlexW4388468069

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.