Evidence map›Paper›PMID 39695823›Full record

ArticleBMC rheumatology2024

Efficacy and safety of baricitinib in rheumatoid arthritis patients with moderate renal impairment: a multicenter propensity score matching study.

Akira Maeyama, Masakazu Kondo, Hiroshi Harada, Eisuke Shono, Ryuji Nagamine, Tomomi Tsuru, Yasushi Inoue, Munetoshi Nakashima, Yutaro Yamasaki, Hiroaki Niiro and 2 more

Abstract read
In one paragraph

Article in BMC rheumatology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Article
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.

Akira MaeyamaDepartment of Orthopaedic Surgery, Faculty of Medicine, Fukuoka University, 7-45-1 Nanakuma, Jonan-ku, Fukuoka, 814-0180, Japan. akira.maeyama0713@joy.ocn.ne.jp.
Masakazu KondoKondo Clinic of Rheumatology and Orthopaedic Surgery, 3-10-11 Tenjin, Chuo-ku, Fukuoka, 810-0001, Japan.
Hiroshi HaradaDepartment of Orthopaedic Surgery Rheumatology Center, Yagi Hospital, 2-21-25, Maidashi, Higashi-ku, Fukuoka, 812-0054, Japan.
Eisuke ShonoShono Rheumatology Clinic, Nishijin Prime Building, 1-10-27, Nishijin, Sawara-ku, Fukuoka, 814-0002, Japan.
Ryuji NagamineNagamine Rheumatology and Orthopaedic Clinic, 1-11-1, Kashiiekimae, Higashi-ku, Fukuoka, 813-0013, Japan.
Tomomi TsuruPS Clinic, Random Square, 6-18 Tenya-cho, Hakata-ku, Fukuoka, 812-0025, Japan.
Yasushi InoueDepartment of Rheumatology, Fukuoka Red Cross Hospital, 3-1-1 Ogusu, Minami-ku, Fukuoka, 815-8555, Japan.
Munetoshi NakashimaDivision of Rheumatology, Kurume University Medical Center, 155-1 Kokubu-machi, Kurume, 839-0863, Fukuoka, Japan.
Yutaro YamasakiDepartment of Orthopaedic Surgery, Faculty of Medicine, Fukuoka University, 7-45-1 Nanakuma, Jonan-ku, Fukuoka, 814-0180, Japan.
Hiroaki NiiroDepartment of Medical Education, Faculty of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan.
Yasuharu NakashimaDepartment of Orthopaedic Surgery, Kyushu University, 3-1-1, Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan.
Takuaki YamamotoDepartment of Orthopaedic Surgery, Faculty of Medicine, Fukuoka University, 7-45-1 Nanakuma, Jonan-ku, Fukuoka, 814-0180, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study aimed to compare the efficacy and safety of baricitinib in patients with rheumatoid arthritis (RA) receiving different doses based on renal function.

methodsWe conducted a retrospective study within the JAK Study Group, involving 23 facilities in Fukuoka Prefecture, examining patients treated with baricitinib for RA. Patients were categorized into two dose groups: 4 mg with normal/mild renal dysfunction and 2 mg with moderate renal dysfunction. Baricitinib's efficacy, retention rate, and safety were compared between the groups after propensity score matching.

resultsAfter propensity score matching, disease duration, methotrexate dosage, and anti-cyclic citrullinated peptide antibody positivity rate were balanced across 33 patients in both groups. No significant differences were observed between the groups in tender/swollen joint counts, changes in evaluator/patient global assessments, achievement rate of low disease activity, remission rate on clinical/simplified disease activity indices, or retention rate. Additionally, the incidence of adverse events aligned with previous reports, indicating similar drug safety profiles.

conclusionsBaricitinib 2 mg in RA patients with moderate renal dysfunction showed comparable efficacy and retention rate to 4 mg in patients with normal/mild renal dysfunction. The incidence and types of adverse events were consistent with previous studies, indicating the safety of the drug at these dosages.

Indexed as

BaricitinibJAK inhibitorJapanPropensity score matchingRheumatoid arthritis

Identifiers

PMID39695823
PMCPMC11653574

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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.