Evidence map›Paper›PMID 39995941›Full record

ArticleHeliyon2025

Efficacy and safety of Janus kinase inhibitors in the treatment of psoriasis and psoriatic arthritis: An analysis of evidence from 2014 to 2022.

Jiao Wang, Tian Ma, Xiaoying Sun, Liu Liu, Seokgyeong Hong, Huijung Cha, Miao Zhang, Jiale Chen, Naixuan Lin, Bin Li and 1 more

Abstract read
In one paragraph

Article in Heliyon, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

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

  1. Pooled it
  2. Review
  3. Review
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

11 authors.

Jiao WangDepartment of Dermatology, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, 200437, China.
Tian MaDepartment of Dermatology, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, 200437, China.
Xiaoying SunInstitute of Dermatology, Shanghai Academy of Traditional Chinese Medicine, Shanghai, 201203, China.
Liu LiuDepartment of Dermatology, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, 200437, China.
Seokgyeong HongInstitute of Dermatology, Shanghai Academy of Traditional Chinese Medicine, Shanghai, 201203, China.
Huijung ChaDepartment of Dermatology, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, 200437, China.
Miao ZhangDepartment of Dermatology, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, 200437, China.
Jiale ChenDepartment of Dermatology, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, 200437, China.
Naixuan LinDepartment of Dermatology, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, 200437, China.
Bin LiInstitute of Dermatology, Shanghai Academy of Traditional Chinese Medicine, Shanghai, 201203, China.
Xin LiDepartment of Dermatology, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, 200437, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The efficacy and safety of Janus kinase (JAK) inhibitors as novel therapeutic agents for psoriasis (PSO) and psoriatic arthritis (PsA) have not yet been systematically evaluated. Methods: Randomized controlled studies (RCTs) assessing JAK inhibitors to treat PSO or PsA published before September 1, 2022, were searched in the PubMed, Embase, and Cochrane Library databases. The Psoriasis Area and Severity Index (PASI) 75 and American College of Rheumatology (ACR) 50 were established as primary outcome indicators of PSO and PsA, respectively. Adverse events (AEs) were classified according to eight systems of the human body. Results: We included 16 relevant RCTs involving 4,936 patients with psoriasis, with interventions performed using different doses of JAK inhibitors. Except in one study, all patients received a placebo or vehicle control. JAK inhibitors were administered topically in three studies and orally administered in the remaining studies. Meta-analysis revealed that oral administration of JAK inhibitors significantly improved PASI 75 in patients with PSO (risk ratio [RR] 3.29; 95 % confidence interval [CI] [2.37, 4.57]), and topical application was not effective (RR 1.45, 95 % CI [0.97, 2.15]). JAK1 and JAK3 inhibitors were more effective than JAK1/JAK 2 inhibitors for PASI 75. JAK1 inhibitors elicited high response rates in improving ACR 50 in PsA (RR 2.95, 95 % CI [1.63, 5.35]) and achieved significant results at week 16 of treatment (RR 2.95, 95 % CI [1.63, 5.35]). Oral JAK inhibitor-induced AEs were mainly related to the circulatory system (RR 3.09, 95 % CI [1.42, 6.75]). Conclusions: Oral JAK inhibitors improved clinical symptoms in patients with PSO. Tofacitinib, a JAK1 and JAK3 inhibitor, has a high response rate. Filgotinib, a JAK1 inhibitor, markedly enhanced the response rate and improved ACR scores in patients with PsA, and the best effect was achieved with 16-week oral administration.

Indexed as

Janus kinase (JAK) inhibitorsMeta-analysisPsoriasis (PSO)Psoriatic arthritis (PsA)Randomized controlled study

Identifiers

PMID39995941
PMCPMC11848086

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Registered trials

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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.