Evidence map›Paper›PMID 40005992›Full record

ReviewPharmaceuticals (Basel, Switzerland)2025

Comparative Efficacy and Safety of JAK Inhibitors in the Management of Rheumatoid Arthritis: A Network Meta-Analysis.

Hani M Almoallim, Mohammed A Omair, Sameh A Ahmed, Kota Vidyasagar, Bisher Sawaf, Mohamed A Yassin

Abstract readReview
In one paragraph

Review in Pharmaceuticals (Basel, Switzerland), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

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

  1. Pooled it
  2. Observational
  3. Review
  4. Article
  5. Article
  6. Review
  7. Article
  8. 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

6 authors.

Hani M AlmoallimDepartment of Medicine, Faculty of Medicine, Umm Al-Qura University, Makkah 24382, Saudi Arabia.ORCID 0000-0003-2582-8317
Mohammed A OmairRheumatology Unit, Department of Medicine, King Saud University, Riyadh 11451, Saudi Arabia.ORCID 0000-0002-9373-5473
Sameh A AhmedPharmacognosy and Pharmaceutical Chemistry Department, College of Pharmacy, Taibah University, Madinah 42353, Saudi Arabia.ORCID 0000-0001-9624-6846
Kota VidyasagarDepartment of Pharmacy, University College of Pharmaceutical Sciences, Kakatiya University, Warangal 506001, India.ORCID 0000-0002-7866-0936
Bisher SawafDepartment of Internal Medicine, Toledo University Medical Center, Toledo, OH 43614, USA.ORCID 0000-0001-6751-619X
Mohamed A YassinHematology Section, National Centre for Cancer Care and Research, Hamad Medical Corporation, Doha P.O. Box 3050, Qatar.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectiveJanus Kinase inhibitors (JAKinibs) are effective and well-tolerated targeted therapies for rheumatoid arthritis (RA). The comparative efficacy and safety of different JAKinibs remains unclear. This network meta-analysis (NMA) aimed to assess the relative efficacy and safety of different available JAKinibs.

methodsSearches were conducted on PubMed, CENTRAL, and ClinicalTrials.gov for randomized, double-blind, placebo-controlled trials comparing JAKinibs in RA patients. A frequentist NMA using the Netmeta package in R (R.4.3.0) was performed to evaluate both efficacy and safety outcomes. Continuous outcomes were presented as mean differences (MDs) and binary outcomes as relative risks (RR) with 95% confidence intervals (CI). The Cochrane risk of bias tool was used to assess the risk of bias in the included trials.

resultsThe analysis encompassed 39 trials with a total of 16,894 participants. Six JAKinibs (tofacitinib, baricitinib, upadacitinib, decernotinib, peficitinib, and filgotinib) were compared. Decernotinib at a dose of 300 mg showed a higher ACR50 response than other JAKinibs (RR = 7.55, 95% CI: 3.48 to 16.39,

conclusionsThis NMA's results indicate that commercially available JAKinibs show superior ACR responses and have comparable tolerability to placebo.

Indexed as

adverse drug reactionsJAK inhibitorsnetwork meta-analysisplaceborheumatoid arthritis

Identifiers

PMID40005992
PMCPMC11859343

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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.