Evidence map›Paper›PMID 41169192›Full record

Trial reportArthritis & rheumatology (Hoboken, N.J.)2026

Tofacitinib for the Treatment of Juvenile Idiopathic Arthritis: Patient-Reported Outcomes in a Phase 3, Randomized, Double-Blind, Placebo-Controlled Withdrawal Trial.

Hermine I Brunner, Ekaterina Alexeeva, Marcia Bandeira, Ruy Carrasco, Jeffrey Chaitow, Peter Chiraseveenuprapund, Tracy V Ting, Muferet Erguven, Beth Gottlieb, Sheila Knupp Oliveira and 12 more

Registry-linked trialAbstract readClinical Trial, Phase IIIRandomized Controlled Trial
In one paragraph

Trial report in Arthritis & rheumatology (Hoboken, N.J.), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02592434 (EFFICACY, SAFETY AND TOLERABILITY OF TOFACITINIB FOR TREATMENT OF POLYARTICULAR COURSE JUVENILE IDIOPATHIC ARTHRITIS), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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.

NCT02592434 phase3completednot on this map

Efficacy, safety and tolerability of tofacitinib for treatment of polyarticular course juvenile idiopathic arthritis (jia) in children and adolescent subjects

TypeinterventionalSponsorPfizerRan2016 to 2019Enrolled225ConditionsJuvenile Idiopathic ArthritisArmsCP-690,550 (tofacitinib), placebo
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Trial
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

22 authors.

Hermine I BrunnerCincinnati Children's Hospital Medical Center, Cincinnati, Ohio.ORCID https://orcid.org/0000-0001-9478-2987
Ekaterina AlexeevaNational Medical Research Center for Children's Health Federal State Autonomous Institution of the Russian Federation Ministry of Health and I. M. Sechenov First Moscow State Medical University (Sechenovskiy University), Moscow, Russian Federation.
Marcia BandeiraHospital Pequeno Principe, Curitiba, Brazil.
Ruy CarrascoDell Children's Medical Center of Central Texas, Austin.
Jeffrey ChaitowThe Sydney Children's Hospital Network, Westmead, New South Wales, Australia.
Peter ChiraseveenuprapundDivision of Pediatric Rheumatology, University of Utah, Salt Lake City.ORCID https://orcid.org/0000-0002-6551-1384
Tracy V TingCincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Muferet ErguvenDepartment of Children Health and Diseases, Istanbul Medeniyet University Medical Faculty, Istanbul, Turkey.
Beth GottliebPediatric Rheumatology, Cohen Children's Medical Center, New Hyde Park, New York.
Sheila Knupp OliveiraUniversidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil.
Pooja N PatelAnn & Robert H. Lurie Children's Hospital of Chicago and Northwestern University Feinberg School of Medicine, Chicago, Illinois.
Seza OzenDepartment of Pediatric Rheumatology, Hacettepe University Medical Faculty, Ankara, Turkey.ORCID https://orcid.org/0000-0003-2883-7868
Claudia Saad MagalhaesPediatric Rheumatology Unit, Universidade Estadual Paulista, Botucatu, Brazil.
Inmaculada Calvo PenadésHospital Universitario y Politecnico La Fe, Valencia, Spain.
David GrubenPfizer Inc, Groton, Connecticut.
Rebecca GerminoPfizer Inc, New York, New York.
Holly B PosnerPfizer Inc, New York, New York.
Lori StockertPfizer Inc, Collegeville, Pennsylvania.
Alberto MartiniUniversity of Genova, Genova, Italy.
Daniel J LovellCincinnati Children's Hospital Medical Center, Cincinnati, Ohio.ORCID https://orcid.org/0000-0003-1604-0130
Nicolino RupertoUniversità degli Studi di Milano-Bicocca, Milan, Italy.
Paediatric Rheumatology International Trials Organisation (PRINTO) and Pediatric Rheumatology Collaborative Study Group (PRCSG)

Funding

Pfizer
6 · The paper itself

Abstract

objectiveJuvenile idiopathic arthritis (JIA) is associated with impaired overall health-related quality of life (HRQoL). We evaluated the impact of tofacitinib on patient-reported outcomes (PROs) in patients with JIA.

methodsThis was a post hoc analysis of a phase 3, randomized, double-blind, placebo-controlled withdrawal trial (NCT02592434) in patients with JIA. In the open-label phase (part 1; weeks 0-18), patients received body weight-based doses of tofacitinib. During the double-blind phase (part 2; weeks 18-44), responders (per JIA-American College of Rheumatology 30 response criteria) were randomized 1:1 to continue tofacitinib or switch to placebo for up to 26 weeks. Assessed PROs included the validated parent and/or legal guardian versions of the Childhood Health Assessment Questionnaire for evaluation of disability, arthritis pain, overall well-being, and the Child Health Questionnaire (CHQ).

resultsOverall, 225 patients were enrolled and received open-label tofacitinib in part 1, and 173 patients were randomized in part 2. During part 1, least-squares (LS) mean (SE) disability, arthritis pain, and overall well-being scores numerically improved from mean 1.04 (SE 0.05), mean 5.53 (SE 0.20), and mean 5.07 (SE 0.20) at baseline to mean 0.57 (SE 0.05), mean 2.46 (SE 0.18), and mean 2.47 (SE 0.18) at week 18, respectively. LS mean (SE) CHQ physical summary and psychological summary scores numerically improved from mean 29.51 (SE 1.15) and mean 47.24 (SE 0.85) at baseline to mean 42.70 (SE 0.98) and mean 51.53 (SE 0.80) at week 18, respectively. Improvements were generally maintained to week 44 in part 2.

conclusionTofacitinib improved a range of PROs in patients with JIA, suggesting potential HRQoL benefits.

Indexed as

Arthritis, JuvenilePatient Reported Outcome MeasuresPiperidinesProtein Kinase InhibitorsPyrimidinesPyrrolesAdolescentChildChild, PreschoolDouble-Blind MethodFemaleHumansMaleQuality of LifeTreatment OutcomePiperidinesProtein Kinase InhibitorsPyrimidinesPyrrolestofacitinib

Identifiers

PMID41169192
PMCPMC12991914

What OpenQuestion holds

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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.