Evidence map›Paper›PMID 41663902›Full record

ArticleInternational journal of rheumatic diseases2026

Risk Factors for Major Adverse Cardiovascular Events, Malignancies, and Serious Infections With Tofacitinib in Rheumatoid Arthritis: Post Hoc Analysis of a 3-Year J-Post-Marketing Surveillance.

Kunihiro Yamaoka, Masato Hoshi, Yutaka Endo, Toshitaka Hirano

Abstract read
In one paragraph

Article in International journal of rheumatic diseases, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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

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. Article
  2. Article
  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

4 authors.

Kunihiro YamaokaDepartment of Rheumatology, Kitasato University School of Medicine, Sagamihara, Kanagawa, Japan.ORCID https://orcid.org/0000-0001-8858-9435
Masato HoshiPfizer Japan Inc., Tokyo, Japan.
Yutaka EndoPfizer R&D Japan G.K, Tokyo, Japan.
Toshitaka HiranoPfizer Japan Inc., Tokyo, Japan.ORCID https://orcid.org/0009-0005-2932-6375

Funding

Pfizer
6 · The paper itself

Abstract

aimThis post hoc analysis of all-case post-marketing surveillance in Japanese patients with rheumatoid arthritis assessed risk factors for major adverse cardiovascular events (MACE), malignancies, and serious infections (SI).

methodsData of patients who received tofacitinib (≥ 1 dose) were stratified by each combination of age (< 50 years and ≥ 50 years) and the number of cardiovascular (CV) risk factors (0 or ≥ 1). Incidence rates (IRs) of each adverse event (AE)-MACE, malignancies, and SI, stratified by age, CV risk factors, and patient background factors were calculated.

resultsOverall, 7021 patients were stratified by each combination of age (< 50 and ≥ 50 years) and the number of CV risk factors (0 or ≥ 1). The IRs for malignancies and SI were higher in patients aged ≥ 50 vs. < 50 years. The IRs for all AEs were higher in patients with ≥ 1 CV risk factors than 0 CV risk factors. Older age was strongly correlated with all AEs. MACE and SI were more likely to be affected by any CV risk factors, while the other AE was influenced by some of them.

conclusionsOlder age was a risk factor for all AEs (MACE, malignancies, and SI). MACE risk was also increased in patients with ≥ 1 CV risk factors versus those without. SI risk might also be increased in patients with ≥ 1 CV risk factors.

Indexed as

Antirheumatic AgentsArthritis, RheumatoidCardiovascular DiseasesInfectionsJanus Kinase InhibitorsNeoplasmsPiperidinesProtein Kinase InhibitorsPyrimidinesPyrrolesAdultAgedAge FactorsFemaleHumansIncidenceAntirheumatic AgentsJanus Kinase InhibitorsPiperidinesProtein Kinase InhibitorsPyrimidinesPyrrolestofacitinibJanus kinase inhibitormajor adverse cardiovascular eventsmalignancypost hoc analysisrheumatoid arthritisserious infectiontofacitinib

Identifiers

PMID41663902
PMCPMC12886613

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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.