EnvisionRheumat
EnvisionRheumat

@ERheumat

5 Tweets 24 reads Jun 03, 2022
#EULAR2022
JAK inhibitors: are all promises fulfilled?
Most Physicians Prefer JAKi due to
๐Ÿ”น Good Efficacy
๐Ÿ”น Faster onset of action
๐Ÿ”น Better adherence (50% attrition for JAK at 4 years Compared to 2 years with TNF)
#EULAR2022
JAK inhibitors: are all promises fulfilled?
๐Ÿ”นEfficacy of TNFi and other bDMARDs Compared
๐Ÿ”นJAK perform equivalently if not better
๐Ÿ”นBari and Upada proven to be superior to Adalimumab/abatacept in different trials
#EULAR2022
JAK inhibitors: are all promises fulfilled?
๐Ÿ”นSafety signals form observational studies only showed a high risk of HZ
๐Ÿ”นThings Change after Oral surveillance
๐Ÿ”นSTAR-RA had some similar observations
๐Ÿ”นAvoid in those with High CV risk
#EULAR2022
JAK inhibitors: are all promises fulfilled?
Simple MOA
JAK1 ๐Ÿ‘‰๐Ÿป Varied actions
JAK2 ๐Ÿ‘‰๐Ÿป Hematological proliferation
JAK3๐Ÿ‘‰๐Ÿป T-cell survival
#EULAR2022
JAK inhibitors: are all promises fulfilled?
Overall
๐Ÿ”น Efficacy Good ๐Ÿ‘‰๐Ÿป Not curative/ remission inducing though
๐Ÿ”น Adherence ๐Ÿ‘‰๐Ÿป Better than bDMRDS
๐Ÿ”นSafety ๐Ÿ‘‰๐Ÿป CV risk and Malignancy๐Ÿ˜ฑ with HZ
๐Ÿ”น Simple MOA ๐Ÿ‘‰๐Ÿป Depends on the JAK you are inhibiting

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