Ann Rheum Dis:托法替尼与巴瑞替尼治疗类风湿性关节炎的疗效比较

2021-08-25 xiangting MedSci原创

在临床实践中,每种Janus 激酶 (JAK) 抑制剂治疗类风湿性关节炎 (RA) 疗效的差异尚不明确。

在临床实践中,每种Janus 激酶 (JAK) 抑制剂治疗类风湿性关节炎 (RA) 疗效的差异尚不明确。这项发表在风湿病顶级期刊Ann Rheum Dis上的研究比较了托法替尼 (TOFA) 与巴瑞替尼 (BARI) 的疗效。

                                       

研究比较了 TOFA(n=156)与 BARI(n=138)对 RA 患者的疗效。使用基于倾向评分的治疗加权逆概率 (IPTW) 将选择偏差降至最低。使用生长混合模型 (GMM) 分析 TOFA 或 BARI 治疗患者的临床疾病活动指数 (CDAI)的变化轨迹。

调整后,TOFA 组和 BARI 组的患者特征没有显著差异。使用JAK 抑制剂后的第 24 周BARI 组 CDAI 缓解率明显高于 TOFA 组。第 24 周时未达到低疾病活动度的患者,根据GMM 被定义为耐药组,这些患者更可能在使用 JAK 抑制剂之前接受过多种生物性疾病改善抗风湿药 (bDMARDs) 和使用TOFA治疗。在TOFA 治疗的 RA 患者中,在TOFA 之前使用过≥4 种bDMARDs 治疗的患者更有可能被归入耐药组。

                                          两组的CDAI变化轨迹

由此可见,BARI比TOFA 的临床疗效好,两者的安全性相当。然而由于该研究的样本量较小,需要更精确的头对头研究。

 

原始出处:

Yusuke Miyazaki.Efficacy and safety of tofacitinib versus baricitinib in patients with rheumatoid arthritis in real clinical practice: analyses with propensity score-based inverse probability of treatment weighting. Ann Rheum Dis. September 2021.

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    2021-08-27 lmm397
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    2021-08-26 ms3000001999514966

    物理质变物理量变

    0

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    2021-08-25 内科新手

    谢谢梅斯提供这么好的信息,学到很多

    0

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    2021-08-25 ms5000001266883663

    学习

    0

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