JAK inhibitor: tofacitinib, a new disease modifying anti-rheumatic drug

  • Yamaoka Kunihiro
    The First Department of Internal Medicine, University of Occupational and Environmental Health, Fukuoka, Japan
  • Kubo Satoshi
    The First Department of Internal Medicine, University of Occupational and Environmental Health, Fukuoka, Japan
  • Sonomoto Koshiro
    The First Department of Internal Medicine, University of Occupational and Environmental Health, Fukuoka, Japan
  • Maeshima Keisuke
    Department of Internal Medicine I, Faculty of Medicine, Oita University, Oita, Japan
  • Tanaka Yoshiya
    The First Department of Internal Medicine, University of Occupational and Environmental Health, Fukuoka, Japan

抄録

Treatment of rheumatoid arthritis (RA) with biologic agents targeting inflammatory cytokines and cell surface molecules such as tumor necrosis factor and Interleukin-6 is generally more efficacious than traditional disease-modifying antirheumatic drugs when combined with MTX. However, not only do ∼30% of patients poorly respond to treatment but also parenteral mode of administration and expense are issues to be solved. Recently, a kinase inhibitor targeting Janus kinases (JAKs), has shown high efficacy in active RA in clinical trials. Among several JAK inhibitors in clinical trials for RA, tofacitinib is a step ahead for use in clinical practice. Kinase inhibitors are orally available, which is a major advantage over biologic agents, in addition to being less expensive. This review describes recent advance in JAK inhibitors for RA and its possible mechanism of action.

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詳細情報 詳細情報について

  • CRID
    1390282680233547776
  • NII論文ID
    130004482280
  • DOI
    10.2492/inflammregen.31.349
  • ISSN
    18808190
    18809693
  • 本文言語コード
    en
  • データソース種別
    • JaLC
    • Crossref
    • CiNii Articles
  • 抄録ライセンスフラグ
    使用不可

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