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JAK抑制剂对银屑病关节炎患者报告结局的影响。

The Effect of JAK Inhibitors on Patient-Reported Outcomes in Psoriatic Arthritis.

作者信息

Tsiogkas Sotirios G, Perricone Carlo, Bogdanos Dimitrios P

机构信息

Department of Rheumatology and Clinical Immunology, Faculty of Medicine, University of Thessaly, University General Hospital of Larissa, Greece.

Section of Rheumatology, Department of Medicine and Surgery, University of Perugia, Italy.

出版信息

Mediterr J Rheumatol. 2024 Mar 30;35(Suppl 1):20-26. doi: 10.31138/mjr.171223.tej. eCollection 2024 Mar.

DOI:10.31138/mjr.171223.tej
PMID:38756934
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11094440/
Abstract

OBJECTIVE

Psoriatic arthritis (PsA) is a chronic inflammatory disease that affects the joints and skin of patients with psoriasis. In this review we aimed to summarise the available evidence regarding the effect of Janus kinase inhibitors (JAKi) on patient-reported outcomes (PROs) when used for the management of PsA.

METHODS

We utilised a narrative review approach as we searched the available literature for articles to be included in our study.

RESULTS

JAKi have been found to be effective in inducing better PRO responses compared to placebo. These findings have been consistent across various patient populations, including those with active PsA, those with an inadequate response to conventional therapies, and those with comorbidities. The evidence supporting the benefits of JAKi on PROs in PsA is compelling, demonstrating consistent improvements in pain, physical function, fatigue, and quality of life.

CONCLUSION

Numerous studies have demonstrated the the efficacy of JAKi in improving PROs in patients with PsA.

摘要

目的

银屑病关节炎(PsA)是一种慢性炎症性疾病,会影响银屑病患者的关节和皮肤。在本综述中,我们旨在总结关于Janus激酶抑制剂(JAKi)用于治疗PsA时对患者报告结局(PROs)影响的现有证据。

方法

我们采用叙述性综述方法,在现有文献中搜索纳入本研究的文章。

结果

与安慰剂相比,已发现JAKi在诱导更好的PRO反应方面有效。这些发现适用于各种患者群体,包括活动性PsA患者、对传统疗法反应不足的患者以及合并症患者。支持JAKi对PsA患者PROs有益的证据令人信服,表明在疼痛、身体功能、疲劳和生活质量方面持续改善。

结论

大量研究已证明JAKi在改善PsA患者PROs方面的疗效。

相似文献

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Mediterr J Rheumatol. 2024 Mar 30;35(Suppl 1):20-26. doi: 10.31138/mjr.171223.tej. eCollection 2024 Mar.
2
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本文引用的文献

1
Systematic literature review and network meta-analysis of therapies for psoriatic arthritis on patient-reported outcomes.基于患者报告结局的治疗银屑病关节炎疗法的系统文献回顾和网络荟萃分析。
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Genetic Studies Investigating Susceptibility to Psoriatic Arthritis: A Narrative Review.遗传研究调查银屑病关节炎易感性:叙述性综述。
Clin Ther. 2023 Sep;45(9):810-815. doi: 10.1016/j.clinthera.2023.07.003. Epub 2023 Jul 27.
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Efficacy and Safety of the TYK2/JAK1 Inhibitor Brepocitinib for Active Psoriatic Arthritis: A Phase IIb Randomized Controlled Trial.Brepocitinib 治疗活动性银屑病关节炎的疗效和安全性:一项 IIb 期随机对照试验
Arthritis Rheumatol. 2023 Aug;75(8):1370-1380. doi: 10.1002/art.42519. Epub 2023 Jun 22.
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Psoriatic Arthritis: Pathogenesis and Targeted Therapies.银屑病关节炎:发病机制与靶向治疗。
Int J Mol Sci. 2023 Mar 3;24(5):4901. doi: 10.3390/ijms24054901.
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Efficacy and safety of Janus kinase inhibitors in patients with psoriasis and psoriatic arthritis: a systematic review and meta-analysis.Janus 激酶抑制剂治疗银屑病和银屑病关节炎患者的疗效和安全性:系统评价和荟萃分析。
Clin Rheumatol. 2023 Jun;42(6):1593-1605. doi: 10.1007/s10067-023-06529-4. Epub 2023 Feb 10.
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Efficacy and safety of tofacitinib in Chinese patients with active psoriatic arthritis: a phase 3, randomised, double-blind, placebo-controlled study.托法替布治疗中国活动性银屑病关节炎患者的疗效和安全性:一项 3 期、随机、双盲、安慰剂对照研究。
RMD Open. 2023 Jan;9(1). doi: 10.1136/rmdopen-2022-002559.
7
Therapeutic modulation of JAK-STAT, mTOR, and PPAR-γ signaling in neurological dysfunctions.神经功能障碍中 JAK-STAT、mTOR 和 PPAR-γ 信号的治疗调节。
J Mol Med (Berl). 2023 Feb;101(1-2):9-49. doi: 10.1007/s00109-022-02272-6. Epub 2022 Dec 7.
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Is the JAK-STAT Signaling Pathway Involved in the Pathogenesis of Depression?JAK-STAT信号通路是否参与抑郁症的发病机制?
J Clin Med. 2022 Apr 6;11(7):2056. doi: 10.3390/jcm11072056.
9
Efficacy and safety of selective TYK2 inhibitor, deucravacitinib, in a phase II trial in psoriatic arthritis.在一项针对银屑病关节炎的 II 期临床试验中,选择性 TYK2 抑制剂德瓦鲁单抗的疗效和安全性。
Ann Rheum Dis. 2022 Jun;81(6):815-822. doi: 10.1136/annrheumdis-2021-221664. Epub 2022 Mar 3.
10
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Int J Mol Sci. 2022 Jan 23;23(3):1246. doi: 10.3390/ijms23031246.