New drugs beyond biologics in rheumatoid arthritis: the kinase inhibitors

被引:50
作者
Gema Bonilla-Hernan, M. [1 ]
Eugenia Miranda-Carus, M. [1 ]
Martin-Mola, Emilio [1 ]
机构
[1] Univ Autonoma Madrid, Hosp Univ La Paz, Dept Rheumatol, Madrid 28046, Spain
关键词
Rheumatoid arthritis; Treatment; Small molecule; Signalling; kinases; fostamatinib; tofacitinib; ACTIVATED PROTEIN-KINASE; COLLAGEN-INDUCED ARTHRITIS; N-TERMINAL KINASE; DOUBLE-BLIND; TYROSINE KINASE; P38; MAPK; METHOTREXATE; EFFICACY; SAFETY; MULTICENTER;
D O I
10.1093/rheumatology/ker192
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Orally available small molecule compounds have recently been developed for the treatment of RA, and inhibitors of signalling cascades, specifically inhibitors of kinases, have reached advanced stages of clinical development. The p38 mitogen-activated protein kinase blockers have shown poor clinical response despite encouraging preclinical data. In contrast, inhibitors of the non-receptor tyrosine kinases, spleen tyrosine kinase and janus kinase 3, have demonstrated a significant clinical efficacy together with an acceptable safety profile. We herein present a review on published preclinical and clinical data on these new drugs.
引用
收藏
页码:1542 / 1550
页数:9
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