Pharmacology and safety of tofacitinib in ulcerative colitis

被引:45
作者
Lopez-Sanroman, Antonio [1 ]
Esplugues, Juan, V [2 ]
Domenech, Eugeni [3 ,4 ]
机构
[1] Hosp Univ Ramon Y Cajal, Serv Gastroenterol & Hepatol, Madrid, Spain
[2] Univ Valencia, Fac Med, Dept Farmacol, Unidad Farmacol Digest & Inflamatoria, Valencia, Spain
[3] Hosp Badalona Germans Trias & Pujol, Serv Gastroenterol & Hepatol, Badalona, Catalunya, Spain
[4] Ctr Invest Biomed Red Enfermedades Hepat & Digest, Madrid, Spain
来源
GASTROENTEROLOGIA Y HEPATOLOGIA | 2021年 / 44卷 / 01期
关键词
Tofacitinib; Safety; Pharmacology; Ulcerative colitis; Janus kinase; JAK; JANUS KINASE INHIBITOR; MAINTENANCE THERAPY; JAK INHIBITION; PHARMACOKINETICS; PHARMACOTHERAPY; PREVENTION; INDUCTION; IMMUNE; RISK;
D O I
10.1016/j.gastrohep.2020.04.012
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
YY The use of Janus kinase (JAK) inhibitors is a new approach in the therapy of inflammatory diseases with immune base. Tofacitinib is one of these inhibitors targeting JAK1 and JAK3, and its efficacy has been demonstrated in the treatment of moderate to severe ulcerative colitis (UC). It is a small synthetic molecule administered orally, with a fast bioavailability and elimination rate, predictable pharmacokinetics and lack of immunogenicity, which are convenient characteristics for both efficacy and safety. This article reviews the pharmacological characteristics of tofacitinib and its safety profile. (C) 2020 The Authors. Published by Elsevier Espana, S.L.U.
引用
收藏
页码:39 / 48
页数:10
相关论文
共 46 条
[1]   Etiopathogenesis, Prevention, and Treatment of Thromboembolism in Inflammatory Bowel Disease [J].
Alkim, Huseyin ;
Koksal, Ali Riza ;
Boga, Salih ;
Sen, Ilker ;
Alkim, Canan .
CLINICAL AND APPLIED THROMBOSIS-HEMOSTASIS, 2017, 23 (06) :501-510
[2]   Clinical Pharmacokinetic and Pharmacodynamic Considerations in the Treatment of Ulcerative Colitis [J].
Berends, Sophie E. ;
Strik, Anne S. ;
Lowenberg, Mark ;
D'Haens, Geert R. ;
Mathot, Ron A. A. .
CLINICAL PHARMACOKINETICS, 2019, 58 (01) :15-37
[3]   Recommendations of the Spanish Working Group on Crohn's Disease and Ulcerative Colitis (GETECCU) on the use of tiopurines in inflammatory bowel disease [J].
Berrnejo, Fernando ;
Aguas, Mariam ;
Chaparro, Maria ;
Domenech, Eugeni ;
Echarri, Ana ;
Garcia-Planella, Esther ;
Guerra, Ivan ;
Gisbert, Javier P. ;
Lopez-Sanroman, Antonio .
GASTROENTEROLOGIA Y HEPATOLOGIA, 2018, 41 (03) :205-221
[4]   Systematic review with network meta-analysis: comparative assessment of tofacitinib and biological therapies for moderate-to-severe ulcerative colitis [J].
Bonovas, S. ;
Lytras, T. ;
Nikolopoulos, G. ;
Peyrin-Biroulet, L. ;
Danese, S. .
ALIMENTARY PHARMACOLOGY & THERAPEUTICS, 2018, 47 (04) :454-465
[5]   Tofacitinib: A Jak of All Trades [J].
Burke, Kristin E. ;
Ananthakrishnan, Ashwin N. .
CLINICAL GASTROENTEROLOGY AND HEPATOLOGY, 2019, 17 (08) :1438-1440
[6]   Epidemiology, clinical characteristics, evolution and treatments in newly diagnosed inflammatory bowel disease (IBD): results from the nationwide EpidemIBD study of GETECCU [J].
Chaparro, M. ;
Barreiro-de Acosta, M. ;
Benitez, J. ;
Cabriada, J. ;
Casanova, M. ;
Ceballos, D. ;
Esteve, M. ;
Fernandez, H. ;
Ginard, D. ;
Gomollon, F. ;
Lorente, R. ;
Nos, P. ;
Riestra, S. ;
Rivero, M. ;
Robledo, P. ;
Rodriguez, C. ;
Sicilia, B. ;
Torrella, E. ;
Garre, A. ;
Rodriguez-Artalejo, F. ;
Garcia-Esquinas, E. ;
Gisbert, J. .
JOURNAL OF CROHNS & COLITIS, 2019, 13 :S516-S517
[7]   Maintenance therapy options for ulcerative colitis [J].
Chaparro, Maria ;
Gisbert, Javier P. .
EXPERT OPINION ON PHARMACOTHERAPY, 2016, 17 (10) :1339-1349
[8]  
Cohen BL, 2018, ARTHRITIS RHEUM-US, V70
[9]   Herpes Zoster in Patients Receiving JAK Inhibitors For Ulcerative Colitis: Mechanism, Epidemiology, Management, and Prevention [J].
Colombel, Jean-Frederic .
INFLAMMATORY BOWEL DISEASES, 2018, 24 (10) :2173-2182
[10]   JAK inhibition using tofacitinib for inflammatory bowel disease treatment: a hub for multiple inflammatory cytokines [J].
Danese, Silvio ;
Grisham, Matthew ;
Hodge, Jennifer ;
Telliez, Jean-Baptiste .
AMERICAN JOURNAL OF PHYSIOLOGY-GASTROINTESTINAL AND LIVER PHYSIOLOGY, 2016, 310 (03) :G155-G162