Recommendations of the Brazilian Society of Rheumatology for the use of JAK inhibitors in the management of rheumatoid arthritis

Abstract Rheumatoid arthritis (RA) is a chronic and autoimmune systemic inflammatory disease that can cause irreversible joint deformities, with increased morbidity and mortality and a significant impact on the quality of life of the affected individual. The main objective of RA treatment is to achi...

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Autores principales: Karina Rossi Bonfiglioli, Licia Maria Henrique da Mota, Ana Cristina de Medeiros Ribeiro, Adriana Maria Kakehasi, Ieda Maria Magalhães Laurindo, Rina Dalva Neubarth Giorgi, Angela Luzia Branco Pinto Duarte, Ana Paula Monteiro Gomides Reis, Mariana Peixoto Guimarães Ubirajara e Silva de Souza, Claiton Viegas Brenol, Geraldo da Rocha Castelar Pinheiro, Cleandro Pires de Albuquerque, Charlles Heldan de Moura Castro, Gustavo Luiz Behrens Pinto, Jose Fernando Verztman, Luciana Feitosa Muniz, Manoel Barros Bertolo, Maria Raquel da Costa Pinto, Paulo Louzada Júnior, Vitor Alves Cruz, Ivanio Alves Pereira, Max Vitor Carioca de Freitas, Bóris Afonso Cruz, Eduardo Paiva, Odirlei Monticielo, José Roberto Provenza, Ricardo Machado Xavier
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Publicado: BMC 2021
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spelling oai:doaj.org-article:29eb58b890394fa49f3e3b59129893362021-11-28T12:23:45ZRecommendations of the Brazilian Society of Rheumatology for the use of JAK inhibitors in the management of rheumatoid arthritis10.1186/s42358-021-00228-x2523-3106https://doaj.org/article/29eb58b890394fa49f3e3b59129893362021-11-01T00:00:00Zhttps://doi.org/10.1186/s42358-021-00228-xhttps://doaj.org/toc/2523-3106Abstract Rheumatoid arthritis (RA) is a chronic and autoimmune systemic inflammatory disease that can cause irreversible joint deformities, with increased morbidity and mortality and a significant impact on the quality of life of the affected individual. The main objective of RA treatment is to achieve sustained clinical remission or low disease activity. However, up to 40% of patients do not respond to available treatments, including bDMARDs. New therapeutic targets for RA are emerging, such as Janus kinases (JAKs). These are essential for intracellular signaling (via JAK-STAT) in response to many cytokines involved in RA immunopathogenesis. JAK inhibitors (JAKi) have established themselves as a highly effective treatment, gaining increasing space in the therapeutic arsenal for the treatment of RA. The current recommendations aim to present a review of the main aspects related to the efficacy and safety of JAKis in RA patients, and to update the recommendations and treatment algorithm proposed by the Brazilian Society of Rheumatology in 2017.Karina Rossi BonfiglioliLicia Maria Henrique da MotaAna Cristina de Medeiros RibeiroAdriana Maria KakehasiIeda Maria Magalhães LaurindoRina Dalva Neubarth GiorgiAngela Luzia Branco Pinto DuarteAna Paula Monteiro Gomides ReisMariana Peixoto Guimarães Ubirajara e Silva de SouzaClaiton Viegas BrenolGeraldo da Rocha Castelar PinheiroCleandro Pires de AlbuquerqueCharlles Heldan de Moura CastroGustavo Luiz Behrens PintoJose Fernando VerztmanLuciana Feitosa MunizManoel Barros BertoloMaria Raquel da Costa PintoPaulo Louzada JúniorVitor Alves CruzIvanio Alves PereiraMax Vitor Carioca de FreitasBóris Afonso CruzEduardo PaivaOdirlei MonticieloJosé Roberto ProvenzaRicardo Machado XavierBMCarticleDiseases of the musculoskeletal systemRC925-935Immunologic diseases. AllergyRC581-607ENAdvances in Rheumatology, Vol 61, Iss 1, Pp 1-13 (2021)
institution DOAJ
collection DOAJ
language EN
topic Diseases of the musculoskeletal system
RC925-935
Immunologic diseases. Allergy
RC581-607
spellingShingle Diseases of the musculoskeletal system
RC925-935
Immunologic diseases. Allergy
RC581-607
Karina Rossi Bonfiglioli
Licia Maria Henrique da Mota
Ana Cristina de Medeiros Ribeiro
Adriana Maria Kakehasi
Ieda Maria Magalhães Laurindo
Rina Dalva Neubarth Giorgi
Angela Luzia Branco Pinto Duarte
Ana Paula Monteiro Gomides Reis
Mariana Peixoto Guimarães Ubirajara e Silva de Souza
Claiton Viegas Brenol
Geraldo da Rocha Castelar Pinheiro
Cleandro Pires de Albuquerque
Charlles Heldan de Moura Castro
Gustavo Luiz Behrens Pinto
Jose Fernando Verztman
Luciana Feitosa Muniz
Manoel Barros Bertolo
Maria Raquel da Costa Pinto
Paulo Louzada Júnior
Vitor Alves Cruz
Ivanio Alves Pereira
Max Vitor Carioca de Freitas
Bóris Afonso Cruz
Eduardo Paiva
Odirlei Monticielo
José Roberto Provenza
Ricardo Machado Xavier
Recommendations of the Brazilian Society of Rheumatology for the use of JAK inhibitors in the management of rheumatoid arthritis
description Abstract Rheumatoid arthritis (RA) is a chronic and autoimmune systemic inflammatory disease that can cause irreversible joint deformities, with increased morbidity and mortality and a significant impact on the quality of life of the affected individual. The main objective of RA treatment is to achieve sustained clinical remission or low disease activity. However, up to 40% of patients do not respond to available treatments, including bDMARDs. New therapeutic targets for RA are emerging, such as Janus kinases (JAKs). These are essential for intracellular signaling (via JAK-STAT) in response to many cytokines involved in RA immunopathogenesis. JAK inhibitors (JAKi) have established themselves as a highly effective treatment, gaining increasing space in the therapeutic arsenal for the treatment of RA. The current recommendations aim to present a review of the main aspects related to the efficacy and safety of JAKis in RA patients, and to update the recommendations and treatment algorithm proposed by the Brazilian Society of Rheumatology in 2017.
format article
author Karina Rossi Bonfiglioli
Licia Maria Henrique da Mota
Ana Cristina de Medeiros Ribeiro
Adriana Maria Kakehasi
Ieda Maria Magalhães Laurindo
Rina Dalva Neubarth Giorgi
Angela Luzia Branco Pinto Duarte
Ana Paula Monteiro Gomides Reis
Mariana Peixoto Guimarães Ubirajara e Silva de Souza
Claiton Viegas Brenol
Geraldo da Rocha Castelar Pinheiro
Cleandro Pires de Albuquerque
Charlles Heldan de Moura Castro
Gustavo Luiz Behrens Pinto
Jose Fernando Verztman
Luciana Feitosa Muniz
Manoel Barros Bertolo
Maria Raquel da Costa Pinto
Paulo Louzada Júnior
Vitor Alves Cruz
Ivanio Alves Pereira
Max Vitor Carioca de Freitas
Bóris Afonso Cruz
Eduardo Paiva
Odirlei Monticielo
José Roberto Provenza
Ricardo Machado Xavier
author_facet Karina Rossi Bonfiglioli
Licia Maria Henrique da Mota
Ana Cristina de Medeiros Ribeiro
Adriana Maria Kakehasi
Ieda Maria Magalhães Laurindo
Rina Dalva Neubarth Giorgi
Angela Luzia Branco Pinto Duarte
Ana Paula Monteiro Gomides Reis
Mariana Peixoto Guimarães Ubirajara e Silva de Souza
Claiton Viegas Brenol
Geraldo da Rocha Castelar Pinheiro
Cleandro Pires de Albuquerque
Charlles Heldan de Moura Castro
Gustavo Luiz Behrens Pinto
Jose Fernando Verztman
Luciana Feitosa Muniz
Manoel Barros Bertolo
Maria Raquel da Costa Pinto
Paulo Louzada Júnior
Vitor Alves Cruz
Ivanio Alves Pereira
Max Vitor Carioca de Freitas
Bóris Afonso Cruz
Eduardo Paiva
Odirlei Monticielo
José Roberto Provenza
Ricardo Machado Xavier
author_sort Karina Rossi Bonfiglioli
title Recommendations of the Brazilian Society of Rheumatology for the use of JAK inhibitors in the management of rheumatoid arthritis
title_short Recommendations of the Brazilian Society of Rheumatology for the use of JAK inhibitors in the management of rheumatoid arthritis
title_full Recommendations of the Brazilian Society of Rheumatology for the use of JAK inhibitors in the management of rheumatoid arthritis
title_fullStr Recommendations of the Brazilian Society of Rheumatology for the use of JAK inhibitors in the management of rheumatoid arthritis
title_full_unstemmed Recommendations of the Brazilian Society of Rheumatology for the use of JAK inhibitors in the management of rheumatoid arthritis
title_sort recommendations of the brazilian society of rheumatology for the use of jak inhibitors in the management of rheumatoid arthritis
publisher BMC
publishDate 2021
url https://doaj.org/article/29eb58b890394fa49f3e3b5912989336
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