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Expert consensus statement on the treatment of immune-mediated inflammatory diseases with Janus kinase inhibitors: 2024 update

Lookup NU author(s): Professor John IsaacsORCiD

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This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND).


Abstract

© 2025 The Authors. In light of the introduction of new Janus kinase inhibitors (JAKi), new indications for JAKi and recent safety considerations that have arisen since the preceding consensus statement on JAKi therapy, a multidisciplinary taskforce was assembled, encompassing patients, health care professionals, and clinicians with expertise in JAKi therapy across specialties. This taskforce, informed by two comprehensive systematic literature reviews, undertook the objective to update the previous expert consensus for using JAKi developed in 2019. The taskforce deliberated on overarching principles, indications, dosage and comedication strategies, warnings and contraindications, screening protocols, monitoring recommendations, and adverse effect profiles. The methodology was based on the European Alliance of Associations for Rheumatology standard operating procedures, with voting on these important elements. Furthermore, an updated research agenda was proposed. The task force did not address when a JAKi should be prescribed but rather considerations once this decision has been made. This update aimed to equip clinicians with the necessary knowledge and guidance for the efficient and safe administration of this expanding and significant class of drugs.


Publication metadata

Author(s): Nash P, Kerschbaumer A, Konzett V, Aletaha D, Dorner T, Fleischmann R, McInnes I, Primdahl J, Sattar N, Tanaka Y, Trauner M, Winthrop K, de Wit M, Askling J, Baraliakos X, Boehncke W-H, Emery P, Gossec L, Isaacs JD, Krauth M, Lee EB, Maksymowych W, Pope J, Scholte-Voshaar M, Schreiber K, Schreiber S, Stamm T, Taylor PC, Takeuchi T, Tam L-S, Van den Bosch F, Westhovens R, Zeitlinger M, Smolen JS

Publication type: Article

Publication status: Published

Journal: Annals of the Rheumatic Diseases

Year: 2025

Pages: Epub ahead of print

Online publication date: 03/03/2025

Acceptance date: 16/12/2024

Date deposited: 17/03/2025

ISSN (print): 0003-4967

ISSN (electronic): 1468-2060

Publisher: Elsevier BV

URL: https://doi.org/10.1016/j.ard.2025.01.032

DOI: 10.1016/j.ard.2025.01.032

Data Access Statement: All data obtained during the process have been disclosed in this article, and there is nothing else to share.


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Funding

Funder referenceFunder name
AbbVie
Galapagos
Lilly

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