Tofacitinib therapy in children and young adults with pediatric-onset medically refractory inflammatory bowel disease
Journal of Pediatric Gastroenterology Sep 01, 2021
Moore H, Dubes L, Fusillo S, et al. - Findings offer encouraging evidence for tofacitinib’s (a selective Janus kinase inhibitor) efficacy and safety as a component of the treatment paradigm for young people with moderate-to-severe inflammatory bowel disease (IBD).
A single-center retrospective study of people ages 21 years and younger who initiated tofacitinib for medically refractory IBD.
Tofacitinib was administered to 21 patients, 18 with ulcerative colitis or indeterminate IBD.
Rapid clinical response to tofacitinib along with its sustained efficacy was seen in nearly half of patients.
At the end of the 12-week induction span, clinical response was evident in 9 out of 21 (42.9%) patients and steroid-free remission was achieved in 7 out of 21 (33.3%).
Among evaluable patients at 52 weeks, clinical response and steroid-free remission were achieved in 7 out of 17 (41.2%).
In pediatric IBD, there exists limited experience with tofacitinib.
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