Clinical Edge Journal Scan

JAKi and methotrexate combination shows no increased malignancy risk in RA


 

Key clinical point: Rheumatoid arthritis patients taking a combination of methotrexate and JAKi showed no increased risk of malignancy compared to RA patients on methotrexate alone.

Major finding: No significant differences in overall malignancy appeared between methotrexate /JAKi combination patients compared to methotrexate-only patients (risk ratio 1.42); no differences appeared between the groups for nonmelanoma skin cancer (RR 1.44), malignancies excluding nonmelanoma skin cancer (RR 1.12), serious adverse events (RR 1.15), or deaths (RR 1.99).

Study details: The data come from a meta-analysis of 13 randomized, controlled trials with a total of 6,911 RA patients who received methotrexate and Janus kinase inhibitors (JAKi)

Disclosures: The study received no outside funding. The researchers had no financial conflicts to disclose.

Source: Solipuram V et al. Auto Immune Highlights. 2021 Apr 28. doi: 10.1186/s13317-021-00153-5.

Recommended Reading

Line of therapy matters for assessing biologic’s serious infection risk in RA
MDedge Rheumatology
Baricitinib continuation rate high in real-world practice
MDedge Rheumatology
Multiple studies highlight pandemic’s impact on patients with rheumatic disease
MDedge Rheumatology
Clinical Edge Commentary: RA May 2021
MDedge Rheumatology
JAK inhibitors may hinder DNA damage response
MDedge Rheumatology
Beta blocker use reduced remission in rheumatoid arthritis
MDedge Rheumatology
Internet intervention eases anxiety in rheumatoid arthritis patients
MDedge Rheumatology
Watch for rheumatic immune-related adverse events in ICI patients
MDedge Rheumatology
Delayed diagnosis raises mortality risk for RA patients with lung disease
MDedge Rheumatology
Methotrexate treatment for RA falls short with smokers
MDedge Rheumatology