One patient developed a chest infection, which required hospitalization, and withdrew from the study. No other serious adverse events were noted.
In Summary
The study results suggest upadacitinib can be clinically useful in patients with refractory RA, and that it may delay the progression of bone erosion. Additionally, bone erosion regression with upadacitinib may be more likely to occur in patients with RA who have had limited exposure to conventional synthetic DMARDs. Whether early JAK1 inhibition may lead to better structural outcomes warrants further investigation in a more controlled setting.
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Michele B. Kaufman, PharmD, BCGP, is a freelance medical writer based in New York City and a pharmacist at New York Presbyterian Lower Manhattan Hospital.
References
- Highlights of prescribing information: Rinvoq (upadacitinib). U.S. Food & Drug Administration. 2023 Apr 10.
- Ho So, Cheng I, Hung V, Tam L. Effect of upadacitinib on bone erosion repair in rheumatoid arthritis: A pilot study [abstract: 0305]. Arthritis Rheumatol. 2022 Oct;74(suppl 9).