A Case Series Report on the Effect of Tofacitinib on Joint Inflammation and Gut Microbiota Composition in Psoriatic Arthritis Patients Naive to Biologic Agents
2024

Tofacitinib's Effects on Joint Inflammation and Gut Microbiota in Psoriatic Arthritis

Sample size: 7 publication 10 minutes Evidence: moderate

Author Information

Author(s): Picchianti Diamanti Andrea, Panebianco Concetta, Di Gioia Valeria, Bellofatto Ilaria Anna, Salemi Simonetta, Di Rosa Roberta, Sesti Giorgio, Nalli Gabriele, Salerno Gerardo, Finocchiaro Etta, Laganà Bruno

Primary Institution: S. Andrea University Hospital, “Sapienza” University of Rome

Hypothesis

Tofacitinib treatment will reduce joint inflammation and alter gut microbiota composition in bio-naïve psoriatic arthritis patients.

Conclusion

Tofacitinib is effective and safe for treating psoriatic arthritis, leading to significant improvements in disease activity and changes in gut microbiota composition.

Supporting Evidence

  • Patients showed significant improvement in clinical scores after 12 months of treatment.
  • Ultrasonography confirmed a significant reduction in synovitis scores.
  • Tofacitinib treatment was associated with beneficial changes in gut microbiota.

Takeaway

This study shows that a medicine called tofacitinib can help people with joint pain and also change the tiny living things in their tummy to be healthier.

Methodology

A case series of seven bio-naïve psoriatic arthritis patients treated with tofacitinib for 12 months, with assessments using clinical scores, laboratory tests, and gut microbiota analysis.

Limitations

The small sample size and monocentric nature limit the generalizability of the results.

Participant Demographics

{"age":"52.00 (33.00–56.00)","gender":"57.14% female","comorbidities":"57.14% with comorbidities","smoking":"28.57% smokers","disease_duration":"10.34 (0.4–13) years"}

Statistical Information

P-Value

p = 0.001

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.3390/microorganisms12122387

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