Open AccessTuberculosis, hepatitis B and herpes zoster in tofacitinib-treated patients with rheumatoid arthritis
Author(s) -
Zhuoya Zhang,
Wei Deng,
Qizhe Wu,
Lingyun Sun
Publication year - 2019
Publication title -
immunotherapy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.127
H-Index - 48
eISSN - 1750-7448
pISSN - 1750-743X
DOI - 10.2217/imt-2018-0113
Subject(s) - tofacitinib , medicine , rheumatoid arthritis , janus kinase inhibitor , tuberculosis , hepatitis b virus , hepatitis b , janus kinase , immunology , dermatology , virology , virus , pathology , cytokine
There is currently interest in the risk of infections during treatment with new targeted synthetic disease-modifying antirheumatic drugs (DMARDs), specifically the Janus kinase inhibitor tofacitinib. Tofacitinib has been studied extensively in patients with rheumatoid arthritis and has been shown to be effective and generally safe. East Asian countries have a high background rate of tuberculosis (TB) and hepatitis B virus (HBV) infection and the risk of recurrence or reactivation of infections such as TB, HBV and herpes zoster during DMARD therapy is of particular interest in the region. This paper reviews available data on the risk of TB, HBV and herpes zoster infections, including recurrence/reactivation of infections, during treatment with tofacitinib, with a focus on east Asia.