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AboutAboutHow XELJANZ worksXELJANZ in ActionCytokinesSignalling PathwaysDosingDosingDosing in RADosing in UCDosing in PsADosing in pJIA and jPsADosing in ASSpecial Warnings & PrecautionsEfficacy & SafetyEfficacy & SafetySafety & TolerabilityOral SurveillanceAdverse EventsClinical Efficacy RAORAL Strategy Study DesignORAL Strategy Efficacy ResultsORAL Strategy Safety OutcomesClinical Efficacy UCOCTAVE Study DesignOCTAVE Sub GroupsOCTAVE InductionOCTAVE SustainPost-hoc AnalysesClinical Efficacy PsAOPAL Broaden & BeyondClinical Efficacy pJIA and jPsAJIA-1 Study DesignJIA-1 Efficacy ResultsJIA-1 Safety OutcomesClinical Efficacy ASASAS20/40 DataASDAS(CRP) DataReal World EvidenceReal World EvidenceReal World Evidence
Why Real-World Data?Key Characteristics of RCTs & RWEKey Strengths & Limitations
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XELJANZ® (tofacitinib citrate) Prescribing Information and Maxtrex (methotrexate) Prescribing Information. Adverse event reporting can be found at the bottom of the page.
 
 Tofacitinib should only be used if no suitable treatment alternatives are available in patients:

  • 65 years of age and older;
  • patients with history of atherosclerotic cardiovascular disease or other cardiovascular risk factors (such as current or past long-time smokers);
  • patients with malignancy risk factors (e.g. current malignancy or history of malignancy)

 These risks are considered class effects and relevant across all approved indications of JAKi in inflammatory and dermatologic diseases.

XELJANZ (tofacitinib citrate) safety profile in Ulcerative Colitis (UC)

The safety profile for XELJANZ was studied across 3 large placebo-controlled Phase III clinical trials (2 induction and 1 maintenance) that included 1,139 patients with moderate to severe UC, and an open-label safety and tolerability study1,2

XELJANZ should only be used if no suitable treatment alternatives are available in patients1:

  • 65 years of age and older;
  • patients with history of atherosclerotic cardiovascular disease or other cardiovascular risk factors (e.g. current or past long-term smokers);
  • patients with malignancy risk factors (e.g. current malignancy or history of malignancy (other than a successfully treated non-melanoma skin cancer))
  • Adverse Reactions

    In the induction and maintenance studies, the most common types of serious adverse reactions were gastrointestinal disorders and infections, and the most common serious adverse reaction was worsening of UC1

      *The rates of the 4 most frequent adverse events occurring in the maintenance trial are listed for the 3 placebo-controlled trials, and the rates of the 5 most frequently reported treatment-related adverse events are reported for the open-label extension study2,3

      *The rates of the 4 most frequent adverse events occurring in the maintenance trial are listed for the 3 placebo-controlled trials, and the rates of the 5 most frequently reported treatment-related adverse events are reported for the open-label extension study2,3

      Scroll left to view table
      Patient Baseline characteristics from pooled Xeljanz UC studies 

      *Predominant dose in the overall cohort (including patients in Phases II, III, and OLE studies) as of May 20195

      Adverse events of special interest in XELJANZ UC clinical trials

      In the long-term extension study, malignancies (including solid cancers, lymphomas, and NMSC) were observed more often in patients treated with XELJANZ 10 mg BID1

      *Pt-yr is defined as the total follow-up time calculated up to the day of the first event4
      † Includes UC patients with an average total daily dose ≥15 mg over the course of the observation. N=923 for opportunistic infection, tuberculosis, malignancy (excluding NMSC), NMSC, MACE, and gastrointestinal perforation with XELJANZ 10 mg BID PD in UC2,4
      ‡Includes UC patients with an average total daily dose <15 mg over the course of the observation2
      §Adjudicated events4
      ¶Excludes tuberculosis and herpes zoster with 2 adjacent dermatomes4
      #The definition of gastrointestinal perforation excludes MedDRA preferred terms of pilonidal cyst, perirectal abscess, rectal abscess, anal abscess, perineal abscess, and any preferred terms containing the term fistula2

      Explore More Dosing in RA Loading Dosing in UC Loading Dosing in PsA Loading Dosing in pJIA and jPsA Loading

      References:
      1. XELJANZ (tofacitinib citrate) Summary of Product Characteristics.
      2. Sandborn WJ et al. Aliment Pharmacol Ther. 2022; 55(4): 464–478.
      3. Sandborn WJ et al. N Engl J Med. 2017; 376(18): 1723 –1736.
      4. Data on file. Pfizer Inc., New York, NY.
      5. Winthrop KL et al. J Crohns Colitis. 2020;15(6):914–929.
      6. Burmester GR et al. RMD Open. 2021; 7: e001595.

      XELJANZ Risk Minimisation Programme (RMP) materials, including a Patient Alert Card, Prescriber Checklists and a Prescriber Brochure are available from https://www.medicines.org.uk/emc/. Patients treated with XELJANZ should be given the Patient Alert Card.
      PP-XEL-GBR-4638. August 2023
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      Adverse events should be reported. Reporting forms and information can be found at www.mhra.gov.uk/yellowcard or search 

      for MHRA Yellow Card in Google Play or Apple App Store

       

      Adverse events should also be reported to Pfizer Medical Information on 01304 616161

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