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AboutAboutHow XELJANZ worksXELJANZ in ActionCytokinesSignalling PathwaysDosingDosingDosing in RADosingPractical ConsiderationsDosing in UCDosingPractical ConsiderationsDosing in PsADosingPractical ConsiderationsDosing in pJIA and jPsADosingPractical ConsiderationsEfficacy & 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 OutcomesReal World EvidenceReal World EvidenceReal World ExperienceWhy Real-World Data?RWE available for XELJANZEffectiveness in RWESafety in RWEDrug Maintenance in RWESupporting ResourcesSupporting ResourcesGRAPPA GuidelinesMaterialsVideos

XELJANZ® (tofacitinib citrate) Prescribing Information. Adverse event reporting can be found at the bottom of the page.

GRAPPA Treatment Recommendations: 2021 Update (3rd edition) - now publishedIntroduction to the GRAPPA treatment recommendations

GRAPPA; the Group for Research and Assessment of Psoriasis and Psoriatic Arthritis and is a global association of more than 500 rheumatologists, dermatologists, and patient research partners.

The GRAPPA treatment recommendations are developed to assist clinicians in managing patients with PsA. To remain clinically relevant, these recommendations must be dynamic, and so require regular updates to include new evidence. An update of the GRAPPA recommendations for PsA, last completed in 2015, was required to include novel therapeutic approaches in the field. Updates are developed by utilising the most current approaches to guideline formation and ethical standards, analysing the best available evidence, and involving diverse stakeholders in the process. The result is relevant, patient centric treatment recommendations. The goal of this update was the same as in 2009: to develop treatment recommendations based on the best available evidence for the management of patients with PsA. See a short summary video outlining the updates immediately below or watch the full interactive version later on this page.

Summary | GRAPPA Treatment Recommendations 2021 Update

Watch a 4 minute video summary of the recently published GRAPPA treatment recommendations from 2021.

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Video infographic version below (10 minutes) Video Infographic Version | GRAPPA Treatment Recommendations 2021 Update

To watch a 10 minute video infographic recording of the recently published GRAPPA treatment recommendations from 2021, click below. 

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Related areas of interest

​​​​​If you are a Rheumatologist and would like to hear more about the use of Xeljanz in Rheumatoid Arthritis click below.

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If you are a Dermatologist and would like to hear more about Pfizer's therapy for Atopic Dermatitis click below.

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Prescribing Information
Enbrel® (etanercept) Prescribing Information

XELJANZ Risk Minimisation Programme (RMP) materials, including a Patient Alert Card, Prescriber Checklists and a Prescriber Brochure are available from Patients treated with XELJANZ should be given the Patient Alert Card.
PP-XEL-GBR-3894. August 2022
Professor Laura Coates

Professor Laura Coates M.B.Ch.B. is the Co-lead of the GRAPPA recommendations and is an Associate Professor and NIHR Clinician Scientist at the Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford as well as an Honorary Consultant Rheumatologist at Oxford University Hospital NHS Trust.

Psoriatic Arthritis

Take a look at the Xeljanz PsA clinical studies by clicking below.

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Adverse events should be reported. Reporting forms and information can be found at 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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