Tofacitinib |
NCT00615199 (101) |
139 |
Induction |
4 weeks |
1, 5, 15 mg, bid |
Clinical response at week 4 |
A clinical response was observed in 36% (p = 0.467), 58% (p = 0.466), and 46% (p ≥ 0.999) of patients given the 1, 5, and 15 mg doses of tofacitinib, compared with 47% of patients given placebo. |
|
NCT01393626 (20) |
280 |
Induction |
8 weeks |
5, 10 mg, bid |
Clinical response-100 or clinical remission at week 8 |
At week 8 of induction, the proportion of patients with clinical remission was 43.5% and 43.0 with 5 and 10 mg twice daily, respectively, compared with 36.7% in the placebo group (p = 0.325 and 0.392 for 5 and 10 mg twice daily vs. placebo). |
|
NCT01393626 (20) |
180 |
Maintenance |
26 weeks |
5, 10 mg, bid |
Clinical response-100 or clinical remission at week 26 |
The proportion of patients with clinical response-100 or remission was 55.8% with tofacitinib 10 mg twice daily compared with 39.5% with tofacitinib 5 mg twice daily and 38.1% with placebo (p = 0.130 for 10 mg twice daily vs. placebo). |
|
NCT01470599 (102) |
150 |
Maintenance |
48 weeks |
5 (patients in clinical remission), 10 mg (not in clinical remission), bid |
Serious adverse effects and maintained remissions at week 48 |
Crohn’s disease worsening was the most frequent adverse event for tofacitinib 5 (33.9%) and 10 mg b.d. (19.3%). Patients not in remission at baseline, receiving 10 mg b.d., had higher rates of serious adverse events (19.3%) and discontinuation attributed to insufficient clinical response (30.7%) vs. 5 mg b.d. (8.1% and 9.7, respectively). |
Upadacitinib |
NCT02365649 (39) |
220 |
Induction |
16 weeks |
3, 6, 12, 24 mg, bid; 24 mg, qd |
Clinical remission at week 16 and endoscopic remission at week 12 or week 16 |
Upadacitinib did not significantly improve clinical remission at week 16 at any dose (with the exception of 6 mg at the p < 0.1 level). Endoscopic remission at week 12 was increased compared with placebo for doses of 3 mg (p < 0.1), 12 mg (p < 0.1), 24 mg bid (p < 0.01) and 24 mg qd (p < 0.05), in a dose-dependent manner. |
|
NCT02365649 (39) |
180 |
Maintenance |
52 weeks |
3, 6, 12 mg, bid; 24 mg qd |
Clinical and endoscopic remission at week 52 |
Patients receiving the 12 mg bid dose had the highest, although non-significant, responses compared with the other upadacitinib doses. |
Filgotinib |
NCT02048618 (30) |
174 |
Induction |
10 weeks |
200 mg, qd |
Clinical remission |
60 (47%) of 128 patients treated with filgotinib 200 mg achieved clinical remission at week 10 vs. 10 (23%) of 44 patients treated with placebo (p = 0.0077). |