Table 2.
Cohort | Events | Person years, no | Crude incidence rate per 1000 person-years | Standardised incidence rate per 1000 person-years | Fully adjusted HR* |
All cancers other than NMSC | |||||
All JAKi | 38 | 3996 | 9.5 | 8.3 | 0.94 (0.65 to 1.38) |
Tofacitinib | 8 | 793 | 10.1 | 11.2 | 1.08 (0.52 to 2.24) |
Baricitinib | 30 | 3187 | 9.4 | 8.0 | 0.92 (0.61 to 1.38) |
Non-TNFi bDMARD† | 141 | 11 051 | 12.8 | 10.5 | 1.12 (0.88 to 1.43) |
TNFi | 213 | 21 122 | 10.1 | 10.1 | 1.0 (Reference) |
General population | 1245 | 128 224 | 9.7 | 9.2 | n/a |
NMSC | |||||
All JAKi | 59 | 3954 | 14.9 | 12.9 | 1.39 (1.01 to 1.91) |
Tofacitinib | 11 | 781 | 14.1 | 14.9 | 1.56 (0.83 to 2.92) |
Baricitinib | 48 | 3157 | 15.2 | 12.5 | 1.37 (0.97 to 1.92) |
Non-TNFi bDMARD† | 126 | 11 027 | 11.4 | 9.0 | 1.00 (0.78 to 1.28) |
TNFi | 189 | 21 083 | 9.0 | 9.0 | 1.0 (Reference) |
General population | 852 | 128 630 | 6.6 | 6.2 | n/a |
Breast cancer | |||||
All JAKi | 7 | 4014 | 1.7 | 1.6 | 0.73 (0.29 to 1.86) |
Tofacitinib | 1 | 797 | 1.3 | – | – |
Baricitinib | 6 | 3201 | 1.9 | 1.7 | 0.77 (0.29 to 2.06) |
Non-TNFi bDMARD† | 23 | 11 197 | 2.1 | 1.9 | 0.88 (0.48 to 1.61) |
TNFi | 42 | 21 328 | 2.0 | 2.0 | 1.0 (Reference) |
General population | 262 | 129 601 | 2.0 | 2.0 | n/a |
All haematopoietic | |||||
All JAKi | 6 | 4018 | 1.5 | 1.5 | 1.90 (0.70 to 5.16) |
Tofacitinib | 1 | 798 | 1.3 | – | – |
Baricitinib | 5 | 3203 | 1.6 | 1.6 | 1.96 (0.66 to 5.79) |
Non-TNFi bDMARD† | 12 | 11 217 | 1.1 | 0.9 | 1.04 (0.48 to 2.25) |
TNFi | 22 | 21 359 | 1.0 | 1.0 | 1.0 (Reference) |
General population | 99 | 129 854 | 0.8 | 0.7 | n/a |
Lung cancer | |||||
All JAKi | 7 | 4021 | 1.7 | 1.5 | 1.15 (0.57 to 2.32) |
Tofacitinib | 2 | 798 | 2.5 | – | – |
Baricitinib | 5 | 3206 | 1.6 | 1.2 | 0.98 (0.44 to 2.23) |
Non-TNFi bDMARD† | 11 | 11 224 | 1.0 | 0.7 | 0.59 (0.31 to 1.15) |
TNFi | 30 | 21 368 | 1.4 | 1.4 | 1.0 (Reference) |
General population | 111 | 129 912 | 0.9 | 0.8 | n/a |
Estimated from Cox proportional hazards models. Standardised incidence rate standardised to the age and sex distribution in the TNFi cohort. – is displayed when too few events (<5) were observed.
*Fully adjusted HR: adjusted for age, sex, line of therapy, for comorbidities, SES, disease-related factors and with missing categories included for those variables with missing information.
†Non-TNFI bDMARD includes rituximab, abatacept, tocilizumab.
bDMARD, biological disease-modifying antirheumatic drug; JAKi, Janus kinas inhibitor; n/a, not available; NMSC, non-melanoma skin cancer; RA, rheumatoid arthritis; SES, socioeconomic status; TNFi, tumour necrosis factor inhibitor.