Table 2.
The use of baricitinib in treating autoimmune bullous disease.
| Age/ gender |
Types of AIBD | Complica-tion | Previous therapies | Treatment | Efficacy of initial use of JAK inhibitors | Tapering of JAK inhibitors | Efficacy of maintenance treatment | AE | Relapse | |
|---|---|---|---|---|---|---|---|---|---|---|
| Sarny et al., 2018 (43) | 43/M | MMP | Psoriasis | MTX, CP, MMF, RTX, IVIG, ADM, PSL | Baricitinib 4 mg/d, MTX 25mg/w, PSL 6mg/d | The disease was improved within two months | Baricitinib was stopped due to decreasing of neutrophils for 2 weeks. Subsequently, baricitinib was taken each day. | Progression of end-stage MMP seemed stopped. | None | NA |
| Burningham et al., 2022 (44) | 69/F | MMP | T2DM, breast cancer | TCS, MTX, prednisone, IVIG, RTX, MMF, CP. | Baricitinib 2 mg/d, prednisone, MTX 12.5 mg/w, then increased to 20 mg/w. | Conditions of ocular, oral and esophageal were improved. | NA | The patient continued to improved. | NA | NA. |
| Xiao et al., 2022 (45) | 83/M | BP | Psoriasis, stage III HT, postoperative lung cancer | Compound glycyrrhizin, TCS | Baricitinib 4 mg/d, Halometasone cream 0.5g/d |
Skin lesions and pruritus improved significantly. | Baricitinib was halved and continued for 12 weeks | Both bullous and psoriatic lesions were in complete remission | None | A few new blisters were noted but faded away 3 days later. |
| Moussa et al., 2022 (46) | 36/M | LPP | NA | TCS, SCS, MTX, AZP, ciclosporin, doxycycline, PUVA | Baricitinib 6.8 mg/d. | A significant improvement in pruritus and LPP lesions. | Baricitinib reduced to 3.4 mg/d | LPP almost completely relieved | NA | NA |
AIBD, autoimmune bullous disease; JAKi, janus kinase inhibitors; AE, adverse effect; MMP, mucous membrane pemphigoid; BP, bullous pemphigoid; LPP, Lichen planus pemphigoides; M, male; F, female; MTX, methotrexate; CP, cyclophosphamide; MMF, mycophenolate mofetil; AZP, azathioprine; RTX, rituximab; IVIG, intravenous immunoglobulin; ADM, Adalimumab; PSL, prednisolone; TCS, topical corticosteroids; SCS, systemic corticosteroids; PUVA, psoralen plus ultraviolet A; T2DM, type 2 diabetes mellitus; HT, hypertension; NA, not available; mg/d, mg/day; mg/w, mg/week.