Table 3.
Efficacy and safety of tofacitinib in the treatment of patients with interferonopathies
| Study ID (reference) | Disease (no. of study patients)a | Sex/age at enrollment/age at onset | Previous treatmentb | Mutation | Dosage/duration of treatment/association with steroids | Efficacy/skin and/or systemic improvement/efficacy comments | Safety |
|---|---|---|---|---|---|---|---|
| 4 [27] | CANDLE (1) |
Female 18 years NA |
GLC, CyP, AZA, CFM, HCQ, IVIG, ANK, IFX, ABA, HpT |
Not confirmed |
15–20 mg/24 h NA NA |
Yes NA Lipodystrophy, chilblains, and hair loss improvement |
Increase in creatine kinase and low-density lipoprotein cholesterol levels |
| 5 [28] | FCh-L(SM) (1) |
Female 60 years 3 years |
NA | TMEM173 G166E |
10 mg/24 h 17 days No |
Yes Yes Discomfort and pain on fingers improvement |
NA |
| FCh-L(SM) (2) |
Female 58 years 2 months |
NA | TMEM173 G166E |
10 mg/24 h 17 days No |
Yes Yes Discomfort and pain on fingers improvement |
NA | |
| 9 [29] | SAVI (1) |
Female 6 years 1 year |
NA | Not confirmed |
7.5 mg/24 h 12 months Yes |
Yes Yes Pulmonary, rash, arthralgias and analytical improvement |
NA |
| 13 [30] | SAVI (1) |
Male 9 years 6 months |
NA | De novo double-mutant TMEM173 (S102P-F279L) |
5 mg/day 3 months NA |
Yes NA Pulmonary defect unchanged |
NA |
| 14 [31] | SAVI (1) |
Female 12 months 3 months |
GLC + IVIG | De novo TMEM173 V155M |
5 mg/day 10 months Yes |
Yes Partially Rash improvement, but pulmonary involvement worsening and fever |
Died due to acute respiratory failure |
| SAVI (2) |
Male 60 months 54 months |
GLC + IVIG, CFM | De novo TMEM173 V155M |
5 mg/24 h 10 months Yes |
Yes Partially Rash improvement while pulmonary involvement worsening |
No adverse events |
ABA abatacept, ANK anakinra CFM cyclophosphamide, CyP cyclosporine, HpT Hyperbaric therapy,NA not available
aFCh-L(SM) Familial Chilblain Lupus due to a gain-of-function mutation in STING
bPrevious treatment with JAK/STAT pathway inhibitors is underlined