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- W3093870032 abstract "INTRODUCTION: Tofacitinib is an oral, small molecule JAK inhibitor for the treatment of UC. We present an updated [1] analysis of adjudicated malignancies in the tofacitinib UC clinical program as of May 2019. METHODS: Malignancies were evaluated from 3 randomized, placebo-controlled studies (2 Phase [P]3 induction studies [NCT01465763; NCT01458951] and 1 maintenance P3 study [NCT01458574]), and an ongoing, open-label, long-term extension (OLE) study (NCT01470612). Three cohorts were analyzed: Induction (P3 induction studies), Maintenance (P3 maintenance study), and Overall (patients [pts] receiving tofacitinib 5 or 10 mg twice daily [BID] in P3 or OLE studies). Analysis was by predominant dose (PD) 5 or 10 mg BID, based on average daily dose <15 mg or ≥15 mg, respectively (82.4% of pts assigned PD 10 mg BID). Proportions and incidence rates (IRs; unique pts with events per 100 pt-years [PY] of exposure) were evaluated for malignancies (excl. non-melanoma skin cancer [NMSC]) and NMSC. An independent adjudication committee reviewed potential malignancies. RESULTS: 1,124 pts were evaluated for malignancies (2,576.4 PY of tofacitinib exposure; ≤6.8 years of treatment). No malignancies (excl. NMSC) occurred in Induction Cohort pts. Malignancies (excl. NMSC) occurred in 1 placebo-treated Maintenance Cohort pt, and in 20 Overall Cohort pts (IR 0.75 [95% confidence interval (CI) 0.46, 1.16]; PD tofacitinib 5 mg BID, n = 3, IR 0.44 [0.09, 1.29]; PD tofacitinib 10 mg BID, n = 17, IR 0.86 [0.50, 1.38]) (Table); 3 new cases since Sep 2018 [1]. NMSC events in the Induction and Maintenance Cohorts were previously reported (Table) [1]. NMSC occurred in 19 Overall Cohort pts (IR 0.73 [95% CI 0.44, 1.13]; PD tofacitinib 5 mg BID, n = 3, IR 0.45 [0.09, 1.30]; PD tofacitinib 10 mg BID, n = 16, IR 0.82 [0.47, 1.34]) (Table); no new cases since Sep 2018 [1]. CONCLUSION: Malignancies (excl. NMSC) and NMSC occurred infrequently with tofacitinib treatment. There was no apparent clustering of types of malignancy (excl. NMSC). The IRs of malignancies (excl. NMSC) and NMSC were comparable to those previously reported in the tofacitinib UC clinical program [1], and in pts with UC treated with biologics [2,3].Table 1" @default.
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- W3093870032 date "2020-10-01" @default.
- W3093870032 modified "2023-10-08" @default.
- W3093870032 title "S0901 Tofacitinib for the Treatment of Ulcerative Colitis: An Update on the Analysis of Malignancy Rates From the Ulcerative Colitis Clinical Program as of May 2019" @default.
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- W3093870032 doi "https://doi.org/10.14309/01.ajg.0000705652.98912.de" @default.
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