JAK-STAT inhibitors | ||||||
Name | Study | UC/Crohns | Mechanism of Action | Authors | Results | Adverse events |
Upadacitinib | U-EXCEED (NCT03345836) U-EXCEL (NCT03345849) | Phase III/Phase III | JAK-1 inhibitor (but with greater selectivity for Jak-1) | Sandborn et al, 202013
Vermeire et al, 2021.12 Danese et al, 202111 | CD→Clinical Remission in 49% vs placebo (29%) at Week 12 | Acne, Elevated CPK, Nasopharyngitis, Neutropenia/Lymphopenia |
U-ACHIEVE U-ACCOMPLISH | UC→Clinical remission in 26.1% vs 4.8% of placebo and endoscopic remission in 13.7% vs 1.3% at Week 8 | |||||
Filgotinib | FITZROY | Phase III/Phase III | JAK1, JAK3 and tyrosine kinase 2 inhibitor | Vermeire et al, 201715 | CD→47% achieving clinical remission at Week 10. | Infections Herpes Zoster, PE, Malignancy (Non melanoma skin cancer), Impaired Spermatogenesis |
SELECTION | Feagan et al, 202116 | UC→Significant clinical remission (26.1%) vs placebo (15.3%) at Week 10 | ||||
Brepocitinib, ritlecitinib | VIBRATOstudy ClinicalTrials. gov identifier: NCT02958865 | Phase IIB/Phase IIA | Dual TYK2/JAK1 inhibitor, binds to the active site in the catalytic domain | Sandborn et al, 202117 | CD→Awaited | |
ClinicalTrials. gov identifier: NCT03395184 | UC→Clinical and endoscopic remission at Week 8 |
JAK, Janus kinase; PE, Pulmonary Embolism; UC, ulcerative colitis.