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Can JAK inhibitors for established rheumatoid arthritis be continued when starting an immune checkpoint inhibitor?

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Do you continue JAK inhibitors in patients starting immune checkpoint inhibitor (ICI) therapy?

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2 Answers
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Rheumatology · Ohio State University
Answered on

The concern for Jak inhibitors is not whether JAK inhibitors treat immune-related adverse events (irAEs). The issue with JAK inhibitors is that it may allow the tumors to grow. Oncologists are split over this issue and the answer may change depending on the cancer. There are case reports on JAK inhi...

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Mednet Member
Mednet MemberInvited Expert
Rheumatology · University of Chicago Medical Center
Answered on

Couldn't agree with this answer more. Given the paucity of evidence on the safety of continuing JAKi in this setting, would consider switching the DMARD to an alternative.

If immunomodulating DMARDs such as hydroxychloroquine and/or sulfasalazine are not options, can consider interleukin 6 axis inhib...

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