PMID- 35734858 OWN - NLM STAT- MEDLINE DCOM- 20221005 LR - 20221231 IS - 1440-1746 (Electronic) IS - 0815-9319 (Print) IS - 0815-9319 (Linking) VI - 37 IP - 10 DP - 2022 Oct TI - Safety and efficacy of long-term tofacitinib treatment in East Asian patients with ulcerative colitis in OCTAVE Open. PG - 1884-1892 LID - 10.1111/jgh.15923 [doi] AB - BACKGROUND AND AIM: Tofacitinib is an oral small molecule Janus kinase inhibitor for the treatment of ulcerative colitis (UC). We present safety and efficacy data from patients from East Asia (Japan, Korea, and Taiwan) in OCTAVE Open, an open-label, long-term extension study. METHODS: Patients in remission at OCTAVE Open baseline received tofacitinib 5 mg twice daily (BID); all others received tofacitinib 10 mg BID. Proportions and IRs (unique patients with events/100 patient-years) were calculated for adverse events (AEs) of special interest. Efficacy endpoints were evaluated up to 36 months. RESULTS: In OCTAVE Open, 105/944 patients were from East Asia (tofacitinib 5 mg BID, n = 22; tofacitinib 10 mg BID, n = 83). Overall, 87.6% and 24.8% of patients had AEs and serious AEs, respectively; IRs (95% CI) for AEs of special interest were herpes zoster (HZ; non-serious and serious), 6.07 (3.40-10.02); serious infections, 1.47 (0.40-3.76); opportunistic infections, 1.91 (0.62-4.45); major cardiovascular adverse events, 0.37 (0.01-2.04); malignancies (excluding non-melanoma skin cancer [NMSC]), 0.37 (0.01-2.04); and NMSC, 0.00 (0.00-1.35). No deaths, venous thromboembolic events, or gastrointestinal perforations occurred. At month 36, 68.2% and 54.2% of patients had a clinical response, 68.2% and 53.0% had endoscopic improvement, and 63.6% and 49.4% were in remission with tofacitinib 5 and 10 mg BID, respectively. CONCLUSIONS: The HZ IR in East Asian patients was numerically higher versus the global study population; excluding HZ, tofacitinib safety and efficacy were consistent with the global study population. CI - (c) 2022 Pfizer Inc. Journal of Gastroenterology and Hepatology published by Journal of Gastroenterology and Hepatology Foundation and John Wiley & Sons Australia, Ltd. FAU - Matsuoka, Katsuyoshi AU - Matsuoka K AUID- ORCID: 0000-0002-2950-7660 AD - Division of Gastroenterology and Hepatology, Department of Internal Medicine, Toho University Sakura Medical Center, Chiba, Japan. FAU - Hisamatsu, Tadakazu AU - Hisamatsu T AUID- ORCID: 0000-0002-1178-3536 AD - Department of Gastroenterology and Hepatology, Kyorin University School of Medicine, Tokyo, Japan. FAU - Kim, Hyo Jong AU - Kim HJ AUID- ORCID: 0000-0002-9675-4557 AD - Center for Crohn's and Colitis, Kyung Hee University College of Medicine, Seoul, Korea. FAU - Ye, Byong Duk AU - Ye BD AUID- ORCID: 0000-0001-6647-6325 AD - Department of Gastroenterology and Inflammatory Bowel Disease Center, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. FAU - Arai, Shoko AU - Arai S AUID- ORCID: 0000-0003-4609-1609 AD - Pfizer Japan Inc, Tokyo, Japan. FAU - Hoshi, Masato AU - Hoshi M AUID- ORCID: 0000-0003-2874-1807 AD - Pfizer Japan Inc, Tokyo, Japan. FAU - Yuasa, Hirotoshi AU - Yuasa H AD - Pfizer R&D, Japan, Tokyo, Japan. FAU - Tabira, Junichi AU - Tabira J AD - Pfizer R&D, Japan, Tokyo, Japan. FAU - Toyoizumi, Shigeyuki AU - Toyoizumi S AUID- ORCID: 0000-0002-7011-5263 AD - Pfizer R&D, Japan, Tokyo, Japan. FAU - Shi, Nanzhi AU - Shi N AUID- ORCID: 0000-0002-8050-9311 AD - Pfizer R&D, Japan, Tokyo, Japan. FAU - Woo, Joon-Suk AU - Woo JS AD - Pfizer Korea Inc, Seoul, Korea. FAU - Hibi, Toshifumi AU - Hibi T AUID- ORCID: 0000-0002-6256-1204 AD - Center for Advanced IBD Research and Treatment, Kitasato University Kitasato Institute Hospital, Tokyo, Japan. LA - eng GR - Pfizer/ PT - Journal Article DEP - 20220721 PL - Australia TA - J Gastroenterol Hepatol JT - Journal of gastroenterology and hepatology JID - 8607909 RN - 0 (Janus Kinase Inhibitors) RN - 0 (Piperidines) RN - 0 (Pyrimidines) RN - 0 (Pyrroles) RN - 87LA6FU830 (tofacitinib) SB - IM MH - *Colitis, Ulcerative MH - Humans MH - *Janus Kinase Inhibitors/adverse effects/therapeutic use MH - Piperidines MH - Pyrimidines MH - Pyrroles MH - Treatment Outcome PMC - PMC9796539 OTO - NOTNLM OT - Janus kinase inhibitors OT - herpes zoster OT - ulcerative colitis EDAT- 2022/06/24 06:00 MHDA- 2022/10/06 06:00 PMCR- 2022/12/28 CRDT- 2022/06/23 03:13 PHST- 2022/05/31 00:00 [revised] PHST- 2021/12/16 00:00 [received] PHST- 2022/06/18 00:00 [accepted] PHST- 2022/06/24 06:00 [pubmed] PHST- 2022/10/06 06:00 [medline] PHST- 2022/06/23 03:13 [entrez] PHST- 2022/12/28 00:00 [pmc-release] AID - JGH15923 [pii] AID - 10.1111/jgh.15923 [doi] PST - ppublish SO - J Gastroenterol Hepatol. 2022 Oct;37(10):1884-1892. doi: 10.1111/jgh.15923. Epub 2022 Jul 21.