Evidence map›Paper›PMID 40344335›Full record

ArticleACR open rheumatology2025

Analysis of the Impact of Tofacitinib Treatment on Weight and Body Mass Index in Patients With Rheumatoid Arthritis.

Jürgen Wollenhaupt, Jacques Morel, Claire Daien, Adeline Ruyssen-Witrand, Cédric Lukas, Christophe Richez, Andrea Shapiro, Douglass S Chapman, Magali Cros, Jose L Rivas and 1 more

Abstract read
In one paragraph

Article in ACR open rheumatology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Jürgen WollenhauptStruenseehaus Centre for Rheumatology and Clinical Immunology, Hamburg, Germany.
Jacques MorelDepartment of Rheumatology, Montpellier University Hospital and INSERM U1046, CNRS UMR 9214, PhyMedExp, Montpellier, France.ORCID https://orcid.org/0000-0001-7545-6385
Claire DaienDepartment of Rheumatology, Montpellier University Hospital and INSERM U1046, CNRS UMR 9214, PhyMedExp, Montpellier, France.ORCID https://orcid.org/0000-0002-7287-9320
Adeline Ruyssen-WitrandRheumatology Department, Toulouse University Hospital, CIC 1436, INSERM, Paul Sabatier University Toulouse III, Toulouse, France.ORCID https://orcid.org/0000-0002-9815-2138
Cédric LukasDepartment of Rheumatology, Montpellier University Hospital and University of Montpellier and INSERM UA11 (IDESP), Montpellier, France.
Christophe RichezRheumatology Department, Groupe Hospitalier Pellegrin-CHU de Bordeaux and University of Bordeaux, CNRS, Immuno ConcEpT, UMR, Bordeaux, 5164, France.ORCID https://orcid.org/0000-0002-3029-8739
Andrea ShapiroPfizer Inc, Pearl River, New York.ORCID https://orcid.org/0009-0001-0458-4096
Douglass S ChapmanPfizer Inc, New York, New York.ORCID https://orcid.org/0009-0005-4067-1954
Magali CrosPfizer Inc, Paris, France.ORCID https://orcid.org/0009-0000-9941-0066
Jose L RivasPfizer SLU, Madrid, Spain.ORCID https://orcid.org/0009-0004-6736-3962
Gustavo CiteraDepartment of Rheumatology, Instituto de Rehabilitación Psicofísica, Buenos Aires, Argentina.ORCID https://orcid.org/0000-0002-3724-1874

Funding

Pfizer
6 · The paper itself

Abstract

objectivesThis post hoc analysis evaluated change from baseline (Δ) in weight/body mass index (BMI) and association with disease activity or lipid changes in tofacitinib-treated patients with rheumatoid arthritis (RA).

methodsData up to month 12 were pooled from eight phase 3 and 3b/4 studies of patients with RA receiving tofacitinib 5 or 10 mg twice daily or tofacitinib 11 mg modified-release once daily (alone or combined with conventional synthetic disease-modifying antirheumatic drugs), or placebo. Assessments included Δweight/BMI and the proportion of patients with weight gain ≥5%, at months 3, 6, and 12. Correlations between ∆weight/∆BMI and baseline/∆Disease Activity Score in 28 joints, erythrocyte sedimentation rate (DAS28-4[ESR]), baseline C-reactive protein (CRP), and ∆lipids were assessed. Statistical analysis included a longitudinal linear mixed model for repeated measures.

resultsThe analysis included 5,335 patients (tofacitinib 5 mg twice daily [n = 2,349], 10 mg twice daily [n = 1,611], 11 mg once daily [n = 694], and placebo [n = 681]). Increases in least squares mean Δweight and ΔBMI were significantly greater (P < 0.05) at months 3 and 6 with all tofacitinib doses versus placebo; increases continued to month 12. Significantly greater (at least P < 0.05) proportions of tofacitinib-treated patients (all doses) had weight gain ≥5% at months 3 and 6 versus placebo. There were weak correlations between weight/BMI changes with tofacitinib and DAS28-4(ESR), baseline CRP, or lipid changes.

conclusionPatients receiving tofacitinib experienced weight and BMI changes (primarily increases) over time, with weak correlations with disease activity or lipids.

Identifiers

PMID40344335
PMCPMC12062792

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.