Off-Label Uses of JAK Inhibitors in Dermatology

October 2022 | Volume 21 | Issue 10 | 1143 | Copyright © October 2022


Published online November 21, 2022

Dillon Nussbaum BS,a Erika McCormick BS,a Sapana Desai MD MPH,a Emily Murphy MD,a Karl Saardi MD FAAD,a Adam Friedman MD FAADa

aGeorge Washington University Department of Dermatology, George Washington University School of Medicine and Health Sciences, Washington, DC

25. Scheinberg M, Machado L, M Castro L, Ferreira S, Michalany N. Successful treatment of ulcerated pyoderma gangrenosum with baricitinib, a novel JAK inhibitor. J Transl Autoimmun. 2021;4:100099. doi:10.1016/j. jtauto.2021.100099
26. Kochar B, Herfarth N, Mamie C, Navarini A, Scharl M, Herfarth H. Tofacitinib for the treatment of pyoderma gangrenosum. Clin Gastroenterol Hepatol. 2019;17(5):991-993. doi:10.1016/j.cgh.2018.10.047
27. Damsky W, Thakral D, Emeagwali N, Galan A, King B. Tofacitinib treatment and molecular analysis of cutaneous sarcoidosis. N Engl J Med. 2018;379(26):2540-2546. doi:10.1056/NEJMoa1805958
28. Talty R, Damsky W, King B. Treatment of cutaneous sarcoidosis with tofacitinib: A case report and review of evidence for Janus kinase inhibition in sarcoidosis. JAAD Case Rep. 2021;16:62-64. doi:10.1016/j. jdcr.2021.08.012
29. Wei J, Kallenbach L, Kreider M, Leung T, Rosenbach M. Resolution of cutaneous sarcoidosis after Janus kinase inhibitor therapy for concomitant polycythemia vera. JAAD Case Rep. 2019;5(4):360-361. doi:10.1016/j. jdcr.2019.02.006
30. Fetter T, Smith P, Guel T, Braegelmann C, Bieber T, Wenzel J. Selective Janus kinase 1 inhibition is a promising therapeutic approach for lupus erythematosus skin lesions. Front Immunol. 2020;11:344. doi:10.3389/ fimmu.2020.00344
31. Wallace D, Furie R, Tanaka Y, et al. Baricitinib for systemic lupus erythematosus: a double-blind, randomised, placebo-controlled, phase 2 trial. Lancet. 2018;392(10143):222-231. doi:10.1016/S0140-6736(18)31363- 1
32. Bonnardeaux E, Dutz J. Oral tofacitinib citrate for recalcitrant cutaneous lupus. JAAD Case Rep. 2021;20:61-64. doi:10.1016/j.jdcr.2021.09.030
33. McGaugh S, Kallis P, De Benedetto A, Thomas R. Janus kinase inhibitors for treatment of morphea and systemic sclerosis: A literature review. Dermatol Ther. 2022;35(6):e15437. doi:10.1111/dth.15437
34. Qi F, Liu F, Gao L. Janus kinase inhibitors in the treatment of vitiligo: a review. Front Immunol. 2021;12:790125. doi:10.3389/fimmu.2021.790125
35. Initial safety trial results find increased risk of serious heart-related problems and cancer with arthritis and ulcerative colitis medicine Xeljanz, Xeljanz XR (tofacitinib). U.S. Food and Drug Administration. February 4, 2021. Accessed August 2022. https://www.fda.gov/drugs/drug-safetyand- availability/initial-safety-trial-results-find-increased-risk-serious-heartrelated- problems-and-cancer-arthritis
36. Li Y, Huo J, Cao Y, et al. Efficacy of tofacitinib in synovitis, acne, pustulosis, hyperostosis and osteitis syndrome: a pilot study with clinical and MRI evaluation. Ann Rheum Dis. 2020;79(9):1255-1257. doi:10.1136/ annrheumdis-2020-217250
37. Wang C, Wong T, Hsu W. Extended-release tofacitinib for refractory Behçet disease. Medicine (Baltimore). 2022;101(15):e29189. doi: 10.1097/ MD.0000000000029189.
38. King B, Lee A, Choi J. Treatment of hypereosinophilic syndrome with cutaneous involvement with the jak inhibitors tofacitinib and ruxolitinib. J Invest Dermatol. 2017;137(4):951-954. doi:10.1016/j.jid.2016.10.044
39. Liew S, Nichols K, Klamerus K, Li J, Zhang M, Foulks G. Tofacitinib (CP- 690,550), a Janus kinase inhibitor for dry eye disease: results from a phase 1/2 trial. Ophthalmology. 2012;119(7):1328-1335. doi:10.1016/j. ophtha.2012.01.028
40. Fukunaga A, Ito M, Nishigori C. Efficacy of oral ruxolitinib in a patient with refractory chronic spontaneous urticaria. Acta Derm Venereol. 2018;98(9):904-905. doi:10.2340/00015555-3006
41. Bloomfield M, Kanderová V, Paračková Z, et al. Utility of ruxolitinib in a child with chronic mucocutaneous candidiasis caused by a novel stat1 gainof- function mutation. J Clin Immunol. 2018;38(5):589-601. doi:10.1007/ s10875-018-0519-6
42. Chen C, Chiu C, Bai L. Treatment of pembrolizumab-induced cutaneous lesions with ruxolitinib. Eur J Cancer. 2019;113:69-71. doi:10.1016/j. ejca.2019.03.016

AUTHOR CORRESPONDENCE

Adam Friedman MD FAAD ajfriedman@mfa.gwu.edu