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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">medsovet</journal-id><journal-title-group><journal-title xml:lang="ru">Медицинский Совет</journal-title><trans-title-group xml:lang="en"><trans-title>Meditsinskiy sovet = Medical Council</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2079-701X</issn><issn pub-type="epub">2658-5790</issn><publisher><publisher-name>REMEDIUM GROUP Ltd.</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.21518/2079-701X-2019-1-64-71</article-id><article-id custom-type="elpub" pub-id-type="custom">medsovet-2900</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>РЕВМАТОЛОГИЯ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>RHEUMATOLOGY</subject></subj-group></article-categories><title-group><article-title>Тофацитиниб: эффективность и безопасность при длительном применении</article-title><trans-title-group xml:lang="en"><trans-title>Tofacitinib: efficiency and safety in long-term use</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Чичасова</surname><given-names>Н. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Chichasova</surname><given-names>N. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>д.м.н., профессор кафедры ревматологии Института последипломного образования Федерального государственного автономного образовательного учреждения высшего образования «Первый Московский государственный медицинский университет имени И.М. Сеченова» Министерства здравоохранения Российской Федерации (Сеченовский университет); Федеральное государственное бюджетное научное учреждение «Научно-исследовательский институт ревматологии имени В.А. Насоновой»</p></bio><bio xml:lang="en"><p>Dr. of Sci. (Med), Professor of the Department of Rheumatology at the Institute of Postgraduate Education of the Federal State Autonomous Educational Institution of Higher Education «I.M. Sechenov First Moscow State Medical University named after I.M. Sechenov» of the Ministry of Health of the Russian Federation (Sechenov University); Federal State Budgetary Scientific Institution «Research Institute of Rheumatology named after V.A. Nasonova»</p></bio><email xlink:type="simple">kafedrarheum@yandex.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Федеральное государственное автономное образовательное учреждение высшего образования «Первый Московский государственный&#13;
медицинский университет имени И.М. Сеченова» Министерства здравоохранения Российской Федерации (Сеченовский университет)</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Federal State Autonomous Educational Institution of Higher Education «First Moscow State Medical University named after I.M. Sechenov»&#13;
of the Ministry of Health of the Russian Federation (Sechenov University);&#13;
Federal State Budgetary Scientific Institution «Research Institute of Rheumatology named after V.A. Nasonova»</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2019</year></pub-date><pub-date pub-type="epub"><day>05</day><month>03</month><year>2019</year></pub-date><volume>0</volume><issue>1</issue><fpage>64</fpage><lpage>71</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Чичасова Н.В., 2019</copyright-statement><copyright-year>2019</copyright-year><copyright-holder xml:lang="ru">Чичасова Н.В.</copyright-holder><copyright-holder xml:lang="en">Chichasova N.V.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.med-sovet.pro/jour/article/view/2900">https://www.med-sovet.pro/jour/article/view/2900</self-uri><abstract><p>В статье приведены данные международных и отечественных контролируемых исследований, в которых оценена эффективность тофацитиниба в сроки 6–24 месяца в отношении клинико-лабораторных проявлений активности РА, прогрессирования деструктивного артрита и функциональной способности больных ревматоидным артритом. Также приведены данные эффективности и безопасности тофацитиниба в длительные сроки – до 96 месяцев. В соответствии с результатами краткосрочных и долгосрочных исследований тофацитиниб является высокоэффективным препаратов для лечения больных активным РА, не ответивших на стандартную терапию сБПВП и ГИБП. Тофацитиниб высокоэффективен и в режиме монотерапии. Переносимость препарата сопоставима с другими вариантами лечения РА.</p></abstract><trans-abstract xml:lang="en"><p>The article presents the data of international and domestic controlled studies, in which the effectiveness of topacitinib in the period of 6-24 months is evaluated in respect of clinical and laboratory manifestations of RA activity, progression of destructive arthritis and functional ability of rheumatoid arthritis patients. Also the data of efficiency and safety of tofacitinib in long terms - up to 96 months - are given. According to the results of short- and long-term studies, tofacitinib is a highly effective drug for the treatment of patients with active RA who have not responded to standard therapy with UCVD and GIBP. Tofacitinib is also highly effective in monotherapy. Tolerability of the drug is comparable with other variants of RA treatment.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>ревматоидный артрит</kwd><kwd>тофацитиниб</kwd><kwd>эффективность</kwd><kwd>безопасность</kwd></kwd-group><kwd-group xml:lang="en"><kwd>rheumatoid arthritis</kwd><kwd>tofacitinib</kwd><kwd>efficacy</kwd><kwd>safety</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Smolen J.S., Landewe R., Bijlsma J., et al. EULAR recommendations for the management of rheumatoid arthritis with synthetic and biological disease-modifying antirheumatic drugs: 2016 update. Ann Rheum Dis. 2017; 76: 960-977.</mixed-citation><mixed-citation xml:lang="en">Smolen J.S., Landewe R., Bijlsma J., et al. EULAR recommendations for the management of rheumatoid arthritis with synthetic and biological disease-modifying antirheumatic drugs: 2016 update. Ann Rheum Dis. 2017; 76: 960-977.</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Smolen J.S., Aletaha D., Bijlsma J.W., et al. Treating rheumatoid arthritis to target: recommendations of an international task force. Ann Rheum Dis. 2010; 69: 631-637.</mixed-citation><mixed-citation xml:lang="en">Smolen J.S., Aletaha D., Bijlsma J.W., et al. Treating rheumatoid arthritis to target: recommendations of an international task force. Ann Rheum Dis. 2010; 69: 631-637.</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">Winthrop K.L., Strand V., van der Heijde D.M., et al. The unmet need in rheumatology: reports from the Targeted Therapies meeting 2016. Clin Exp Rheumatol. 2016; 34(4 Suppl 98): 69-76.</mixed-citation><mixed-citation xml:lang="en">Winthrop K.L., Strand V., van der Heijde D.M., et al. The unmet need in rheumatology: reports from the Targeted Therapies meeting 2016. Clin Exp Rheumatol. 2016; 34(4 Suppl 98): 69-76.</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">Meyer D.M., Jesson M.I., Li X., et al. Antiinflammatory activity and neutrophil reductions mediated by the JAK1/JAK3 inhibitor, CP-690,550, in rat adjuvant-induced arthritis. J Inflamm. 2010; 7: 41.</mixed-citation><mixed-citation xml:lang="en">Meyer D.M., Jesson M.I., Li X., et al. Antiinflammatory activity and neutrophil reductions mediated by the JAK1/JAK3 inhibitor, CP-690,550, in rat adjuvant-induced arthritis. J Inflamm. 2010; 7: 41.</mixed-citation></citation-alternatives></ref><ref id="cit5"><label>5</label><citation-alternatives><mixed-citation xml:lang="ru">Karaman M.W., Herrgard S., Treiber D.K., et al. A quantitative analysis of kinase inhibitor selectivity. Nat Biotechnol. 2008; 26: 127-132.</mixed-citation><mixed-citation xml:lang="en">Karaman M.W., Herrgard S., Treiber D.K., et al. A quantitative analysis of kinase inhibitor selectivity. Nat Biotechnol. 2008; 26: 127-132.</mixed-citation></citation-alternatives></ref><ref id="cit6"><label>6</label><citation-alternatives><mixed-citation xml:lang="ru">Hodle J.A., Kawabata T.T., Krishnaswami S., et al. The mechanism of action of tofacitinib – an oral Janus kinase inhibitor for the treatment of rheumatoid arthritis. Clin Exp Rheumat. 2016; 34: 318-328.</mixed-citation><mixed-citation xml:lang="en">Hodle J.A., Kawabata T.T., Krishnaswami S., et al. The mechanism of action of tofacitinib – an oral Janus kinase inhibitor for the treatment of rheumatoid arthritis. Clin Exp Rheumat. 2016; 34: 318-328.</mixed-citation></citation-alternatives></ref><ref id="cit7"><label>7</label><citation-alternatives><mixed-citation xml:lang="ru">Насонов Е.Л. Фармакотерапия ревматоидного артрита: новая стратегия, новые мишени. Научно-практическая ревматология. 2017; 55(4):409-19.</mixed-citation><mixed-citation xml:lang="en">Nasonov E.L. Pharmacotherapy of rheumatoid arthritis: new strategy, new targets. [Nauchno-prakticheskaya revmatologiya] Scientific and practical rheumatology. 2017; 55(4):409-19. (In Russ).</mixed-citation></citation-alternatives></ref><ref id="cit8"><label>8</label><citation-alternatives><mixed-citation xml:lang="ru">Maeshima K., Yamoaka K., Kubo S., et al. The JAK inhibitor tofacitinib regulates synovitis through inhibition of interferon-gamma and interleukin-17 production by human CD4+ N cells. Arthr Rheum. 2012; 64: 1790-1798.</mixed-citation><mixed-citation xml:lang="en">Maeshima K., Yamoaka K., Kubo S., et al. The JAK inhibitor tofacitinib regulates synovitis through inhibition of interferon-gamma and interleukin-17 production by human CD4+ N cells. Arthr Rheum. 2012; 64: 1790-1798.</mixed-citation></citation-alternatives></ref><ref id="cit9"><label>9</label><citation-alternatives><mixed-citation xml:lang="ru">Pfizer Ltd. Xeljanz (tofacitinib): summary of product characteristics. 2017. http://www.ema. europa.eu/does/en_GB/document_library/ EPAR_-_Product_Information/human/004214/ WC500224911.pdf. Accessed 31 Oct 2017.</mixed-citation><mixed-citation xml:lang="en">Pfizer Ltd. Xeljanz (tofacitinib): summary of product characteristics. 2017. http://www.ema. europa.eu/does/en_GB/document_library/ EPAR_-_Product_Information/human/004214/ WC500224911.pdf. Accessed 31 Oct 2017.</mixed-citation></citation-alternatives></ref><ref id="cit10"><label>10</label><citation-alternatives><mixed-citation xml:lang="ru">Lee E.B., Fleischmann R., Hall S., et al. Tofacitinib versus methotrexate in rheumatoid arthritis. N Engl J Med. 2014; 370: 2377-2386.</mixed-citation><mixed-citation xml:lang="en">Lee E.B., Fleischmann R., Hall S., et al. Tofacitinib versus methotrexate in rheumatoid arthritis. N Engl J Med. 2014; 370: 2377-2386.</mixed-citation></citation-alternatives></ref><ref id="cit11"><label>11</label><citation-alternatives><mixed-citation xml:lang="ru">Fleischmann R., Kremer J., Cush J., et al. Placebo-controlled trial of tofacitinib monotherapy in rheumatoid arthritis. N Engl J Med. 2012; 367: 495-507.</mixed-citation><mixed-citation xml:lang="en">Fleischmann R., Kremer J., Cush J., et al. Placebo-controlled trial of tofacitinib monotherapy in rheumatoid arthritis. N Engl J Med. 2012; 367: 495-507.</mixed-citation></citation-alternatives></ref><ref id="cit12"><label>12</label><citation-alternatives><mixed-citation xml:lang="ru">Fleischmann R., Mysler E., Hall S., et al. Efficacy and safety of tofacitinib monotherapy, tofacitinib with methotrexate, and adalimumab with methotrexate in patients with rheumatoid arthritis (ORAL Strategy): a phase 3b/4, doubleblind, head-to-head, randomized controlled trial. Lancet. 2017; 390: 457-468.</mixed-citation><mixed-citation xml:lang="en">Fleischmann R., Mysler E., Hall S., et al. Efficacy and safety of tofacitinib monotherapy, tofacitinib with methotrexate, and adalimumab with methotrexate in patients with rheumatoid arthritis (ORAL Strategy): a phase 3b/4, doubleblind, head-to-head, randomized controlled trial. Lancet. 2017; 390: 457-468.</mixed-citation></citation-alternatives></ref><ref id="cit13"><label>13</label><citation-alternatives><mixed-citation xml:lang="ru">Van der Heijde D., Tanaka Y., Fleischmann R., et al. Tofacitinib (CP-690,550) in patients with rheumatoid arthritis receiving methotrexate: twelve-month data from a twenty-four-month phase III randomized radiographic study. Arthr Rheum. 2013; 65:559-570.</mixed-citation><mixed-citation xml:lang="en">Van der Heijde D., Tanaka Y., Fleischmann R., et al. Tofacitinib (CP-690,550) in patients with rheumatoid arthritis receiving methotrexate: twelve-month data from a twenty-four-month phase III randomized radiographic study. Arthr Rheum. 2013; 65:559-570.</mixed-citation></citation-alternatives></ref><ref id="cit14"><label>14</label><citation-alternatives><mixed-citation xml:lang="ru">Van Vollenhoven R.F., Fleischmann R., Cohen S., et al. Tofacitinib or adalimumab versus placebo in rheumatoid arthritis. N Engl J Med. 2012; 367: 508-519.</mixed-citation><mixed-citation xml:lang="en">Van Vollenhoven R.F., Fleischmann R., Cohen S., et al. Tofacitinib or adalimumab versus placebo in rheumatoid arthritis. N Engl J Med. 2012; 367: 508-519.</mixed-citation></citation-alternatives></ref><ref id="cit15"><label>15</label><citation-alternatives><mixed-citation xml:lang="ru">Kremer J., Li Z.G., Hall S., et al. Tofacitinib in combination with nonbiologic disease-modifying antirheumatic drugs in patients with active rheumatoid arthritis: a randomized trial. Ann Intern Med. 2013; 159: 253-261.</mixed-citation><mixed-citation xml:lang="en">Kremer J., Li Z.G., Hall S., et al. Tofacitinib in combination with nonbiologic disease-modifying antirheumatic drugs in patients with active rheumatoid arthritis: a randomized trial. Ann Intern Med. 2013; 159: 253-261.</mixed-citation></citation-alternatives></ref><ref id="cit16"><label>16</label><citation-alternatives><mixed-citation xml:lang="ru">Burmester G.R., Blanco R., Charles-Schoeman C., et al. Tofacitinib (CP-690,550) in combination with methotrexate in patients with active rheumatoid arthritis with an inadequate response to tumour necrosis factor inhibitors: a randomized phase 3 trial. Lancet. 2013; 381: 451-460.</mixed-citation><mixed-citation xml:lang="en">Burmester G.R., Blanco R., Charles-Schoeman C., et al. Tofacitinib (CP-690,550) in combination with methotrexate in patients with active rheumatoid arthritis with an inadequate response to tumour necrosis factor inhibitors: a randomized phase 3 trial. Lancet. 2013; 381: 451-460.</mixed-citation></citation-alternatives></ref><ref id="cit17"><label>17</label><citation-alternatives><mixed-citation xml:lang="ru">Fleischmann R., Mease P.J., Schwartzman S., et al. Efficacy of tofacitinib in patients with rheumatoid arthritis stratified by background methotrexate dose group. Clin Rheum. 2017; 36: 15-24.</mixed-citation><mixed-citation xml:lang="en">Fleischmann R., Mease P.J., Schwartzman S., et al. Efficacy of tofacitinib in patients with rheumatoid arthritis stratified by background methotrexate dose group. Clin Rheum. 2017; 36: 15-24.</mixed-citation></citation-alternatives></ref><ref id="cit18"><label>18</label><citation-alternatives><mixed-citation xml:lang="ru">Strand V., van Vollenhoven R.F., Lee E.B., et al. Tofacitinib or adalimumab versus placebo: patient reported outcomes from a phase 3 study of active rheumatoid arthritis. Rheumatology (Oxford). 2016; 55: 1031-1041.</mixed-citation><mixed-citation xml:lang="en">Strand V., van Vollenhoven R.F., Lee E.B., et al. Tofacitinib or adalimumab versus placebo: patient reported outcomes from a phase 3 study of active rheumatoid arthritis. Rheumatology (Oxford). 2016; 55: 1031-1041.</mixed-citation></citation-alternatives></ref><ref id="cit19"><label>19</label><citation-alternatives><mixed-citation xml:lang="ru">Landewe R.B., Connell C.A., Bradley J.D., et al. Is radiographic progression in modern rheumatoid arthritis trials still a robust outcome? Experience from tofacitinib clinical trials. Arthritis Res Ther. 2016; 18: 212.</mixed-citation><mixed-citation xml:lang="en">Landewe R.B., Connell C.A., Bradley J.D., et al. Is radiographic progression in modern rheumatoid arthritis trials still a robust outcome? Experience from tofacitinib clinical trials. Arthritis Res Ther. 2016; 18: 212.</mixed-citation></citation-alternatives></ref><ref id="cit20"><label>20</label><citation-alternatives><mixed-citation xml:lang="ru">Российские клинические рекомендации. Ревматология. Под ред. академика РАН Насонова Е.Л. М.: «ГЭОТАР-Медиа». 2017, 456 с.</mixed-citation><mixed-citation xml:lang="en">Russian clinical recommendations. Rheumatology. Edited by Academician Nasonov E.L. M.: «GEOTAR-Media». 2017, 456 с. (In Russ).</mixed-citation></citation-alternatives></ref><ref id="cit21"><label>21</label><citation-alternatives><mixed-citation xml:lang="ru">Лучихина Е.Л., Каратеев Д.Е., Демидова Н.В. и др. Эффективность и безопасность терапии тофацитинибом у больных активным ревматоидным артритом с резистентностью к стандартной терапии: предварительные результаты открытого клинического исследования. Совр ревматология. 2016; 10 (2): 17-23.</mixed-citation><mixed-citation xml:lang="en">Luchikhina E.L., Karateev D.E., Demidova N.V., et al. Efficacy and safety of tofacitinib therapy in patients with active rheumatoid arthritis with resistance to standard therapy: preliminary results of an open clinical study. [Sovr revmatologiya] Modern rheumatology. 2016; 10 (2): 17-23. (In Russ).</mixed-citation></citation-alternatives></ref><ref id="cit22"><label>22</label><citation-alternatives><mixed-citation xml:lang="ru">Fleischmann R., Wollenhaupt J., Takiya L., et al. Safety and maintenance of response for tofacitinib monotherapy and combination therapy in rheumatoid arthritis: an analysis of pooled data from open-label long-term extension studies. RMD Open. 2017; 3:e000491. doi10.1136/rmdopen-2017-000491.</mixed-citation><mixed-citation xml:lang="en">Fleischmann R., Wollenhaupt J., Takiya L., et al. Safety and maintenance of response for tofacitinib monotherapy and combination therapy in rheumatoid arthritis: an analysis of pooled data from open-label long-term extension studies. RMD Open. 2017; 3:e000491. doi10.1136/rmdopen-2017-000491.</mixed-citation></citation-alternatives></ref><ref id="cit23"><label>23</label><citation-alternatives><mixed-citation xml:lang="ru">Fleischmann R., van Vollenhoven R.F., Vencovsky J., et al. Long-term maintenance of certolizumab pegol safety and efficacy, in combination with methotrexate and as monotherapy, in rheumatoid arthritis patients. Rheumatol Ther. 2017; 4: 57-69.</mixed-citation><mixed-citation xml:lang="en">Fleischmann R., van Vollenhoven R.F., Vencovsky J., et al. Long-term maintenance of certolizumab pegol safety and efficacy, in combination with methotrexate and as monotherapy, in rheumatoid arthritis patients. Rheumatol Ther. 2017; 4: 57-69.</mixed-citation></citation-alternatives></ref><ref id="cit24"><label>24</label><citation-alternatives><mixed-citation xml:lang="ru">Klareskog L., Gaubitz M., Rodriguez-Valverde V., et al. Assessment of long-term safety and efficacy of etanercept in a 5-year extension study in patients with rheumatoid arthritis. Clin Exp Rheumatol. 2011; 29: 238-247.</mixed-citation><mixed-citation xml:lang="en">Klareskog L., Gaubitz M., Rodriguez-Valverde V., et al. Assessment of long-term safety and efficacy of etanercept in a 5-year extension study in patients with rheumatoid arthritis. Clin Exp Rheumatol. 2011; 29: 238-247.</mixed-citation></citation-alternatives></ref><ref id="cit25"><label>25</label><citation-alternatives><mixed-citation xml:lang="ru">Furst D.E., Kavanaugh А., Florentius S., et al. Final 10-year effectiveness and safety results from study DEO20: adalimumab treatment in patients with rheumatoid arthritis and inadequate response to standard therapy. Rheumatology. 2015; 54: 2188-2197.</mixed-citation><mixed-citation xml:lang="en">Furst D.E., Kavanaugh А., Florentius S., et al. Final 10-year effectiveness and safety results from study DEO20: adalimumab treatment in patients with rheumatoid arthritis and inadequate response to standard therapy. Rheumatology. 2015; 54: 2188-2197.</mixed-citation></citation-alternatives></ref><ref id="cit26"><label>26</label><citation-alternatives><mixed-citation xml:lang="ru">Curtis J.R., Schulze-Koops H., Takiya L., et al. Efficacy and safety of tofacitinib in older and younger patients with rheumatoid arthritis. Clin Exp Rheumatol. 2017; 35: 390-400.</mixed-citation><mixed-citation xml:lang="en">Curtis J.R., Schulze-Koops H., Takiya L., et al. Efficacy and safety of tofacitinib in older and younger patients with rheumatoid arthritis. Clin Exp Rheumatol. 2017; 35: 390-400.</mixed-citation></citation-alternatives></ref><ref id="cit27"><label>27</label><citation-alternatives><mixed-citation xml:lang="ru">Watanabe T., Hattori T., Ogawa S.Y., Jodo S. Successful treatment with tofacitinib for renal disorder due to amyloid A amyloidosis and immunoglobulin A nephropathy in patient with rheumatoid arthritis. Clin Exp Rheumatol. 2018; 36:683-684.</mixed-citation><mixed-citation xml:lang="en">Watanabe T., Hattori T., Ogawa S.Y., Jodo S. Successful treatment with tofacitinib for renal disorder due to amyloid A amyloidosis and immunoglobulin A nephropathy in patient with rheumatoid arthritis. Clin Exp Rheumatol. 2018; 36:683-684.</mixed-citation></citation-alternatives></ref><ref id="cit28"><label>28</label><citation-alternatives><mixed-citation xml:lang="ru">Hagihara R., Nishikawa T., Isobe T., et al. IL-6 plays a critical role in the synergistic induction of human serum amyloid A (SAA) gene when stimulated with proinflammatory cytokines as analyzed with SAA isoform real-time quantitative RT-PCR assay system. Biochem Biophis Res Commun. 2004; 314: 363-369.</mixed-citation><mixed-citation xml:lang="en">Hagihara R., Nishikawa T., Isobe T., et al. IL-6 plays a critical role in the synergistic induction of human serum amyloid A (SAA) gene when stimulated with proinflammatory cytokines as analyzed with SAA isoform real-time quantitative RT-PCR assay system. Biochem Biophis Res Commun. 2004; 314: 363-369.</mixed-citation></citation-alternatives></ref><ref id="cit29"><label>29</label><citation-alternatives><mixed-citation xml:lang="ru">Migita K., Koga T., Komori A., et al. Influence of Janus kinase inhibition on interleukin 6-mediated induction of acute-phase serum amyloid A in rheumatoid synovium. J Rheumatol. 2011; 38: 2309-2317.</mixed-citation><mixed-citation xml:lang="en">Migita K., Koga T., Komori A., et al. Influence of Janus kinase inhibition on interleukin 6-mediated induction of acute-phase serum amyloid A in rheumatoid synovium. J Rheumatol. 2011; 38: 2309-2317.</mixed-citation></citation-alternatives></ref><ref id="cit30"><label>30</label><citation-alternatives><mixed-citation xml:lang="ru">Migita K., Izumi Y., Jiuchi Y., et al. Effects of Janus kinase inhibitor tofacitinib on circulating serum amyloid A and interleukin-6 during treatment for rheumatoid arthritis. Clin Exp Immunol. 2014; 175: 208-214.</mixed-citation><mixed-citation xml:lang="en">Migita K., Izumi Y., Jiuchi Y., et al. Effects of Janus kinase inhibitor tofacitinib on circulating serum amyloid A and interleukin-6 during treatment for rheumatoid arthritis. Clin Exp Immunol. 2014; 175: 208-214.</mixed-citation></citation-alternatives></ref><ref id="cit31"><label>31</label><citation-alternatives><mixed-citation xml:lang="ru">Hodge J.A., Kawabata T.T., Krishnaswami S., et al. The mechanism of action of tofacitinib – an oral Janus kinase inhibitor for the treatment of rheumatoid arthritis. Clin Exp Rheumatol. 2016; 34: 318-328.</mixed-citation><mixed-citation xml:lang="en">Hodge J.A., Kawabata T.T., Krishnaswami S., et al. The mechanism of action of tofacitinib – an oral Janus kinase inhibitor for the treatment of rheumatoid arthritis. Clin Exp Rheumatol. 2016; 34: 318-328.</mixed-citation></citation-alternatives></ref><ref id="cit32"><label>32</label><citation-alternatives><mixed-citation xml:lang="ru">Schwartz D.M., Kanno Y., Villarini A., et al. JAK inhibition as a therapeutic strategy for immune and inflammatory diseases. Nat Rev Drug Discov. 2017; 16: 843-862.</mixed-citation><mixed-citation xml:lang="en">Schwartz D.M., Kanno Y., Villarini A., et al. JAK inhibition as a therapeutic strategy for immune and inflammatory diseases. Nat Rev Drug Discov. 2017; 16: 843-862.</mixed-citation></citation-alternatives></ref><ref id="cit33"><label>33</label><citation-alternatives><mixed-citation xml:lang="ru">Singh J.A., Hossain A., Tanjong Ghogomu E., et al. Biologics or tofacitinib for people with rheumatoid arthritis unsuccessfully treated with biologics: a systematic review and network meta-analysis (Review). Cochrane Database of Systematic Reviews. 2017, Issue 3. Art. No.: CD012591. doi: 10.1002/14651858.CD012591.</mixed-citation><mixed-citation xml:lang="en">Singh J.A., Hossain A., Tanjong Ghogomu E., et al. Biologics or tofacitinib for people with rheumatoid arthritis unsuccessfully treated with biologics: a systematic review and network meta-analysis (Review). Cochrane Database of Systematic Reviews. 2017, Issue 3. Art. No.: CD012591. doi: 10.1002/14651858.CD012591.</mixed-citation></citation-alternatives></ref></ref-list><fn-group><fn fn-type="conflict"><p>The authors declare that there are no conflicts of interest present.</p></fn></fn-group></back></article>
