Cure8 news brief
Cure8 news brief
People with IBD who need advanced therapies may worry about cardiovascular risks linked to some JAK inhibitors. This study suggests, in a real-world cohort with cardiovascular risk factors, short-term (1-year) MACE risk was similar for JAK vs TNF inhibitors, but longer follow-up is needed.
Adult patients with IBD (Crohn’s disease or ulcerative colitis) who have cardiovascular risk factors, clinicians prescribing JAK or TNF inhibitors, and researchers studying IBD drug safety.
This analysis used TriNetX data and propensity-score matching in patients aged ≥50 with ulcerative colitis or Crohn’s disease who had at least one cardiovascular risk factor. The most common JAK agent reported in the cohort was upadacitinib.
After matching, rates of MACE and secondary outcomes (stroke, myocardial infarction, heart failure, malignancy, all-cause mortality, venous thromboembolism) did not differ significantly between groups. The investigators recommended continued monitoring and prospective long-term studies to better define cardiovascular safety in high-risk populations.
Key limitations and tone: This report summarizes a conference abstract and retrospective database analysis; it is not a randomized trial. The findings are preliminary and described by the investigators as requiring longer prospective study for definitive conclusions.
Results come from a retrospective, propensity-matched analysis using electronic-health-record data presented as an abstract at a conference (AIBD 2024). Such studies can help signal safety patterns but cannot prove causation; randomized or long-term prospective studies are needed to confirm cardiovascular safety.
Review the original publication for the complete reporting, methods, and context.
This Cure8 brief is based on source text from the linked article. Cure8 is informational only and is not a substitute for professional medical advice, diagnosis, or treatment.