Cure8

Why This Matters

The report suggests tofacitinib (a JAK inhibitor), alone or combined with ustekinumab, could be an effective option for some infants with treatment-refractory IOIBD — a population with few evidence-based alternatives. If confirmed, this could expand options for clinicians treating very-early-onset severe IBD.

Who Should Pay Attention

Pediatric IBD clinicians, pediatric gastroenterologists, parents and caregivers of infants with very-early-onset or treatment-refractory IBD, and researchers planning pediatric IBD trials.

Study Snapshot

Story typeResearch paper
Evidence typeResearch paper
Source depthJournal abstract

What To Know

This is a very small, retrospective series focused on infantile-onset IBD — a rare and severe form of very-early-onset disease. The patients received combination therapy with a JAK inhibitor (tofacitinib) plus ustekinumab after other treatments failed, and the abstract reports remissions and no adverse events in these four cases.

Because the extraction is abstract-level, details such as dosing, duration, selection criteria, long-term safety, and follow-up are not provided here. The authors conclude that larger prospective studies are needed to define the role of JAK inhibitors in this population.

Keep In Mind

Findings are from a retrospective chart review of four patients described at abstract level. Important details (dosing, duration, inclusion/exclusion, follow-up length) are not available in the abstract; larger prospective studies are needed. The report did not find monogenic causes in these patients, which may limit generalizability to genetically-driven IOIBD.

Source Details

Review the original publication for the complete reporting, methods, and context.

Read Original Source
Research paper Evidence type derived from source or registry metadata.
PublicationJPGN reports
AuthorsMahajan S, Wysocki C, Gurram B
Study typeJournal article
Indexed viaEurope PMC
Source typeResearch paper
PublishedApr 27, 2026, 12:00 AM
Content availableJournal abstract

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.

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