Panel Backs Pfizer’s Tofacitinib For RA, With Narrower Indication

FDA’s Arthritis Advisory Committee said May 9 that Pfizer had worded the second-line indication too broadly, and indicated that a 5 mg dose is to be preferred, at least to begin with, due to safety concerns.

Pfizer Inc.’s Janus kinase inhibitor tofacitinib should be approved for rheumatoid arthritis patients, but in a narrower second-line indication than that proposed by the sponsor, an 8-2 majority of FDA’s Arthritis Advisory Committee said May 9.

The sponsor-proposed indication would allow any adult patient with moderately to severely active rheumatoid arthritis who has had an inadequate response to one or more disease-modifying anti-rheumatic drugs take tofacitinib. But this is too broad given the safety concerns with the drug, several committee members said

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