Drug ID:Drug112
Drug Name:Tofacitinib
CID:9926791
DrugBank ID:DB08895
Modality:Small Molecule
Groups:approved
US Approved:YES
Other Approved:YES
Identifier: NCT00787202, , NCT03281304, , NCT01458574, , NCT01470612, , NCT06625450, , NCT04424303, , NCT05112263, , NCT06095128, , NCT05728008, , NCT05431283, , NCT05313620, , NCT04925973, , NCT06780683, , NCT06274996, , NCT05782907, , NCT06095596, , NCT03653026, , NCT02819635, , NCT03345836, , NCT03006
Molecular Formula:C16H20N6O
Molecular Weight:312.37 g/mol
Isomeric SMILES:C[C@@H]1CCN(C[C@@H]1N(C)C2=NC=NC3=C2C=CN3)C(=O)CC#N
Synonyms:Tofacitinib; 477600-75-2; 3-((3R,4R)-4-methyl-3-(methyl(7H-pyrrolo[2,3-d]pyrimidin-4-yl)amino)piperidin-1-yl)-3-oxopropanenitrile; Cp-690 free base; tofacitinibum; UNII-87LA6FU830; CHEBI:71200; 87LA6FU830; CP-690550 FREE BASE; CP-690,550 FREE BASE
Phase 0: 6
Phase 1: 84
Phase 2: 131
Phase 3: 80
Phase 4: 39
Description:Tofacitinib is an inhibitor of Janus kinases, a group of intracellular enzymes involved in signaling pathways that affect hematopoiesis and immune cell function. It is approved by the FDA for treatment of moderate to severe rheumatoid arthritis that responds inadequately to methotrexate or in those who are intolerant to methotrexate. Besides rheumatoid arthritis, tofacitinib has also been studied in clinical trials for the prevention of organ transplant rejection, and the treatment of psoriasis and ulcerative colitis. Known adverse effects include nausea and headache as well as more serious immunologic and hematological adverse effects. Tofacitinib is marketed under the brand name Xeljanz.

Molecular Structure

2D Molecular Structure

Knowledge Graph

dtIDCIDCompound NameGene IDGene NameSpeciesPubMed IDsAction
dt948 9926791 Tofacitinib 2048 EPHB2 Homo sapiens (human) Inhibitor
dt949 9926791 Tofacitinib 6777 STAT5B Homo sapiens (human) None
dt950 9926791 Tofacitinib 3716 JAK1 Homo sapiens (human) Inhibitor
dt951 9926791 Tofacitinib 3718 JAK3 Homo sapiens (human) None
dt952 9926791 Tofacitinib 29110 TBK1 Homo sapiens (human) 25540906 None
dt953 9926791 Tofacitinib 3717 JAK2 Homo sapiens (human) 24417533 Inhibition
dt954 9926791 Tofacitinib 3718 JAK3 Homo sapiens (human) Inhibition
dt955 9926791 Tofacitinib 3718 JAK3 Homo sapiens (human) 24417533 Inhibition
dt956 9926791 Tofacitinib 3718 JAK3 Homo sapiens (human) 27572962 Inhibition
dt957 9926791 Tofacitinib 3716 JAK1 Homo sapiens (human) 24417533 Inhibition

  • No data available

Phase Distribution
Phase Description
  • Phase 0: Exploratory trials to assess drug behavior in humans
  • Phase 1: Safety trials to determine safe dosage range
  • Phase 2: Efficacy trials to evaluate therapeutic effects
  • Phase 3: Large-scale trials to confirm efficacy and safety
  • Phase 4: Post-marketing surveillance for long-term safety and efficacy

Trial IDTitlePhaseStatusSponsorIndicationsInterventions
NCT04624230 Evaluation of Oral Tofacitinib in Children Aged 2 to 17 Years Old Suffering From Moderate to Severe Ulcerative Colitis PHASE3 RECRUITING Pfizer Ulcerative Colitis DRUG: tofacitinib Details
NCT01465763 A Study Evaluating The Efficacy And Safety Of CP-690,550 In Patients With Moderate To Severe Ulcerative Colitis PHASE3 COMPLETED Pfizer Ulcerative Colitis DRUG: tofacitinib|DRUG: Placebo Details
NCT04032756 Tofacitinib Registry of Patients With Ulcerative Colitis in Germany None TERMINATED Ced Service GmbH Colitis, Ulcerative|Biologics|Tofacitiniib|Chroni… None Details
NCT01458951 A Study To Evaluate Both The Efficacy and Safety Profile of CP-690,550 In Patients With Moderately to Severely Active Ulcerative Colitis PHASE3 COMPLETED Pfizer Ulcerative Colitis DRUG: tofacitinib|DRUG: Placebo Details
NCT05112263 Tofacitinib Versus Cyclosporine for Steroid Refractory Acute Severe Ulcerative Colitis None NOT_YET_RECRUITING Post Graduate Institute of Medical Education and Research, Chandigarh Ulcerative Colitis DRUG: Tofacitinib|DRUG: Cyclosporine Details
NCT06469424 An Active Surveillance, Post-Authorization Study to Characterize the Safety of Tofacitinib in Patients With Moderately to Severely Active Ulcerative Colitis in the Real-World Setting Using Data From the United Registries for Clinical Assessment and Research (UR-CARE) in the European Union (EU) None RECRUITING Grupo Espanol de Trabajo en Enfermedad de Crohn y Colitis Ulcerosa Ulcerative Colitis None Details
NCT06095128 A Study of Vedolizumab With Tofacitinib in Adults With Ulcerative Colitis (UC) PHASE4 RECRUITING Takeda Ulcerative Colitis DRUG: Vedolizumab|DRUG: Tofacitinib Details
NCT05728008 Retrospective Observational Comparison Study Between Ustekinumab and Tofacitinib as Third Line Therapy in a Multicenter Cohort of Patients With Refractory Ulcerative Colitis. None COMPLETED IRCCS San Raffaele Ulcerative Colitis DRUG: Ustekinumab|DRUG: Tofacitinib Details
NCT04743518 Impact of Anti-TNF, Vedolizumab and Tofacitinib on Aortic Stiffness, Carotid Intima-media Thickness and Cardiovascular Risk of Patients With Ulcerative Colitis None UNKNOWN Centre Hospitalier Universitaire, Amiens Ulcerative Colitis OTHER: Aortic pulse wave velocity|OTHER: carotid … Details
NCT05104723 Safety and Efficacy of Tofacitinib for Chronic Granulomatous Disease With Inflammatory Complications PHASE1|PHASE2 ENROLLING_BY_INVITATION National Institute of Allergy and Infectious Diseases (NIAID) Chronic Granulomatous Disease|Inflammatory Gastro… DRUG: XELJANZ (tofacitinib) Details
NCT05431283 Real-world Effectiveness of Tofacitinib on Ulcerative Colitis Associated Spondyloarthropathy None UNKNOWN Italian Group for the study of Inflammatory Bowel Disease (IG-IBD) Ulcerative Colitis|Spondyloarthropathy DRUG: Tofacitinib Details
NCT03103412 TD-3504 SAD in Healthy Subjects and Subjects With Ulcerative Colitis (UC) PHASE1 COMPLETED Theravance Biopharma Active Mild Ulcerative Colitis, Active Moderate U… DRUG: TD-3504|DRUG: 15N2-tofacitinib|DRUG: Placebo Details
NCT05069259 Generate Real World Data On Tofacitinib Induction Therapy and Changes In Clinical and Patient Reported Outcomes. None TERMINATED Pfizer Ulcerative Colitis OTHER: Stool sample collection Details
NCT03663400 Identify Predictors That Distinguish Between Tofacitinib Responders and Non-responders Based on Genotype and Cellular and Molecular Profiles From Pinch Biopsies, Blood and Stool Samples None COMPLETED NYU Langone Health Ulcerative Colitis DIAGNOSTIC_TEST: GWAS analysis by Illumina BeadCh… Details
NCT05313620 Effect of Tofacitinib on Coagulation and Platelet Function, and Its Role in Thromboembolic Events PHASE4 RECRUITING Fundación de Investigación Biomédica - Hospital Universitario de La Princesa Ulcerative Colitis|Thromboembolism DRUG: Tofacitinib|DRUG: Infliximab Adalimumab y G… Details
CTRI/2024/01/061649 Prevalence and impact of sarcopenia and frailty in inflammatory bowel disease, and the effect of multi-modal interventions on sarcopenia and clinical outcomes in patients with inflammatory bowel disease - NIL PHASE3 Not Recruiting All India Institute of Medical Sciences Health Condition 1: K509- Crohns disease, unspeci… Intervention1: High protein anti-inflammatory die… Details
CTRI/2023/10/058514 Evaluation of effectiveness and safety of oral tofacitinib in patients with Parthenium dermatitis: A prospective interventional open label study - NIL Not Available Not Recruiting AIIMS, New Delhi Health Condition 1: L237- Allergic contact dermat… Intervention1: Oral Tofacitinib: Tofacitinib is a… Details
ISRCTN96296121 Defining microbial predictors of responsiveness to biologic therapies in Crohn disease and ulcerative colitis Not Available Recruiting Newcastle upon Tyne Hospitals NHS Foundation Trust Crohn disease and ulcerative colitis Digestive S… Current interventions as of 19/12/2024: This is… Details
ISRCTN13495664 SARS-CoV2 Vaccination immunogenicity in Immunosuppressed inflammatory bowel disease Patients Not Available Not Recruiting Imperial College London Immune responses to SARS-CoV-2 vaccination in imm… 600 IBD patients will be recruited stratified acc… Details
CTRI/2021/10/037641 An open label study to compare the efficacy and safety of tofacitinib compared to corticosteroids for inducing remission in moderately severe active ulcerative colitis PHASE4 Recruiting Dayanand Medical College and Hospital Ludhiana Disease.2. Total mayo clinic score <6 or >9. 3.… Health Condition 1: K51- Ulcerative colitis Details

Disease IDDisease NameDefinitionCategoryRelated DrugsMechanism
No data available

Strategy IDTherapeutic StrategySynonymsRelated DrugsMechanism
S07 Blockade of cytokine Cytokine signalling apremilast; roflumilast; filgotinib; tofacitinib; ABT494; ABT-874; ustekinumab; isankizumab; LY-2525623; AMG139; MEDI2079; guselkumab Various T-cell subsets, their differentiation pathways and … Details

Tofacitinib Versus Vedolizumab Among Bio-naive Patients With Ulcerative Colitis…

PMID: 39659234
Year: 2025
Relationship Type: Treatment Score: 6.5

BACKGROUND AND AIMS: Over the last decade, treatment options for moderate-to-severe ulcerative colitis (UC) have expanded. However, comparative studi…

Dual action tofacitinib-loaded PLGA nanoparticles alleviate colitis in an IBD m…

PMID: 39527394
Year: 2025
Relationship Type: Treatment Score: 6.5

Inflammatory bowel disease (IBD) affects over 7 million people worldwide and significant side effects are associated with current therapies such as t…

The JAK inhibitor, Tofacitinib, Corrects the Overexpression of CEACAM6 and Limi…

PMID: 39399045
Year: 2024
Relationship Type: Association Score: 6.5

BACKGROUND AND AIMS: A cohort of patients with inflammatory bowel disease (IBD) exhibit expansion of the gut pathobiont, adherent-invasive E. coli (A…

Tofacitinib in Pediatric Ulcerative Colitis: A Retrospective Multicenter Experi…

PMID: 38828483
Year: 2025
Relationship Type: Treatment Score: 6.5

BACKGROUND: Tofacitinib has recently been approved for treatment of moderate-to-severe ulcerative colitis (UC) in adults, yet pediatric data are limi…

Effect of tofacitinib on the phenotype and activity of Caco‑2 cells in a model …

PMID: 38476894
Year: 2024
Relationship Type: Treatment Score: 6.5

Reports have indicated that autoimmune bowel disorders affect an increasing number of people on every continent; therefore, it is important to better…

Changes in HLA-B27 Transgenic Rat Fecal Microbiota Following Tofacitinib Treatm…

PMID: 38396840
Year: 2024
Relationship Type: Treatment Score: 6.5

The therapeutic management of Crohn's disease (CD), a chronic relapsing-remitting inflammatory bowel disease (IBD), is highly challenging. Surgical r…

Tofacitinib use in ulcerative colitis: An expert consensus for day-to-day clini…

PMID: 38347433
Year: 2024
Relationship Type: Treatment Score: 6.5

Rising number of inflammatory bowel disease (IBD) cases in developing countries necessitate clear guidance for clinicians for the appropriate use of …

Normal Infant Immunologic Assessment and Uneventful Live Rotavirus Vaccination …

PMID: 38317692
Year: 2024
Relationship Type: Treatment Score: 6.5

BACKGROUND: Janus kinase (JAK) inhibitors are effective for the treatment of inflammatory bowel disease (IBD). However, this class of medications is …

Tofacitinib in Pregnancy: Assessing Pregnancy and Infant Outcomes, Cord Blood, …

PMID: 38309493
Year: 2025
Relationship Type: Treatment Score: 6.5

Janus kinase (JAK) inhibitors are effective anti-inflammatory agents for treatment of ulcerative colitis (UC).(1) According to drug regulatory agenci…

Rates of Adverse Events in Patients With Ulcerative Colitis Undergoing Colectom…

PMID: 38305302
Year: 2024
Relationship Type: Treatment Score: 6.5

INTRODUCTION: Patients with ulcerative colitis (UC) receiving immunosuppressive drugs are at substantial risk of colectomy. We aimed to assess the ri…

Tofacitinib real-world experience in ulcerative colitis in Finland (FinTofUC): …

PMID: 38156792
Year: 2024
Relationship Type: Treatment Score: 6.5

OBJECTIVES: The aim was to define the effectiveness of tofacitinib and to characterize the patient population receiving tofacitinib in a real-world c…

Tofacitinib Affects M1-like and M2-like Polarization and Tissue Factor Expressi…

PMID: 38142236
Year: 2024
Relationship Type: Treatment Score: 6.5

BACKGROUND: Tofacitinib, as inhibitor of Janus kinases (JAK), interrupts the transmission of numerous pro-inflammatory cytokines involved in the path…

Tofacitinib in Acute Severe Ulcerative Colitis (TACOS): A Randomized Controlled…

PMID: 38131615
Year: 2024
Relationship Type: Treatment Score: 6.5

INTRODUCTION: Intravenous corticosteroids are the mainstay of treatment of patients hospitalized with acute severe ulcerative colitis (ASUC). However…

Histological healing induced by tofacitinib in ulcerative colitis: A multicentr…

PMID: 38065698
Year: 2024
Relationship Type: Association Score: 6.5

BACKGROUND: While the efficacy of tofacitinib to induce and maintain clinical and endoscopic remission is well established in ulcerative colitis (UC)…

Early recapture of response with tofacitinib 10 mg twice daily in patients with…

PMID: 37953548
Year: 2024
Relationship Type: Treatment Score: 6.5

BACKGROUND AND AIM: Tofacitinib is an oral Janus kinase inhibitor for the treatment of ulcerative colitis. These post hoc analyses evaluated early im…

Antibody Responses to Influenza Vaccination are Diminished in Patients With Inf…

PMID: 37941436
Year: 2024
Relationship Type: Treatment Score: 6.5

BACKGROUND AND AIMS: We sought to determine whether six commonly used immunosuppressive regimens were associated with lower antibody responses after …

Tofacitinib in Steroid-Refractory Acute Severe Ulcerative Colitis: A Retrospect…

PMID: 37854768
Year: 2023
Relationship Type: Treatment Score: 6.5

INTRODUCTION: Steroid-refractory acute severe ulcerative colitis (ASUC) patients are at the highest risk of colectomy. Among the available options, c…

Tofacitinib in the treatment of moderate to severe ulcerative colitis in Colomb…

PMID: 37820832
Year: 2024
Relationship Type: Treatment Score: 6.5

INTRODUCTION: There are no studies on efficacy of tofacitinib for moderate-severe ulcerative colitis (UC) in pediatric patients in Latin America. The…

Colombian experience with the use of tofacitinib in severe acute ulcerative col…

PMID: 37806342
Year: 2024
Relationship Type: Treatment Score: 6.5

INTRODUCTION: Tofacitinib is indicated in patients with moderate to severe ulcerative colitis (UC); however, given its rapid onset of action, it may …

Safety and effectiveness of tofacitinib in ulcerative colitis: Data from TOFA-U…

PMID: 37741749
Year: 2024
Relationship Type: Treatment Score: 6.5

BACKGROUND: Real-world evidence is needed to determine the value of tofacitinib (TOFA) for the treatment of ulcerative colitis (UC). AIM: To assess t…

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