Fetal exposure to tofacitinib during the first trimester: A healthy newborn case report

Autor: Eduardo Guerrero-Hurtado, Eva Romá-Sánchez, M Rosa Gómez-Portero, Mireya Fernández-Sánchez, José Luis Poveda-Andrés, Hugo Ribes-Artero, Javier García-Pellicer
Rok vydání: 2021
Předmět:
Zdroj: Birth Defects Research. 113:1275-1279
ISSN: 2472-1727
Popis: Introduction Preclinical studies with tofacitinib demonstrated teratogenic effects. Data about effects on human fetuses are limited and current recommendations are to immediately discontinue the treatment. Our purpose is to report a case of exposure to tofacitinib during the first trimester of pregnancy. Case summary A 40-year-old woman with psoriatic arthritis became pregnant during the first month of treatment with tofacitinib. Tofacitinib was interrupted immediately, and parents were informed about the possible risks of teratogenicity. At the end of pregnancy, our patient gave birth to a healthy newborn. Conclusion All the available evidence of tofacitinib exposure during pregnancy in humans belongs to outcomes of unexpected pregnancies in the context of clinical trials and post-marketing cases. This case may contribute to enriching available data about teratogenic risks of tofacitinib exposure during pregnancy.
Databáze: OpenAIRE