The Role of Filgotinib in Ulcerative Colitis and Crohn’s Disease
Abstract
Filgotinib is an oral small molecule that selectively inhibits JAK1. It is already approved for the treatment of moderately to severely active ulcerative colitis (UC). Ongoing studies are evaluating the efficacy and safety of filgotinib in Crohn's disease (CD). The purpose of this review is to summarize the available data regarding filgotinib in the management of UC and CD. We used Pubmed, Embase and clinicaltrials.gov websites to search all available data and currently ongoing studies regarding the efficacy and safety of filgotinib in inflammatory bowel diseases. Filgotinib is an effective and safe drug for the management of biologic-naive and biologic-experienced patients with moderate-to-severe UC. The same efficacy results have not been achieved in CD.
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Clinical trials show that selective JAK1 inhibitors such as filgotinib and upadacitinib are more effective than the pan-JAK inhibitor tofacitinib in treating Crohn's disease and ulcerative colitis.
“Importantly, evidences from a set of clinical trials showed that the selective JAK1 inhibitors, such as filgotinib and upadacitinib, are more effective than the pan-JAK inhibitor of tofacitinib in the treatment of Crohn’s disease and ulcerative colitis [104–106].”
From The double-edged effects of IL-6 in liver regeneration, aging, inflammation, and diseases (2024) · cites this paper as [105]
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Inoue, S., Ikai, M., Nambu, R., Moriya, K., Kojima, R., Tagami, Y., Hoshino, Y., Kyushiki, M., Ichimura, K., Nakazawa, A., et al. (2025) · Clinical Immunology · doi:10.1016/j.clim.2025.110470 · Cited by 4 · see citing works
Triantafillidis, J. K., Malgarinos, K., Kontrarou, G., Kritsotakis, E., Polydorou, V., Pantos, K., Sfakianoudis, K., Pantou, A., Karandreas, A., Konstandoulakis, M., et al. (2026) · Journal of Personalized Medicine · doi:10.3390/jpm16020059 · Cited by 2 · see citing works
Expanding the therapeutic horizon in inflammatory bowel disease: The rise of non-cytokine compounds
Prado, Á. D., García-Alonso, F. J., Arribas‐Rodríguez, E., Barrio, J., Gisbert, J. P., & Bernardo, D. (2026) · Biomedicine & Pharmacotherapy · doi:10.1016/j.biopha.2026.119401 · Cited by 2 · see citing works
Updated review of Janus kinase inhibitors for the management of inflammatory bowel disease
Malakar, S., Giri, S., Jena, A., & Nath, P. (2026) · World Journal of Gastrointestinal Pharmacology and Therapeutics · doi:10.4292/wjgpt.v17.i1.112788 · Cited by 1 · see citing works
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Recent advances in the discovery of small-molecule inhibitors for inflammatory bowel disease therapy
Lin, H., Wen, S., Huang, Y., & Wang, S. (2026) · European Journal of Medicinal Chemistry · doi:10.1016/j.ejmech.2026.119080
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- Authors
- Fanizza, J., D’Amico, F., Lauri, G., Martinez-Dominguez, S. J., Allocca, M., Furfaro, F., Zilli, A., Fiorino, G., Parigi, T. L., Radice, S., Peyrin-Biroulet, L., & Danese, S.
- Affiliations
- Vita-Salute San Raffaele University (IT)
- Humanitas University (IT)
- Department of Gastroenterology, Hospital Clínico Universitario Lozano Blesa, Zaragoza, Spain; Aragón Health Research Institute, Zaragoza, Spain; School of Medicine, University of Zaragoza, Spain
- University of Lorraine, Inserm, NGERE, F-54000 Nancy, France
- ORCID
- Venue
- Immunotherapy
- Publisher
- Informa UK Limited
- Published
- 2023-11-27
- Volume
- 16
- Issue
- 2
- Pages
- 59-74
- ISSN
- 1750-743X (ISSN-L)
- 1750-7448
- OpenAlex
- W4389058196
- Cited by
- 16
- References
- 79
- Citations by year
- 2026: 6 · 2025: 3 · 2024: 7
- FWCI
- 0.62
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Immunotherapy (publishedVersion)
- PubMed (publishedVersion)
- Archivio Istituzionale della Ricerca - Università Vita-Salute San Raffaele (submittedVersion)
- Funders
- Nikkiso
- Mundipharma
- Janssen
- Abbvie
- Pfizer
- Ferring
- Takeda
- Amgen
- Sandoz
- Samsung Bioepis
- Celltrion
- Alimentiv
- Alma Bio Therapeutics
- Arena
- Biogen
- CONNECT Biopharm
- Cytoki Pharma
- Enthera
- Fresenius Kabi
- Galapagos
- Prometheus
- Protagonist
- Theravance
- Inotrem
- Lilly
- Medac
- HAC-Pharma
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Inflammatory Bowel Disease
- Health Sciences › Medicine › Rheumatology › Rheumatoid Arthritis Research and Therapies
- Health Sciences › Medicine › Ophthalmology › Ocular Diseases and Behçet’s Syndrome
- Keywords
- filgotinib, JAK1 inhibition, ulcerative colitis, Crohn's disease, inflammatory bowel disease, biologic-naive patients, biologic-experienced patients, drug efficacy, drug safety
- MeSH terms
- Biological Products, Colitis, Ulcerative, Crohn Disease, Humans, Pyridines, Triazoles, Inflammatory Bowel Diseases
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