Upadacitinib May Reduce Non-Nociceptive Pain in axSpA

Upadacitinib Reduces Non-Nociceptive Pain in axSpA

Upadacitinib treatment was associated with reduced non-nociceptive pain among patients with axSpA, including both neuropathic and nociplastic types.

Treatment with upadacitinib improves non-nociceptive pain among patients with axial spondyloarthritis (axSpA), with reductions found for both neuropathic and nociplastic pain scores, according to study results presented at the American College of Rheumatology (ACR) Convergence 2025.

The oral Janus kinase inhibitor upadacitinib has previously shown benefit for reducing inflammation and nociceptive pain in axSpA. However, patients may also experience non-nociceptive pain — including nociplastic and neuropathic pain — which can contribute to ongoing symptoms such as sleep disturbances, anxiety, and depression.

Author's summary: Upadacitinib reduces non-nociceptive pain in axSpA patients.

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Rheumatology Advisor Rheumatology Advisor — 2025-10-28

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