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February 14, 2026ACG Case Reports Journal0 citationsOpen Access

Treatment of Steroid-Refractory Immune Checkpoint-Related Hepatitis With Ruxolitinib

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VNV V NguyenMWMalcolm WellsCMCarlos Moctezuma-Velazquez

Key Points

  • This research explores the use of ruxolitinib for patients with steroid-refractory immune-related hepatitis.
  • Documentation of a case where ruxolitinib was used after corticosteroids and tocilizumab failed.
  • Assessment of patient response to ruxolitinib as a tertiary immunosuppressive agent.
  • Ruxolitinib showed effectiveness in managing the symptoms of severe immune-related hepatitis.
  • The case provides evidence for considering Janus kinase inhibitors in similar future cases.

Abstract

ABSTRACT The incidence of immune-related hepatitis (IRH) is rising due to increasing use of immune checkpoint inhibitors for the treatment of several malignancies. While most cases respond to corticosteroid therapy, some patients require additional immunosuppressive agents, for which evidence to guide management is still evolving. We present the first documented case of ruxolitinib use as a tertiary agent for IRH following failure of corticosteroids and tocilizumab, suggesting a potential role for Janus kinase inhibitors as a rescue therapy for severe IRH.

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Cite This Study

Nguyen et al. (2026) studied this question.

synapsesocial.com/papers/699011812ccff479cfe58382https://doi.org/10.14309/crj.0000000000002008
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