What is the recommended treatment for latent tuberculosis (TB) in patients with a positive Quantiferon test who are starting or already on Rinvoq (upadacitinib)?

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Management of Positive QuantiFERON in Patients Starting or on Rinvoq

All patients with a positive QuantiFERON test must receive treatment for latent tuberculosis before or concurrent with Rinvoq initiation, with the timing determined by individual TB risk factors. 1

Mandatory Pre-Treatment Evaluation

Before starting Rinvoq, you must complete comprehensive TB screening that includes: 1

  • QuantiFERON or other IGRA testing (preferred over TST in immunocompromised patients and those with BCG vaccination) 1
  • Chest radiography to definitively rule out active TB—do not rely solely on negative IGRA 1
  • Clinical assessment for TB risk factors 1

Critical pitfall: Never start Rinvoq in patients with untreated latent TB or active TB, as JAK inhibitors significantly increase reactivation risk. 1, 2

Risk Stratification and Treatment Timing

Low-Risk Patients (Start Rinvoq After 1 Month of LTBI Treatment)

Low-risk patients can initiate Rinvoq after completing at least 1 month of latent TB treatment. 1 Low-risk is defined as patients without: 1

  • Close TB contacts
  • Residence in endemic areas
  • Recent immigration from high-incidence regions
  • Intravenous drug use

High-Risk Patients (Complete Full LTBI Treatment First)

High-risk patients must complete the entire course of LTBI treatment before starting Rinvoq. 1 High-risk features include: 1

  • Close TB contacts
  • Recent immigrants from high-incidence areas
  • Intravenous drug users
  • Residence in endemic areas
  • Underlying conditions predisposing to infection
  • Concomitant corticosteroid use (particularly >15 mg prednisone equivalent daily for ≥4 weeks) 1

Recommended LTBI Treatment Regimens

The preferred regimen is rifampin 10 mg/kg/day (maximum 600 mg) for 4 months, which demonstrates equivalent efficacy to 9-month isoniazid with superior completion rates, lower cost, and better safety profile. 1

Alternative regimens include: 1

  • Isoniazid for 9 months (supplement with vitamin B6)
  • Rifapentine plus isoniazid once weekly for 3 months
  • Rifampin/isoniazid combination for 3-4 months

Critical Drug Interactions and Monitoring

Monitor liver function tests closely when combining LTBI treatment with Rinvoq, particularly with isoniazid-containing regimens. 1 Rifampin significantly affects drug metabolism through cytochrome P450-3A4 and may interact with other immunosuppressants. 1

The FDA label mandates interrupting Rinvoq if drug-induced liver injury is suspected until this diagnosis is excluded. 2

Ongoing Monitoring During Rinvoq Therapy

Continuously monitor for TB signs and symptoms during and after Rinvoq treatment. 1, 2 Consider annual TB screening for patients with ongoing risk factors for TB exposure. 1

If a patient develops a new infection during Rinvoq treatment, perform prompt and complete diagnostic testing, initiate appropriate antimicrobial therapy, closely monitor the patient, and interrupt Rinvoq if not responding to antimicrobial therapy. 2

Management of Active TB Development

Interrupt Rinvoq immediately if active TB is diagnosed. 1, 2 Complete full antibacterial treatment with symptom resolution before considering Rinvoq reinitiation. 1

Additional Considerations

Avoid Rinvoq in patients with active, serious infections, including localized infections. 2 The FDA label specifically states that patients with latent TB should be treated with standard antimycobacterial therapy before initiating Rinvoq, and anti-TB therapy should be considered prior to initiation in patients with previously untreated latent TB or active TB in whom an adequate course of treatment cannot be confirmed. 2

Higher rates of serious infections, including tuberculosis, were reported with Rinvoq in clinical trials, with pneumonia and cellulitis being the most frequent. 2 Among opportunistic infections, tuberculosis, multidermatomal herpes zoster, oral/esophageal candidiasis, and cryptococcosis were specifically reported. 2

References

Guideline

Management of Latent Tuberculosis in Patients Starting or on Rinvoq (Upadacitinib)

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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