Wagner KR, Abdel-Hamid HZ, Mah JK, Campbell C, Guglieri M, Muntoni F et al (2020) Randomized phase 2 trial and open-label extension of Domagrozumab in Duchenne muscular dystrophy
have provided evidence that tofacitinib directly modulates mitochondrial function, such as regulating key mitochondrial genes, increasing oxidative phosphorylation, enhancing ATP production while diminishing glycolytic flow and key glycolytic genes (162)
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It is also more costly and may not be necessary for everyone
Xultophy European Public Assessment Report