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Recent News

VALOR Skin Outcomes with Brepocitinib in Dermatomyositis

Jack Cush, MD

A secondary analysis of the brepocitinib vs. placebo (VALOR) trial in adult dermatomyositis (DM), demonstrates that the Tyk2/JAK1 inhibitor is superior to placebo in producing rapid and sustained improvements in cutaneous disease activity, pruritus, and skin-related quality of life as early as week 4 with continued improvement through week 52.

Dr. John Cush
@RheumNow
Boston study of 25 systemic sclerosis pts has shown spatial frequency domain imaging (SFDI) is a noninvasive evaluation of skin, but only has weak-to-moderate correlation w/ mRSS (r −0.38 to −0.48); somewhat better w/ histology/fibrosis (r −0.35 to −0.52) https://t.co/N1uSWjNEcl
Dr. John Cush
@RheumNow
2024 web survey of German rheumatologists on CAR-T & T-cell redirecting therapies. 95% willing to refer pts to specialized centers; but 5% (most severe) are suitable for TCRT. Barriers cited: high costs (82%), limited experience (65%) & limited # appropriate Pts (35%). 4.86/10 https://t.co/o62uRVsIC7

The Efficacy of Ianalumab in Sjögren’s Disease

Jack Cush, MD

The NEPTUNUS-1 and NEPTUNUS-2 trials have showed that monthly ianalumab is superior of placebo at improving Sjögren’s disease activity at week 48, even though there was no significant ESSDAI response or in the change in SSSD or ESSPRI symptom scores.

2026 BSR Guideline for the Treatment of Polymyalgia Rheumatica

Jack Cush, MD

Toyoda and colleagues from the British Society for Rheumatology have published new PMR treatment guidelines to supercede the previously published 2009 BSR/BHPR PMR guidelines. These guidelines emphasize earlier specialist input, methotrexate as an option, and bone protection for all PMR patients who will require chronic glucocorticoids.

Dr. John Cush
@RheumNow
Beverages & relative risk of hyperuricemia (HUA) & gout. Metanalysis of 52 studies shows alcohol has signif high risk of gout (OR  1.8) & HUA (OR 1.5); & sugar-sweetened beverages (SSBs) incr gout (1.37) & HUA (1.48); as well as tea for HUA among female (OR = 1.29). Coffee https://t.co/nq1fKvOlgv
Dr. John Cush
@RheumNow
High TB & LTBI burden in Latin America. Review of PANLAR registry 590 IMID pts (54% GC, 44% bDMARDs (TNFi), 29% JAKi, 27% csDMARD). Only 430 (73%) had TB screening- 59 (14%) Dx w/ LTBI. @12 mos, 99 repeat TB screening - 5 new LTBI cases Dx. Only 2 (0.34%) had active TB. (CDC https://t.co/wnPdEueb4N
Dr. John Cush
@RheumNow
Two crystals in one joint? Cryptococcus risk doubled with JAK inhibitors? And early damage in Sjögren’s linked to a 12–14-fold increase in lymphoma risk? Dr. Jack Cush breaks down the findings behind the numbers in this week's RheumNow roundup: - JAK inhibitors: Cryptococcal https://t.co/4RkznhyoIt
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