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New JAK inhibitors in the axSpA treatment landscape

At EULAR 2026, two large phase 3 studies highlight that the JAK story in axSpA is still evolving rapidly, with different selectivity profiles and expanding global development programs continuing to push the field forward.

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Whatโ€™s New in Psoriatic Arthritis: A Whirlwind Tour

At the "What Is New in Psoriatic Arthritis" session at EULAR 2026, Professor Dennis McGonagle (Leeds, UK) took the audience on a whirlwind yet compact tour of the field, touching on three themes: the pathophysiology of PsA, individualization of clinical management, and emerging research and future directions.

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CAR-T Reaches the Synovium: COMPARE Phase 1 in ACPA-Positive RA

Treatment-refractory RA is more common than we sometimes admit. Roughly 11% of patients fail multiple b/tsDMARD classes, and for the ACPA-positive subset, rituximab has long been the fallback. It works, but it rarely produces durable disease-free intervals. CD19 CAR T-cell therapy was always going to be the question that followed the SLE data. Until EULAR 2026, that question had no prospective answer. The plenary session changed that.

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RA-ILD: Screening risk and genetic susceptibility

RA-ILD remains one of the most serious extra-articular manifestations of RA, contributing substantially to morbidity and mortality. Two abstracts presented at EULAR 2026 add important insights into identifying patients at risk for RA-ILD and understanding the genetic mechanisms that may underpin disease development.

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MRI as a novel biomarker in lupus

The clinical abstract sessions on diagnostic tools in lupus showcased interesting studies, including the use of MRI as potential non-invasive biomarkers.

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Three Abstracts That May Shape the Future of RA Treatment

Our therapeutic armamentarium in RA keeps on growing. New studies and new molecules, new mechanisms of action or new ways of using old drugs are presented every year at conferences. But which are the ones who can have an impact on our practice? Here is my selection of 3 abstracts presented at EULAR 2026 that identify therapeutic strategies that are well worth keeping on our radar.

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New Insights in Gout Clinical Management https://t.co/Eo63NUhaY2 https://t.co/oHZG1c1LhL
Dr. John Cush @RheumNow (  View Tweet)
CAR-T Cell Therapies in Refractory RMD Current therapies for rheumatoid arthritis rely on sustained immunosuppression rather than restoration of immune tolerance, with off-drug remission remaining rare. Recent anecdotal reports suggest that CD19-directed CAR-T cell therapy may https://t.co/lXX5RjEw6a
Dr. John Cush @RheumNow (  View Tweet)
JAK Safety Debate Continues: Stronger VTE signal, less clear cancer signal Few topics in rheumatology have reshaped prescribing behavior as dramatically as the safety concerns surrounding JAK inhibitors following ORAL Surveillance and the subsequent FDA and EMA warnings. Even https://t.co/wfQZn1hO3N
Dr. John Cush @RheumNow (  View Tweet)
Getting #RA and IA diagnosed faster: UK RheumACaN program (integrated education + pathway redesign) โ†‘ clinician confidence 4.4 to 8.6/10. Referral within 3 days: 52% โ†’ 70%, with sustained improvement. Education that translates to real outcomes. @RheumNow #EULAR2026 POS0784 https://t.co/1Va9rkLBHM
Jiha Lee @JihaRheum (  View Tweet)
#EULAR2026 OP0220 How can we improve physical function of #SLE patients? Cross-sectional study of 2 US cohorts: poor physical function was associated with Fatigue, depression, learned helplessness and perceived stress. We should focus on improving fatigue & wellbeing @RheumNow https://t.co/vAFqYyuzgN
Md Yuzaiful Md Yusof @Yuz6Yusof (  View Tweet)
Proud to present POS0784 at #EULAR2026. RheumACaN education + pathway redesign across primary and secondary care improved early inflammatory arthritis referrals within 3 working days from 52% to 70%, exceeding the national benchmark. 95% of clinicians changed their practice. https://t.co/W6VViVRndp
Antoni Chan MD (Prof) @synovialjoints (  View Tweet)
EULAR 2026 Daily Recap LIVE By Day 3, the biggest stories of EULAR begin to emerge. Join Dr. Jack Cush and https://t.co/V10S4oVFsv faculty for a fast-paced review of the studies, debates, and breakthrough findings that rheumatologists will be discussing long after the meeting https://t.co/7hvwCkUz9C
Dr. John Cush @RheumNow (  View Tweet)
๐Ÿ’‰Do GLP-1 agonists improve DMARD persistence in PsA/axSpA? TriNetX real-world study (n=3,068): YES! Better b/tsDMARD persistence and lower stroke & mortality risk #POS0194 #EULAR2026 @rheumnow

Nelly ZIADE ๐Ÿ€ @Nellziade (  View Tweet)

โฐ The question rheumatologists keep asking: Does early axSpA diagnosis reduce long-term spinal damage? Answer from the SCQM registry (n=376): Early diagnosis linked to 3.85 fewer mSASSS points long-term, esp. in HLA-B27+ males #POS0191 #EULAR2026 @RheumNow https://t.co/HM5kvqXMEh
Nelly ZIADE ๐Ÿ€ @Nellziade (  View Tweet)
๐Ÿ“‹ Do 2025 ASAS-SPARTAN criteria classify fewer real-world axSpA patients? Data from the RABBIT-SpA registry (n=2,236) confirms: 67% vs 73% with 2009 criteria Clinical arm rarely fulfilled #POS0190 #EULAR2026 @RheumNow https://t.co/HYie4w8c6r
Nelly ZIADE ๐Ÿ€ @Nellziade (  View Tweet)
๐Ÿ” Do posterior element lesions progress over 10 years in axSpA? Data from the DESIR inception cohort (n=320) says RARELY! But baseline PE inflammation raises facet ankylosis risk ~70-fold #POS0189 #EULAR2026 @RheumNow https://t.co/PdwlPGjKqK
Nelly ZIADE ๐Ÿ€ @Nellziade (  View Tweet)
๐Ÿ”ฎ Can polygenic risk scores predict PsA timing in psoriasis? Another GWAS study (n=703) says YES! 70-SNP model achieves AUC 0.843 for predicting PsA onset <10 vs >10 years #POS0088 #EULAR2026 @RheumNow https://t.co/wI4Jy8Yu2A
Nelly ZIADE ๐Ÿ€ @Nellziade (  View Tweet)
๐Ÿงช Can genetics predict TNFi response in PsA? OUTPASS GWAS (n=329): High BMI, comorbidities & novel XKR4 locus linked to non-response at 6 months #POS0087 #EULAR2026 @rheumnow

Nelly ZIADE ๐Ÿ€ @Nellziade (  View Tweet)

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