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#ACR19 @rheumnow abs1339 Risk of ImmunoRx related toxicity in pts w/pre-existing AI disease+ malignancy &Rx w/ ICIs comparable to pts w/out preexist AI Dx: IrAEs 32%pts w/only 9% severe,grade 3 irAEs, total 41% toxicity of any grade. most common tox dermatitis 18%& colitis 14%
Olga Petryna DrPetryna ( View Tweet)
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#acr19 @rheumnow Great debate
Who won? Dr Saag (62% yes votes)
But Dr Humphrey NO-anabolic stance as first line for GIO make sense for many patients; antiresorptives do work for GIO and cost per fracture prevented is so much less
k dao KDAO2011 ( View Tweet)
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#acr19 @rheumnow Great debate
Dr Saag rebuttal PRO anabolic 1st line rationale for GIO:
- Dr Humphrey herself wrote in 2014 and 2018 that teriparatide can be considered as 1st line for GIO https://t.co/GjMrs0YYdj
k dao KDAO2011 ( View Tweet)
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For persistent arthritis after checkpoint inhibitor cessation, DMARDs don’t seem to blunt tumor response. Increasing issue given the number of patients on combo therapy at risk of arthritis persistence post-ICI cessation. Congratulations @cappelliMD &Dr Braaten!!
#ACR19 @RheumNow https://t.co/C3N13D3Dqm https://t.co/H66bnMGGkL
David Liew drdavidliew ( View Tweet)
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Which new therapeutic agent in late stage development are you most excited about using in the future? #ACR19 @RheumNow
Philip Robinson philipcrobinson ( View Tweet)
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@rheumnow abs1329 Pooled safety data FINCH1-3 Ph3 trials on Filgotinib showed favorable safety profile FIL mono & in combination w/cDMARDs: incidences of MACE 0.2% for FIL, 0.3%adalimumab (ADA), and 0.5% PBO/csDMARD. Incidences of DVT/PE < 0.1% for FIL, 0% ADA& 0.3% PBO/csDMARD https://t.co/NhC6cWplGu
Olga Petryna DrPetryna ( View Tweet)
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#acr19 @rheumnow Great debate
Rebuttal from Dr Humphrey NO-anabolic 1st line rationale for GIO
“While Teri can be considered in certain pts, you should consider bisphos: efficacy and costs —slow and steady win the race”
k dao KDAO2011 ( View Tweet)
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Abstr#1808: Those who had been treated with immunosuppressive therapy for their inflammatory arthritis have no apparent impact on tumour response. This has been shown in previous studies. #ACR19 @RheumNow
Maeve Gamble MaeveGamble ( View Tweet)
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#ACR19 @rheumnow ABS1590 3 RCTs show blockage of TNFα & IL-12/23 associated w/significant improvement in depressive symptoms in PSA pts. GO-REVEAL depression ⬇️ 31.2 to 19.5% w/golimumab; PSUMIT1 36.2 to 20.3% & PSUMIT2 37.2 to 21.2% ⬇️ w/UST. minimal change w/PBO in all 3 trials
Olga Petryna DrPetryna ( View Tweet)
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Why is the placebo response so high in this tildrakizumab study? #ACR19 @RheumNow https://t.co/H8462OP4jI
Philip Robinson philipcrobinson ( View Tweet)
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Abstr#1808: Hopkins Arthritis Center. IA due to ICIs. IA persisted by 6 mo (20/41-48.8%). Pts tx with combo cancer tx more likely to have persistent IA. Pts w/ >2 other irAEs had more persistent IA. Pts w/ persisting arthritis tend to have better tumour response. #ACR19 @RheumNow
Maeve Gamble MaeveGamble ( View Tweet)
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This clarion work on understanding the spectrum of relapsing polychondritis ⭐️⭐️⭐️⭐️⭐️ Highly Recommend @RheumNow @HealioRheum @HRheuminations @CCalabreseDO @RulaHajjAliMD #ACR19 https://t.co/9YfZ7YyQQh
Leonard Calabrese LCalabreseDO ( View Tweet)
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#acr19 @rheumnow Great debate
Dr Humphrey NO-anabolic rationale for GIO: the data!
Compared to bisph:
-Teri is less effective at higher GC dose
- Teri and D-mab don’t protect against wrist GC https://t.co/TrNV3PtS8q
k dao KDAO2011 ( View Tweet)
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#ACR19 @rheumnow abs1759 1-y prospective, monocentric, DB, PBO-cont stdy MTX (10mg/wk) vs PBO in erosive hand OA demonstrates no improvement in VAS pain score with MTX. at the same time MTX significantly ⬇️progression of joint damage vs PBO & seems to facilitate bone remodeling
Olga Petryna DrPetryna ( View Tweet)
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My hero @philseo who edits @ACRheum ‘s “The Rheumatologist” publication is talking about chondritis, something that also ambushed me #ACR19 @RheumNow https://t.co/LNlFsuHSOc
Philip Robinson philipcrobinson ( View Tweet)
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@RheumNow #ACR19 the list is much longer than one would think https://t.co/pRlgMIWmVF
Olga Petryna DrPetryna ( View Tweet)
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Dirk suggesting that at this time, as long as active IBD excluded, relatively reassuring low rates of new onset IBD with IL17a inhibition
#ACR19 @rheumnow 4M064 https://t.co/R1eAEObR5P
Dr Irwin Lim _connectedcare ( View Tweet)
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If 50% of SpA pts have microscopic bowel disease, 10% have clinically significant bowel disease...should all patients diagnosed with SpA undergo a colonoscopy with biopsies? #ACR19 @RheumNow
Maeve Gamble MaeveGamble ( View Tweet)
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Exciting phase 2 data on bimekizumab (dual anti-17A and F) in r-axSpA, looks like 160mg is the go, I hear on the grapevine that they are well into phase 3. Looking forward to the results #ACR19 @RheumNow Abs 3S111 https://t.co/PTCgjWm2EM
Philip Robinson philipcrobinson ( View Tweet)
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Previous smoking hx increase risk of UC, but this goes into remission almost immediately when they resume smoking...“The good thing about that is that they stay on their maintenance therapy.” -Dr David Rubin #ACR19 @RheumNow
Maeve Gamble MaeveGamble ( View Tweet)