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Drug Safety

      Do pts w autoimmune disease (AID) respond differently to immune checkpoint inhibitors (ICI) & have different mortali

      Mrinalini Dey DrMiniDey

      10 months 3 weeks ago
      Do pts w autoimmune disease (AID) respond differently to immune checkpoint inhibitors (ICI) & have different mortality or iRAE risk vs pts without AID? Study of pts on ICI showed no significant difference in mortality in pts w & without pre-existing AID Ab2532 #ACR24 @RheumNow https://t.co/suywDdGIB1
      Overall very reasonable, aligning ACR recs w/other guidance groups & updated data

      Remember: guidelines are meant to

      Mike Putman EBRheum

      10 months 3 weeks ago
      Overall very reasonable, aligning ACR recs w/other guidance groups & updated data Remember: guidelines are meant to be broken. Some patients can likely avoid pulse, others may need more steroid on the back end, biopsies are not benign #ACR24 @RheumNow
      Recommend "Triple Therapy" = Glucocorticoids + two other agents

      Practically, that means MMF + belimumumab OR CNI for m

      Mike Putman EBRheum

      10 months 3 weeks ago
      Recommend "Triple Therapy" = Glucocorticoids + two other agents Practically, that means MMF + belimumumab OR CNI for most pts For the CYC afficionados, the lower-dose EUROLUPUS protocol is preferred #ACR24 @RheumNow https://t.co/0gRISXSw0c
      Happening now, new guidelines for mgmt. A few highlights:

      Recommend prompt GC therapy, pulse x1-3d followed by oral pr

      Mike Putman EBRheum

      10 months 3 weeks ago
      Happening now, new guidelines for mgmt. A few highlights: Recommend prompt GC therapy, pulse x1-3d followed by oral pred (<0.5mg/kg/d) w/taper to <5mg by 6 months Aligns with EULAR recs for a much-lower dose than most clinicians currently doing #ACR24 @RheumNow https://t.co/B71i7FBYlQ
      Abstract 2503: Clofutriben (HSD-1 inhibitor) minimizes adrenal suppression. Adding clofutriben to prednisolone boosts A

      Akhil Sood MD AkhilSoodMD

      10 months 3 weeks ago
      Abstract 2503: Clofutriben (HSD-1 inhibitor) minimizes adrenal suppression. Adding clofutriben to prednisolone boosts ACTH & cortisol levels with fewer patients with suppressed morning cortisol (≤5.0 mg/dL) (34% vs 14%). @RheumNow #ACR24 #GCTox
      Low uveitis rates in patients with axial spondyloarthritis and psoriatic arthritis treated with bimekizumab (BKZ) over t

      Antoni Chan MD (Prof) synovialjoints

      10 months 3 weeks ago
      Low uveitis rates in patients with axial spondyloarthritis and psoriatic arthritis treated with bimekizumab (BKZ) over the long term. Key findings: - AxSpA: 3.7% incidence (1.3/100 PY) with BKZ. - PsA: Only 0.2% incidence (0.1/100 PY). - All events were mild/moderate, with no… https://t.co/jkUwHJk3FJ https://t.co/gTcCzeC88e
      Hyrich:
      ETN originator vs biosimilar initiation
      - DAS28 - no signif change at B/L, 6mo, 12 mo.

      Switch?
      Matched pts in E

      Eric Dein ericdeinmd

      10 months 3 weeks ago
      Hyrich: ETN originator vs biosimilar initiation - DAS28 - no signif change at B/L, 6mo, 12 mo. Switch? Matched pts in ETN switch v cont originator - good b/l control on Rx -DAS28 maintained w switch 10% did go back to originator, felt less good tho similar DAS #ACR24 @RheumNow https://t.co/RHRit5CtUu
      Early observational data suggesting JAK inhibitors can play a role in TAK tx

      We have seen this with UPA in GCA this con

      Brian Jaros, MD Dr_Brian_MD

      10 months 3 weeks ago
      Early observational data suggesting JAK inhibitors can play a role in TAK tx We have seen this with UPA in GCA this conference… time for SELECT-TAK ! @RheumNow #ACR24 https://t.co/B2Wa8sOFTp
      Using longitudinal claims data, this study explores the safety of non-conventional combination targeted therapy in adult

      Antoni Chan MD (Prof) synovialjoints

      10 months 3 weeks ago
      Using longitudinal claims data, this study explores the safety of non-conventional combination targeted therapy in adults with psoriatic arthritis (PsA). Key findings: - 42,821 PsA patients analyzed; only 1.1% on combination therapy. - Increased risk of serious infections:… https://t.co/Jghmz9lkLd https://t.co/YqwJlTKcEi
      The findings from ORAL Surveillance Study have been a dominant conversation at recent ACR Convergence, with the seminal findings and subsequent analyses a target of debate. Subsequent post-hoc analyses, follow-up studies, and claims data analyses have been used to further interpret the data, though a clear answer on safety is not certain. A study presented on Sunday reported on a new post-hoc analysis that provides new insights.
      Does adding a Clofutriben (HSD-1 inhibitor) w/ prednisone minimize the risks of steroid toxicities in #PMR patients?

      V

      Akhil Sood MD AkhilSoodMD

      10 months 3 weeks ago
      Does adding a Clofutriben (HSD-1 inhibitor) w/ prednisone minimize the risks of steroid toxicities in #PMR patients? VS placebo, PMR patients who received Clofutriben + Prednisone had substantial reductions in bone, lipid, and glycemic control parameters @RheumNow #ACR24
      Does vasculitis flare with checkpoint inhibitors?

      @MDAndersonNews experience:
      17 stable pts
      4 pts flared - all able to

      David Liew drdavidliew

      10 months 3 weeks ago
      Does vasculitis flare with checkpoint inhibitors? @MDAndersonNews experience: 17 stable pts 4 pts flared - all able to be controlled (i.e. 13 didn't flare) Encouragement that stable vasculitis pts that need ICI should get them! #ACR24 ABST1986 @RheumNow https://t.co/jO4w3HWBMd
      Risks for HCQ cardiotoxicity:
      👉>5 yrs use
      👉>5 mg/kg/d (cumulative dose >500,000 mg)
      👉CKD
      👉use NSA

      TheDaoIndex KDAO2011

      10 months 3 weeks ago
      Risks for HCQ cardiotoxicity: 👉>5 yrs use 👉>5 mg/kg/d (cumulative dose >500,000 mg) 👉CKD 👉use NSAID 👉preexisting heart dz 👉presence of ocular, derm, SkM toxicity - Dr M Garschik #ACR24 @rheumnow https://t.co/LFobgls4jm
      Dr. @karen_kc123 discusses the results of the VITAL study.
      - Long term use of Vit D3 2000IU was safe and decreased the i

      sheila RHEUMarampa

      10 months 3 weeks ago
      Dr. @karen_kc123 discusses the results of the VITAL study. - Long term use of Vit D3 2000IU was safe and decreased the incidence of all autoimmune dses by 22%. - It took a while to work but the effect dissipates once discontinued. @RheumNow #ACR24 @rheumarhyme https://t.co/mnwRsdZ06N
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