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TNF inhibitor

      Treating SpA
      A Bayesian Network Meta-analysis Phase II/III/IV, placebo-controlled, randomised clinical trials and long-term extension

      Antoni Chan MD (Prof) synovialjoints

      10 months 2 weeks ago
      A Bayesian Network Meta-analysis Phase II/III/IV, placebo-controlled, randomised clinical trials and long-term extension studies of JAKi and TNFi, in adults with RA, PsO, PsA, axial spondyloarthritis axSpA and IBD showed the following: - TNFi was associated with a significantly… https://t.co/FWHgemEAvG https://t.co/3D0nldwmwA
      If a mother has had TNFi during pregnancy, can a baby have a live oral rotavirus vaccine (usually at 2mo)?

      This claims

      David Liew drdavidliew

      10 months 2 weeks ago
      If a mother has had TNFi during pregnancy, can a baby have a live oral rotavirus vaccine (usually at 2mo)? This claims data suggests no increase in diarrhoea Adds to similarly reassuring 🇨🇦prospective cohort data https://t.co/2Tz9zRhPjz Vaccinate away! #ACR24 ABST0806 @RheumNow https://t.co/66OIAR8W6l
      Instead of just JAKi, why don't we look at all our RA meds and MACE risk

      FAERS data & reporting odds ratios here: a

      David Liew drdavidliew

      10 months 2 weeks ago
      Instead of just JAKi, why don't we look at all our RA meds and MACE risk FAERS data & reporting odds ratios here: all the caveats of voluntary reporting, so don't put too much weight, but... prednisone. Don't forget pred is really not great for MACE! #ACR24 ABST1981 @RheumNow https://t.co/L9SlPZF2Jd
      Should you worry about giving TNFi to RA pts after a cancer diagnosis?

      Medicare data with colorectal, lung, prostate Ca

      David Liew drdavidliew

      10 months 2 weeks ago
      Should you worry about giving TNFi to RA pts after a cancer diagnosis? Medicare data with colorectal, lung, prostate Ca: TNFi pts survival no worse (numerically better) than csDMARDs Cancer pts deserve good RA treatment! #ACR24 ABST0202 Suarez-Almazor @MDAndersonNews @RheumNow https://t.co/w58MNqRt1T
      Effective RA therapy is about more than just joints

      🇪🇸 RA cohort

      TNFi for first 24w led to:
      Lean mass index i.e.

      David Liew drdavidliew

      10 months 2 weeks ago
      Effective RA therapy is about more than just joints 🇪🇸 RA cohort TNFi for first 24w led to: Lean mass index i.e. muscle going up Fat mass index i.e. fat trending down Muscle & fat composition are important Systemic Rx can deliver systemic benefits #ACR24 ABST1348 @RheumNow https://t.co/mZjcHwxMgW
      Steroids in checkpoint inhibitor rheumatic irAEs need to be approached with caution.
      Persistent higher doses earlier on

      David Liew drdavidliew

      10 months 2 weeks ago
      Steroids in checkpoint inhibitor rheumatic irAEs need to be approached with caution. Persistent higher doses earlier on might dampen ICI response. @HSpecialSurgery ICI-IA (inflamm arthritis) cohort big diff in survival based on early steroid exposure #ACR24 ABST1989 @RheumNow https://t.co/3WAZ3ZLbFw
      Here's a meta-analysis of MACE/malignancy in JAKi vs TNFi in observational cohort studies.

      All the epidemiological chal

      David Liew drdavidliew

      10 months 2 weeks ago
      Here's a meta-analysis of MACE/malignancy in JAKi vs TNFi in observational cohort studies. All the epidemiological challenges here aside, it's a good reminder that with ORAL Surveillance it's *cardiovascular risk enriched pts* we're concerned about. #ACR24 ABST2264 @RheumNow https://t.co/vIXlrI3V2d
      Plenary sessions began the day, followed by thousands on the abstract floor. Here are a few of my favorite presentations from day 2 at ACR 2024.
      JAKi Studies at ACR
      RA patients on TOF with h/o ASCVD have 4x higher risk of MACE without statin (vs. TNFi).
      Prioritize statins for heart h

      Jiha Lee JihaRheum

      10 months 3 weeks ago
      RA patients on TOF with h/o ASCVD have 4x higher risk of MACE without statin (vs. TNFi). Prioritize statins for heart health in RA! #ACR24 @RheumNow ABST#1745 https://t.co/jRqXNU2T6d
      The odds of axSpA patients developing fractures was lower among those on TNFi vs DMaRDs or NSAIDs accdg to this study b

      sheila RHEUMarampa

      10 months 3 weeks ago
      The odds of axSpA patients developing fractures was lower among those on TNFi vs DMaRDs or NSAIDs accdg to this study by NGeorge et al. axSpA pts are at high risk of fractures & drugs that mitigate these risks are important. More robust data are needed @RheumNow #ACR24 abs1439 https://t.co/ZSV3og5N5x
      A#1745
      Post-hoc ORAL Surveillance - statin
      <1/4 on a statin, only 53% h/o ASCVD on statin
      Incr in LDL was less on Tof

      Eric Dein ericdeinmd

      10 months 3 weeks ago
      A#1745 Post-hoc ORAL Surveillance - statin <1/4 on a statin, only 53% h/o ASCVD on statin Incr in LDL was less on Tofa pts on statin Among those on b/l statins, there is no incr risk compare to TNFi, esp pts h/o ASCVD If high risk on tofa, statin helps! @RheumNow #ACR24 #ACRBest https://t.co/7MGgUk7tfI
      In a cohort of >17,000 European pts w/ axSpA:
      -bDMARD naïve pts starting TNFi or IL-17Ai were more likely to achieve

      Adela Castro AdelaCastro222

      10 months 3 weeks ago
      In a cohort of >17,000 European pts w/ axSpA: -bDMARD naïve pts starting TNFi or IL-17Ai were more likely to achieve LDA than TNF-experienced. -Higher time to achieve LDA and shorter durability in pts with prior TNFi use. Abst#1756 #ACR24 @RheumNow
      Subgroup data from SELECT GCA, overall reinforces overall message

      I was curious to see pts previously treated with TCZ;

      Mike Putman EBRheum

      10 months 3 weeks ago
      Subgroup data from SELECT GCA, overall reinforces overall message I was curious to see pts previously treated with TCZ; wonder if that selects for refractory phenotype - seems not to be the case Take home: encouraging data, no subgroup issues #ACR24 @RheumNow Abstr#1695 https://t.co/5iCLE6T4u3
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