Spondyloarthritis
Janet Pope Janetbirdope
4 months 2 weeks ago
In #axSpA post #TNFi-IR
What to use next?
👇
#ATTRA registry
90% #SpA on #bDMARDs are captured
Comparison of
TNFi to ▶️
2nd TNFi vs
#IL17i
▶️No diff in #retention
✅better #BASDAI and other outcomes w TNFi!
❎less safety
🤔
#EULAR2025 @RheumNow @eular_org
Abst#POS0116 https://t.co/7mqFfD4Amf
Adela Castro AdelaCastro222
4 months 2 weeks ago
Data from Dutch registry SpA-Net explored prevalence using new definitions for D2M axSpA.
-Smoking and psoriasis were characteristics associated with D2M disease.
-In the three variations explored, the lowest prevalence was observed in the variation based purely on objective https://t.co/h3f4ORQl0F
Adela Castro AdelaCastro222
4 months 2 weeks ago
Insights from the Gut-Joint Axis in axSpA: Findings from the DESIR cohort
-Baseline biomarkers of bacterial translocation: PLTP (phospholipid transfer protein) and LPS evaluated.
-In early axSpA baseline PLTP activity was associated with sacroiliac radiographic progression at 5
Antoni Chan MD (Prof) synovialjoints
4 months 2 weeks ago
Precision immunotherapy in axial spondyloarthritis: TRBV9xCD3 bispecific antibodies selectively depleted autoreactive TRBV9+ T cells from HLA-B27+ AS patient samples while sparing over 95 percent of the T cell repertoire. TRBV9xCD3 bispecific antibodies selectively depleted https://t.co/8UXqEaDYnS
Adela Castro AdelaCastro222
4 months 2 weeks ago
Data from a German cohort evaluated the frequency of D2M-axSpA using the new D2M definition and showed:
> Female pts
> Peripheral SpA symptoms
< HLAB27 positive
< Education level
< Objective signs: MRI-inflammation in the spine or elevated CRP levels.
also PROs were worse in
The concept of Difficult-to-Manage (D2M) axial spondyloarthritis (axSpA) is a recent development, with the first expert consensus definition published by the Assessment of SpondyloArthritis International Society (ASAS) earlier this year. This unified definition has stimulated a wave of new research globally, with multiple studies analysing D2M axSpA in diverse clinical cohorts.
Adela Castro AdelaCastro222
4 months 2 weeks ago
GI symptoms in axSpA
-Cohort of 370 pts with axSpAfrom New Zealand
-Elevated fecal calprotectin ➡️ positive correlation with GI symptoms and high disease activity
-Bowel symptoms associated with reduced quality of life.
-Use of TNFi improved bowel symptoms over time. https://t.co/wA37G3HWyi
Mrinalini Dey DrMiniDey
4 months 2 weeks ago
A PT-led vocational intervention for RA/axSpA with reduced work ability was likely cost-effective: ↓€4,324 in societal costs & +0.05 QALYs over 12m vs usual care (95% probability at €20k/QALY). Results suggest cost-effective compared to usual care.
@RheumNow #EULAR2025 #OP0007
Adela Castro AdelaCastro222
4 months 2 weeks ago
Xeligekimab in AS:
-IL-17A blocker
-Phase 3 study on Chinese pts showed sustained efficacy until week 48.
-Significant improvement on DAI measures as well.
-Fully humanized IgG4 mab may last longer in system and possible less ADAs.
Abstract #OP0102 #EULAR2025 @RheumNow https://t.co/vyNHZ9ssFt
Mrinalini Dey DrMiniDey
4 months 2 weeks ago
In #InflammatoryArthritis, baseline depression was linked to ↑ presenteeism & ↓ QoL at baseline + 3mo, but not absenteeism. Data from 9-country study provide further evidence that mental health is key to supporting work outcomes in RA, PsA & axSpA.
@RheumNow #EULAR2025 #OP0028

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