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The Last Word on JAK Inhibitor Safety & 1133 Study (1.28.2022)

Dr. Jack Cush reviews the news and journal articles from the past week on RheumNow.com.  This week a trifecta of Gout reports and the last word on the ORAL Surveillance study...

  1. From 1969 hospitalized COVID Spanish pts (46% F, age 61), 31 pts w/ preexisting RMD -- they did not have more long-term post-COVID sxs (OR 1.46; 0.89–2.4), functional limitation (OR 1.058), anxiety, depression or MSK pain vs non-RMD https://t.co/IYJz5zFoLe
  2. 819 rheumatic disease pts surved about Telemedicine (TM), available to most (75%). Satisfaction was 7.3/10 w/ 26% very satisfied. Pts preferred TM for routine visits (73%), test results (65%), med changes (41%); but less so for new Injx meds(19%) https://t.co/W8newba0FV
  3. FREED study (asympt hyperuricemic without gout) showed febuxostat x 24 mos did not alter carotid atherosclerosis, but at 3 years, (Substudy of 1004 pts), showed FEB signif lowered risk of CVA, CV, renal events and death (vs PBO) https://t.co/BS4wiIaYZv
  4. DECT scanning for MSU deposits in the vasculature of 6 cadavers w/ Gout (2 tophaceous) did not demonstrate MSU crystal deposition in vessels, but did show MSU in the joint (positive control) and MSU in joint aspirates by polarizing microscopy  https://t.co/y5SoRcmqoR
  5. Allopurinol Safety in CKD Patients 
  6. MMWR reports >40,000 pregnant women who received COVID-19 vaccination during pregnancy- VAX not associated with preterm birth or small-for-gestational-age at birth overall compared with unvaccinated pregnant women. https://t.co/FIdJ29cOl7
  7. UCB announced positive top-line results from Phase 3 BE COMPLETE study, bimekizumab, in active psoriatic arthritis, who failed TNFi. Bimekizumab pts showed a 50% ACR50 at week 16, as well as signif improvements in PASI90, MDA, PGA https://bit.ly/3tK9sNp
  8. RheumNow Live - Join the discussion on March 19-20, on site or virtually!  An exceptional experience for exceptional Rheums   RNL2022 – where you comment, rate, rank    https://t.co/RfWz53vem3 https://t.co/9n1UzFrkVb
  9. Who’s going to ACR in 2022? 174 rheumatologists voted: 20% are going to ACR/Philadelphia, 24% planning for virtual, 43% undecided and want the hybrid option.  14% do not plan on consuming ACR 2022.
  10. Actemra Shortage - Yesterdays RheumNow Live Vote survey of 170 Rheumatologists, showed that 74-80% of Rheums are reporting shortages of IV tocilizumab (Actemra) -- TCZ listed by FDA site as a drug in shortage largely due to demand, Genentech says there is supply 
  11. MMWR: Booster Vaccine Efficacy in Immunosuppressed Patients 
  12. Risk vs. Benefit Lessons from the ORAL Surveillance Study

Join The Discussion

thank you Dr Jack Cush
if you dont mind I want to discuss with you case of disseminated varicella zoster(pneumonitis)+ postive covid 19 after induction of LN with MMF

The best way for me to discuss your case is to use the ASK CUSH ANYTHING on the email, website or here https://rheumnow.com/submit-podcast-question-or-comment
Make it a short 2 line synopsis with a question and Ill feature it on the next podcast (maybe)
JC

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Disclosures
The author has received compensation as an advisor or consultant on this subject