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FDA Outlines its Guidance for Biosimilars

The FDA has released its guidance document on biosimilar development, stating that this represents its current thinking and may not be the final document. The document was published last week and will be instrumental in the development of biosimilar products in this country. In the

Time for a New War on Drugs (Their Prices, That Is)

Biologics are not only expensive, their costs have continued to rise. This is not only true for rheumatology, as other specialties have unique biopharmaceuticals that have changed prescribing paradigms. 
​Jim Davis of AdverseEvents.com wri

Adjuvant Herpes Zoster Subunit Vaccine is 97% Effective in Adults

The hazards of live virus vaccines are familiar to those who manage immunosuppression in the setting of inflammatory or autoimmune disease.  One in three adults will contract "shingles" (VZV) infection in their lifetime.  Given the pain and mobidity associated with this infection, the

Drug-Induced Lupus is Rare with TNF inhibitor Therapy

Drug-induced lupus (DIL) has been associated with all TNF inhibitors. Early rates suggested this may be between 0.04 - 0.06 events per 100 patient-years or roughtly 5 per 1000 patient-years.

Real World Biologic Success in Systemic JIA

A retrospective review of 77 SoJIA patients revealed that 50-70% achieved inactive disease or remission when treated with IL-1 inhibitors (anakinra, canakinumab). Good responses were seen with tocilizumab or abatacept, but only 8% responded to etanercept.

Medicare Spends $2.5 billion on Prescription Nexium in 2013

Medicare released its list of the most costly medicines presribed in 2013.

May is Lyme Disease Awareness Month

Lyme disease is a multisystem disease caused by the spirochete Borrelia burgdorferi. The organism is transmitted through the bite of certain species of blacklegged ticks (Ixodes spp.).

DRESS Trial Shows TNFi Dose Reduction is Possible - Without Major Flares

Can TNF inhibitor therapy be withdrawn in RA patients who are in remission?  The DRESS trial reports the results of randomized trial of 180 RA patients taking either etanercept or adalimumab. Patients were randomly assigned to either usual care (no dose reduction) or a stepwise increase

May is Arthritis Awareness Month

May is Arthritis Awareness Month. Arthritis affects an estimated 52.5 million U.S. adults, is a common comorbidity among those with multiple chronic conditions, and is a leading cause of disability in the United States.

Diet, Exercise and Glucosamine Fail to Prevent OA in Overweight Females

An at-risk population of 407 middle-aged overweight women (BMI ≥ 27 kg/m2) without clinical signs of knee osteoarthritis were prospectively studied for 2.5 years and randomized to receive either glucosamine or diet and exercise in a double-blind, placebo-controlled trial.

Calprotectin as a Biomarker in RA

Calprotectin a major S100 protein, produced by leukocytes is a potential new biomarker for use as it may be more sensitive disease activity changes than conventional acute-phase proteins.

Chronobiology: When Will It's Time Come?

Morning stiffness is a historic feature of RA and may be related to prolonged inactivity or the chronobiology of rheumatoid inflammation. Chronobiology and chronopharmacology are receiving consideration in investigation and RA trial design. Researchers from Maynooth, Berlin, Vienna and

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