- |||||||||| UTILIZATION OF BIOLOGIC AGENTS AMONG HISPANIC PATIENTS WITH INFLAMMATORY BOWEL DISEASE: NEW UPDATES (Poster Hall - San Diego Convention Center) - Apr 25, 2022 - Abstract #DDW2022DDW_3146;
This relatively high rate of biologic use is associated with less steroid use, lower ED use, and may result in less active disease. The difference between our study findings and prior work could be unique to our Florida-based study population or represent improved healthcare over time in this traditionally vulnerable group.
- |||||||||| Kesimpta (ofatumumab subcutaneous) / Novartis, Genmab
CLINICAL CHARACTERISTICS, DISEASE-SPECIFIC OUTCOMES, AND MEDICATION UTILIZATION AMONG PATIENTS WITH CHRON’S DISEASE AND MULTIPLE SCLEROSIS IN THE USA: A MULTICENTER NETWORK STUDY (Poster Hall - San Diego Convention Center) - Apr 25, 2022 - Abstract #DDW2022DDW_1705; CD patients with MS were also more likely to use the following MS DMTs: natalizumab, glatiramer, interferon beta-1a and 1b, fingolimod, teriflunomide, dimethyl fumarate, ocrelizumab, and ofatumumab (Table 1).Three months after any IBD therapy initiation, CD patients with MS were more likely to need plasma exchange and undergo small intestine resections but were less likely to have fistulizing disease...Interestingly, they were also more likely to be prescribed TNF alpha-inhibitors. Future directions include stratifying the association with anti-TNFs from a temporal perspective and in terms of IBD and MS severity.
- |||||||||| Stelara (ustekinumab) / J&J, Humira (adalimumab) / Eisai, AbbVie
PERSISTENCE AND OTHER TREATMENT PATTERNS AMONG BIO-EXPERIENCED PATIENTS WITH CROHN'S DISEASE INITIATED ON USTEKINUMAB OR ADALIMUMAB (Poster Hall - San Diego Convention Center) - Apr 25, 2022 - Abstract #DDW2022DDW_1669; Similar proportions in the ustekinumab vs adalimumab cohort switched to a new biologic (5.7% vs 7.9%) and, among those who discontinued, restarted index biologic (26.7% vs 25.9%) at 12 months post-index and post-discontinuation, respectively. Bio-experienced adults with CD initiated on ustekinumab relative to adalimumab were significantly more persistent and had similar rates of switching and restart.
- |||||||||| Identification of anti-cytokine autoantibodies with potential to predict flare in rheumatoid arthritis patients undergoing biological therapies: A discovery study (Poster View 1) - Apr 21, 2022 - Abstract #EULAR2022EULAR_1729;
These patients were treated with TNF inhibitors (Etanercept, N=47; Infliximab, N=12; Adalimumab, N=35; Certolizumab (CTZ), N=17; Golimumab, N=5), Tocilizumab (TCZ, N=60) and Abatacept (ABA, N=18). Although further validation of our results is needed, we present a ground-breaking study showing the potential of anti-IL17A, anti-IL-1α, and anti-IL18 to predict flare in RA patients under biological therapies.
- |||||||||| Tumor Necrosis Factor blockers induced sarcoidosis: description of 31 cases from the French Pharmacovigilance Database (Poster View 3) - Apr 21, 2022 - Abstract #EULAR2022EULAR_1648;
Data were obtained from 2002 to 2019 for infliximab, adalimumab, golimumab, certolizumab and etanercept...The culprit drug was discontinued in 26 (84%) patients, and a double-barreled inflammatory gun to control both initial and induced disorders was proposed in 19 of them (90.5 %), mostly glucocorticoids (n=13, 68.4%) alone or combined with methotrexate (n=3, 15,8%)... This second largest case-series shows that TIS are mostly encountered with etanercept, but without any difference in clinical or prognostic implications with the other TNFb-subclasses.
- |||||||||| Assessment of the Swollen to Tender Joint Count Ratio as a Predictor of Response in Rheumatoid Arthritis Patients: a Cohort Study (Poster View 2) - Apr 21, 2022 - Abstract #EULAR2022EULAR_1549;
Two hundred and sixty-nine (93.7%) were on csDMARD; with regard to b/tsDMARD therapy, 66 started etanercept (23.0%), 62 tocilizumab (21.6%), 58 rituximab (20.2%), 44 adalimumab (15.3%), 17 golimumab (5.9%), 14 abatacept (4.9%), 7 certolizumab (2.4%), 5 upadacitinib and baricitinib (1.7%), 4 infliximab (1.4%), 3 tofacitinib (1.0%), and 2 anakinra (0.7%). The STR is a practical, easy-to-use index that can be used as an adjunct in clinical practice in the evaluation of patients with rheumatoid arthritis, as it is associated with a better response to b/tsDMARD therapy, regardless of patient status and therapy, although it should not be used alone, as it does not appear to be a predictor of response, according to the indices that are currently used.
- |||||||||| Orencia (abatacept) / BMS, Actemra IV (tocilizumab) / Roche, JW Pharma, Cimzia (certolizumab pegol) / Astellas, UCB
Plasma Calprotectin Was Assessed In Multiple Biological Treatment Strategies For Early Rheumatoid Arthritis (Poster View 2) - Apr 21, 2022 - Abstract #EULAR2022EULAR_1505; The decline differed between treatment groups and was largest in patients treated with a TNF inhibitor and methotrexate, suggesting that calprotectin reflects the activity of specific inflammatory pathways rather than overall inflammation. The findings of this study should be further explored.
- |||||||||| Cimzia (certolizumab pegol) / Astellas, UCB
Review, Journal: Pharmacologic Management of Interstitial Cystitis/Bladder Pain Syndrome. (Pubmed Central) - Apr 19, 2022 Oral therapies include amitriptyline, hydroxyzine, cyclosporine A, and pentosan polysulfate sodium (PPS), although the recent finding of pigmented maculopathy with chronic PPS is very concerning and must be discussed with patients, many of whom will choose to either come off this medicine or not even start it. Certolizumab pegol is a pharmacologic therapy that is currently in clinical development for treatment of IC/BPS symptoms.
- |||||||||| Humira (adalimumab) / Eisai, AbbVie, Cimzia (certolizumab pegol) / Astellas, UCB
GENETIC INVESTIGATION OF TUMOUR NECROSIS FACTOR INHIBITOR IMMUNOGENICITY IN PATIENTS WITH RHEUMATOID ARTHRITIS (Poster Tour Auditorium 4) - Apr 4, 2022 - Abstract #EULAR2022EULAR_1070; The current study increases the evidence for association between immunogenicity development with HLA-DQA1 and HLA-DRB1 alleles in patients receiving monoclonal antibody derived TNFi therapy. Further well powered studies are now required to determine the utility of HLA markers as a potential tool to aid the clinical management of RA.
- |||||||||| Comparison of major cardiovascular and thromboembolic events in safety reports between rheumatoid arthritis patients treated with JAK-inhibitors versus anti-TNF: results from VigiBase® (Congress Hall A2) - Apr 4, 2022 - Abstract #EULAR2022EULAR_907;
We selected reports in Vigibase of patients aged between 18 and 75 years, between 01/01/2011 and 12/31/2020, with JAK inhibitors (tofacitinib, baricitinib, upadacitinib, filgotinib) or anti-TNF (etanercept, adalimumab, infliximab, certolizumab pegol, golimumab) with a diagnosis of RA. Based on real-world data, the analysis did not identify an increase of declaration of MACEs with JAK-inhibitor compared to anti-TNF whereas we could observe more than three times declarations of VTE in Vigibase with JAK-inhibitors compared to anti-TNF.
- |||||||||| Cimzia (certolizumab pegol) / Astellas, UCB
Review, Journal: Rheumatic Diseases in Reproductive Age-the Possibilities and the Risks. (Pubmed Central) - Apr 2, 2022 Corticosteroids should be tapered, and other biologics should be avoided due to teratogenicity or carefully administered due to the impact on the fetal immune system. Distinguishing between disease flare and obstetrical complications can be difficult in clinical practice; however, some clinical symptoms and serological markers can be helpful in the differential diagnosis.
- |||||||||| Clinical, Journal: Drug Survival of Biologics in Patients With Hidradenitis Suppurativa. (Pubmed Central) - Mar 26, 2022
In this cohort study, drug survival was comparable between adalimumab, infliximab, and ustekinumab but significantly lower for etanercept. There were no differences in drug survival among biologic-naive and nonnaive patients.
- |||||||||| A case of a paradoxical palmoplantar pustular psoriasis associated with certolizumab pegol () - Mar 20, 2022 - Abstract #INDERCOS2022INDERCOS_9;
Methotrexate treatment was also discontinued and topical calcipotriol betamethasone combination and moisturizer were recommended...The majority of reported cases are associated with infliximab, adalimumab, and etanercept...In some of reported cases, there was scalp involvement accompanied by alopecia, which was seen at a later stage in our case. It is thought that this case will contribute to the literature with these aspects.
- |||||||||| Review, Journal: Pharmacological treatment of COVID-19: an opinion paper. (Pubmed Central) - Mar 18, 2022
The development of vaccines has not prevented, during the whole period of the pandemic, the constant search for therapeutic medicines, both among existing drugs with different indications and in the development of new drugs. The Scientific Committee of the COVID-19 of the Illustrious College of Physicians of Madrid wanted to offer an early, simplified and critical approach to these new drugs, to new developments in immunotherapy and to what has been learned from the immune response modulators already known and which have proven effective against the virus, in order to help understand the current situation.
- |||||||||| Orencia (abatacept) / BMS, Actemra IV (tocilizumab) / Roche, JW Pharma, Cimzia (certolizumab pegol) / Astellas, UCB
Clinical, Journal, PD(L)-1 Biomarker, IO biomarker: Blood PD-1+TFh and CTLA-4+CD4+ T cells predict remission after CTLA-4Ig treatment in early rheumatoid arthritis. (Pubmed Central) - Mar 15, 2022 Compliance with the EULAR-PtC results in absence or low levels of TNFi in cord blood. These findings indicate that circulating proportions PD-1+TFh and CTLA-4+ conventional CD4+ T cells at baseline may serve as predictive biomarkers for remission in early RA after CTLA-4Ig treatment.
- |||||||||| Efficacy of Biologics and Targeted Synthetic Drugs Approved in Russia to Treat Adults with Active Rheumatoid Arthritis: A Systematic Review and Network Meta-Analysis (Virtual) - Mar 8, 2022 - Abstract #ISPOR2022ISPOR_1423;
We conducted a systematic search for RCTs evaluating the efficacy of biologics (adalimumab, golimumab, levilimab, olokizumab, sarilumab, tocilizumab, infliximab, rituximab, certolizumab pegol, abatacept and etanercept) and tsDMARDs (tofacitinib, baricitinib and upadacitinib), both in combination with conventional synthetic DMARDs (csDMARDs) and in monotherapy for the treatment of adults with active RA...The proportion of patients with an inadequate response to previous methotrexate therapy was at least 50% in the included RCTs...Conclusion. Given the predominantly comparable relative effectiveness of the analyzed drugs, health professionals should also consider other factors, when choosing a treatment option for adults with active RA.
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