- |||||||||| Journal: Therapeutic drug monitoring with biologic agents in immune mediated inflammatory diseases. (Pubmed Central) - Jun 18, 2020
Preliminary data suggest that proactive TDM with the goal to achieve a threshold drug concentration is associated with better therapeutic outcomes when compared to empiric drug optimization and/or reactive TDM of infliximab and adalimumab in IBD. However, more data from well-designed prospective studies are needed to prove the benefit of TDM-based algorithms in real life clinical practice in IMID.
- |||||||||| Clinical, Review, Journal: Pathophysiology, Clinical Presentation, and Treatment of Psoriasis: A Review. (Pubmed Central) - Jun 8, 2020
Other biologics inhibit cytokines such as the p40 subunit of the cytokines IL-12 and IL-13 (ustekinumab), IL-17 (secukinumab, ixekizumab, bimekizumab, and brodalumab), and the p19 subunit of IL-23 (guselkumab, tildrakizumab, risankizumab, and mirikizumab)...Oral treatments include traditional agents such as methotrexate, acitretin, cyclosporine, and the advanced small molecule apremilast, which is a phosphodiesterase 4 inhibitor...Topical therapies remain the cornerstone for treating mild psoriasis. Therapeutic advancements for moderate to severe plaque psoriasis include biologics that inhibit TNF-α, p40IL-12/23, IL-17, and p19IL-23, as well as an oral phosphodiesterase 4 inhibitor.
- |||||||||| Enbrel (etanercept) / Pfizer, Amgen, Humira (adalimumab) / Eisai, AbbVie, Cimzia (certolizumab pegol) / Astellas, UCB, Eli Lilly
[VIRTUAL] PREGNANCY AND INFLAMMATORY ARTHROPATIES: EXPERIENCE IN A MULTIDISCIPLINARY UNIT () - May 22, 2020 - Abstract #EULAR2020EULAR_4001; Given the low number of patients receiving biological treatment no conclusions about complications and evolution of the disease can be drawn, so further investigation are needed in this group of patients. Monitoring inflammatory arthropathies in a multidisciplinary unit increases the chances of successful pregnancies.
- |||||||||| [VIRTUAL] PATIENT CHARACTERISTICS, TREATMENT PATTERNS, AND RESOURCE UTILIZATION OF SJOGREN’S SYNDROME PATIENTS IN A LARGE US HEALTH NETWORK (Poster View) - May 22, 2020 - Abstract #EULAR2020EULAR_3778;
Baseline Demographic and Clinical Pts Characteristics 1 cevimeline, pilocarpine hydrochloride, ophthalmic insert etc; 2 aspirin, ibuprofen, naproxen; 3 methotrexate, hydroxychloroquine, sulfasalazine, leflunomide, myophenolate mofetil, azathioprine; 4 prednisone; 5 sarilumab, belimumab, ustekinumab, infliximab, adalimumab, certolizumab pegol, golimumab, etanercept, abatacept, tocilizumab, rituximab, tofacitinib, baricitinib Figure 1. Observation of higher comorbidities suggests substantial burden of SS pts on healthcare system, with majority of pts being diagnosed outside of rheumatology offices.
- |||||||||| Cimzia (certolizumab pegol) / Astellas, UCB, Eli Lilly
[VIRTUAL] DAS28-REMISSION IS ASSOCIATED WITH AN INCREASE OF FINGER JOINT SPACE WIDTH IN PATIENTS WITH RHEUMATOID ARTHRITIS (Poster View) - May 22, 2020 - Abstract #EULAR2020EULAR_3593; These patients were treated with certolizumab pegol 200 mg (every two weeks) plus methotrexate and certolizumab pegol 400 mg (every two weeks) plus methotrexate. The study highlights that patients treated with certolizumab pegol plus methotrexat and a DAS-Remission showed an increase of joint space width of the metacarpal-phalangeal articulations which is potentially associated with reparative effects of the cartilage under the anti-TNF treatment with certolizumab pegol.
- |||||||||| [VIRTUAL] COMPARATIVE EFFICACY (DAS 28) OF TOCILIZUMAB AND OTHER TARGETED IMMUNE MODULATORS (TIMS) FOR RHEUMATOID ARTHRITIS: A NETWORK META-ANALYSIS (NMA) () - May 22, 2020 - Abstract #EULAR2020EULAR_2804;
Objectives: To evaluate the relative efficacy of intravenous (IV) and subcutaneous (SC) tocilizumab plus a conventional disease modifying antirheumatic drug (cDMARD) to other TIMs plus a cDMARD in TIM-naïve or mixed (<20% TIM-experienced) adults with moderate to severe RA...Treatments included Janus kinase (JAK) inhibitors (upadacitinib, baricitinib, and tofacitinib), tumor necrosis factor alpha inhibitors (TNFi; adalimumab, certolizumab pegol, golimumab, and infliximab), and other non-TNFis (rituximab, sarilumab, tocilizumab, and abatacept)... Results of this NMA demonstrate that tocilizumab is associated with a greater likelihood of remission (DAS28 <2.6) at 12 and 24 weeks compared to most other TIMs including new JAK inhibitors, when used in combination with a cDMARD among TIM-naïve/mixed patient populations.
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