August 2022

Zona incident et récurrent chez les patients séropositifs atteints de polyarthrite rhumatoïde et traités par bDMARD ou tsDMARD en première intention : une étude de cohorte à l'échelle nationale

Arthritis Res Ther. 2022;24(1):180

Herpes zoster (HZ) risk is significantly increased in seropositive RA patients with a history of HZ after the initiation of bDMARDs or tsDMARD. It is now well known that the incidence and recurrence of HZ are quite common in patients with RA in real-world clinical settings, yet there is limited evidence regarding bDMARD-dependent HZ risk among patients with a history of HZ prior to bDMARD use.

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July 2022

Efficacité et innocuité de l'upadacitinib dans la spondylarthrite ankylosante active réfractaire au traitement biologique : Un essai de phase 3 en double aveugle, randomisé et contrôlé par placebo

Ann Rheum Dis 2022 doi:10.1136/annrheumdis-2022-222608

Van der Heijde et al., carried out a study to show whether upadacitinib offers an effective treatment option for bDMARD-naïve and bDMARD-IR patients with active AS. Their results indicated that upadacitinib 15 mg significantly improved the signs and symptoms of active AS. The treatment was well tolerated for 14 weeks in bDMARD-IR patients, consistent with results observed in the upadacitinib AS bDMARD-naïve study.

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Le risque d'infection est-il plus élevé pendant le traitement par sécukinumab que par inhibiteurs du TNF ? Une étude observationnelle dans les pays nordiques

Rheumatology (Oxford). 2022 doi: 10.1093/rheumatology/keac358

Glintborg B et al, highlight in their recent research from the Nordic countries, that there is a low frequency of hospitalised infections during treatment with secukinumab or TNFi in patients with SpA and PsA. In clinical practice, secukinumab was found to double absolute risk of 1st year hospitalised infection compared with adalimumab, with the other TNFi treatments falling in between.

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Efficacité et innocuité de l'Ixekizumab chez les patients atteints de rhumatisme psoriasique actif avec ou sans traitement antirhumatismal conventionnel concomitant : Résultats à 3 ans de SPIRIT-P1 et SPIRIT-P2

Clin Rheumatol. 2022 doi: 10.1007/s10067-022-06218-8

In this investigation ixekizumab showed sustained efficacy in PsA therapy for up to three years in both monotherapy and combination with MTX or a csDMARD. Here, investigators set out to evaluate the three-year efficacy and safety of ixekizumab with and without csDMARD use in patients with active PsA.

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Identification of novel off targets of baricitinib and tofacitinib by machine learning with a focus on thrombosis and viral infection

Sci Rep. 2022 doi: 10.1038/s41598-022-11879-1

Established machine learning approaches, based on ligand similarity, identified previously unknown off-target interactions of baricitinib and tofacitinib, and adds to the evidence that these JAK inhibitors are promiscuous binders, and highlight the potential for repurposing.

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Risque non accru d'infection avec hospitalisation sous thérapies ciblées versus méthotrexate chez les patients âgés atteints de polyarthrite rhumatoïde : une étude de cohorte rétrospective

Arthritis Res Ther. 2022 doi: 10.1186/s13075-022-02807-9

Retrospective, longitudinal, population-based study shows that despite an overall higher incidence of hospitalised infection (HI) in both elderly and older elderly patients compared to young patients, the risks of HI in patients exposed to targeted therapy versus MTX is not significantly increased.

June 2022

Efficacité et innocuité du Deucravacitinib, un inhibiteur sélectif de TYK2, dans un essai de phase II dans le rhumatisme psoriasique

Ann Rheum Dis. 2022 doi: 10.1136/annrheumdis-2021-221664

In this study Mease, et al. aimed to evaluate the efficacy and safety of deucravacitinib in patients with active PsA. Treatment with the selective TYK2i deucravacitinib was well tolerated and resulted in greater improvements than placebo in ACR-20 as well as Multiplicity-controlled secondary endpoints and other exploratory efficacy measures in patients.

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Persistance et efficacité de l'ustekinumab, un inhibiteur de la voie de l'IL-12/23, ou d'un inhibiteur du facteur de nécrose tumorale chez les patients atteints de rhumatisme psoriasique : résultats à un an de l'étude PsABio en situation réelle

Ann Rheum Dis 2022 doi: 10.1136/annrheumdis-2021-221640

Many RCTs have demonstrated efficacy and safety of biologics in PsA. However, long term comparative real world data is lacking. This study aimed to evaluate the real-world effectiveness and persistence of the IL-12/23 inhibitor ustekinumab or a TNFi for PsA 1 year post initiation. As a result, they found that PS-adjusted comparisons demonstrated comparable overall persistence, effectiveness and safety for both modes of action in PsA.

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Traitement de la polyarthrite rhumatoïde par des médicaments antirhumatismaux conventionnels, ciblés et biologiques en cas de lésions hépatiques et de stéatose hépatique non alcoolique

Rheumatol Int. 2022 doi: 10.1007/s00296-022-05143-y

An increased incidence of liver diseases emphasizes greater caution in prescribing antirheumatic drugs, owing to their hepatotoxicity. However, drug-induced liver injury (DILI) in RA patients represents an aetiological and therapeutic challenge, due to the intertwining of inflammatory and metabolic elements mediated by IL-6 and TNF-α.

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