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Never Too Late: Late-Breaking Abstracts Create Excitement

Jason Liebowitz, MD, FACR  |  Issue: August 2022  |  July 15, 2022

Orelabrutinib for SLE

In the final presentation, Zhanguo Li, MD, PhD, professor, chief of the Department of Rheumatology and Immunology, Peking University People’s Hospital, Beijing, discussed orelabrutinib in the treatment of SLE. The medication is an irreversible inhibitor of Bruton’s tyrosine kinase, and in this study SRI(4) and SLE Disease Activity Index (SLEDAI) scores appeared to improve in patients receiving all three dose levels of orelabrutinib (i.e., 50, 80 and 100 mg by mouth daily) compared with placebo.6 This study presents orelabrutinib as a potentially efficacious agent in the treatment of SLE.

In Sum

In coming years, many potential therapeutics in rheumatology may be said to have found their footholds in these initial oral presentations.

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Jason Liebowitz, MD, completed his fellowship in rheumatology at Johns Hopkins University, Baltimore, where he also earned his medical degree. He is currently in practice with Skylands Medical Group, N.J.

References

  1. Morand E, Pike M, Merrill JT, et al. Efficacy and safety of deucravacitinib, an oral, selective, allosteric TYK2 inhibitor, in patients with active systemic lupus erythematosus: A phase 2, randomized, double-blind, placebo-controlled study [abstract LB0004]. Ann Rheum Dis. 2022;81(suppl 1):209.
  2. Mcinnes I, Coates L, Landewé RBM, et al. Bimekizumab in bdmard-naive patients with psoriatic arthritis: 24-week efficacy & safety from BE OPTIMAL, a phase 3, multicentre, randomised, placebo-controlled, active reference study [abstract LB0001]. Ann Rheum Dis. 2022;81(suppl 1):206–207.
  3. Ramanan A, Quartier P, Okamoto N, et al. Baricitinib in juvenile idiopathic arthritis: A phase 3, double-blind, placebo-controlled, withdrawal, efficacy and safety study [abstract LB0002]. Ann Rheum Dis. 2022;81(suppl 1):207–208.
  4. Sreekanth A, Skaria T, Joseph S, et al. Withdrawing methotrexate after both versus only second dose of the ChAdOx1 nCoV-19 vaccine in patients with autoimmune inflammatory arthritis: two independent randomized controlled trials (MIVAC I and II) [abstract LB0003]. Ann Rheum Dis. 2022;81(suppl 1):208–209.
  5. Dasgupta B, Unizony S, Warrington KJ, et al. Sarilumab in patients with relapsing polymyalgia rheumatica: A Phase 3, multicenter, randomized, double blind, placebo controlled trial (SAPHYR) [abstract LB0006]. Ann Rheum Dis. 2022;81(suppl 1):210–211.
  6. Li R, Zhu X, Liu S, et al. Orelabrutinib, an irreversible inhibitor of Bruton’s tyrosine kinase (BTK), for the treatment of systemic lupus erythematosus (SLE): results of a randomized, double-blind, placebo-controlled, phase IB/IIA dose-finding study [abstract LB0005]. Ann Rheum Dis. 2022;81(suppl 1):210.

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Filed under:ConditionsEULAR/OtherMeeting Reports Tagged with:baricitinibBimekizumabdeucravacitinibEULARjuvenile idiopathic arthritis (JIA)MethotrexateorelabrutinibPolymyalgia RheumaticaPsoriatic Arthritissarilumabsystemic lupus erythematosus (SLE)

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