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Rheumnow Podcast

ACR24 IL-17 Topic Panel Advancing Care with IL-17 Pathway Insights

Dec 5, 2024
Brian Joros, a faculty expert in rheumatology at Northwestern University, and Peter Nash from Griffith University in Brisbane join the discussion. They dive into breakthrough advancements in targeting the IL-17 pathway for rheumatic diseases. Insights from the ACR Annual Meeting reveal impressive MRI remission rates with bemikizumab for ankylosing spondylitis. The duo also explores innovations in psoriatic arthritis treatments, addressing effectiveness, safety, and the nuances of treatment switches during flare-ups, making a case for the evolution of IL-17 therapies.
37:18

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Quick takeaways

  • Bemikizumab significantly enhances MRI remission rates and reduces structural damage in ankylosing spondylitis by targeting the IL-17 pathway.
  • Sonolocumab shows promising efficacy in treating psoriatic arthritis, indicating a strong potential as a new IL-17 inhibitor option for patients.

Deep dives

Clinical Efficacy of Bemikizumab

The efficacy of bemikizumab, a novel monoclonal antibody that targets IL-17A and IL-17F, was highlighted in the context of imaging outcomes for patients with ankylosing spondylitis. During the B-Mobile 1 and 2 trials, a significant proportion of both radiographic and non-radiographic patients achieved MRI remission by week 16, with rates approaching 75-80% by week 52 for those who had consistently received the treatment. The study also indicated marked reductions in structural damage, such as erosions, in patients treated with bemikizumab when compared to placebo groups. These findings suggest a promising role for bemikizumab not only in providing symptomatic relief but also in potentially modifying the course of the disease from an imaging standpoint.

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