In this episode, Medicom’s correspondent covers 6 presentations from annual meeting of the European Alliance of Associations for Rheumatology (EULAR 2025), held in Barcelona, Spain, from 11-14 June 2025.
The topics discussed are:
Deucravacitinib, a first-in-class oral TYK2 inhibitor, demonstrated clinical benefits in psoriatic arthritis over placebo at 16 weeks, with rapid clinical response, favourable safety profile, and signs of radiographic progression inhibition.A significant reduction in the EULAR Sjögren's Syndrome Disease Activity Index (ESSDAI) score at week 24 was the successful primary outcome of the combination of leflunomide and hydroxychloroquine compared with placebo. Significant improvements were also seen in IgG, rheumatoid factor, and complement C4 levels.The novel digital therapeutic Axia significantly and clinically improved disease activity, functional ability, and quality-of-life in patients with axial spondyloarthritis compared with standard care. These findings underscore the value of integrating digital therapeutics into routine rheumatological care.
4. Inhibition of TLR7 and 8: A new way to treat lupus?
Enpatoran, a toll-like receptor 7 and
8 inhibitor, showed potential in patients with active systemic lupus erythematosus and cutaneous lupus erythematosus. Although the primary endpoint of the British Isles Lupus Assessment Group-based Composite Lupus Assessment dose response was not met, response rates and secondary outcomes support further investigations.
5. Gout: novel compound as a future option for refractory patients?
Treatment with SAP-001, a first-in-class urate-lowering agent targeting a novel renal urate transport mechanism, resulted in successful reduction of serum urate levels to ≤6 mg/dL in 43.8%–70% of patients, across different dosing regimens. A dose-response effect could not be established.
6. Rapid radiographic improvement with IL-23 blockade in biologic-naïve PsA patients
A 24-week analysis of the phase 3b APEX study showed that guselkumab, a monoclonal antibody targeting the IL-23p19 subunit, significantly inhibits structural joint damage and improves clinical outcomes in biologic-naïve patients with active psoriatic arthritis.
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Table of Contents: EULAR 2025
Featured articles
A novel compound emerging as a treatment for refractory gout
Late-Breaking Abstracts
Combination of leflunomide and hydroxychloroquine reduces disease activity in Sjögren’s disease
Guselkumab slows joint damage progression in PsA
Deucravacitinib shows robust 16-week efficacy in biologic-naïve PsA participants
Arthritis in 2025
Preventive abatacept may delay RA diagnosis in at-risk populations
Patients with musculoskeletal pain and ACPA positivity: most progress to arthritis, but not always RA
Spotlight on Spondyloarthritis
Bone marrow oedema in axial spondyloarthritis: different patterns identified
Digital therapeutic Axia enhances outcomes in axial spondyloarthritis
What is New in Lupus, Scleroderma, and Myositis
Combination of rituximab and mycophenolate mofetil offers no superiority over monotherapy in SSc-related ILD
Early clinical events flag systemic sclerosis earlier than the classification criteria
New targeted therapy shows efficacy in inflammatory myopathy
Enpatoran shows encouraging signals in lupus, despite an unmet primary endpoint
Robust renal efficacy with obinutuzumab across key clinical criteria in lupus nephritis
New Developments in Crystal-related Disorders
Targeting serum uric acid pays off: gout strategy cuts MACE
A novel compound emerging as a treatment for refractory gout
Osteoarthritis and Osteoporosis
Initiating glucocorticoids for rheumatic diseases: sequential romosozumab- denosumab treatment increases lumbar BMD
Rapid and clinically meaningful pain relief in knee OA with novel neurotrophin inhibitor
Best of the Posters
Air pollution may increase autoimmune risk through ANA positivity
Weight-bearing exercise contributes to bone health in inflammatory rheumatic diseases
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