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Dr. John Cush

@rheumnow

Know-it-Now. Info on RA, Stills disease, Lupus, Gout, Pregnancy, Spondylitis, Psoriasis, Drug Safety, Rheumatology Research, Medical Education & Drug Evaluation Rheumnow.com

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Latest posts by Dr. John Cush @rheumnow

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BIMZELX®▼(bimekizumab) superior to SKYRIZI® (risankizumab) in BE BOLD: first head-to-head study in active psoriatic arthritis (PsA) to demonstrate superiority in ACR50 | UCB BIMZELX®▼(bimekizumab) superior to SKYRIZI® (risankizumab) in BE BOLD: first head-to-head study in active psoriatic arthritis (PsA) to demonstrate superiority in ACR50 | UCB

UCB announced topline results of the BE-BOLD head-to-head study where bimekizumab (IL-17i) was superior to risankizumab (IL-23i) study; 553 active PsA in achieving an ACR50 response at 16 weeks. Enrolled PsA pts were either bilogic naïve or who had previous exposure to 1 TNFi buff.ly/pJNq2aD

14.03.2026 14:00 👍 0 🔁 0 💬 0 📌 0
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Rheumatic Immune-related Adverse Effects with Checkpoint Inhibitor Therapy

rheumnow.com/news/rheumat...

13.03.2026 18:00 👍 0 🔁 0 💬 0 📌 0
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Frontiers | Serum uric acid reduction through SGLT2 inhibitors: evidence from a systematic review and meta-analysis BackgroundElevated serum uric acid (SUA) is strongly associated with adverse clinical outcomes. Sodium-glucose-cotransporter-2 (SGLT2) inhibitors not only lo...

Sodium-glucose cotransporter-2 (SGLT2) inhibitors lower serum uric acid levels, by approximately 0.6 to 1.5 mg/dL. They increase renal uric acid excretion via a uricosuric effect), thereby reducing gout risk by 30% to 50%. www.frontiersin.org/journals/pha...

13.03.2026 15:01 👍 0 🔁 0 💬 0 📌 0

Metanalysis of calcineurin inhib. in RA - 11 RCTs, 1793 RA pts. Cyclosporin (CSA( (RR 1.6 & Tacrolimus (TAC (RR 2.1) signif improved ACR20 responses. CSA was dose dependent, less so w/ TAC. Both require serum Creat. monitoring consistent increase in s-Cr onlinelibrary.wiley.com/doi/pdf/10.1...

13.03.2026 14:01 👍 1 🔁 1 💬 0 📌 0
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2 RCTs of 699 children Tx in ER for acute limb injury compared 1 dose of oral acetaminophen or hydromorphone to ibuprofen - none significantly reduce self-reported pain scores at 60 minutes. Use of hydromorphone resulted in a 4-fold increase in adverse events. jamanetwork.com/journals/jam...

12.03.2026 23:00 👍 1 🔁 0 💬 0 📌 0
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Physician Assistants Push for Name Change to 'Physician Associates' - Lebanon Today The American Academy of Physician Associates (AAPA) is determined to see the title of physician assistants (PAs) changed to physician associates across the country. So far, Maine, New Hampshire, and…

American Academy of Physician Associates is determined to change PA to mean 'physician associate' in USA. Maine, New Hampshire, Oregon have adopted it, but the AMA is opposed. This has become a legislative, financial and legal issue. nationaltoday.com/us/nh/lebano...

12.03.2026 21:00 👍 0 🔁 0 💬 1 📌 0

Prebiotic fibre improves knee OA. 117 older adults w/ KOA Rx w/ 6wks of inulin (fibre) or Physiotherapy exercise (PSE) or both vs PBO. Both Inulin & PSE signif improved pain & PSE vs PBO ( −1.11 to -2.5; p <0.045); inulin also improved pain sensitivity & grip strength www.mdpi.com/2072-6643/18...

12.03.2026 20:29 👍 0 🔁 0 💬 0 📌 0
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NEJM: Obinutuzumab in Active Systemic Lupus Erythematosus

A phase 3 trial of obinutuzumab, an anti-CD20 monoclonal antibody, showed potent B-cell depletion and clinical efficacy active systemic lupus erythematosus without evidence of nephritis.

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12.03.2026 18:02 👍 3 🔁 0 💬 0 📌 0
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Long-Term Hydroxychloroquine Retinopathy Risk

About one in 18 patients taking hydroxychloroquine (HCQ) for 15 years develop retinal damage, a new meta-analysis indicated.

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12.03.2026 16:01 👍 0 🔁 0 💬 0 📌 0
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Automatic acromegaly detection using deep learning on hand images: a multicenter observational study AbstractContext. Acromegaly poses clinical challenges in terms of early diagnosis and intervention. Therefore, the development of novel diagnostic tools is

AI model was superior in diagnosing Acromegaly from dorsal hand photographs - w. sensitivity 0.89, specificity 0.91, PPV 0.88, NPV 0.93, F1-score of 0.89, AUC 0.96, outperforming specialists, Study of 716 pts (317 acromegaly; 399 controls) & 11480 images. academic.oup.com/jcem/advance...

12.03.2026 15:03 👍 0 🔁 0 💬 0 📌 0
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JAK inhibitors: risks and safety principles Introduction The Janus kinases (JAKs) are protein tyrosine kinases that mediate cellular responses to several cytokines and growth factors, which play a role in immune defence and immune-mediated…

Basic, full-read overview of "JAK inhibitors: risks and safety principles" from the Pharmaceutical Journal. Addresses MOA, indications, warnings, monitoring, adverse effects, interactions, Serious AEs, vaccination and best practices. pharmaceutical-journal.com/article/ld/j...

12.03.2026 14:03 👍 0 🔁 0 💬 0 📌 0
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BIMZELX®▼(bimekizumab) superior to SKYRIZI® (risankizumab) in BE BOLD: first head-to-head study in active psoriatic arthritis (PsA) to demonstrate superiority in ACR50 | UCB BIMZELX®▼(bimekizumab) superior to SKYRIZI® (risankizumab) in BE BOLD: first head-to-head study in active psoriatic arthritis (PsA) to demonstrate superiority in ACR50 | UCB

UCB announced topline results of the BE-BOLD head-to-head study where bimekizumab (IL-17i) was superior to risankizumab (IL-23i) study; 553 active PsA achieving an ACR50 at 16 weeks. Enrolled PsA pts were either bilogic naïve or who had previous exposure to 1 TNFi www.ucb-usa.com/stories-medi...

11.03.2026 20:56 👍 1 🔁 0 💬 0 📌 0
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TYK2 Inhibitor Deucravacitinib FDA Approved for Psoriatic Arthritis

On Friday, March 6th, the FDA approved deucravacitinib (Sotyktu) for the treatment of adults with active PsA based on the results of the pivotal Phase 3 POETYK PsA-1 and POETYK PsA-2 clinical trials.

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11.03.2026 14:00 👍 1 🔁 0 💬 0 📌 0

Swiss study 1st TNFi efficacy in 3324 axial spondy (axSpA) (≤1 yr=very early Dz,441; 1-2 yrs =early axSpA, 218; >2 yrs=establi axSpA, 2575). After adjusting for age/sex, B27, etc, no signif. difference seen when TNFi started w/ outcomes: TNFi retention, or ASDAS <2.1 rmdopen.bmj.com/content/12/1...

10.03.2026 21:00 👍 0 🔁 0 💬 0 📌 0
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Korean National Insurance claims study (2010–2023) of treatment persistence of IL-17i vs TNFi (IL-17i: 375; TNFi: 1285) in 1660 axSpA pts found equal Tx durations. However, primary nonresponse D/C was significantly higher w/ TNFi vs IL-17i (adj HR 1.54 to 2.11) journals.sagepub.com/doi/pdf/10.1...

10.03.2026 19:00 👍 0 🔁 0 💬 0 📌 0
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Prevalence and impact of suspected fibromyalgia on disease outcomes and treatment in axial spondyloarthritis: 10-year follow-up data from the DESIR cohort This study aimed to evaluate the prevalence of suspected fibromyalgia using the Fibromyalgia Rapid Screening Tool (FiRST) and its impact on disease burden, disability, TNF inhibitor (TNFi)…

Annual fibromyalgia survey (FIRST) in axSpA pts in the DESIR cohort. FM was found in 22% (& assoc w/ less HLA-B27+ & XRay sacroiliitis, equal MRI SI a& ^ CRP. FM/AxSpA had less self-reported Dz activity, QOL, more disability & more likely to Rx w/ TNFi (64% vs 41%) ard.eular.org/article/S000...

10.03.2026 17:38 👍 1 🔁 0 💬 0 📌 0
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RheumNow.Live 2026 — On Demand

Catch the sessions everyone in rheumatology is talking about:

• RA advances
• PsA decisions
• Spondyloarthritis updates
• Autoimmune disease highlights
• Vasculitis insights

Full recordings + slides available now.

$250 access
🔗https://rheumnow.live/pages/home

10.03.2026 15:00 👍 0 🔁 0 💬 0 📌 0
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UBER Rheumatology Ride (3.6.2026)

Dr. Jack Cush reviews the news and journal reports from this week on RheumNow.

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10.03.2026 14:00 👍 0 🔁 0 💬 0 📌 0
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The Role of Calcineurin Inhibitors in Lupus Nephritis

In the US, lupus nephritis affects 40–50% of SLE patients, significantly impacting morbidity and mortality. There are notable differences in clinical management approaches.

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09.03.2026 21:01 👍 1 🔁 0 💬 0 📌 0
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Osteoporosis: Thinking outside the box

Osteoporosis care keeps evolving. We have newer agents, newer sequencing strategies, and an increasing number of patients asking for “less medicinal” options that go beyond a prescription.

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09.03.2026 19:01 👍 0 🔁 0 💬 1 📌 0
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Sleep quality, duration, and multi-trajectories as predictors of rheumatoid arthritis: evidence from the english longitudinal study of ageing - Arthritis Research & Therapy Arthritis Research & Therapy - Rheumatoid arthritis (RA) is a prevalent chronic autoimmune disease associated with substantial disability as well as socioeconomic burden. Emerging evidence...

Poor sleep increases risk of #RA. English Longitudinal Study of Ageing. RA risk was signif. higher in those with moderate sleep quality (SQ) (HR 1.23) or poor SQ (HR 1.50), cmpared to good SQ. Partly mediated by depression link.springer.com/article/10.1...

09.03.2026 18:02 👍 0 🔁 0 💬 0 📌 0
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U.S. Physician Assistant Workforce Grew 27.9% Nationwide From 2020 To 2024 - OPEN MINDS The board-certified physician assistant/associate (PA) workforce in the United States increased by 27.9% between 2020 and 2024, reaching 189,188 professionals, according to a recent report. The…

Physician Assistant Workforce Grew 28% in USA (2020 To 2024), reaching 189,188 PAs; increased in every state (lease in Alaska 10%, most in SCarolina 48%,(to 2,984 in 2024). In 2024, there were 55.6 PAs/100,000 population openminds.com/market-intel...

09.03.2026 16:04 👍 0 🔁 0 💬 0 📌 0
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FDA’s CRLs reveal critical errors in AstraZeneca’s Saphnelo data, efficacy doubts for GSK’s Exdensur The FDA is providing more insight into the rejections it recently handed two pharma giants, publishing the complete response letters (CRLs) sent to AstraZeneca and GSK that highlight shortfalls in |…

Update on FDA complete response letter to AZ regarding BLA hold for anifrolumab (Saphnelo) for SC use in SLE. CRL issued 10/10/25, & announced 2/3/26. FDA CRL cites critical data quality w/ key analyses in SC-TULIP. A BLA decision expected in 1st half of 2026 www.fiercepharma.com/pharma/fda-c...

09.03.2026 15:00 👍 0 🔁 0 💬 0 📌 0
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Muscular Strength and Mortality in Women Aged 63 to 99 Years This cohort study evaluates associations between muscular strength and mortality in women aged 63 to 99 years accounting for accelerometer-measured physical activity and sedentary behavior, systemic…

Muscular strength is a resilience marker relevant to function. A prospective cohort study of 5472 women (mean 79 yrs), showed that greater muscular strength (grip strength, chair stand time) was assoc w/ lower mortality (HR 0.85- 0.67) jamanetwork.com/journals/jam...

09.03.2026 14:01 👍 0 🔁 0 💬 0 📌 0
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B cell Targeted CAR-T Therapy for Autoimmune Diseases

The review by Qi Li and colleagues provides a comprehensive examination of the progression, clinical applications, challenges, and future directions of B-cell-targeted CAR-T therapy across multiple autoimmune conditions.

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08.03.2026 14:00 👍 2 🔁 0 💬 0 📌 0
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U.S. FDA Approves Bristol Myers Squibb’s Sotyktu® (deucravacitinib) for the Treatment of Adults with Active Psoriatic Arthritis Significantly more patients treated with once-daily, oral Sotyktu achieved an ACR20 response compared with placebo at Week 16 in the pivotal Phase 3 POETYK PsA-1 and POETYK PsA-2 clinical trials…

FDA has approved deucravacitinib (Sotyktu) the Treatment of Adults with Active Psoriatic Arthritis based on the results of the pivotal Phase 3 POETYK PsA-1 and POETYK PsA-2 clinical trials. Sotyktu is the only tyrosine kinase 2 (TYK2) inhibitor to be approved for PsA news.bms.com/news/corpora...

08.03.2026 00:06 👍 1 🔁 0 💬 0 📌 0
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Observational study of 42 Mexican lupus nephritis pts on Immunosuppressives + Calcineurin Inhibitors (CNIs) @ 12 mos complete & partial responses seen in 26% & 36%, w/ signif reduction in proteinuria (2.89 vs 0.72 g/d, p < .001), & transient decrease in eGFR at 12 mo (109 vs 114) buff.ly/rlzgQ5g

07.03.2026 21:00 👍 1 🔁 0 💬 0 📌 0
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IL-23i fails in GCA? Small RCT of 53 GCA pts (age 71 yrs; 60% new; 40% relapsing GCA) 35 given Guselkumab vs 18 on PBO. Wk 28 GC free remission in 40% vs 33% (P .64), also w/ similar flare rates (31% v 39%). results didnt supportguselkumab use in GCA. buff.ly/mDxguVK

07.03.2026 19:00 👍 0 🔁 0 💬 0 📌 0
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Diacerin, an IL-1β blocker, compared to placebo in a 262 pt RCT of knee pain, Knee #OA w/ inflammation. After 24 wks, 88% completed the trial & (vs PBO) diacerein did not improve knee pain (−19.9 vs −18.6 mm). 42% had AE/ GI Sxs were more w/ diacerein (42% vs 25% PBO buff.ly/opQUl0E

07.03.2026 17:00 👍 0 🔁 0 💬 0 📌 0
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US Epidemiologic survey data from NHANES gout prevalence is incr. in RA pts vs controls (10.3% vs. 4.8%, P < 0.001), increasing trend over time. RA is as an independent risk factor for gout (OR: 2.67), strongest in SNRA. Evidence for the converse may not be as strong. buff.ly/aFpNc4r

07.03.2026 15:00 👍 1 🔁 0 💬 0 📌 0