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EULAR 2021 - RA Congress Preview

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Enhancing knowledge of the clinical

importance of cytokine signalling

The Cytokine Signalling Forum

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EULAR 2021

Congress Preview

Rheumatoid Arthritis

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Chairman’s Introduction

Dear CSF Member,

Welcome to this year’s selection of EULAR abstracts on cytokine signalling agents available for use in RA and my

‘Chairman’s Picks’. Every year the amount of data concerning these agents continues to increase, and so, for this year’s

EULAR we have again focused our selections herein only on RA, with other indications addressed in a separate review.

There are several abstracts featuring upadacitinib. Key among them are the 3-year results from the SELECT-EARLY

trial [POS0655], and the 4.5-year integrated laboratory abnormality profiles of upadacitinib from the phase 3 SELECT

program [OP0128]. Treatment effectiveness of upadacitinib in US patients from the United Rheumatology NICE TM

Real-World Data [POS0666] will be presented, along with patient characteristics and outcomes in patients treated with

upadacitinib from the OM1 RA registry [POS0436]. There is an interesting analysis on the impact of glucocorticoids on

the efficacy and safety of upadacitinib [POS0654], and the relationship between changes in lipid level improvements in

disease activity outcomes [POS0656]. In addition, Martin Bergman and colleagues assess the RAPID 3 in patients with

long term upadacitinib therapy [POS0670].

Turning to baricitinib, Gilbert et al presents an update to the real-world effectiveness of baricitinib in the Swiss RA

register (SCQM-RA) [POS0668]. There is an analysis of the Power Doppler Ultrasound study assessing the rapid

response to baricitinib in RA patients with an inadequate response to MTX and one bDMARD [POS0661]. There are

also two abstracts presenting improvements in PROs, the first by Taylor et al, looking at PROs across all disease

activity levels comparing baricitinib to placebo and adalimumab [POS0649], and the second by Strand et al, highlighting

the rapid and concurrent PRO improvements in RA with baricitinib in RA-BEAM [POS0646]. Finally, there will also be a

real-world direct comparison of effectiveness and safety of tofacitinib and baricitinib by Iwamoto and colleagues.

For filgotinib, Emery et al. demonstrates the clinical efficacy of filgotinib in RA independent of smoking status

[POS0536]. Whilst Galloway et al are presenting the infections and serious infections in the filgotinib rheumatoid arthritis

program [OP0126].

In tofacitinib there is an analysis on RA associated interstitial lung disease from the Treasure Real-Life data [OP0125].

There are two abstracts looking at the discontinuation rates of tofacitinib using pooled data from two RA registries in

Canada. The first compares tofacitinib with TNFi [OP0179], and the second compares tofacitinib monotherapy with

combination therapy with MTX [POS0448].

At this year’s congress, there is a great selection of symposia to keep an eye on. Pfizer looking at JAK inhibitors in RA,

along with Lilly that explores the global experience of treating RA with baricitinib. AbbVie will be presenting the session

on remission with JAK inhibition, and Galapagos will bring us two symposia walking “In Darwin’s Footsteps”. This year

we are delighted to present a CSF symposium – supported by Lilly - looking at the cytokine signalling pathways,

and the immune-pathologic consequences of targeting those pathways.

Within the following pages, we share our detailed selection of the congress highlights. As always, thank you for your

continued support, and we hope you enjoy the virtual EULAR 2021 experience.

Kind regards,

Prof. Iain McInnes

Chairman’s picks


Key Presentations

Wednesday, June 2, 2021

POSTERS

POS0668 Real World Effectiveness of Baricitinib In the Swiss

Rheumatoid Arthritis Register (SCQM-RA)

POS0631 Comparative Efficacy of Combination Therapy with

Biologic or Target Synthetic Drugs for Rheumatoid

Arthritis: A Bayesian Network Meta-Analysis.

POS0661 Rapid Response to Baricitinib In Patients with

Rheumatoid Arthritis and An Inadequate Response

to Methotrexate And At Least One Biologic DMARD:

A Clinical and Power Doppler Ultrasound Study

POS0606 Disease Activity and Patients-Reported Outcomes

After Switching Between IL-6 Receptor Inhibitors

and JAK Inhibitors: An Analysis from the Corrona

Registry

POS0450 Incidence Rates of Difficult-to-treat Rheumatoid

Arthritis in Real-world Clinical Practice

POS0666 Treatment Effectiveness of Upadacitinib at 3

Months in US Patients with Rheumatoid Arthritis

from The United Rheumatology Normalized

Integrated Community Evidence (NICE TM )

Real-World Data

POS0667 Tofacitinib in Patients with Rheumatoid Arthritis in

Real-World Settings: A National Multicenter Study

of 167 Patients from Argentina

SATELLITE SYMPOSIA

Pfizer

JAK Inhibitors in RA: What, Where, How, Why,

Who and When?

Industry Room 1, 18:15–19:45

Speakers: Gerd Rüdiger Burmester, Elizabeth Perkins,

Hendrik Schulze-Koops, and Ai Lyn Tan

AbbVie

A Practical Guide to Use of JAK Inhibitors in the

Management of RA and SpA

Industry Room 2, 18:15–19:45

Speakers: Maya H Buch, Andrea Rubbert-Roth,

Andrew Ostor, and Janet Pope

Lilly

Exploring Global Olumiant Experience in Treating

Rheumatoid Arthritis: Different Continents,

Different Circumstances

Industry Room 7, 18:15–19:45

Speakers: Roberto Caporali, Peter C. Taylor, and Rieke Alten

Galapagos

In Darwin’s Footsteps: Continuing Evolution of RA

Patient Care as we Adapt to a Changing Environment

Industry Room 10, 18:15–19:45

Speakers: Laure Gossec, Peter C. Taylor, and Peter Nash

Chairman’s picks


Thursday, June 3, 2021

ORAL PRESENTATIONS

Rheumatoid Arthritis – Biological DMARDs

Room 4, 10:15–11:45

Chair: Hanna W. van Steenbergen

Online Moderator: Reinhard Bos

OP0114

OP0116

Short- And Longer-Term Risks for Acute Coronary

Syndrome in Patients with Rheumatoid Arthritis

Starting Treatment with Disease-Modifying

Anti-Rheumatic Drugs. A Collaborative

Observational Head-To-Head Study Across Five

Nordic Rheumatology Registers

Elderly Patients are Not at Increased Risk of

Serious Infections When Receiving bDMARDs or

JAK Inhibitors Compared To csDMARD Treatment

Rheumatoid Arthritis – Non-Biologic Treatment and

Small Molecules

Room 5, 10:15–11:45

Chair: Carlo Perricone

Online Moderator: Rorberto Giacomelli

OP0122

OP0123

OP0125

OP0126

OP0128

Comparative Effectiveness of JAKi Versus

bDMARDs; a Nationwide Study in RA

Safety Profile of JAK-Inhibitors Versus TNF-

Inhibitors in Real-World Clinical Practice:

Data from A Multicenter Register

Tofacitinib in Rheumatoid Arthritis-Associated

Interstitial Lung Disease: Efficacy and Safety

Analysis from Treasure Real-Life Data

Infections and Serious Infections in the Filgotinib

Rheumatoid Arthritis Program

Integrated Laboratory Abnormality Profiles of

Upadacitinib with Up To 4.5 Years of Exposure in

Patients with Rheumatoid Arthritis Treated in the

SELECT Phase 3 Program

Rheumatoid Arthritis – Prognosis, Predictors

and Outcome

Room 13, 10:15–11:45

Chair: Martin Aringer

Online Moderator: Alexandre Sepriano

OP0179

Discontinuation Rate of Tofacitinib Is Similar When

Compared to TNF Inhibitors in Rheumatoid Arthritis

Patients: Pooled Data from Two Rheumatoid

Arthritis Registries in Canada

OP0182

OP0183

In RA Patients in Remission, Which Biomarkers

Predict Successful Tapering of csDMARDs?

Identification of A Subgroup of People with

Rheumatoid Arthritis Characterised by High Disability

Over 10 Years, Despite Low Inflammation: Results

from Two European Prospective Cohort Studies

MEET THE EXPERT

Pfizer

Personalising Patient Care: Reflections on the Place

of JAK Inhibitors in Rheumatology

Industry Room 1, 15:00–15:30

Speakers: Gerd Rüdiger Burmester and Laura Coates

AbbVie

Optimizing disease outcomes with the use of JAK

inhibitors in the management of RA and SpA:

An interactive clinical case discussion

Industry Room 2, 15:00–15:30

Speakers: Andrea Rubbert-Roth, Andrew Ostor, Janet Pope,

and Maya H Buch

CSF (Supported by Lilly)

How to Provide Patients Remission They Can Feel?

Industry Room 5, 15:00–15:30

Speakers: Hendrik Schulze-Koops and Bernard Combe

POSTERS

POS0436 Patient Characteristics and Outcomes in

Patients with Rheumatoid Arthritis Treated with

Upadacitinib: The OM1 RA Registry

POS0526 Sexual Function in Male and Female Patients with

Rheumatoid Arthritis: A Post-Hoc Analysis of The

FINCH Studies

POS0649 Baricitinib Provides Greater Improvements in

Patient-Reported Outcomes Across All Disease

Activity Levels Compared to Placebo and

Adalimumab in Rheumatoid Arthritis

POS0669 Hypoglycaemia Following JAK Inhibitor Treatment in

Diabetes Mellitus Patients with Rheumatoid Arthritis

POS0670 Routine Assessment of Patient Index Data 3

(RAPID3) In Patients with Rheumatoid Arthritis

Treated with Long-Term Upadacitinib Therapy

Chairman’s picks


POS0671 Clinical Responses to Upadacitinib Or Abatacept In

Patients with Rheumatoid Arthritis by Type of Prior

Biologic Disease-Modifying Antirheumatic Drug:

Data from The Phase 3 SELECT-CHOICE Study

POS0536 Filgotinib Demonstrates Clinical Efficacy in

Rheumatoid Arthritis Independent of Smoking

Status: A Post-Hoc Subgroup Analysis of Three

Phase 3 Clinical Trials

POS0539 Pain Is an Independent Associated Factor on

Functional Limitation in Chinese Patients with

Early Rheumatoid Arthritis

SATELLITE SYMPOSIA

Galapagos

In Darwin’s Footsteps: Exploring the Role of JAK

Inhibitors within the Diverging RA Treatment

Landscape

Industry Room 4, 17:30–19:00

Speakers: Maxime Dougados, Rieke Alten, Kevin Winthrop,

and Ernest Choy

Friday, June 4, 2021

SATELLITE SYMPOSIA

AbbVie

Striving for Remission with JAK inhibition in the

Management of Rheumatoid Arthritis

Industry Room 7, 08:15–09:45

Speakers: Gerd Rüdiger Burmester, Philip G Conaghan,

Hendrik Schulze-Koops, and Grace C. Wright

MEET THE EXPERT

AbbVie

Rapid Fire Rheumatology: 20 Questions in 20 Min

with Prof Maya Buch

Industry Room 2, 15:00–15:30

Speaker: Maya Buch

SCIENTIFIC

tsDMARD Therapy of Rheumatoid Arthritis

Room 2, 15:30–17:00

Chair: Ernest Choy and Andrea Rubbert-Roth

Online Moderator: Hendrik Schulze-Koops

EULAR

EULAR

EULAR

JAKi in the News – Side Effects

“Selective” JAKi on the Verve – Implications for

Therapy

Ten years of JAKi in RA – Real Life Data from the

SCQM Registry

Managing Chronic Pain

Room 5, 15:30–17:00

Chair: Jon Lampa

Online Moderator: John McBeth

Case 1: Managing chronic pain in hand osteoarthritis

Speaker: Malvika Gulati

Discussion: Optimising pain management in osteoarthritis:

mechanism-based treatment strategies

Speaker: Tuhina Neogi

Case 2: Managing chronic pain in Rheumatoid Arthritis

Speaker: Rudresh Shukla

Discussion: Stratified targeted treatment strategies for

chronic pain in Rheumatoid Arthritis

Speaker: Neil Basu

POSTERS

POS0674 Direct Comparison of Effectiveness and Safety

of Tofacitinib and Baricitinib In Patients with

Rheumatoid Arthritis in Real-World Settings

POS0676 Survival of The First Course of Biologic or JAK

Inhibitor in Rheumatoid Arthritis: Association

with the Choice of Agent and Concomitant

Conventional Synthetic DMARDs

SATELLITE SYMPOSIA

CSF (Supported by Lilly)

Cytokine Signalling Blockade: Interactions and Outcomes

Industry Room 8, 17:30–19:00

Speakers: Paul Emery, John O’Shea, John Isaacs,

and Rieke Alten

Chairman’s picks


Saturday, June 5, 2021

POSTERS

POS0653 Impact of Upadacitinib or Adalimumab as Initial

Therapy on the Achievement of 48-Week Treatment

Goals in Patients with Rheumatoid Arthritis and

Inadequate Response to Methotrexate: Post hoc

Analysis of a Phase 3 Study

POS0654 Impact of Concomitant Glucocorticoids on the

Clinical Efficacy and Safety of Upadacitinib in

Patients with Rheumatoid Arthritis: An Ad Hoc

Analysis of Data from Three Phase 3 Studies

POS0655 Long-Term Safety and Efficacy of Upadacitinib in

Patients with Rheumatoid Arthritis: 3-Year Results

from the SELECT-EARLY Study

POS0594 Meaningful Improvement and Worsening in

Patients Who Do Not Achieve LDA and Switch

Therapy to a New Biologic or Targeted Therapy:

Results from the CORRONA Registry

POS0656 Relationship between Changes in Lipid Levels

and Improvement in Disease Activity Outcomes

in Patients with Rheumatoid Arthritis Receiving

Upadacitinib Treatment: Pooled Analysis of Data

from Two Phase 3 Studies

POS0646 Rapid and Concurrent Improvements in Patient-

Reported Outcomes of Rheumatoid Arthritis with

Baricitinib in RA-BEAM

POS0659 Real World Experience with Tofacitinib in Patients

with Rheumatoid Arthritis: An Interim Analysis

from a French Prospective Observational Study

DeFactTo

POS0448 Discontinuation Rate of Tofacitinib as Monotherapy

is Similar Compared to Combination Therapy with

Methotrexate in Rheumatoid Arthritis Patients:

Pooled Data from two Rheumatoid Arthritis

Registries in Canada

Chairman’s picks


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