Golimumab in the treatment of extra-skeletal manifestations of ankylosing spondylitis

Extra-skeletal manifestations (EMs) of ankylosing spondylitis (AS) can occur and proceed in parallel with inflammatory changes in the joints and spine and often dominate in the clinical picture of AS, determining its high activity and significantly worsening the quality of life in patients. In a num...

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Main Author: A. B. Demina
Format: Article
Language:Russian
Published: IMA-PRESS LLC 2019-10-01
Series:Современная ревматология
Subjects:
Online Access:https://mrj.ima-press.net/mrj/article/view/968
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author A. B. Demina
author_facet A. B. Demina
author_sort A. B. Demina
collection DOAJ
description Extra-skeletal manifestations (EMs) of ankylosing spondylitis (AS) can occur and proceed in parallel with inflammatory changes in the joints and spine and often dominate in the clinical picture of AS, determining its high activity and significantly worsening the quality of life in patients. In a number of cases, EMs are characterized by an insufficient response to standard anti-inflammatory therapy for back pain, arthritis, and enthesitis; and there is a need to prescribe another class of drugs.The review highlights the results of studies evaluating the efficacy of golimumab (GLM) in treating EMs in patients with AS: uveitis (GO-EASY Study) and ulcerative colitis (UC) (PURSUIT-SC, PURSUIT-M studies). Analysis of these studies have shown the high efficacy and safety of GLM in reducing the clinical manifestations of AS and in preventing the exacerbations of uveitis and UC. However, despite the successes achieved in treating AS and its EMs, there are many unresolved issues, including those related to the elaboration of optimal treatment regimens, which required longer observational studies with a large sample size.
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spelling doaj.art-fd529648d70b46cab3a78b99c01589382023-03-13T08:39:27ZrusIMA-PRESS LLCСовременная ревматология1996-70122310-158X2019-10-0113411011510.14412/1996-7012-2019-4-110-1152220Golimumab in the treatment of extra-skeletal manifestations of ankylosing spondylitisA. B. Demina0ФГБНУ «Научно-исследовательский институт ревматологии им. В.А. Насоновой»Extra-skeletal manifestations (EMs) of ankylosing spondylitis (AS) can occur and proceed in parallel with inflammatory changes in the joints and spine and often dominate in the clinical picture of AS, determining its high activity and significantly worsening the quality of life in patients. In a number of cases, EMs are characterized by an insufficient response to standard anti-inflammatory therapy for back pain, arthritis, and enthesitis; and there is a need to prescribe another class of drugs.The review highlights the results of studies evaluating the efficacy of golimumab (GLM) in treating EMs in patients with AS: uveitis (GO-EASY Study) and ulcerative colitis (UC) (PURSUIT-SC, PURSUIT-M studies). Analysis of these studies have shown the high efficacy and safety of GLM in reducing the clinical manifestations of AS and in preventing the exacerbations of uveitis and UC. However, despite the successes achieved in treating AS and its EMs, there are many unresolved issues, including those related to the elaboration of optimal treatment regimens, which required longer observational studies with a large sample size.https://mrj.ima-press.net/mrj/article/view/968анкилозирующий спондилитвнескелетные проявленияувеитязвенный колитингибиторы фактора некроза опухоли αголимумаб
spellingShingle A. B. Demina
Golimumab in the treatment of extra-skeletal manifestations of ankylosing spondylitis
Современная ревматология
анкилозирующий спондилит
внескелетные проявления
увеит
язвенный колит
ингибиторы фактора некроза опухоли α
голимумаб
title Golimumab in the treatment of extra-skeletal manifestations of ankylosing spondylitis
title_full Golimumab in the treatment of extra-skeletal manifestations of ankylosing spondylitis
title_fullStr Golimumab in the treatment of extra-skeletal manifestations of ankylosing spondylitis
title_full_unstemmed Golimumab in the treatment of extra-skeletal manifestations of ankylosing spondylitis
title_short Golimumab in the treatment of extra-skeletal manifestations of ankylosing spondylitis
title_sort golimumab in the treatment of extra skeletal manifestations of ankylosing spondylitis
topic анкилозирующий спондилит
внескелетные проявления
увеит
язвенный колит
ингибиторы фактора некроза опухоли α
голимумаб
url https://mrj.ima-press.net/mrj/article/view/968
work_keys_str_mv AT abdemina golimumabinthetreatmentofextraskeletalmanifestationsofankylosingspondylitis