Biologics in the treatment of Sjogren's syndrome, systemic lupus erythematosus, and lupus nephritis.

Abstract:

PURPOSE OF REVIEW:It is an understatement to say that drug approvals in systemic lupus erythematosus (SLE), lupus nephritis, and Sjogren's syndrome have lagged far behind those in other autoimmune diseases, such as rheumatoid arthritis and psoriatic arthritis. Reasons for this are multiple and include the molecular and clinical heterogeneity of these conditions; confounding by background medications, especially corticosteroids; and clinical trial endpoints. However, the tides are changing, and there have been several bright spots in our attempts to bring more efficacious drugs to our patients. RECENT FINDINGS:Several positive phase II and phase III trials in SLE and lupus nephritis with drugs such as anifrolumab, voclosporin, belimumab, and obinutuzumab will no doubt eventually generate regulatory approvals for most, if not all, of these drugs. Although early in development, the promising results in Sjogren's syndrome with iscalimab and ianalumab should make the Sjogren's syndrome community quite hopeful of future drug approvals. SUMMARY:In this review, we highlight recent study results in Sjogren's syndrome, SLE, and lupus nephritis, emphasizing investigational therapies in late stage development, but we also provide a glimpse into drugs of the future.

journal_name

Curr Opin Rheumatol

authors

Narain S,Berman N,Furie R

doi

10.1097/BOR.0000000000000754

subject

Has Abstract

pub_date

2020-11-01 00:00:00

pages

609-616

issue

6

eissn

1040-8711

issn

1531-6963

pii

00002281-202011000-00020

journal_volume

32

pub_type

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