Treatment of axial spondyloarthritis with biologic and targeted synthetic DMARDs: British Society for Rheumatology guideline scope

Sizheng Steven Zhao* (Corresponding Author), Stephanie R Harrison, Antoni Chan, Nick Clarke, Charlotte Davis, Joe Eddison, William J Gregory, Gareth T Jones, Helena Marzo-Ortega, Daniel J Murphy, Virinderjit Sandhu, Raj Sengupta, Stefan Siebert, Ben Thompson, Dale Webb, Max Yates, Karl Gaffney

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

1 Citation (Scopus)

Abstract

Pharmacological management has advanced considerably since the 2015 British Society for Rheumatology axial spondyloarthritis (axSpA) guideline to incorporate new classes of biologic DMARDs (bDMARDs, including biosimilars), targeted synthetic DMARDs (tsDMARDs) and treatment strategies such as drug tapering. The aim of this guideline is to provide an evidence-based update on pharmacological management of adults with axSpA (including AS and non-radiographic axSpA) using b/tsDMARDs. This guideline is aimed at health-care professionals in the UK who care directly for people with axSpA, including rheumatologists, rheumatology specialist nurses, allied health professionals, rheumatology specialty trainees and pharmacists; people living with axSpA; and other stakeholders, such as patient organizations and charities.

Original languageEnglish
Article numberrkad039
JournalRheumatology advances in practice
Volume7
Issue number2
DOIs
Publication statusPublished - 15 May 2023

Bibliographical note

Funding: This work was supported by the British Society for Rheumatology.

Acknowledgements: S.S.Z. is supported by a National Institute for Health Research (NIHR) Clinical Lectureship and works in centres supported by Versus Arthritis (grant numbers 21173, 21754 and 21755). H.M.-O. is Chair and Trustee of the British Society for Spondyloarthritis (BRITSpA). H.M.-O. is supported by the NIHR Leeds Biomedical Research Centre (LBRC). The views expressed are those of the authors and not necessarily those of the (UK) National Health Service (NHS), the NIHR or the (UK) Department of Health.

© The Author(s) 2023. Published by Oxford University Press on behalf of the British Society for Rheumatology.

Data Availability Statement

No new data were generated in support of this work.

Keywords

  • Axial spondyloarthritis
  • AS
  • Biologic
  • Biosimilar
  • IL17
  • JAK inhibitor
  • treat-to-target
  • switching
  • tapering

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