Autoinflammatory & rare systemic diseases

Biologic–biologic and biologic–JAK inhibitor combination therapy in refractory systemic autoinflammatory diseases

Semin Arthritis RheumPublished Retrospective cohort study

Authors' conclusion

ACT offers significant clinical benefits for patients with difficult-to-treat SAIDs, though challenges such as secondary loss of efficacy and infection risks remain.

Study context

Population
Patients with refractory systemic autoinflammatory diseases (SAIDs) treated with advanced combination therapy (median age 30 years [range 4–76])65 advanced combination therapy (ACT) regimens
Participants
38 patients
Outcome
Treatment response: composite of corticosteroid dose, C-reactive protein (CRP) and clinical improvement, categorised as non-response, partial response or complete response
Methodological detailsobservational, longitudinal
  • Observational
  • Longitudinal

Main finding

As reported in the abstract

Treatment response after multiple ACT trials

Complete response

21 patients

55.3%

Partial response

12

31.6%

No response

5

13.1%

Observational data: associations, not effects.

Further findings

OutcomeValues
Remaining on ACT at final follow-upACT 68%
Remaining on ACT at final follow-up — Median treatment duration (range)
60 months (range, 11-186)

ACT regimens discontinued (lack of efficacy, secondary loss of response, or AEs)

Regimens discontinued, of 65
39

Original publication

Biologic–biologic and biologic–JAK inhibitor combination therapy in refractory systemic autoinflammatory diseases. Semin Arthritis Rheum. Published 24 August 2026. doi:10.1016/j.semarthrit.2026.153067

Composed by AI from the published abstract and checked against it. How Briefs are made →

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