Vasculitis & polymyalgia rheumatica

Exploring relief for Behçet’s disease refractory oral ulcers: a comparison of TNF inhibitors versus apremilast

Rheumatology (Oxford)Published Retrospective cohort study

Authors' conclusion

TNFis and apremilast are both effective for treating BD refractory oral ulcers.

Study context

Population
Behçet's disease (BD) patients treated between December 2016 and December 2021 with TNF inhibitors (TNFis) or apremilast for refractory oral ulcersequally allocated
Participants
78 patients
Exposure
TNFi vs apremilast for refractory oral ulcers of BD
Outcome
Treatment response: absence of oral ulcers
Follow-up
3 and 6 months

Main finding

As reported in the abstract

Oral ulcers
Both groups showed significant oral ulcer reduction at 3 months
P < 0.001
Both groups showed significant oral ulcer reduction at 6 months
P = 0.01

Observational data: associations, not effects.

Further findings

CS-sparing effect · 3 and 6 months

Apremilast had a notable CS-sparing effect by 3 months, persisting through 6 months

Genital ulcers

Both treatments equally effective in reducing genital ulcers

Articular involvement

TNFis showed greater effectiveness

Original publication

Exploring relief for Behçet’s disease refractory oral ulcers: a comparison of TNF inhibitors versus apremilast. Rheumatology (Oxford). Published 30 May 2024. doi:10.1093/rheumatology/keae274

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

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