Treating to target in axial spondyloarthritis: defining the target and the arrow

Daniel Wendling1

  • 1Department of Rheumatology, CHRU de Besançon, University Teaching Hospital, and Université de Franche-Comté, Boulevard Fleming, F-25030, Besançon, France.

Insights

The treat-to-target strategy for axial spondyloarthritis needs clear remission definitions. New therapies targeting IL-23 and IL-17 offer improved treatment possibilities.

Area of Science:

  • Rheumatology
  • Immunology

Background:

  • The treat-to-target (T2T) concept is proposed for axial spondyloarthritis (axSpA).
  • T2T aims to achieve and maintain disease remission in axSpA patients.

Discussion:

  • Consensus definitions for remission and flare in axSpA are currently lacking.
  • These definitions are crucial for validating the T2T strategy and the window of opportunity hypothesis.

Key Insights:

  • Lack of standardized definitions hinders the validation of T2T in axSpA.
  • Emerging biologic targets like IL-23 and IL-17 are expanding therapeutic options.

Outlook:

  • Further research is needed to establish clear remission and flare criteria for axSpA.
  • Advancements in targeted therapies promise more effective management of axial spondyloarthritis.

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