A Closer Look at Pemphigus Vulgaris: Clinical Challenges and Emerging Treatments.

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Presentation transcript:

A Closer Look at Pemphigus Vulgaris: Clinical Challenges and Emerging Treatments

Description of Program

This program will include a discussion of investigational agents not approved by the FDA for use in the US.

Overview of Pemphigus Vulgaris

Pemphigus: Autoimmune Blistering Diseases

PV: Presentation

PV: Variants

PV: Clinical Signs and Complications

PV Is an Autoimmune Disease

PV: Health-Related Quality of Life

Pemphigus: Risk Factors for Hospitalization

Summary

A Closer Look at Pemphigus Vulgaris: Diagnosis and Disease Severity Assessment

Red Flags for Pemphigus Vulgaris

Differential Diagnosis: Ulcers of the Oropharyngeal Mucosa

Differential Diagnosis: Widespread Erosions

Differential Diagnosis: Tense Blisters

Laboratory Investigations: Biopsy Content no longer available

Further Laboratory Investigations

Other Investigations to Pursue Before Treatment

Other Investigations to Pursue Before Treatment (cont)

Assessing Disease Severity

Monitoring Treatment Response

Monitoring by Primary Care Provider

Individualize Follow-up to the Patient

Predicting Risk of Relapse

Pemphigus Vulgaris: Current Treatment and Treatment Goals

Treatment Goals for Patients with PV

Corticosteroid Treatment

Initial High-Dose Treatment Required

Mechanism of Action of High-Dose Steroids

Steroid-Sparing Adjuvant Therapies

Grando Protocol for All Patients with PV

Grando Protocol: Example with Rituximab

Grando Protocol: Protect Skin

Grando Protocol: Oral or Esophageal Erosions

Duration of Therapy Before Remission

Rituximab and Other Adjuvant Therapies

Additional Comments

Emerging Treatments for Pemphigus Vulgaris

Many Treatment Strategies Focus on Suppressing the Immune Response

PEMPHIX Trial

Rituximab for PV: Recent Reports

Unanswered Questions About Rituximab

Ritux 3 Trial: Design

Ritux 3 Trial: Results

CAAR T Cells

PRN1008

SYNT1001

Polyclonal Regulatory T Cells(Poly Tregs)

Summary

Abbreviations

Abbreviations (cont)