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 Giant Cell Arteritis: Timely Diagnosis and Emerging Treatment Strategies  Giant Cell Arteritis: Timely Diagnosis and Emerging Treatment Strategies

Giant Cell Arteritis: Timely Diagnosis and Emerging Treatment Strategies - PowerPoint Presentation

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Uploaded On 2020-04-04

Giant Cell Arteritis: Timely Diagnosis and Emerging Treatment Strategies - PPT Presentation

Overview of GCA Overview of GCA cont Epidemiologic Factors Related to GCA Headache Visual Signs and Symptoms Optic Disc in GCA Vision Loss in GCA Jaw C laudication The PMR Connection Diagnosing GCA ID: 775380

gca tcz stain ultrasound gca tcz stain ultrasound normal cont ustekinumab wall overview arteritis amp giacta elastin evidence halo

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Presentation Transcript

Slide1

Giant Cell Arteritis: Timely Diagnosis and Emerging Treatment Strategies

Slide2

Overview of GCA

Slide3

Overview of GCA (cont)

Slide4

Epidemiologic Factors Related to GCA

Slide5

Headache

Slide6

Visual Signs and Symptoms

Slide7

Optic Disc in GCA

Slide8

Vision Loss in GCA

Slide9

Jaw Claudication

Slide10

The PMR Connection

Slide11

Diagnosing GCA

Slide12

Normal TA, 4X, H&E Stain

Slide13

Normal TA, 4X, Elastin Stain

Slide14

TA, 4X, H&E Stain: Evidence of Arteritis

Slide15

TA, 4X, Elastin Stain: Evidence of Arteritis

Slide16

Ultrasound: Normal TA, Right Parietal Ramus

Slide17

Ultrasound: Normal Right Parietal Ramus

Slide18

Ultrasound: Hypoechoic Circumferential Wall Thickening Due to Vasculitic Wall Edema -- Halo Sign

Slide19

Ultrasound: Left Mid-Subclavian Artery With Hypoechoic Wall Edema and Halo Sign

Slide20

Fused PET CT: Increased FDG Uptake in Ascending and Descending Aorta Walls

Slide21

Diagnostic Algorithm for GCA

Slide22

Conventional Treatments

Slide23

Steroids: Not Effective in Long-Term Disease Control (GiACTA)

Slide24

Methotrexate in GCA

Slide25

Infliximab in GCA

Slide26

New Knowledge on Pathophysiology of GCA

Slide27

Emerging Treatments: TCZ

Slide28

Relapse-Free Survival After Stopping TCZ

Slide29

GiACTA Trial

Slide30

Sustained Remission Primary and Key Secondary Endpoints

Slide31

Sensitivity Analysis

Slide32

Time to First Flare Following Clinical Remission

Slide33

Steroid Dosing, Without TCZ

Slide34

TCZ Had Significant Steroid-Sparing Effect

Slide35

Safety Overview

Slide36

IL-12/23 Inhibitor: Ustekinumab

Slide37

IL-23 Inhibitor: Ustekinumab (cont)

Slide38

Ustekinumab: Conclusions

Slide39

Concluding Remarks

Slide40

Abbreviations

Slide41

Abbreviations (cont)