Executive Summary: The 2025 British Society for Rheumatology guideline for the treatment of axial spondyloarthritis with biologic and targeted synthetic DMARDs

Sizheng Steven Zhao, Stephanie R. Harrison, Ben Thompson, Max Yates, Joe Eddison, Antoni Chan, Nick Clarke, Nadia Corp, Charlotte Davis, Lambert Felix, Kalveer Flora, William J. Gregory, Gareth T. Jones, Christopher A. Lamb, Helena Marzo-Ortega, Daniel J. Murphy, Harry Petrushkin, Virinderjit Sandhu, Raj Sengupta, Stefan SiebertDanielle A. Van Der Windt, Dale Webb, Zenas Z. N. Yiu, Karl Gaffney

Research output: Contribution to journalArticlepeer-review

Abstract

Background and rationale for guideline development: Axial spondyloarthritis (axSpA) is a chronic inflammatory condition that predominantly affects the spine and sacroiliac joints [1]. It can also involve peripheral joints and entheses, and extra-musculoskeletal manifestations (EMMs) such as acute anterior uveitis, psoriasis and IBD. Since the previous version of the British Society for Rheumatology (BSR) axSpA guideline [2], which only included TNF inhibitors, pharmacological treatment options and strategies for axSpA have expanded, alongside rapid advancements in the treatment of EMMs as index conditions. In this increasingly complex and evolving therapeutic landscape, we aimed to update the guideline for health professionals in the UK who care for adults with axSpA.
Original languageEnglish
Pages (from-to)3234-3241
Number of pages8
JournalRheumatology
Volume64
Issue number6
Early online date9 Apr 2025
DOIs
Publication statusPublished - Jun 2025

Keywords

  • axSpA, ankylosing spondylitis
  • biologics
  • extra-musculoskeletal manifestations
  • guideline
  • inflammatory bowel disease
  • management
  • psoriasis
  • recommendations
  • targeted synthetic DMARDs
  • treatment
  • uveitis

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