Manjari Lahiri (@sgrheumer) 's Twitter Profile
Manjari Lahiri

@sgrheumer

Rheumatologist, A/Prof @NUSMedicine 🇸🇬 @NUHSofficial || @AIIMS_NewDelhi ‘90-‘99 🇮🇳 || #RheumTwitter🦴|| #MedEd || Mummy of 2 || Dreamer || Views my own

ID: 228434315

linkhttps://discovery.nus.edu.sg/2787-manjari-lahiri/about calendar_today19-12-2010 18:19:07

495 Tweet

198 Followers

145 Following

Annals of the Rheumatic Diseases (@eular_ard) 's Twitter Profile Photo

✨ Breaking at #ACR24 KN5501 CAR-NK therapy is emerging as a safer and effective alternative to CAR-T for relapsed and refractory SLE patients. ✅ 50% DORIS remission ✅ 68.8% LLDAS (>6 months follow-up) ✅ No Grade ≥2 CRS or ICANS André Ribeiro

✨ Breaking at #ACR24 
KN5501 CAR-NK therapy is emerging as a safer and effective alternative to CAR-T for relapsed and refractory SLE patients.

✅ 50% DORIS remission
✅ 68.8% LLDAS (>6 months follow-up)
✅ No Grade ≥2 CRS or ICANS

<a href="/Dr_AndreRibeiro/">André Ribeiro</a>
Annals of the Rheumatic Diseases (@eular_ard) 's Twitter Profile Photo

🔍 Why CAR-NK therapy works? 💥 Deep B-cell depletion + naïve B-cell reset. 💥 Complement normalization (C3, C4). 💥 Anti-dsDNA antibody reduction. ⚠️ Safety First! ⚠️ 💡 No severe CRS 💡 No ICANS 💡 No major infections André Ribeiro

🔍 Why CAR-NK therapy works?

💥 Deep B-cell depletion + naïve B-cell reset.
💥 Complement normalization (C3, C4).
💥 Anti-dsDNA antibody reduction.

⚠️ Safety First! ⚠️
💡 No severe CRS
💡 No ICANS
💡 No major infections

<a href="/Dr_AndreRibeiro/">André Ribeiro</a>
Manjari Lahiri (@sgrheumer) 's Twitter Profile Photo

Late breaking L17 #ACR24 More excitement in the cellular Rx field! N=22 refractory lupus open label (China) ✨CAR-NK (not T) ✨Allogenic! Avg F/up 7m, max 14m ⬇️ SLEDAI2K, PGA SRI4 ✅ DORIS remission 6m=50-%, 12m=💯 ✨With NO CRS >=2/ ICANS/ infections! Needs replication!

Late breaking L17
#ACR24 

More excitement in the cellular Rx field!
N=22 refractory lupus
open label (China)

✨CAR-NK (not T)
✨Allogenic!

Avg F/up 7m, max 14m

⬇️ SLEDAI2K, PGA
SRI4 ✅
DORIS remission 6m=50-%,  12m=💯

✨With NO CRS &gt;=2/ ICANS/ infections!

Needs replication!
Annals of the Rheumatic Diseases (@eular_ard) 's Twitter Profile Photo

⁉️ CAR-NK therapy will redefine treatments for lupus ⁉️ ✅️ Targeted, very safe immune modulation with off-the-shelf availability. ☢️ As a CAR-T alternative, KN5501 represents a major breakthrough with further studies required to verify this data. André Ribeiro #ACR24

⁉️ CAR-NK therapy will redefine treatments for lupus ⁉️

✅️ Targeted, very safe immune modulation with off-the-shelf availability.

☢️ As a CAR-T alternative, KN5501 represents a major breakthrough with further studies required to verify this data. 
<a href="/Dr_AndreRibeiro/">André Ribeiro</a>
#ACR24
Manjari Lahiri (@sgrheumer) 's Twitter Profile Photo

Late breaking L15 Phil Conaghan #ACR24 Phase 2 DBPCRCT novel neurotrophin NT3 ➖or + Ig = LEVI-4 Knee #OA n = 518, WOMAC >=20, KL >=2 N=518, 3 doses Achieved 1° outcome=change in WOMAC @ 17w stiffness, function, PGA ✅ Without concerning SAE, esp rapidly progressive OA

Late breaking L15
Phil Conaghan
#ACR24 

Phase 2 DBPCRCT
novel neurotrophin NT3 ➖or + Ig = LEVI-4
Knee #OA 
n = 518, WOMAC &gt;=20, KL &gt;=2
N=518, 3 doses
Achieved 1° outcome=change in WOMAC @ 17w
stiffness, function, PGA ✅
Without concerning SAE, esp rapidly progressive OA
Manjari Lahiri (@sgrheumer) 's Twitter Profile Photo

Late breaking L19 Alexei Grom #ACR24 Emapalumab: anti IFN y Ab, MAS in Still’s dz 💡Data pooled from 2 obs studies, n=49, mostly kids ✅ 1° outcome CR of ALL MAS criteria=53%, 69% if LDH excluded, 82% investigator determined remission, 95% survival 👎🏽TEAE = viral infections🦠

Late breaking L19
Alexei Grom
#ACR24 

Emapalumab: anti IFN y Ab, MAS in Still’s dz

💡Data pooled from 2 obs studies, n=49, mostly kids
✅ 1° outcome CR of ALL MAS criteria=53%, 69% if LDH excluded, 82% investigator determined remission, 95% survival

👎🏽TEAE = viral infections🦠
Annals of the Rheumatic Diseases (@eular_ard) 's Twitter Profile Photo

💡 New hope for severe/refractory #SLE: A-319 (CD3 x CD19 TCE) shows rapid and safe immune reset! ✅ Rapid B-cell depletion, autoantibody reduction, & organ improvement by W2 ✅ No CRS or ICANS observed 📊 Could this be a game-changer in SLE therapy? André Ribeiro #ACR24

💡 New hope for severe/refractory #SLE: A-319 (CD3 x CD19 TCE) shows rapid and safe immune reset!

✅ Rapid B-cell depletion, autoantibody reduction, &amp; organ improvement by W2
✅ No CRS or ICANS observed
📊 Could this be a game-changer in SLE therapy?

<a href="/Dr_AndreRibeiro/">André Ribeiro</a> 
#ACR24
Annals of the Rheumatic Diseases (@eular_ard) 's Twitter Profile Photo

#ACR24: The year of cell therapy in autoimmune diseases and redefining Tx paradigms! 🧬 Breakfree-1 CD19 CAR-T therapy shows sustained clinical remission in refractory #SLE and a safer profile. 🔬 Next-gen technology on the way. Stay tuned for more! André Ribeiro

#ACR24: The year of cell therapy in autoimmune diseases and redefining Tx paradigms!

🧬 Breakfree-1 CD19 CAR-T therapy shows sustained clinical remission in refractory #SLE and a safer profile.
🔬 Next-gen technology on the way. Stay tuned for more!

<a href="/Dr_AndreRibeiro/">André Ribeiro</a>
NEJM (@nejm) 's Twitter Profile Photo

Sarcoidosis is a granulomatous disorder that affects people of all racial and ethnic backgrounds. The pathogenesis of sarcoidosis remains incompletely understood. Learn more in the latest Interactive Medical Case: nej.md/3UQ4s6V

Sarcoidosis is a granulomatous disorder that affects people of all racial and ethnic backgrounds. The pathogenesis of sarcoidosis remains incompletely understood. Learn more in the latest Interactive Medical Case: nej.md/3UQ4s6V
Mike Putman (@ebrheum) 's Twitter Profile Photo

All-caps abstract text throw-down by Michelle Petri re:fractures in SLE 😆 I keep saying this; our obsesssion with vitamin d is not commensurate w/reality It's. The. Prednisone. #ACR24 Dr. John Cush Abstr#2679 #ACRBest

All-caps abstract text throw-down by Michelle Petri re:fractures in SLE 😆 

I keep saying this; our obsesssion with vitamin d is not commensurate w/reality 

It's. The. Prednisone.   

#ACR24 <a href="/RheumNow/">Dr. John Cush</a> Abstr#2679 #ACRBest
Manjari Lahiri (@sgrheumer) 's Twitter Profile Photo

So many options 🤩 But let's not forget that early diagnosis, close monitoring, improved adherence to treatment and minimising GC toxicity will probably have a larger impact in terms of absolute patient numbers and reach #LupusNephritis #Lupus

Manjari Lahiri (@sgrheumer) 's Twitter Profile Photo

4-year data from TREAT EARLIER The Lancet Rheumatology ⬇️ risk of seronegative RA for MTX arm (& 💉 IM triamcinolone) How about just the IM 💉 steroid ? Somehow not really convinced that treating with MTX makes sense? What do you think? 🤔 #RheumTwitter thelancet.com/journals/lanrh…

Manjari Lahiri (@sgrheumer) 's Twitter Profile Photo

Day1 #APLAR2025 Focus on #lupus 🦋 The new TRM-SLE tinyurl.com/TRMSLE elegantly elucidated by Eric Morand focusing on indices that alter how patients #feel, #function or #survive And Laurent ARNAUD very energetic talk summarising current lupus trials Exciting times 🤩