Peer Exchange

Ryan Haumschild, PharmD, MS, MBA, CPEL; Gerald Appel, MD; Andrew S. Bomback, MD; and Jared Hassler, MD, discuss IgA nephropathy, a progressive kidney disease characterized by IgA antibody deposits in the mesangium, examining its 4-hit pathogenesis cascade, clinical presentation, diagnostic challenges, treatment evolution from supportive care to targeted therapies addressing specific disease mechanisms, economic impact across disease stages, and the importance of early intervention to delay progression to end-stage kidney disease while improving patient outcomes and quality of life.

Ryan Haumschild, PharmD, MS, MBA; Thomas M. Hooton, MD; Wendy Cheng, PhD, MPH; Debra Fromer, MD; and Katie S. Murray, DO, discuss how uncomplicated urinary tract infection (UTI) management is evolving through new antibiotics such as pivmecillinam, sulopenem etzadroxil/probenecid, and gepotidacin to address growing resistance issues while emphasizing personalized approaches, prevention strategies, antimicrobial stewardship, and the socioeconomic impact of treatment failures across diverse patient populations.

Experts discuss recent bispecific antibody approvals and clinical applications, address operational challenges in implementation—including barriers in community practice and the management of cytokine release syndrome—and consider the potential of these therapies in expanding treatment options and improving patient access.

Kavita V. Nair, PhD; B. Joy Snider, MD, PhD; Cynthia Lawlor, MD, MPH; and Rhonna Shatz, DO, discuss how Alzheimer disease management is evolving through improved screening, specialized care pathways, emerging amyloid-targeting therapies, standardized monitoring approaches, and strategies to address financial barriers while maintaining optimism for future treatment advances.

A discussion exploring how bronchiectasis involves a vicious cycle of airway damage, where neutrophilic inflammation leads to bronchial wall destruction and dilation, while explaining that diagnosis relies primarily on high-resolution CT imaging showing bronchial wall thickening and dilated airways, distinguishing it from COPD's emphysematous changes.

Melody Chang, MBA, RPh, BCOP; Andre D. Harvin, PharmD, MS, MBA; Kirollos S. Hanna, PharmD, BCPS, BCOP, FACCC, FAPO; Brian Mulherin, MD; and Ashley Hall, PharmD, discuss comprehensive approaches to iron deficiency anemia (IDA), from its pathophysiology and diagnosis through various treatment options such as oral and intravenous iron formulations, while addressing challenges such as hypophosphatemia, treatment adherence, insurance barriers, and future directions in patient care, emphasizing the importance of individualized treatment strategies and monitoring protocols to optimize outcomes.

Panelists discuss how recent advancements, particularly the introduction of Janus kinase JAK inhibitors, are reshaping the treatment landscape for Aalopecia Aareata, offering new therapeutic options and addressing unmet needs in both efficacy and patient care.

Callie Coombs, MD; Matthew Davids, MD, MMSc; Seema Bhat, MD; and Lori Leslie, MD, discuss venetoclax-obinutuzumab therapy, pirtobrutinib’s progression-free survival data from the BRUIN CLL-321 trial at ASH 2024, Bruton tyrosine kinase (BTK) inhibitor safety profiles, cost considerations under the Inflation Reduction Act, and clinical strategies for managing BTK inhibitor toxicity.

Panelists discuss how innovative neurokinin-targeted therapies for vasomotor symptoms can reshape menopause management and address unmet needs and improving patient outcomes while highlighting the importance of equity in treatment access.

Experts examine the evolving landscape of HER2-directed therapies in non–small cell lung cancer (NSCLC), discussing their efficacy, safety, and integration into clinical practice, while considering emerging treatments, patient selection criteria, real-world outcomes, and strategies to balance access, cost, and value in managed care settings.

Ryan Haumschild, PharmD, MS, MBA; Anne Chiang, MD, PhD; Afshin Dowlati, MD; Jacob Sands, MD; and Wade Iams, MD, explore recent advances in small cell lung cancer (SCLC) management, discussing staging, treatment options across disease stages, emerging therapies, biomarker testing, and strategies to overcome challenges in diagnosis and care delivery.

Biosimilar utilization considerations in the current health care landscape are explored by an esteemed panel of medical professionals.

A panel of experts discusses the evolving treatment landscape for chronic spontaneous urticaria.

A panel of experts discuss chronic lymphocytic leukemia, focusing on the integration of Bruton tyrosine kinase inhibitors into the treatment landscape, the economic and access considerations of BTK inhibitor therapy, and future directions and ongoing research opportunities in the management of CLL.

Key opinion leaders discuss treatment for patients diagnosed with metastatic NSCLC without driver mutations.

Kirollos Hanna, PharmD, BCPS, BCOP, FACCC, leads an expert panel in a discussion highlighting recent updates for use of CDK4/6 inhibitors in high-risk early breast cancer.

Expert perspectives surrounding the management of patients diagnosed with advancing myelodysplastic syndrome.

Expert perspectives surrounding the management of patients diagnosed with advancing myelodysplastic syndrome.

A panel of experts have a comprehensive discussion on RSV, highlighting risk factors, complications, and the benefits of vaccination.

In this AJMC peer exchange program, Dr. Ryan Haumschild and a panel of experts, including Dr. Jamie Koprivnikar, Dr. Brian Mulherin, and Dr. David Dingli, discuss Paroxysmal Nocturnal Hemoglobinuria (PNH), focusing on its pathophysiology, complement inhibitors, treatment strategies, and the challenges of managing this rare, life-threatening disorder.

Robert O'Brien, RPh; Diana Brixner, PhD; Ashley Peterson, MHA; and Paul Jeffrey, PharmD, discuss the current state of prescription digital therapeutics (PDTs) adoption and explore strategies for increasing payer approval and widespread coverage of PDTs.

A panel of experts on Alzheimer disease discuss the evolving treatment landscape, focusing on cost considerations and the disease’s impact on patients, families, and caregivers.

A panel of experts provide an overview of gene therapy, review recently approved gene therapies for rare diseases such as hemophilia, spinal muscular atrophy, and Duchenne muscular dystrophy, and discuss managed care considerations, focusing on the growing pipeline of therapies.

A panel of experts dive into the clinical characteristics and heterogeneity of desmoid tumors, the importance of a multidisciplinary approach in both community-based and academic settings, and the profound impact of desmoid tumors on patients' quality of life.

Stephanie L. Graff, MD, provides insights on the evolving treatment landscape in ER+/HER2- metastatic breast cancer, focusing on ESR1 mutations and oral SERDs.

Led by Ryan Haumschild, PharmD, MS, MBA, CPEL, a panel of experts highlight keyoperational considerations for bispecific antibodies in cancer treatment.