Peer Exchange

4 experts are featured in this series.

This program brings together leading nephrologists to discuss the evolving landscape of IgA nephropathy, highlighting advances in understanding disease mechanisms and the emergence of targeted therapies. The panel reviews key clinical data, explores the role of novel treatment strategies such as B-cell modulation, and examines how these innovations may reshape modern patient management.

Four experts featured in this series.

Panel of experts will discuss the persistent cardiovascular risk among patients with a history of ASCVD events and the importance of LDL-lowering in secondary prevention. Experts also evaluate current and emerging PCSK9-targeting therapies and share practical strategies for integrating PCSK9 inhibition into post-event lipid management to achieve optimal LDL-C control and improve long-term outcomes.

4 experts are featured in this series.

This series brings together experts to discuss advances in the early recognition, diagnosis, and treatment of transthyretin amyloid cardiomyopathy (ATTR-CM). The panel highlights evolving evidence on TTR stabilizers and gene-silencing therapies, as well as emerging clinical data that are shaping future approaches to improving outcomes and quality of life for patients with ATTR-CM.

2 KOLs are featured in this series.

This series brings together expert clinicians to examine evolving strategies in psoriatic disease management. Through discussions on early systemic intervention, the role of IL-17 inhibitors, shared inflammatory pathways, and preventive treatment approaches, the program highlights a proactive, multidisciplinary model focused on achieving sustained remission, improving quality of life, and reducing the risk of psoriatic arthritis progression.

3 experts are featured in this series.

In this HCPLive Peer Exchange, Linda Stein Gold, MD, moderates a dynamic discussion with Jennifer Soung, MD, and David Cotter, MD, exploring how recent advances in psoriasis and psoriatic arthritis research are transforming patient management. The panel examines persistent treatment gaps, evolving patient preferences favoring oral options, and new guideline updates redefining “topical failure.” They highlight pivotal data from EADV 2025, including the ICONIC-ADVANCE and ICONIC-LEAD trials of icotrokinra (ICO)—a first-in-class oral IL-23 receptor antagonist—and the APEX study of guselkumab in psoriatic arthritis, which demonstrated significant inhibition of radiographic progression. The discussion emphasizes patient-centered, mechanism-driven approaches to psoriasis and PsA care, underscoring how emerging oral and biologic therapies are reshaping treatment paradigms

Four experts discuss advancing HFpEF treatment with novel MRAs.

Four panelist discusses how advancing diagnostic precision, integrating novel MRAs like finerenone, and addressing real-world barriers in access and adherence are transforming HFpEF care and improving patient outcomes.

3 experts in this video

Panelists discuss how IL-17 inhibitors have emerged as first-line treatment options for moderate to severe hidradenitis suppurativa, with long-term data demonstrating sustained efficacy over 2 years, manageable cutaneous adverse effects, and the potential for combination with surgery and other systemic therapies to optimize patient outcomes.

3 experts are featured in this series.

Evan Dellon, MD, MPH; Glenn Furuta, MD; Bryan Sauer, MD, MSc, and Joy Chang, MD, MS, discuss how eosinophilic esophagitis (EoE) presents with dysphagia and adaptive eating behaviors in adults and children and requires endoscopic diagnosis with biopsies showing 15 or more eosinophils per high-power field. It can be effectively managed through shared decision-making between first-line therapies including proton pump inhibitors; topical swallowed steroids such as budesonide oral suspension; and elimination diets, with step-up options such as dupilumab for refractory cases and esophageal dilation for fibrostenotic complications.

4 experts in this video

Jared Butler, MD, MPH, MBA; Vivian Fonseca, MD; Lance Sloan, MD; and Michael J. Bloch, MD, discuss how to effectively manage resistant hypertension through a comprehensive approach that includes differentiating true resistance from pseudoresistance; implementing lifestyle modifications and optimal medical therapy with ACE inhibitors/ARBs, calcium channel blockers, and diuretics; and incorporating emerging treatments like endothelin receptor antagonists such as aprocitentan, which demonstrated significant blood pressure reduction in the PRECISION trial across diverse patient populations, including those with chronic kidney disease.

Panelists discuss the significance of elevated eosinophils as a biomarker in COPD—highlighting challenges in its measurement and its role in guiding personalized treatment—while navigating current management strategies for eosinophilic COPD, exploring the overlap with asthma through type 2 inflammation and its therapeutic implications, and emphasizing the critical importance of timely care escalation to prevent symptom worsening and improve long-term outcomes.

5 experts in this video

Richard Pratley, MD; Vivian Fonseca, MD, FRCP; Ralph DeFronzo, MD; Richard Auchus, MD, PhD; and Natalie Bellini, DNP, FNP, BC-ADM, CDCES, discuss how the groundbreaking CATALYST trial results revealed that approximately 25% of patients with difficult-to-control diabetes despite optimal medical management have hypercortisolism, representing a treatable cause of treatment-resistant diabetes that can be identified through simple dexamethasone suppression testing and managed with targeted therapies such as mifepristone or surgical intervention for adrenal adenomas.

Sayna Norouzi, MD; Jonathan Barratt, MBChB, PhD, FRCP; Andrew S. Bomback, MD, MPH; Bradley Dixon, MD; and Brendon Neuen, MD, discuss how the diagnostic challenges of C3 glomerulopathy (C3G) are addressed, current treatment strategies are explored, and emerging therapies, including insights from the VALIANT trial, may impact clinical practice.

Panelists discuss how the evolving treatment strategies for ATTR-CM highlight the importance of early diagnosis and intervention, focusing on diagnostic tools to expedite diagnosis and recently approved therapies that can impact clinical practice.

Melodie Young, MSN, AGNP-C, FSDNP, DCNP; TJ Chao, MPAS, PA-C; Leigh Ann Pansch, MSN, FNP-BC, DCNP; and Douglas DiRuggiero, DMSc, MHS, PA-C, discuss how the transformative landscape of atopic dermatitis management now incorporates comprehensive severity assessment, personalized treatment goals, and strategic biologic selection based on mechanism of action, patient characteristics, and response patterns—with dupilumab, lebrikizumab, tralokinumab, and nemolizumab offering targeted approaches that demonstrate both rapid relief and long-term efficacy when optimally monitored and supported with appropriate adherence strategies.

4 experts are featured in this series.

Jason Hawkes, MD, MS; Saakshi Khattri, MD; James Song, MD; and Fabrizio Galimberti, MD, PhD, discuss how comprehensive psoriasis management requires integrating multiple severity assessment tools; considering disease impact beyond body surface area; addressing undertreatment especially in patients with high-impact locations and diverse skin types; recognizing the value of biologics as demonstrated in studies like SPECTREM; and embracing future directions that prioritize personalized approaches, earlier intervention, and quality-of-life outcomes.

Experts discuss the mechanism of action of oral Janus kinase (JAK) inhibitors, the impact of selectivity on efficacy and safety, the long-term safety and efficacy of JAK inhibitors in atopic dermatitis (AD) treatment compared with other disease states, and the latest data for the 2 oral JAK inhibitors approved for AD and their implications for treatment.

Brad P. Glick, DO, MPH, FAAD; Zed Zha, MD, FAAFP; Charles Vega, MD, FAAFP; Mona Shahriari, MD, FAAD, and Michael R. Nazareth, MD, PhD, FAAD, discuss reviewing strategies for diagnosing atopic dermatitis and determining disease severity in adult patients, exploring the latest data for the use of systemic therapies for adults with atopic dermatitis, and using practical approaches and strategies for comanagement of adult patients with atopic dermatitis between primary care practitioners and dermatologists.

Giselle Mosnaim, MD, MS; Shyam Joshi, MD; Mark Lebwohl, MD; and Jason Hawkes, MD, MS, discuss how chronic spontaneous urticaria, driven by both IgE and IgG pathways, may soon be treated with selective Bruton tyrosine kinase inhibitors that show promising efficacy and safety in targeting both mechanisms, potentially filling an important gap between antihistamines and biologics in the treatment landscape.

M. Bradley Drummond, MD, MHS; MeiLan K. Han, MD, MS; Emily Wan, MD, MPH; and Ravi Kalhan, MD, MS, discuss updates and additions in the recently released 2025 Global Initiative for Chronic Obstructive Lung Disease (GOLD) Report. We will review the clinical and economic burden of chronic obstructive lung disease (COPD) and unmet needs in its treatment. We will summarize key changes in the recent GOLD Report and highlight the clinical evidence for 2 new agents, dupilumab and ensifentrine, in treating stable COPD. Finally, we will discuss current GOLD recommendations for using these agents and their expected role in clinical practice.

Panelists discuss multidisciplinary approaches to the management of pediatric atopic dermatitis (AD), including the pathophysiology of AD, the role of type 2 inflammation, and the importance of early diagnosis and referral. They explore the atopic march and its potential links to other allergic diseases, review current treatment options and recent guidelines, and highlight advances in systemic therapies for moderate to severe AD, while addressing challenges related to treatment resistance and evolving strategies to manage pediatric patients.

Panelists discuss how IL-13 targeting biologics, including dupilumab, tralokinumab, and lebrikizumab, are advancing the treatment of atopic dermatitis, improving efficacy, safety, and patient outcomes, while addressing key challenges in diagnosis and treatment selection.

4 experts in this video

Manesh R. Patel, MD; Payal Kohli, MD, FACC; John M. Flack, MD, MPH, FAHA, FASH, MACP, CHS, and C. Michael Gibson, MS, MD, explore the challenges and evolving management strategies for resistant hypertension, including medication adherence, comorbidities like CKD, traditional and novel drug mechanisms like aprocitentan, and the importance of accurate blood pressure measurement, while emphasizing the critical role of the endothelin pathway and comprehensive treatment approaches.