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Zahir Amoura

Zahir Amoura

Professor of internal medicine at AP-HP Pitié-Salpêtrière, Paris; head of the Internal Medicine Department and the French National Lupus Reference Center.

Sep 25, 2026

3:53
So Zair, what do you think that were the discussion points of the debate?
4:02
Well, we had a very fine debate.
4:05
between the two highly distinguished opponents.
4:08
And as you said, the question raised whether biologics should be introduced early in the therapeutic strategy for lupus, which is a main issue for the lupus management.
4:20
As you say, Marie Legato argued that biologics should no longer automatically be reserved until after conventional immunosuppressants fail.
4:31
She emphasized that early treatment might mean introducing targeted therapy before conventional immunosuppression, before measurable damage occurs, or within the early years of the disease.
4:45
Earlier targeted therapy may accelerate remission and renal response, reduce flares and glucocorticoid exposure, She also presented observational and postdoc evidence suggesting that early belimumab-based strategies may improve outcomes while acknowledging questions of cost and access.

12 MINS LATER

16:52
Zahir, do you have comments?

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