ACR Meeting Abstracts

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  • Abstract Number: 349 • 2018 ACR/ARHP Annual Meeting

    Improving the Performance of the Spanish Version of QOL-RA

    Carolina Ayelen Isnardi1, Dafne Capelusnik2, Emilce E Schneeberger3, María de los Angeles Correa4, Romina Lim5, María Hu5, María Janina Tapia6, Eduardo Mario Kerzberg7, Eliana Soledad Blanco8, Federico Lujan Benavidez8, Luciana Gonzalez Lucero9, Ana Lucia Barbaglia9, Marcela Bazzarelli10, Hernán Maldonado Ficco11, Silvana Karina Pérez12, Claudia Hartvig13, Mariana Salcedo14 and Gustavo Citera15, 1Reumatology, Instituto de Rehabilitación Psicofísica, CABA, Argentina, 2Reumatology, Instituto de Rehabilitación Psicofísica, Argentina, CABA, Argentina, 3Instituto de Rehabilitación Psicofísica, Buenos Aires, Argentina, 4Rheumatology Section, Instituto de Rehabilitación Psicofísica, Buenos Aires, Argentina, 5Reumatology, Hospital Penna, CABA, Argentina, 6Reumatology, Hospital General de Agudos José María Ramos Mejía, Buenos Aires, Argentina, 7Department of Rheumatology, Hospital General de Agudos José María Ramos Mejía, Buenos Aires, Argentina, 8Reumatology, Hospital General de Agudos Dr. Cosme Argerich, CABA, Argentina, 9Hospital Angel C. Padilla, Tucuman, Argentina, 10Reumatology, Hospital Interzonal General de Agudos Petrona V. de Cordero, Buenos Aires, Argentina, 11Rheumatology Section, Hospital San Antonio de Padua, Río Cuarto- Córdoba, Argentina, 12Rheumatology Section, Hospital General de Agudos Dr. Enrique Tornú, CABA, Argentina, 13Rheumatology Section, Hospital Provincial de Rosario, Rosario-Santa Fe, Argentina, 14Reumatology, San Nicolás, Buenos Aires, Argentina, 15Rheumatology Section, Instituto de Rehabilitación Psicofísica, CABA, Argentina

    Background/Purpose: We have recently validated the Quality of Life-Rheumatoid Arthritis Scale (QOL-RA). Redundancy between questions Nº 3 and Nº 6 was observed, and it was…
  • Abstract Number: 350 • 2018 ACR/ARHP Annual Meeting

    Clinical Correlates of Immune-Related Adverse Events for Patients with Melanoma Treated with Checkpoint Inhibitors and a Noted Significant Difference in Peripheral Lymphocyte Counts

    Pankti Reid1, Tara Chongsuwat2, Anisha Dua3 and Jason Luke4, 1Internal Medicine, rheumatology, University of Chicago, Chicago, IL, 2Oncology Research Coordinator, University of Chicago, Chicago, IL, 3Medicine, University of Chicago, Chicago, IL, 4Hematology Oncology, University of Chicago, Chicago, IL

    Background/Purpose: Checkpoint immunotherapy has become the standard of care in treating advanced melanoma. These medications have been associated with immune-related adverse events (irAEs). Accurate methods…
  • Abstract Number: 351 • 2018 ACR/ARHP Annual Meeting

    Rheumatic Immune-Related Adverse Events in Patients on ANTI-PD-1 Inhibitors: Fasciitis with Myositis Syndrome As a New Rheumatic Complication of Immunotherapy

    Francisco Javier Narváez1, Pablo Juárez2, Judit Lluch2, Jose Antonio Narvaez3, Ramón Palmero4, Xavier Garcia del Muro4, Joan Miquel Nolla2 and Eva Domingo-Domenech5, 1Rheumatology Department, Hospital de Bellvitge. Barcelona. Spain, L’Hospitalet de Llobregat, Spain, 2Rheumatology, Hospital Universitario de Bellvitge, Barcelona, Spain, 3Radiology, Hospital Universitari de Bellvitge, Barcelona, Spain, 4Medical Oncology., Institut Català d'Oncologia. Hospital Duran i Reynals., Barcelona, Spain, 5Hematology, Institut Català d'Oncologia. Hospital Duran i Reynals, Barcelona, Spain

    Background/Purpose: To evaluate the prevalence and type of rheumatic immune-related adverse events (IRAEs) in patients receiving programmed cell death protein-1 (PD-1) inhibitors. Methods: This is…
  • Abstract Number: 352 • 2018 ACR/ARHP Annual Meeting

    Polymyalgia Rheumatica-like Syndrome from Checkpoint Inhibitor Therapy: Case Series and Systematic Review of the Literature

    Cassandra Calabrese1, Elizabeth Kirchner1 and Leonard H. Calabrese2, 1Rheumatic & Immunologic Disease, Cleveland Clinic Foundation, Cleveland, OH, 2Rheumatic & Immunologic Disease and Infectious Disease, Cleveland Clinic Foundation, Cleveland, OH

    Background/Purpose: Rheumatic immune related adverse events (irAEs) from checkpoint inhibitor (ICI) therapy remain poorly understood. In our early experience with rheumatic irAEs we encountered patients…
  • Abstract Number: 353 • 2018 ACR/ARHP Annual Meeting

    Immune-Related Adverse Events Associated with Immunotherapy in Solid Organ Tumors. Study of 102 Cases from a Referral Single Center for Last 3 Years

    José Luis Martín-Varillas1, Íñigo González-Mazón1, Belén Atienza-Mateo1, Marina Delagado Ruiz2, Isabel Bernat Piña2, Diana Prieto Peña3, Monica Calderón Goercke3, Lara Sánchez-Bilbao1, Eva Peña Sainz-Pardo2, Almudena García Castaño2, Miguel Angel González-Gay2 and Ricardo Blanco1, 1Rheumatology, Hospital Universitario Marqués de Valdecilla. IDIVAL. Santander. Universidad de Cantabria. Spain, Santander, Spain, 2Hospital Universitario Marqués de Valdecilla. IDIVAL. Santander. Universidad de Cantabria. Spain, Santander, Spain, 3Rheumatology, Rheumatology. Hospital Universitario Marqués de Valdecilla. IDIVAL. Santander. Universidad de Cantabria. Spain, Santander, Spain

    Background/Purpose: Immune checkpoint blockade therapy (ICTB) has shown remarkable benefit in different cancer types. Blockade of intrinsic down-regulators of immunity increases the activity of the…
  • Abstract Number: 354 • 2018 ACR/ARHP Annual Meeting

    Rheumatic Complications of Immune Checkpoint Inhibitor Therapy: A Single Center Experience

    Mazen Nasrallah1, Meghan Mooradian2, Eli Miloslavsky3, Justine Cohen2, Justin Gainor2, Donald Lawrence2, Kerry Reynolds2, Minna Kohler4, Ryan Sullivan2 and Sara Schoenfeld1, 1Division of Rheumatology, Allergy and Immunology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, 2Division of Hematology and Oncology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, 3Division of Rheumatology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, 4Division of Rheumatology, Allergy, and Immunology, Massachusetts General Hospital, Harvard Medical School, Boston, MA

    Background/Purpose: Immune checkpoint inhibitors (ICIs) have led to improved outcomes in multiple cancers, but they are associated with immune-related adverse events (irAEs), including inflammatory arthritis.…
  • Abstract Number: 355 • 2018 ACR/ARHP Annual Meeting

    Association of HLA-DRB1 Shared Epitope Alleles with Immune Checkpoint Inhibitor-Induced Inflammatory Arthritis

    Laura C. Cappelli1, Mehmet Tevfik Dorak2, Clifton O. Bingham III3 and Ami A. Shah1, 1Division of Rheumatology, Johns Hopkins University School of Medicine, Baltimore, MD, 2Kingston University London, Kingston upon Thames, United Kingdom, 3Rheumatology, Johns Hopkins University School of Medicine, Baltimore, MD

    Background/Purpose: Immune checkpoint inhibitors (ICI), an important type of cancer therapy, can cause adverse events through immune activation. Inflammatory arthritis (IA) due to ICI treatment…
  • Abstract Number: 356 • 2018 ACR/ARHP Annual Meeting

    Immune Related Adverse Events from Immune Checkpoint Inhibitors: A Retrospective Analysis from 2004-2017 at the University of North Carolina at Chapel Hill

    Rachel Romero1, Todd Schwartz2, Shruti Saxena Beem1 and Rumey Ishizawar3, 1Division of Rheumatology, Allergy and Immunology and the Thurston Arthritis Research Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, 2Department of Biostatistics, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, 3Division of Rheumatology, Allergy, and Immunology and Thurston Arthritis Research Center, University of North Carolina at Chapel Hill, Chapel Hill, NC

    Background/Purpose: Immune checkpoint inhibitors (ICI) targeting CTLA-4, such as ipilimumab (anti-CTLA4), or PD-1/PD-L1, such as nivolumab and pembrolizumab are increasingly utilized in a wide variety…
  • Abstract Number: 357 • 2018 ACR/ARHP Annual Meeting

    Musculoskeletal Immune-Related Adverse Events with Use of Checkpoint Inhibitors in Malignancy: Experience in Sydney, Australia

    Abhishikta Dey1,2, Nicholas Manolios3,4, Georgina Long4,5,6, Richard Kefford3,4,5,7 and Leslie Schrieber8,9, 1Pain Medicine, Royal Prince Alfred Hospital, Camperdown, Australia, 2Royal North Shore Hospital, North Sydney, Australia, 3Westmead Hospital, Sydney, Australia, 4University of Sydney, Sydney, Australia, 5Melanoma Institute Australia, North Sydney, Australia, 6Royal North Shore Hospital, St Leonards, Australia, 7Macquarie University Hospital, Sydney, Australia, 8Royal North Shore Hospital, St Leonards, Sydney, Australia, 9Northern Clinical School, University of Sydney, Sydney, Australia

    Background/Purpose: The strategy of using monoclonal antibodies to inhibit checkpoints on T cells, and enhance T-cell activity against cancer cells has significantly improved the survival…
  • Abstract Number: 358 • 2018 ACR/ARHP Annual Meeting

    Immunophenotypic Analysis of T Cells from Leukemia Patients with Immune Checkpoint Inhibitor-Associated Respiratory Complications

    Sang Kim1, Vickie Shannon2, Ajay Sheshardi2, Hagop Kantarjian3, Guillermo Garcia-Manero3, Farhad Ravandi3, Aung Naing4, Padmanee Sharma5, Jin Im6, Wilfredo Ruiz Vazquez6, Adi Diab7, Dimitrios Kontoyiannis8, Andrew Futreal9 and Naval Daver3, 1General Internal Medicine, MD Anderson Cancer Center, Houston, TX, 2Pulmonary Medicine, MD Anderson Cancer Center, Houston, TX, 3Leukemia, MD Anderson Cancer Center, Houston, TX, 4Investigational Cancer Therapeutics, MD Anderson Cancer Center, Houston, TX, 5Genitourinary Medical Oncology, MD Anderson Cancer Center, Houston, TX, 6Stem Cell Transplantation, MD Anderson Cancer Center, Houston, TX, 7Melanoma Medical Oncology, Department of Melanoma Medical Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA, Houston, TX, 8Infectious Diseases, MD Anderson Cancer Center, Houston, TX, 9Genomic Medicine, MD Anderson Cancer Center, Houston, TX

    Background/Purpose: Immune checkpoint inhibitor (ICI)-based combinations are showing encouraging results in acute myeloid leukemia (AML) and myelodysplastic syndrome (MDS) treatment; however, ICIs can cause immune-related…
  • Abstract Number: 359 • 2018 ACR/ARHP Annual Meeting

    Characterization of Lymphoid Cells in Synovial Fluid from Cancer Patients with Immunotherapy-Induced Arthritis

    Sang Kim1, Jean Tayar1, Huifang Lu1, Jennifer Wang2, Don Gibbons3, Guillermo Garcia-Manero4, Patrick Hwu5, Adi Diab5 and Roza Nurieva6, 1General Internal Medicine (Rheumatology), MD Anderson Cancer Center, Houston, TX, 2Genitourinary Medical Oncology, MD Anderson Cancer Center, Houston, TX, 3Thoracic/Head and Neck Medical Oncology, MD Anderson Cancer Center, Houston, TX, 4Leukemia, MD Anderson Cancer Center, Houston, TX, 5Melanoma Medical Oncology, MD Anderson Cancer Center, Houston, TX, 6Immunology, MD Anderson Cancer Center, Houston, TX

    Background/Purpose: Checkpoint inhibitors (ICIs) are revolutionizing cancer treatment; however, ICI therapy is associated with immune-related adverse events (irAEs). irAEs can be life-threatening and/or severely impair…
  • Abstract Number: 360 • 2018 ACR/ARHP Annual Meeting

    Sarcoidosis Induced By Immune Check Point Inhibitors

    Noémie Chanson1, Pauline Pradère2, Anne-Laure Voisin3, Stéphane Champiat4, Aurélien Marabelle4 and Olivier Lambotte5, 1Internal Medicine, Hopital Bicetre, LE KREMLIN BICETRE, France, 2Hopital Marie Lannelongue, Le Plessis Robinson, France, 3Unité Fonctionnelle de Pharmacovigilance, Gustave Roussy Institut, Villejuif, France, 4Drug Development Department, Gustave Roussy Institut, Villejuif, France, 5Internal Medicine, Hopital Kremlin Bicêtre, Kremlin Bicêtre, France

    Background/Purpose: Immune check point inhibitors (ICIs) targeting programmed cell death-1 (PD-1) and cytotoxic T-lymphocyte associated protein 4 (CTLA-4) have demonstrated improved survival for multiple cancers…
  • Abstract Number: 361 • 2018 ACR/ARHP Annual Meeting

    Risk Factors of Immune-Related Adverse Events in Patients Treated with Anti-Programmed Cell Death 1 Antibody Pembrolizumab

    In Young Kim1, Yeonghee Eun1, Hyungjin Kim1, Joong Kyong Ahn2, Eun-Jung Park3, Chan Hong Jeon4, Jinseok Kim5, Hoon-Suk Cha1, Eun-Mi Koh1 and Jaejoon Lee1, 1Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea, Republic of (South), 2Department of Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea, Republic of (South), 3Department of Medicine, National Medical Center, Seoul, Korea, Republic of (South), 4Department of Medicine, Soonchunhyang University College of Medicine, Bucheon, Korea, Republic of (South), 5Department of Medicine, Jeju National University Hospital, University of Jeju School of Medicine, Jeju, Korea, Republic of (South)

    Background/Purpose: Immune checkpoint inhibitors have been established as a novel standard treatment for various types of malignancies. However, these new class of drugs have led…
  • Abstract Number: 362 • 2018 ACR/ARHP Annual Meeting

    Immune Check Point Inhibitors, Auto-Antibodies, and Immune Adverse Reactions

    Aradhna Agarwal1, Alexa Meara2 and Dight Owen3, 1The Ohio State University Collge of Medicine, Columbus, OK, 2Internal Medicine/Rheumatology, The Ohio State University Wexner Medical Center, Columbus, OH, 3Oncology, The Ohio State Univeristy Wexner Medical Center, Columbus, OH

    Background/Purpose: Immune checkpoint inhibitors (ICI) targeting cytotoxic T lymphocyte antigen 4 (CTLA-4) and programmed cell death 1 (PD-1) and its ligand PD-L1 have had substantial…
  • Abstract Number: 363 • 2018 ACR/ARHP Annual Meeting

    Immune-Related Adverse Events in Cancer Immunotherapy: How Often Do We See Them?

    Valeria Scaglioni1, Marina Scolnik1, Jose Maria Lastiri2, Lorena Lupinacci2 and Enrique R Soriano1, 1Rheumatology Unit, Internal Medicine Service. Hospital Italiano Buenos Aires. Argentina, Buenos Aires, Argentina, 2Oncology Service. Hospital Italiano Buenos Aires. Argentina, Buenos Aires, Argentina

    Background/Purpose: Over the years there has been a huge effort to change the traditional way to treat cancer, that was previously based on chemotherapy and/or…
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