ACR Meeting Abstracts

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  • Abstract Number: 546 • 2018 ACR/ARHP Annual Meeting

    Baricitinib: Early Vs. Delayed Start in Patients with Rheumatoid Arthritis

    Peter C. Taylor1, Yoshiya Tanaka2, Anabela Cardoso3, Jinglin Zhong4, Yun-Fei Chen3, Jennifer Lynn Workman3, Liliana del Carmen Morales5 and Michael Schiff6, 1Botnar Research Centre, Univ of Oxford, Oxford, United Kingdom, 2University of Occupational and Environmental Health, Kitakyushu, Japan, 3Eli Lilly and Company, Indianapolis, IN, 4IQVIA, Morrisville, NC, 5INStituto Reumatologica Strusberg, Cordoba, Argentina, 6University of Colorado, Greenwood Village, CO

    Background/Purpose: Baricitinib (bari) is an oral JAK1/JAK2 inhibitor approved for the treatment of moderately to severely active RA in adults in over 40 countries including…
  • Abstract Number: 547 • 2018 ACR/ARHP Annual Meeting

    Corticosteroid Bridging Strategies with Methotrexate Monotherapy in Early Rheumatoid and Undifferentiated Arthritis; A Comparison of Efficacy and Toxicity in 2 Clinical Trials

    Elisabeth G. Brilman1, Joy A. van der Pol1, Pascal HP de Jong2,3, Angelique EAM Weel2,3, JMW Hazes2, Tom W.J. Huizinga4 and Cornelia F. Allaart1, 1Rheumatology, Leiden University Medical Center, Leiden, Netherlands, 2Rheumatology, Erasmus Medical Center Rotterdam, Rotterdam, Netherlands, 3Rheumatology, Maasstad Hospital, Rotterdam, Netherlands, 4Department of Rheumatology, Leiden University Medical Center, Leiden, Netherlands

     Background/Purpose: What is the optimal glucocorticoid (GC) bridging therapy with MTX monotherapy in early arthritis? Methods: In trial A, early RA and UA (arthritis in ≥1…
  • Abstract Number: 548 • 2018 ACR/ARHP Annual Meeting

    Persistence in Low Disease Activity or Remission with Etanercept Monotherapy in Patients with Rheumatoid Arthritis: Results from the Corrona Registry

    Dimitrios A. Pappas1, Ying Shan2, Tamara Lesperance3, Sabrina Rebello2, Elaine Karis4, Greg Kricorian4, Winnie Hua5, Neil A. Accortt4 and Scott Stryker4, 1Corrona LLC, Waltham, MA, 2Corrona, LLC, Southborough, MA, 3DOCS Global, Inc., North Wales, PA, 4Amgen Inc., Thousand Oaks, CA, 5Corrona, LLC, Waltham, MA

    Background/Purpose:  Monotherapy with etanercept (ETN) may be a viable therapeutic option for maintenance of patients with rheumatoid arthritis (RA) who prefer to eliminate potential burdens…
  • Abstract Number: 549 • 2018 ACR/ARHP Annual Meeting

    Unmet Treat-to-Target Goals with Available Targeted Immunomodulators in the Management of Rheumatoid Arthritis: Real World Evidence from the Corrona Registry

    Dimitrios A. Pappas1,2, Namita Tundia3, Ying Shan2, Heather J Litman2 and Joel Kremer4, 1Columbia University, New York, NY, 2Corrona, LLC, Southborough, MA, 3AbbVie Inc., North Chicago, IL, 4Albany Medical College and the Center for Rheumatology, Albany, NY

    Background/Purpose: Targeted immunomodulators (TIMs) have revolutionized the therapy of RA and made low disease activity (LDA) a realistic goal for patients. Given the multiple therapy…
  • Abstract Number: 550 • 2018 ACR/ARHP Annual Meeting

    Biologic Discontinuation in Rheumatoid Arthritis: A Population Based Study 1999-2017

    Michael Richter1, Eric L. Matteson2, John M. Davis III2, Sara J. Achenbach3 and Cynthia S. Crowson3, 1Internal Medicine, Mayo Clinic, Rochester, MN, 2Division of Rheumatology, Mayo Clinic College of Medicine and Science, Rochester, MN, 3Health Sciences Research, Mayo Clinic College of Medicine and Science, Rochester, MN

    Biologic discontinuation in rheumatoid arthritis: a population based study 1999-2017.Michael D Richter, Eric L Matteson, John M Davis III, Sara J Achenbach, Cynthia S Crowson…
  • Abstract Number: 551 • 2018 ACR/ARHP Annual Meeting

    Leflunomide As a Concomitant DMARD Choice for the Biological Treatment Era of Rheumatoid Arthritis

    Gezmis Kimyon1, Sedat Kiraz2, Ihsan Ertenli2, Orhan Kucuksahin3, Ediz Dalkiliç4, Cemal Bes5, Nilufer Alpay Kanitez6, Timucin Kasifoglu7, Hakan Emmungil8, Belkıs Nihan Coşkun4, Burcu Yagız4, Suleyman Serdar Koca9, Muhammet Cinar10, Aşkın Ateş11, Servet Akar12, Duygu Ersozlu Bakirli13, Veli Yazisiz14, Nazife Sule Yasar Bilge7, Muge Aydin Tufan15, Ridvan Mercan16, Omer Karadag2, Ayse Bahar Kelesoglu11, Onay Gercik17, Burak Oz9, Zeynel Abidin Akar9, Sedat Yılmaz18, Sezin Turan8, Yavuz Pehlivan4, Ender Terzioglu14, Levent Kilic2, Sukran Erten19, Emre Tekgöz10, Koray Tascilar20 and Umut Kalyoncu2, 1Rheumatology, Hatay Mustafa Kemal University Faculty of Medicine, Hatay, Turkey, 2Rheumatology, Hacettepe University Faculty of Medicine, Ankara, Turkey, 3Rheumatology, Liv Hospital, Ankara, Turkey, 4Rheumatology, Uludag University Faculty of Medicine, Bursa, Turkey, 5Department of Rheumatology, Health Sciences University Dr. Sadi Konuk Training and Research Hospital, Istanbul, Turkey, 6Rheumatology, Bakırköy Dr. Sadi Konuk Training and Research Hospital, İstanbul, Turkey, 7Rheumatology, Eskisehir Osmangazi University Faculty of Medicine, Eskisehir, Turkey, 8Rheumatology, Trakya University Faculty of Medicine, Edirne, Turkey, 9Rheumatology, Firat University Faculty of Medicine, Elazığ, Turkey, 10Rheumatology, Gülhane Military Medical Academy, Faculty of Medicine, Ankara, Turkey, 11Rheumatology, Ankara University Faculty of Medicine, Ankara, Turkey, 12Department of Internal Medicine, Division of Rheumatology,, Izmir Katip Çelebi University Faculty of Medicine, Izmir, Turkey, 13Department of Rheumatology, Adana Numune Training and Research Hospital, Adana, Turkey, 14Rheumatology, Akdeniz University Faculty of Medicine, Antalya, Turkey, 15Rheumatology, Baskent University Faculty of Medicine, Adana, Turkey, 16Rheumatology, Namik Kemal University Faculty of Medicine, Tekirdağ, Turkey, 17Rheumatology, Izmir Katip Çelebi University Faculty of Medicine, Izmir, Turkey, 18Division of Rheumatology, Gülhane Military Medical Academy, Faculty of Medicine, Ankara, Turkey, 19Rheumatology, Yildirim Beyazit University Faculty Of Medicine, Ankara, Turkey, 20Rheumatology, Okmeydani Research and Training Hospital, Istanbul, Turkey

    Background/Purpose: Methotrexate and leflunomide are anchor conventional synthetic DMARDs (csDMARDs) for rheumatoid arthritis (RA) treatment. Although methotrexate is the usual recommended concomitant csDMARD along with…
  • Abstract Number: 552 • 2018 ACR/ARHP Annual Meeting

    Drug Tolerability and Discontinuation Reasons of 7 Biologics in 4466 Treatment Courses of Rheumatoid Arthritis -the Answer Cohort Study-

    Kosuke Ebina1, Makoto Hirao2, Motomu Hashimoto3, Wataru Yamamoto4, Akira Onishi5, Toru Hirano6, Ryota Hara7, Masaki Katayama8, Shuzo Yoshida9, Koji Nagai9, Yonsu Son10, Hideki Amuro10, Kengo Akashi11, Koichi Murata3, Kosaku Murakami12, Keiichi Yamamoto13 and Hideki Yoshikawa14, 1Orthopaedic Surgery, Osaka University Graduate School of Medicine, Suita, Japan, 2Orthopaedic Surgery, Osaka University, Graduate School of Medicine, Suita, Japan, 3Department of Advanced Medicine for Rheumatic Diseases, Graduate School of Medicine, Kyoto University, Kyoto, Japan, 4Department of Health Information Management, Kurashiki Sweet Hospital, Okayama, Japan, 5Department of Rheumatology and Clinical Immunology, Kobe University Graduate School of Medicine, Kobe, Japan, 6Department of Respiratory Medicine and Clinical Immunology, Osaka University Graduate School of Medicine, Suita, Japan, 7The Center for Rheumatic Diseases, Department of Orthopaedic Surgery, Nara Medical University, Kashihara, Japan, 8Department of Rheumatology, Osaka Red Cross Hospital, Osaka, Japan, 9Department of Internal Medicine (IV), Osaka Medical College, Osaka, Japan, 10First Department of Internal Medicine, Kansai Medical University, Osaka, Japan, 11Rheumatology and Clinical Immunology, Kobe University Graduate School of Medicine, Kobe, Japan, 12Department of Rheumatology and Clinical Immunology, Graduate School of Medicine, Kyoto University, Kyoto, Japan, 13Department of Medical Statistics, Osaka City University, Osaka, Japan, 14Department of Orthopedic Surgery, Osaka University Graduate School of Medicine, Suita Osaka, Japan

    Background/Purpose: Drug tolerability indicates both the patient’s and doctor’s satisfaction and useful summary measure of overall treatment effectiveness and toxicity. Although more than 5 years…
  • Abstract Number: 553 • 2018 ACR/ARHP Annual Meeting

    Channeling to Treatment and Associated Changes in Disease Activity Over 12 Months in Patients With RA Treated With Abatacept Versus Other DMARDs in Real-World Community Practice Settings

    Leticia Ferri1, Jeffrey R. Curtis2, Ying Bao1, Evo Alemao1, Tammy Curtice1, Joshua Bryson1, Karissa Lozenski1, Sandhya Balachandar1 and Varshini Rajagopalan3, 1Bristol-Myers Squibb, Princeton, NJ, 2University of Alabama at Birmingham, Birmingham, AL, 3Mu Sigma, Bangalore, India

    Background/Purpose: Abatacept (ABA), a selective T-cell co-stimulatory modulator, has shown efficacy similar to TNF inhibitors (TNFi) for RA management in clinical trial settings, but different…
  • Abstract Number: 554 • 2018 ACR/ARHP Annual Meeting

    Are There Any Associations between ANA Development and Poor Treatment Response to Bdmards in RA Patients?

    Yuki Ishikawa1, Motomu Hashimoto2, Hiromu Ito3, Masao Tanaka2, Naoichiro Yukawa4, Takao Fujii5, Wataru Yamamoto6, Tsuneyo Mimori7 and Chikashi Terao8,9,10, 1One Joslin Place, Joslin Diabetes Center, Harvard Medical School, Boston, MA, 2Department of Advanced Medicine for Rheumatic Diseases, Graduate School of Medicine, Kyoto University, Kyoto, Japan, 3Department of Orthopedic Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Japan, 4Department of Rheumatology and Clinical Immunology, Graduate School of Medicine, Wakayama University, Wakayama, Japan, 5Dept of Rheum/Clinical Immun, Wakayama Medical University, Wakayama, Japan, 6Department of Health Information Management, Kurashiki Sweet Hospital, Okayama, Japan, 7Department of Rheumatology and Clinical Immunology, Graduate School of Medicine, Kyoto University, Kyoto, Japan, 8Center for Investigative Medical Sciences, RIKEN, Yokohama, Japan, 9Clinical Research Center, Shizuoka General Hospital, Shizuoka, Japan, 10Department of Applied Genetics, The School of Pharmaceutical Sciences, University of Shizuoka, Shizuoka, Japan

    Background/Purpose: It has been well known that anti-TNF-α treatment for RA patients is associated with ANA development. We previously reported that ANA development along with…
  • Abstract Number: 555 • 2018 ACR/ARHP Annual Meeting

    Three Year Outcomes of Patients with Elderly-Onset Rheumatoid Arthritis Treated with a Therapeutic Strategy Targeting Low Disease Activity, and Impact of Adverse Events on Physical Function

    Takahiko Sugihara1, Tatsuro Ishizaki2, Hiroyuki Baba3, Takumi Matsumoto3, Shoko Iga1, Takeshi Kusuda1, Marina Tsuchida1, Mari Kamiya3, Yoji Komiya3, Fumio Hirano4, Tadashi Hosoya3, Nobuyuki Miyasaka3 and Masayoshi Harigai5, 1Department of Medicine and Rheumatology, Tokyo Metropolitan Geriatric Hospital, Tokyo, Japan, 2Human Care Research Team, Tokyo Metropolitan Institute of Gerontology, Tokyo, Japan, 3Department of Medicine and Rheumatology, Tokyo Medical and Dental University, Tokyo, Japan, 4Tokyo Medical and Dental University, Graduate School of Medical and Dental Sciences, Department of Rheumatology, Tokyo, Japan, 5Tokyo Women's Medical University, Division of Epidemiology and Pharmacoepidemiology of Rheumatic Diseases, Institute of Rheumatology, Tokyo, Japan

    Background/Purpose: The aim of this study was to evaluate three year outcomes of patients with elderly-onset RA (EORA) who were treated with a therapeutic strategy…
  • Abstract Number: 556 • 2018 ACR/ARHP Annual Meeting

    Treatment Initiation and Duration in DMARD Naïve Rheumatoid Arthritis Patients: Analysis of US Health Plan Claims

    Robin K. Dore1, Jenya Antonova2 and Jerrold Hill3, 1Univ of California, Los Angeles, CA, 2Gilead Sciences, Foster City, CA, 3Health Economics Outcomes Research, Real World Evidence, IQVIA, Plymouth Meeting, PA

    Background/Purpose: The ACR treat-to-target approach for rheumatoid arthritis (RA) recommends regular assessments of disease activity and adjustment of medication regimen until efficacy goals are met.…
  • Abstract Number: 557 • 2018 ACR/ARHP Annual Meeting

    The Impact of Comedication with Conventional Synthetic Dmards on Drug Retention and Clinical Effectiveness of Tofacitinib, Anti–Tumor Necrosis Factor Therapy and Biologics with an Alternative Mode of Action in Patients with Rheumatoid Arthritis. a Cohort Study

    Axel Finckh1, Christophe Tellenbach2, Almut Scherer2, Burkhard Moeller3, Adrian Ciurea4, Ines von Mühlenen5, Cem Gabay6, Diego Kyburz7, Ruediger Mueller8, Paul Hasler9 and Pascal Zufferey10, 1University Hospital of Geneva, Geneva, Switzerland, 2SCQM Foundation, Zurich, Switzerland, 3Rheumatology, Immunology and Allergology, Inselspital, University Hospital of Bern, Bern, Switzerland, 4Department of Rheumatology, University Hospital Zurich, Zurich, Switzerland, 5Rheuma-Basel, Basel, Switzerland, 6University Hospitals of Geneva, Geneva, Switzerland, 7Rheumatology, University Hospital Basel, Basel, Switzerland, 8Division of Rheumatology, Kantonsspital St Gallen, St. Gallen, Switzerland, 9Kantonsspital Aarau AG, Aarau, Switzerland, 10Department of Rheumatology, University Hospital Lausanne, Lausanne, Switzerland

    Background/Purpose: Co-medication with conventional synthetic DMARDs (csDMARDs) is currently recommended with all targeted therapies (bDMARDs and tsDMARDs) for the management of rheumatoid arthritis (RA). However,…
  • Abstract Number: 558 • 2018 ACR/ARHP Annual Meeting

    Major Reduction of Ultrasound Detected Synovitis during Subcutaneous Tocilizumab Treatment; Results from a Multicenter 24 Weeks Study of Patients with Rheumatoid Arthritis

    Hilde B Hammer1, Inger Marie Jensen Hansen2, Pentti Järvinen3, Marjatta Leirisalo-Repo4, Michael Ziegelasch5, Birte Agular6 and Lene Terslev7, 1Dept. of Rheumatology, Diakonhjemmet Hospital, Oslo, Norway, 2Rheumatology, Svendborg Hospital, Svendborg, Denmark, 3Rheumatology, Kiljava Medical Research, Kiljavan, Finland, 4Rheumatology, University of Helsinki, Helsinki, Finland, 5Rheumatology, University Hospital, Linköping, Linköping, Sweden, 6Roche, Copenhagen, Denmark, 7Copenhagen Center for Arthritis Research (COPECARE), Center for Rheumatology and Spine Diseases, Rigshospitalet, Centre for Head and Orthopaedics, Rigshospitalet, Glostrup, Denmark

    Background/Purpose: Ultrasound (US) is sensitive for detection of synovitis (assessed by Grey Scale (GS) and power/color Doppler). Presence of Doppler activity is found to predict…
  • Abstract Number: 559 • 2018 ACR/ARHP Annual Meeting

    Radiographic Progression Based on Baseline Demographics and Disease Characteristics from Three TNF-Alpha Inhibitor Biosimilar Studies in Patients with Rheumatoid Arthritis

    Josef S. Smolen1, Young Mo Kang2, Wan-Hee Yoo3, Paul Emery4, Michael E Weinblatt5, Edward C. Keystone6, Mark C. Genovese7, Gihyun Myung8, Evelyn Hong8, Inyoung Baek8 and Jeehoon Ghil8, 1Division of Rheumatology, Department of Medicine 3, Medical University of Vienna, Vienna, Austria, 2Kyungpook National University School of Medicine, Daegu, Korea, Republic of (South), 3Chonbuk National University School of Medicine, Jeonju, Korea, Republic of (South), 4University of Leeds and NIHR Leeds Biomedical Research Centre, Leeds, United Kingdom, 5Brigham and Women's Hospital, Boston, MA, 6Mount Sinai Hospital, Toronto, ON, Canada, 7Stanford University Medical Center, Palo Alto, CA, 8Samsung Bioepis Co., Ltd., Incheon, Korea, Republic of (South)

    Background/Purpose: SB4, SB2, and SB5 are biosimilars of reference etanercept, infliximab, and adalimumab, respectively. Radiographic data were assessed using the modified Total Sharp Score (mTSS)…
  • Abstract Number: 560 • 2018 ACR/ARHP Annual Meeting

    Impact of Formulary Copayment Change on Treatment Patterns in Rheumatoid Arthritis Patients on Etanercept

    Hafiz Oko-osi1, Machaon Bonafede2, Mahdi Gharaibeh1, Janna Manjelievskaia2, Lorena Lopez-Gonzalez2, David H. Collier1 and Bradley S. Stolshek1, 1Amgen Inc., Thousand Oaks, CA, 2IBM Watson Health, Cambridge, MA

    Background/Purpose:   Rheumatoid arthritis (RA) is a chronic disease that requires long-term treatment to improve or maintain disease activity.  Tumor necrosis factor inhibitors (TNFi), a…
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