ACR Meeting Abstracts

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  • Abstract Number: 561 • 2018 ACR/ARHP Annual Meeting

    U-Act-Early Trial 3 Years Follow-up: Radiographic Joint Damage and Use of Bdmards over 5 Years in Early RA Patients Treated-to-Target with Strategies Initiating Tocilizumab, Methotrexate or Their Combination

    Maxime MA Verhoeven1, Maria JH de Hair2, Paco MJ Welsing2, Attila Pethö-Schramm3, Michelle EA Borm4, Xavier M Teitsma2, Jacob van Laar2, Floris PJG Lafeber2, Johannes W. J. Bijlsma5 and Johannes W. G. Jacobs6, 1Rheumatology & Clinical Immunology, University Medical Center Utrecht, Utrecht, Netherlands, 2Department of Rheumatology & Clinical Immunology, University Medical Center Utrecht, Utrecht, the Netherlands, Utrecht, Netherlands, 3F. Hoffmann-La Roche, Basel, Switzerland, 4Roche Nederland BV, Woerden, Netherlands, 5Department of Rheumatology & Clinical Immunology, University Medical Center Utrecht, Utrecht, Netherlands, 6Rheumatolgy & Clinical Immunology, University Medical Center Utrecht, Utrecht, Netherlands

    Background/Purpose: The U-Act-Early trial was a 2-year multicentre, double-blind, randomized, placebo-controlled trial in early (DMARD-naïve) RA patients treated to the target of remission, with step-up…
  • Abstract Number: 562 • 2018 ACR/ARHP Annual Meeting

    Low Inflammation on Magnetic Resonance Imaging in Patients with Rheumatoid Arthritis That Achieved Sustained Clinical Remission on Adalimumab

    Paul Emery1, Gerd R. Burmester2, Esperanza Naredo3, Ivan Lagunes Galindo4, Ying Zhang5, Xin Wang5, Maja Hojnik6 and Philip G. Conaghan7, 1University of Leeds and NIHR Leeds Biomedical Research Centre, Leeds, United Kingdom, 2Charité-University Medicine Berlin, Free University and Humboldt University Berlin, Berlin, Germany, 3Hospital Universitario Fundación Jiménez Díaz, Madrid, Spain, 4AbbVie Inc., North Chicago, IL, 5AbbVie, North Chicago, IL, 6AbbVie, Ljubljana, Slovenia, 7University of Leeds, Leeds, United Kingdom

    Background/Purpose: ACR and EULAR recommend bDMARD tapering in patients (pts) with rheumatoid arthritis (RA) who achieved stable clinical remission. Yet, there are limited systematically collected…
  • Abstract Number: 563 • 2018 ACR/ARHP Annual Meeting

    Efficacy and Safety of Abatacept in Combination with MTX in Early, MTX-Naïve, Anti-Citrullinated Protein Antibody–Positive Patients with RA: Primary and 1-Year Results from a Phase IIIb Study

    Paul Emery1, Yoshiya Tanaka2, Vivian P. Bykerk3, Tom W.J. Huizinga4, Gustavo Citera5, Marleen Nys6, Sean E. Connolly7, Alyssa Johnsen7 and Roy Fleischmann8, 1University of Leeds and Leeds Musculoskeletal Biomedical Research Unit, Leeds, United Kingdom, 2University of Occupational and Environmental Health, Kitakyushu, Japan, 3Hospital for Special Surgery, New York, NY, 4Leiden University Medical Center, Leiden, Netherlands, 5Instituto de Rehabilitación Psicofísica, Buenos Aires, Argentina, 6Bristol-Myers Squibb, Braine L’Alleud, Belgium, 7Bristol-Myers Squibb, Princeton, NJ, 8Metroplex Clinical Research Center, Dallas, TX

    Background/Purpose: In patients (pts) with early (disease duration ≤24 months [mths]), MTX-naïve RA and poor prognostic factors including anti-citrullinated protein antibody (ACPA) positivity (+), abatacept…
  • Abstract Number: 564 • 2018 ACR/ARHP Annual Meeting

    Levels of CXCL13 and sICAM1 Correlate with Disease Activity Score in Rheumatoid Arthritis (RA) Patients Treated with Tocilizumab (TCZ)

    Katie Tuckwell1, Cem Gabay2, Thierry Sornasse1, Ruediger Laubender3, Jianmei Wang4 and Michael Townsend1, 1Genentech, Inc., South San Francisco, CA, 2University Hospitals of Geneva, Geneva, Switzerland, 3Roche Diagnostics, Penzberg, Germany, 4Roche Products Ltd., Welwyn Garden City, United Kingdom

    Background/Purpose: The biomarkers CXCL13 and sICAM1 have been associated with outcomes in patients with RA treated with TCZ. This study evaluated the association of CXCL13…
  • Abstract Number: 565 • 2018 ACR/ARHP Annual Meeting

    Genetic Polymorphism in Dihydrofolate Reductase Impacts Methotrexate Polyglutamation in Adult Rheumatoid Arthritis

    Thierry Dervieux1, Marie Grosjean2, Chuang Jiang3,4, Kelley Brady1, Kjeld Schmiegelow2, Joel Kremer5 and Jun Yang4, 1Exagen Diagnostics, Inc., Vista, CA, 2University Hospital Rigshospitalet, Copenhagen, Denmark, 3Shanghai Children’s Medical Center, Shanghai Jiaotong University School of Medicine, Shanghai, China, 4Department of Pharmaceutical Sciences, St. Jude Children’s Research Hospital, Memphis, TN, 5Albany Medical College and The Center for Rheumatology, Albany, NY

    Background/Purpose: Methotrexate (MTX) is anti-folate activated to MTX polyglutamates (MTXPGs). MTX metabolism includes multiple enzyme-mediated reactions and genetic polymorphisms in these genes are linked to…
  • Abstract Number: 566 • 2018 ACR/ARHP Annual Meeting

    Capillary Blood Based Methotrexate Polyglutamate Assay for Monitoring Low Dose Methotrexate Therapy in Rheumatic Diseases

    Thierry Dervieux1, Kelley Brady1, Deborah Stimson1, Ying Qu1, Tyler O'Malley1, Robert Apilado1, Smitha Reddy2, Puja Chitkara3, John Conklin1, Roberta Alexander1 and Claudia Ibarra1, 1Exagen Diagnostics, Inc., Vista, CA, 2Arthritis Care and Research Center, San Diego, CA, 3Center for Arthritis and Rheumatologic Excellence, Chula Vista, CA

    Background/Purpose: The red blood cell (RBC) Methotrexate (MTX) polyglutamate (MTXPG3) assay is a helpful therapeutic drug monitoring (TDM) tool in autoimmune rheumatic diseases. Our objective…
  • Abstract Number: 567 • 2018 ACR/ARHP Annual Meeting

    Non-Surgical Periodontal Therapy Plus Short-Term Antibiotic Treatment May Improve Clinical Disease Activity: A Pilot Study in Difficult to Treat Rheumatoid Arthritis

    Burkhard Moeller1, Philip Bender2, Sigrun Eick2, Kim Midwood3, Jan Potempa4, Stephan Reichenbach5, Anja Schwenzer3, Peter M. Villiger6 and Alicia Wong3, 1Rheumatology, Immunology and Allergology, Inselspital, University Hospital of Bern, Bern, Switzerland, 2School of Dental Medicine, University of Bern, Bern, Switzerland, 3Kennedy Institute for Rheumatology, Oxford University, Oxford, United Kingdom, 4Department of Microbiology, Faculty of Biochemistry, Biophysics and Biotechnology, Jagiellonian University, Krakow, Poland, 5Institute of Social and Preventive Medicine, University of Bern, Bern, Switzerland, 6University of Bern, Bern, Switzerland

    Background/Purpose: Autoimmunity against citrullinated peptides is a hallmark of rheumatoid arthritis (RA). Chronic periodontitis (CP) is a known major source of citrullinated peptides. Here, we…
  • Abstract Number: 568 • 2018 ACR/ARHP Annual Meeting

    Change in RF and Anti-CCP Isotype Levels in RA Patients Treated with Anti-TNF, Abatacept, Rituximab or Tocilizumab and Correlation with Clinical and Radiographic Outcomes: Data from a Randomized Trial

    Renaud Felten1, Marie-Alexandra Alyanakian2, Lucienne Chatenoud2, Jean Sibilia1, Frédérique Gandjbakhch3, Cédric Lukas4 and Jacques-Eric Gottenberg1, 1University Hospital of Strasbourg, Department of Rheumatology, Strasbourg, France, 2Laboratoire d'Immunologie Biologique, Hôpital Necker-Enfants Malades, Paris, France, 3Pitié Salpêtrière Hospital, Department of Rheumatology, Paris, France, 4University Hospital Lapeyronie, Department of Rheumatology, Montpellier, France

    Background/Purpose: In rheumatoid arthritis (RA), little is known about the prognostic relevance of the change in autoantibody (ab) levels. Seroconversion was reported to be associated…
  • Abstract Number: 569 • 2018 ACR/ARHP Annual Meeting

    Clinical and Sociodemographic Characteristics of Patients with Rheumatoid Arthritis (RA) Starting Triple Therapy and a Combination of a TNF Inhibitor and Methotrexate from a Large US Registry

    Joel Kremer1,2, J. Lynn Palmer3, George W. Reed4, Dimitrios A. Pappas5, Leslie R Harrold6, Jeffrey Greenberg1 and Jeffrey R. Curtis7, 1Corrona LLC, Waltham, MA, 2Albany Medical College and The Center for Rheumatology, Albany, NY, 3Corrona Research Foundation, Albany, NY, 4UMass Medical School, Worcester, MA, 5Columbia University, New York, NY, 6University of Massachusetts Medical School, Worcester, MA, 7University of Alabama at Birmingham, Birmingham, AL

    Background/Purpose: The combination of methotrexate (MTX), hydroxychloroquine (HCQ) and sulfasalazine (SSZ) has been called Triple Therapy (Triple) and has been compared with a combination of…
  • Abstract Number: 570 • 2018 ACR/ARHP Annual Meeting

    Evaluation of CXCL13, sICAM1, MMP-3 and S100A8/A9 As Serum Biomarkers in Patients with Rheumatoid Arthritis Treated with Subcutaneous Tocilizumab

    D. James Haddon, Thierry Sornasse, Michael J. Townsend, Jinglan Pei and Margaret Michalska, Genentech, Inc., South San Francisco, CA

    Background/Purpose: Serum levels of C-X-C motif chemokine ligand 13 (CXCL13) and soluble intercellular adhesion molecule-1 (sICAM-1) have been associated with outcomes in patients with rheumatoid…
  • Abstract Number: 571 • 2018 ACR/ARHP Annual Meeting

    United States Rheumatology Practice-Based Real-World Evidence of Methotrexate Utilization and Response to Therapy in Rheumatoid Arthritis Patients Treated with Intravenous Golimumab

    Aaron Broadwell1, Vance Bray2, Douglas Conaway3, Joy Schechtman4, Alan J. Kivitz5, Dennis Parenti6, Shawn Black6, Stephen Xu7, Wayne Langholff7 and Shelly Kafka6, 1Rheumatology Osteoporosis Specialists, Shreveport, LA, 2Denver Arthritis Clinic, Denver, CO, 3Carolina Health Specialists, Myrtle Beach, SC, 4Sun Valley Arthritis Center, Peoria, AZ, 5Altoona Arthritis & Osteoporosis Center, Altoona, PA, 6Janssen Scientific Affairs, LLC, Horsham, PA, 7Janssen Research & Development, LLC, Spring House, PA

    Background/Purpose: AWARE (Comparative and Pragmatic Study of Golimumab IV Versus Infliximab in Rheumatoid Arthritis) is an ongoing Phase 4 comparator study designed to provide a…
  • Abstract Number: 572 • 2018 ACR/ARHP Annual Meeting

    Combining Tocilizumab with Methotrexate Improves Sustainability. Real World Evidence Report from Quebec Database Rhumadata®

    Denis Choquette1, Louis Bessette2, Jacques Brown2, Boulos Haraoui1, Frédéric Massicotte1, Jean-Pierre Pelletier1, Jean-Pierre Raynauld1, Marie-Anaïs Rémillard1, Diane Sauvageau1, Angèle Turcotte2, Édith Villeneuve1 and Louis Coupal1, 1Rheumatology, Institut de Recherche en Rhumatologie de Montréal (IRRM), Montréal, QC, Canada, 2Rheumatology, Centre de l'Ostéoporose et de Rhumatologie de Québec (CORQ), Québec, QC, Canada

    Background/Purpose: Biologic therapy targeting TNF have consistently demonstrated better efficacy and effectiveness when combined with a conventional synthetic DMARD (csDMARD), most frequently methotrexate. Although pre-clinical…
  • Abstract Number: 573 • 2018 ACR/ARHP Annual Meeting

    Subcutaneous Tocilizumab in Monotherapy or in Combination with DMARD in Patients with Moderate to Severe Active Rheumatoid Arthritis: Observational Study to Describe Real-World Drug Retention Rate at 12 Months, Interim Analysis

    Pascal Hilliquin1, Thomas Barnetche2, Guy Baudens3, Ralph Niarra4, Isabelle Idier5 and Alain Saraux6, 1Rheumatology, Hôpital Sud Francilien, Corbeil-Essonne, France, 2Rheumatology Department, FHU ACRONIM, Bordeaux University Hospital, Bordeaux, France, 3Rheumatology, CHR Valenciennes, Valenciennes, France, 4Biostatistics, Keyrus of behalf of Roche SAS, Boulogne-Billancourt, France, 5Medical department, Chugai Pharma France, Paris La Defense, France, 6Rheumatology, CHU Brest, Brest, France

    Background/Purpose: In France, tocilizumab (TCZ) subcutaneous (sc) 1st prescription and yearly renewal are restricted to hospital. Monitoring may be done by both office-based or hospital…
  • Abstract Number: 574 • 2018 ACR/ARHP Annual Meeting

    Longitudinal Efficacy Analysis of Patients with Active Rheumatoid Arthritis and Inadequate Response to Conventional Synthetic Dmards: Response Following Rescue from Baricitinib 2mg to 4mg Once-Daily

    Roy Fleischmann1, Mark C. Genovese2, Anabela Cardoso3, Luna Sun3, Yun-Fei Chen3, Chad D. Walls3, Douglas E. Schlichting3, Tsutomu Takeuchi4, Maxime Dougados5, Josef S. Smolen6 and Jeffrey R. Curtis7, 1Metroplex Clinical Research Center, University of Texas Southwestern Medical Center, Dallas, TX, 2Stanford University Medical Center, Palo Alto, CA, 3Eli Lilly and Company, Indianapolis, IN, 4Keio University School of Medicine, Tokyo, Japan, 5Paris Descartes University, Hôpital Cochin, Paris, France, 6Division of Rheumatology, Department of Medicine 3, Medical University of Vienna, Vienna, Austria, 7University of Alabama at Birmingham, Birmingham, AL

    Background/Purpose: Baricitinib (bari), an oral selective Janus kinase 1/2 inhibitor, has shown clinical efficacy in patients (pts) with RA and an inadequate response to conventional…
  • Abstract Number: 575 • 2018 ACR/ARHP Annual Meeting

    Time to Discontinuation of Biologic Therapy By Mechanism of Action in Rheumatoid Arthritis: Results from a Rheumatoid Arthritis Cohort

    Mohammad Movahedi1, Elliot Hepworth2, Reza Mirza2, Angela Cesta3, Maggie Larche4 and Claire Bombardier1,5,6, 1Toronto General Hospital Research Institute, University Health Network, Toronto, ON, Canada, 2Department of Internal Medicine, McMaster University, Hamilton, ON, Canada, 3Ontario Best Practices Research Initiative, University Health Network, Toronto, ON, Canada, 4Medicine, McMaster University, Hamilton, ON, Canada, 5University of Toronto, Department of Medicine (DOM) and Institute of Health Policy Management, and Evaluation (IHPME), Toronto, ON, Canada, 6Division of Rheumatology, Mount Sinai Hospital, Toronto, ON, Canada

    Background/Purpose: Patients with rheumatoid arthritis (RA) may discontinue their biologic disease modifying antirheumatic drug (bDMARDs) due to non-response, loss of response or adverse events. However,…
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