ACR Meeting Abstracts

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  • Abstract Number: 591 • 2018 ACR/ARHP Annual Meeting

    Evaluation of MRI Ramris Score and Clinical Response in Patients with ACPA Positive Undifferentiated Arthritis Treated with Infliximab Versus Placebo

    Thomas Kirchgesner1, Bruno Vande Berg1, Tatiana Sokolova2, Laurent Meric de Bellefon2, Adrien Nzeusseu Toukap3, Maria Stoenoiu4 and Patrick Durez2, 1Musculoskeletal Imaging Unit, Musculoskeletal Imaging Unit - Cliniques universitaires Saint-Luc - Université Catholique de Louvain - Institut de Recherche Expérimentale et Clinique (IREC), Brussels, Belgium, 2Rheumatology, Rheumatology - Cliniques universitaires Saint-Luc - Université Catholique de Louvain - Institut de Recherche Expérimentale et Clinique (IREC), Brussels, Belgium, 3Department of Rheumatology, Rheumatology - Cliniques universitaires Saint-Luc - Université Catholique de Louvain - Institut de Recherche Expérimentale et Clinique (IREC), Brussels, Belgium, 4Rheumatology department, Rheumatology - Cliniques universitaires Saint-Luc - Université Catholique de Louvain - Institut de Recherche Expérimentale et Clinique (IREC), Brussels, Belgium

    Background/Purpose: Patients (Pts) with Undifferentiated Arthritis (UA), positive for ACPA antibodies are at high risk of progressing to Rheumatoid Arthritis (RA). TNF play a key…
  • Abstract Number: 592 • 2018 ACR/ARHP Annual Meeting

    Improved Response to Etanercept Is Associated with Serum Vitamin D Levels in Rheumatoid Arthritis

    W Dankers1, Pascal HP de Jong2, S Heil3, S van den Berg3, A Weel4, JMW Hazes5, E Colin6 and Erik Lubberts7, 1Immunology, Erasmus MC, University Medical Center, Rotterdam, Netherlands, 2Rheumatology, Maasstad Hospital, Rotterdam, Netherlands, 3Clinincal Chemistry, Erasmus MC, Rotterdam, Netherlands, 4Rheumatology, Erasmus MC, Rotterdam, Netherlands, 5Department of Rheumatology, Erasmus University Medical Center, Rotterdam, Netherlands, 6ZGT Almelo, Deventer, Netherlands, 7Erasmus Medical Center, Rheumatology, Rotterdam, Netherlands

    Background/Purpose: Although treatment of rheumatoid arthritis (RA) has significantly improved during the past decades, many patients do not adequately respond or become resistant to current…
  • Abstract Number: 593 • 2018 ACR/ARHP Annual Meeting

    Predictors of Persistence of Biologic Drug Step-Down Strategies in Inflammatory Arthritis: An Observational Study in Clinical Practice up to Seven Years of Follow-up

    Sebastian C Rodriguez-Garcia1, Raul Castellanos-Moreira Sr.1, José Inciarte-Mundo2, M. Victoria Hernández3, Virginia Ruiz-Esquide2, Andrea Cuervo1, Julio Ramírez2, Juan Cañete1, Jose Gomez Puerta1 and Raimon Sanmartí1, 1Rheumatology Service, Hospital Clínic de Barcelona, Barcelona, Spain, 2Rheumatology, Hospital Clínic de Barcelona, Barcelona, Spain, 3Rheumatology, Hospital Clinic. Barcelona. Spain, Barcelona, Spain

    Background/Purpose: Recommendations and guidelines for the management of Rheumatoid Arthritis (RA) and spondyloarthritis (SpA) with bDMARD include dose-tapering as an adequate option for patients on…
  • Abstract Number: 594 • 2018 ACR/ARHP Annual Meeting

    Identification of Tocilizumab Treated RA Patients, Whom Are Not Likely to Show Long-Term Clinical Benefit; Reanalysis of the Biomarker Sub-Study of LITHE

    Anne C. Bay-Jensen1, Christian S. Thudium1, Claus Christiansen2 and Morten A. Karsdal1, 1Nordic Bioscience, Herlev, Denmark, 2Nordic Bioscience, Clinical Development, Herlev, Denmark

    Background/Purpose: Tocilizumab, anti-interleukin 6 receptor (IL-6R) therapy, is an effective treatment of rheumatoid arthritis (RA). However, a significant amount of patients do not respond adequately…
  • Abstract Number: 595 • 2018 ACR/ARHP Annual Meeting

    Predictive VALUE of CD19 SERUM Levels for LONG TERM Therapeutic Response and Utility As Biomarker for Optimization, in Rheumatoid Arthritis Patients Treated with Rituximab

    Sheila Melchor1, Esther Rodriguez-Almaraz2, Jose L. Pablos3 and Patricia Carreira4, 1Rheumatology, Rheumatology Department, Hospital Universitario 12 de Octubre, Spain., Madrid, Spain, 2Hospital Universitario 12 de Octubre, Madrid, Spain, 3Servicio de Reumatología, Rheumatology Department, Hospital 12 de Octubre, Spain, Madrid, Spain, 4Rheumatology Department. Hospital Universitario 12 de Octubre, Madrid, Spain

    Background/Purpose: Rituximab (RTX) is directed against CD20 antigens in B lymphocytes (BL), producing selective depletion of BL, not affecting mature plasmatic cells, without immediate effect…
  • Abstract Number: 596 • 2018 ACR/ARHP Annual Meeting

    Combination of Intra-Articular Steroid Injection and Tofacitinib More Effective Than Tofacitinib in Rapid Radiographic Progression Patients with Rheumatoid Arthritis

    Kensuke Kume1, Kanzo Amano1, Susumu Yamada2, Toshikatsu Kanazawa2 and Kazuhiko Hatta3, 1Rheumatology, Hiroshima Clinic, Hiroshima, Japan, 2rheumatology, hiroshima clinic, hiroshima, Japan, 3Rheumatology, Hatta Clinic, Kure, Japan

    Background/Purpose: Treatment of rheumatoid arthritis (RA) should aim at full remission. However, we experienced that rapid radiographic progression (RRP) existed despite initial tofacitinib and methotrexate…
  • Abstract Number: 597 • 2018 ACR/ARHP Annual Meeting

    Characteristics of Patients and Predictors of Composite Disease Activity Scores for Switching to Monotherapy Vs Continuing TNF Inhibitor and Methotrexate Combination Therapy in RA: A Retrospective Analysis of the Brigham and Women’s Rheumatoid Arthritis Sequential Study Registry

    Nancy A. Shadick1, Michael E Weinblatt1, Christine K Iannaccone2, Michelle Frits3, Tigwa Davis4, Christopher Young4, David H. Collier5, Mahdi Gharaibeh5 and Bradley S. Stolshek6, 1Brigham and Women's Hospital, Boston, MA, 2Rheumatology, Immunology and Allergy, Brigham and Women's Hospital, Boston, MA, 3Division of Rheumatology, Immunology and Allergy, Brigham and Women's Hospital, Boston, MA, 4Health Analytics, LLC, Columbia, MD, 5Amgen Inc., Thousand Oaks, CA, 6Amgen, Inc., Thousand Oaks, CA

    Background/Purpose: Biologics in combination with methotrexate (MTX) are being incorporated earlier in rheumatoid arthritis (RA) therapy to prevent long-term damage and maintain patient function. While…
  • Abstract Number: 598 • 2018 ACR/ARHP Annual Meeting

    Real-World Experience of Effectiveness and Safety of Certolizumab Pegol for Rheumatoid Arthritis in Japan: Single-Center Retrospective Study

    Naohiro Sugitani1,2, Eiichi Tanaka1, Eisuke Inoue1,3, Eri Sugano1, Kumiko Saka1, Moeko Ochiai1, Rei Yamaguchi1, Yoko Shimizu1, Naoki Sugimoto1, Katsunori Ikari1, Ayako Nakajima1,2, Atsuo Taniguchi1 and Hisashi Yamanaka4, 1Institute of Rheumatology, Tokyo Women's Medical University, Tokyo, Japan, 2Center for Rheumatic Diseases, Mie University Hospital, Tsu city, Japan, 3Division of Medical Informatics, St. Marianna University School of Medicine, Kawasaki, Japan, 4Institute of Rheumatology, Institute of Rheumatology, Tokyo Women's Medical University, Tokyo, Japan

    Background/Purpose: Certolizumab-pegol (CZP) is a sixth antitumor necrosis factor inhibitor for rheumatoid arthritis (RA) in Japan. Several clinical trials were conducted to evaluate the efficacy…
  • Abstract Number: 599 • 2018 ACR/ARHP Annual Meeting

    Comparative Effectiveness in Pain and HAQ-DI Improvement for Baricitinib Versus Adalimumab, Tocilizumab, and Tofacitinib Monotherapies in Csdmard-Naïve Rheumatoid Arthritis Patients: A Matching-Adjusted Indirect Comparison (MAIC)

    Bruno Fautrel1, Baojin Zhu2, Peter C. Taylor3, Mart van de Laar4, Paul Emery5, Francesco de Leonardis2, Carol L. Gaich2, Claudia Nicolay2, Zbigniew Kadziola2, Inmaculada de la Torre6 and Roy Fleischmann7, 1University Pierre et Marie Curie, Paris, France, 2Eli Lilly and Company, Indianapolis, IN, 3Botnar Research Centre, Univ of Oxford, Oxford, United Kingdom, 4Arthritis Centre Twente, University of Twente, Enschede, Netherlands, 5Leeds MSK Biomed/Chapel Allerton Hospital, Leeds, United Kingdom, 6Eli Lilly and Company, Madrid, Spain, 7Metroplex Clinical Research Center, University of Texas Southwestern Medical Center, Dallas, TX

    Background/Purpose: In Phase 3 trial (RA-BEGIN), baricitinib (BARI) monotherapy demonstrated superiority to MTX in pain reduction and HAQ-DI improvement in treatment of csDMARD-naïve active RA…
  • Abstract Number: 600 • 2018 ACR/ARHP Annual Meeting

    Early Versus Delayed Treatment in Patients with Rheumatoid Arthritis (RA) in Routine Care at a Single US Academic Center: Better Response According to MDHAQ (MultiDimensional Health Assessment questionnaire) for Patients Starting Treatment in the Initial 6 Months

    Jacquelin R. Chua, Mariam Riad, Sobia Hassan, Najia Shakoor, Joel A. Block and Isabel Castrejón, Division of Rheumatology, Rush University Medical Center, Chicago, IL

    Background/Purpose: Delay in initiation of disease-modifying anti-rheumatic drug (DMARD) therapy may be a major contributing factor toward poor outcomes in patients with rheumatoid arthritis (RA).…
  • Abstract Number: 601 • 2018 ACR/ARHP Annual Meeting

    At Which Point and for Which Reasons Are Oral MTX Formulations Switched to Injectable Ones in RA Patients? Combined Results from 3 Independent Observational and Clinical Trials

    René-Marc Flipo1, Alain Saraux2, Christophe Hudry3, Cécile Gaujoux-Viala4, Eric Senbel5, Sonia Tropé6, Elena Zinovieva7, Agnès Courbeyrette8 and Hélène Herman-Demars7, 1Hôpital Roger Salengro, Lille, France, 2Rheumatology, CHU Brest, Brest, France, 3AP-HP Hôpital Cochin, Paris, France, 4Rheumatology, Nîmes University Hospital and EA2415 Montpellier University, Nîmes, France, 5Rheumatology office, Marseille, France, 6149 avenue du Maine, ANDAR, Paris, France, 7Medical Department Nordic Pharma, Paris, France, 8Medical Departement, Nordic Pharma, Paris, France

    Background/Purpose: MTX is considered as a cornerstone in RA treatment since the 1990s and its injectable forms have proven their enhanced clinical and pharmacological efficacy…
  • Abstract Number: 602 • 2018 ACR/ARHP Annual Meeting

    Individualised Infliximab Treatment: A Treatment Strategy Based on Therapeutic Drug Monitoring

    Silje Watterdal Syversen1, Guro Løvik Goll1, Kristin Kaasen Jørgensen2, Johanna Gehin3, Cato Mork4, Tore Kvien5, Jorgen Jahnsen6, Nils Bolstad3 and Espen A. Haavardsholm5, 1Rheumatology, Diakonhjemmet Hospital, Oslo, Norway, 2Dept Gastroenterology, Akershus University Hospital, Lørenskog, Norway, 3Medical Biochemistry, Oslo University Hospital, Oslo, Norway, 4None, Oslo, Norway, 5Dept. of Rheumatology, Diakonhjemmet Hospital, Oslo, Norway, 6Dept of Gastroenterology, Akershus University Hospital, Lørenskog, Norway

    Background/Purpose: The purpose is to develop an individualised treatment strategy based on Therapeutic drug monitoring (TDM) in order to optimise efficacy of Infliximab (INX) treatment.…
  • Abstract Number: 603 • 2018 ACR/ARHP Annual Meeting

    Rheumatologists Beliefs in the Effectiveness of Other Methotrexate-Based Treatment Approaches May Explain the Low Use of Triple Therapy: A Bayesian Belief Elicitation

    Gyanendra Pokharel1, Rob Deardon1, Sindhu Johnson2, George A. Tomlinson3 and Glen Hazlewood4, 1Department of Mathematics and Statistics, University of Calgary, Calgary, AB, Canada, 2Rheumatology, Mount Sinai Hospital and University Health Network, Toronto, ON, Canada, 3Medicine, Mount Sinai Hospital, Toronto, ON, Canada, 4Department of Medicine, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada

    Background/Purpose: Triple therapy (MTX, sulphasalazine (SSZ), hydroxychloroquine (HCQ)) has evidence to support its use from randomized trials (RCTs) but is not commonly used. The objective…
  • Abstract Number: 604 • 2018 ACR/ARHP Annual Meeting

    Combining Observational and Randomized Controlled Trial Data Evidence to Jointly Estimate Remission and Response for Biologic and Non-Biologic Therapies in Rheumatoid Arthritis: A Bivariate Network Meta-Analysis

    Gyanendra Pokharel1, Rob Deardon1, Cheryl Barnabe2, Vivian P. Bykerk3, Susan J. Bartlett4, Louis Bessette5, Gilles Boire6, Carol Hitchon7, Edward C. Keystone8, Janet E. Pope9, Diane Tin10, Carter Thorne11 and Glen Hazlewood12, 1Department of Mathematics and Statistics, University of Calgary, Calgary, AB, Canada, 2Medicine, University of Calgary, Calgary, AB, Canada, 3Hospital for Special Surgery, New York, NY, 4Rheumatology, Johns Hopkins University School of Medicine, Baltimore, MD, 5Division of Rheumatology, Department of Medicine, CHU de Québec-Université Laval, Québec, QC, Canada, 6Rheumatology Division, Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre Hospitalier Universitaire de Sherbrooke and Universite de Sherbrooke, Sherbrooke, QC, Canada, 7University of Manitoba, Winnipeg, MB, Canada, 8Mount Sinai Hospital, Toronto, ON, Canada, 9Department of Medicine, University of Western Ontario, London, ON, Canada, 10The Arthritis Program, Southlake Regional Health Centre, Newmarket, ON, Canada, 11University of Toronto, Newmarket, ON, Canada, 12Departments of Medicine and Community Health Sciences, University of Calgary, Calgary, AB, Canada

    Background/Purpose: Remission is the goal of rheumatoid arthritis (RA) treatment, but ACR responses are more commonly measured in clinical trials. As such, data on remission…
  • Abstract Number: 605 • 2018 ACR/ARHP Annual Meeting

    Clinical Outcomes of Golimumab As Second Line TNF Inhibitor Treatment in Patients with Rheumatoid Arthritis (RA), Psoriatic Arthritis (PsA) or Ankylosing Spondylitis (AS) – Subanalysis of a Non-Interventional Study in Germany

    Klaus Krüger1, Gerd R. Burmester2, Siegfried Wassenberg3, Astrid Thiele4 and Matthias H. Thomas5, 1Medical Centre of Rheumatology, Munich, Germany, 2Rheumatology and Clinical Immunology, Charité-University Medicine Berlin, Berlin, Germany, 3Rheumazentrum Ratingen, Ratingen, Germany, 4Krankenhaus St. Josef Wuppertal, Wuppertal, Germany, 5Medical Affairs, MSD Sharp & Dohme GmbH, Bünde, Germany

    Background/Purpose: Golimumab (GLM) has demonstrated efficacy and safety in patients (pts.) with active RA after treatment with at least one TNFi in a RCT. However,…
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