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  • Abstract Number: 2354 • 2019 ACR/ARP Annual Meeting

    Replication of a Prognostic Multivariable Prediction Model for Insufficient Clinical Response to Methotrexate in Early Rheumatoid Arthritis

    Helen Gosselt1, Maxime Verhoeven 2, Maurits de Rotte 3, Saskia Pluijm 4, Gerrit Jansen 5, Janneke Tekstra 2, Sandra Heil 6, Floris Lafeber 2, Mieke Hazes* 7 and Robert de Jonge* 8, 1Amsterdam UMC, VU Medical Center, Department of Clinical Chemistry, Amsterdam, The Netherlands and Erasmus MC, University Medical Center Rotterdam, Department of Clinical Chemistry, Rotterdam, The Netherlands, Amsterdam, Netherlands, 2UMC Utrecht, Department of Rheumatology & Clinical Immunology, Utrecht, The Netherlands, Utrecht, Netherlands, 3Amsterdam UMC, Amsterdam Medical Center, Department of Clinical Chemistry, Amsterdam, The Netherlands, Amsterdam, Netherlands, 4Prinses Máxima Centre for Paediatric Oncology, Department of Paediatric Oncology Utrecht, The Netherlands, Utrecht, Netherlands, 5Amsterdam UMC, VU Medical Center, Amsterdam Rheumatology and immunology Center, Amsterdam, The Netherlands, Amsterdam, Netherlands, 6Erasmus MC, University Medical Center Rotterdam, Department of Clinical Chemistry, Rotterdam, The Netherlands, Rotterdam, Netherlands, 7Erasmus MC, University Medical Center Rotterdam, Department of Rheumatology, Rotterdam, The Netherlands, Rotterdam, Netherlands, 8Amsterdam UMC, VU Medical Center, Department of Clinical Chemistry, Amsterdam, The Netherlands, Amsterdam, Netherlands

    Background/Purpose: Methotrexate (MTX) constitutes first-line therapy in rheumatoid arthritis (RA). However, up to 40% of RA patients do not benefit from MTX therapy. To restrain…
  • Abstract Number: 2355 • 2019 ACR/ARP Annual Meeting

    Antirheumatic Therapy Is Associated with Reduced Complement Activation in Rheumatoid Arthritis

    Thao Nguyen1, Ingrid Hokstad 2, Gia Deyab 3, Tom Eirik Mollnes 4, Stefan Agewall 4, Morten Fagerland 4, Gro Eilertsen 5, Mark Feinberg 6, Knut Mikkelsen 2, Øystein Førre 4 and Ivana Hollan 7, 1Lillehammer Hospital for Rheumatic Diseases, Lillehammer, Norway, 2Lillehammer Hospital for Rheumatic Diseases, Lillehammer, Oppland, Norway, 3Innlandet Hospital Trust, Bærum, Akershus, Norway, 4Oslo University Hospital, Oslo, Norway, 5The Artic University of Norway, Tromsø, Norway, 6Harvard Medical School and Brigham and Women´s Hospital, Boston, Boston, MA, 7Lillehammer Hospital for Rheumatic Diseases and Brigham and Women’s Hospital, Boston, Lillehammer, Oppland, Norway

    Background/Purpose: Inflammation and immune dysregulation appear to significantly contribute to increased risk of cardiovascular disease (CVD) in rheumatoid arthritis (RA). The complement system is a…
  • Abstract Number: 2356 • 2019 ACR/ARP Annual Meeting

    Antirheumatic Therapy Is Not Associated with Changes in Circulating N-terminal Pro-brain Natriuretic Peptide Levels in Patients with Active Rheumatoid Arthritis

    Thao Nguyen1, Gia Deyab 2, Morten Fagerland 3, Stefan Agewall 3, Gro Eilertsen 4, Mark Feinberg 5, Knut Mikkelsen 6, Øystein Førre 3 and Ivana Hollan 7, 1Lillehammer Hospital for Rheumatic Diseases, Lillehammer, Norway, 2Innlandet Hospital Trust, Bærum, Akershus, Norway, 3Oslo University Hospital, Oslo, Norway, 4The Artic University of Norway, Tromsø, Norway, 5Harvard Medical School and Brigham and Women´s Hospital, Boston, Boston, MA, 6Lillehammer Hospital for Rheumatic Diseases, Lillehammer, Oppland, Norway, 7Lillehammer Hospital for Rheumatic Diseases and Brigham and Women’s Hospital, Boston, Lillehammer, Oppland, Norway

    Background/Purpose: Patients with rheumatoid arthritis (RA) are predisposed to impaired cardiac function and heart failure (HF). While the pathophysiology has not been fully elucidated yet,…
  • Abstract Number: 2357 • 2019 ACR/ARP Annual Meeting

    Methotrexate Liver Toxicity in a Large Randomized Controlled Trial

    Daniel Solomon1, Nina Paynter 2, Anna Rutherford 2, Robert Glynn 3, Jean MacFadyen 4, Fengxin Lu 4, Chang Xu 4, Elizabeth Karlson 4 and Paul Ridker 2, 1Brigham and Women´s Hospital, Div. of Rheumatology, Immunology and Allergy, Boston, MA, 2Brigham and Women's Hospital, Boston, 3Harvard Medical School - Boston, MA, Boston, MA, 4Brigham and Women's Hospital, Boston, MA

    Background/Purpose: Liver test abnormalities are known to predict liver pathology in patients using methotrexate (MTX). Monitoring guidelines for MTX suggest frequent assessment of liver tests…
  • Abstract Number: 2358 • 2019 ACR/ARP Annual Meeting

    Short-term Risk of Major Adverse Cardiovascular Events or Venous Thrombo-embolic Events in Patients with Rheumatoid Arthritis Initiating a Janus Kinase Inhibitor: A Meta-analysis of Randomised Controlled Trials

    Margaux MALAURIE1, Arnaud Constantin 2, Yannick Degboé 1, Adeline Ruyssen-Witrand 3 and Thomas Barnetche 4, 1CHU TOULOUSE, TOULOUSE, France, 2CHU TOUOUSE, TOULOUSE, France, 3Rheumatology Unit, Toulouse university Hospital, UMR 1027, Inserm, Université Paul Sabatier Toulouse III, Toulouse, France, 4FHU ACRONIM, Department of Rheumatology, Centre Hospitalier Universitaire, Bordeaux, France, Bordeaux, France

    Background/Purpose: The objective was to investigate the short-term risk of major adverse cardiovascular events (MACEs) or venous thromboembolic events (VTEs) in patients with rheumatoid arhthritis…
  • Abstract Number: 2359 • 2019 ACR/ARP Annual Meeting

    High Body Mass Index Shortens Retention of Tumor Necrosis Factor-α Blocker Treatment in Rheumatoid Arthritis

    Ori Elkayam 1, Merav Lidar 2, Tatiana Reitblat 3, Devy Zisman 4, Alexandra Balbir-Gurman 5, Odelia Kakakian 1, Tanya Meshiach 5, Ronit Almog 6 and Ofir Elalouf1, 1Tel Aviv Medical Center, Tel Aviv, Israel, 2Rheumatology Unit Sheba Medical Center, Ramat Gan, Israel, 3Barzilai Medical Center, Ashkelon, Israel, 4Carmel Medical Center, Haifa, Israel, 5Rambam Medical Center, Haifa, Israel, 6the7Epidemiology and Biostatistics Unit, Rambam Health Care Campus, Haifa, Israel

    Background/Purpose: The primary objective was to evaluate the effect of body mass index (BMI) on tumor necrosis factor α (TNF-α) blockers (including etanercept, infliximab, adalimumab…
  • Abstract Number: 2360 • 2019 ACR/ARP Annual Meeting

    Safety of Biological DMARD in Patients with Interstitial Lung Disease from a Chilean Cohort of Patients with Rheumatoid Arthritis

    Silvana Saavedra1, Karen Vergara 2, Claudia Hernandez 2, Pedro Zamorano 2, Annelise Goecke 2, Luis Toro 2 and FELIPE REYES 1, 1HOSPITAL CLINICO UNIVERSIDAD DE CHILE, Santiago, Chile, 2HOSPITAL CLINICO UNIVERSIDAD DE CHILE, Santiago, Region Metropolitana, Chile

    Background/Purpose: Interstitial lung disease (ILD) is a common pulmonary manifestation of rheumatoid arthritis (RA) that may be related to the inflammatory process itself, to infectious…
  • Abstract Number: 2361 • 2019 ACR/ARP Annual Meeting

    Early Treatment of Rheumatoid Arthritis with Disease-Modifying Anti-Rheumatic Drugs at < 3 versus 3-6 Months from Onset of Symptoms: Results from a Cohort of Hispanics from Puerto Rico

    Mariangelí Arroyo-Ávila1, Ruth Fred-Jiménez 1, Naydi Pérez-Ríos 1, Noelia Rodríguez 1, Grissel Ríos 1 and Luis Vilá 1, 1University of Puerto Rico Medical Sciences Campus, San Juan, Puerto Rico

    Background/Purpose: There is no doubt that early treatment of rheumatoid arthritis (RA) with disease-modifying anti-rheumatic drugs (DMARDs) is associated with better long-term outcomes. However, the…
  • Abstract Number: 2362 • 2019 ACR/ARP Annual Meeting

    Associations of Disease-Modifying Anti-Rheumatic Drug (DMARD) Adherence with Time to First Biologic and Cycle Time on DMARDs, and Healthcare Utilization/Cost in a New RA Patient Cohort

    Stephanie Saeli1, Joseph Roots 2, Kelly Shields 2 and Tarun Sharma 1, 1Allegheny Health Network, Pittsburgh, PA, 2Highmark Data Science, Pittsburgh

    Background/Purpose: Lack of adherence to medications is a well-known problem with chronic conditions, RA included. Nonadherence is associated with decreased quality of life and poorer…
  • Abstract Number: 2363 • 2019 ACR/ARP Annual Meeting

    Influence of the Clinical Characteristics and Different Genetic Polymorphisms Related to MTX, on the Efficacy and Safety in Patients with RA Treated with MTX in Monotherapy

    Eugenio Chamizo Carmona1, Carmen carrasco-Cubero 2, Sara María Rojas Herrera 1, María Eugenia Gonzalez Naranjo 2, Juan José Aznar Sanchez 3, Raul Veroz Gonzalez 1, Pedro Dorado 2 and Adrian LLerena Ruiz 2, 1Hospital de Mérida, Mérida, Spain, 2CHU de Badajoz, Badajoz, Spain, 3Hospital de Mérida, Mérida

    Background/Purpose: Rheumatoid arthritis (RA) produces joint destruction, functional deterioration, comorbidity and premature death. The best results are achieved with an early start of a treat-to-target…
  • Abstract Number: 2364 • 2019 ACR/ARP Annual Meeting

    Multi-center Analyses on 518 Cases with Rheumatoid Arthritis Developing Lymphoproliferative Disorders (RA-LPD): The Prognostic Factors and the Influence of Anti-rheumatic Drugs on LPD Development

    Yoshihiko Hoshida1, Shiro Ohshima 2, Yukihiko Saeki 3, Masao Katayama 4, Tomoya Miyamura 5, Atsuahi Hashimoto 6, Shinji Higa 7, Hisaji Oshima 8, Masato Yagita 9, Yasushi Hiramatsu 10, Norie Yoshikawa 11, Akiko Mitsuo 12, Akira Okamoto 13, Noriyuki Chiba 14, Takao Sugiyama 15, Shouhei Nagaoka 16, Shoji Sugii 17, Keigo Setoguchi 18, Asami Abe 19, Toshiaki Sugaya 20, Masahiro Koseto 21, Yasuo Kunugiza 22, Ryousuke Yoshihara 23, Shinichiro Tsunoda 24, Tomoaki Fujisaki 25, Hiroshi Furukawa 26, Kazuyoshi Saito 27, Kiyoshi Matsui 28, Yasuhiko Tomita 29 and Shigeto Tohma 30, 1National Hospital Organization Osaka Minami Medical Center, Kawachinagano, Osaka, Japan, 2NHO Osaka Minami Medical Canter, Kawachinagano, Osaka, Japan, 3NHO Osaka Minami Medical Center, Kawachinagano, Osaka, Japan, 4National Hospital Organization Nagoya Medical Center, Nagoya, Japan, 5NHO Kyusyu Medical Center, Fukuoka, Japan, 6NHO Sagamihara Hospital, Sagamihara, Japan, 7Osaka Second Police Hospital, Osaka, Japan, 8NHO Tokyo Medical Hospital, Tokyo, Japan, 9Kitano Hospital, Osaka, Japan, 10Japanese Red Cross Society Himeji Hospital, Himeji, Hyogo, Japan, 11NHO Miyakonojo Medical Center, Miyakonojo, Miyazaki, Japan, 12NHO Disaster Medical Center, Tokyo, Tokyo, Japan, 13National Hospital Organization HImeji Medical Center, Himeji, Hyogo, Japan, 14National Hospital Organization Morioka Medical Center, Morioka, Iwate, Japan, 15NHO Shimoshizu Hospital, Chiba, Chiba, Japan, 16Yokohama Minami Kyousai Hospital, Yokohama, Kanagawa, Japan, 17Department of Rheumatic Diseases, Tokyo Metropoitan Tama Medica Center, Fuchu, Japan, 18Tokyo Metropolitan Cancer and Infectious Dease Center Komagome Hospital, Tokyo, Tokyo, Japan, 19Niigata Rheumatic Center, Shibata, Niigata, Japan, 20Fuchu Hospital, Izumi, Osaka, Japan, 21Nippon Life Hospital, Osaka, Osaka, Japan, 22JCHO Hoshigaoka Medical Center, Katano, Osaka, Japan, 23Hyogo Prefecture Kakogawa Hospital, Kakogawa, Hyogo, Japan, 24Sumitomo Hospital, osaka, Osaka, Japan, 25Matsuyama Red Cross Hospital, Matsuyama, Ehime, Japan, 26Molecular and Genetic Epidemiology Laboratory, Faculty of Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan, 27University of Occupational and Environmental Health, Kitakyushu, Fukuoka, Japan, 28Division of Rheumatology, Department of Internal Medicine, Hyogo College of Medicine, Nishinomiya, Japan, 29International University of health and welfare, Narita, Chiba, Japan, 30National Hospital Organization Tokyo National Hospital, Tokyo, Japan

    Background/Purpose: Lymphoproliferative disorders (LPD) remains as a major problem to resolve among the patients with rheumatoid arthritis (RA). During few decades, rheumatic therapy has dramatically…
  • Abstract Number: 2365 • 2019 ACR/ARP Annual Meeting

    Risk of Diabetes Treatment Switching or Intensification Associated with Use of Abatacept versus Other Biologic Drugs in Patients with Rheumatoid Arthritis and Diabetes Mellitus

    Sarah Chen1, Hemin Lee 2, Yinzhu Jin 2, Jun Liu 2 and Seoyoung C. Kim 2, 1Brigham and Women's Hospital and Harvard Medical School, Boston, 2Brigham and Women’s Hospital and Harvard Medical School, Boston

    Background/Purpose: Rheumatoid arthritis (RA) patients have a high prevalence of cardiovascular comorbidities including diabetes mellitus (DM). Past studies have suggested a potential beneficial effect of…
  • Abstract Number: 2366 • 2019 ACR/ARP Annual Meeting

    Comparison of Healthcare Resource Utilization (HCRU) and Costs of Type 2 Diabetes Mellitus (T2DM)-Related Complications in TNFi-Experienced Medicare Beneficiaries with Rheumatoid Arthritis (RA) and T2DM Who Switch to Abatacept or Other Targeted Disease-Modifying Anti-Rheumatic Drugs

    Vardhaman Patel1, Zulkarnain Pulungan 2, Anne Shah 2, Barton Jones 2, Allison Petrilla 2, Leticia Ferri 3, Xue Han 3 and Kaleb Michaud 4, 1Bristol-Myers Squibb, New York City, NY, 2Avalere, washington, DC, 3Bristol-Myers Squibb Company, Princeton, NJ, 4University of Nebraska Medical Center, Omaha, NE

    Background/Purpose: Patients with RA experienced an increase in the whole-body insulin sensitivity and a reduction in HbA1c levels from treatment with abatacept, which is a…
  • Abstract Number: 2367 • 2019 ACR/ARP Annual Meeting

    The Effect of DMARDs on Cardiovascular Outcomes in Rheumatoid Arthritis: A Systematic Literature Review

    Vardhaman Patel1, Leticia Ferri 2, Xue Han 2, Lauren Mintzer 3 and Mir Sohail Fazeli 3, 1Bristol-Myers Squibb, New York City, NY, 2Bristol-Myers Squibb Company, Princeton, NJ, 3Doctor Evidence, Santa Monica, CA

    Background/Purpose: Autoantibodies and chronic systemic inflammation experienced in rheumatoid arthritis (RA) increases the risk of cardiovascular disease (CVD). This systematic literature review (SLR) aimed to…
  • Abstract Number: 2368 • 2019 ACR/ARP Annual Meeting

    Risk of Diverticulitis and Gastro-Intestinal Perforation in Rheumatoid Arthritis Treated with Tocilizumab Compared to Rituximab and Abatacept: A Prospective Propensity-matched Cohort Study

    Claire Rempenault1, Cédric Lukas 1, Bernard Combe 2, Isabelle Pane 3, Xavier Mariette 4, Jacques-Eric Gottenberg 5 and Jacques Morel 1, 1Department of Rheumatology, Montpellier University Hospital, Montpellier, France, Montpellier, Languedoc-Roussillon, France, 2CHU Montpellier, Montpellier University, Montpellier, France, 3Centre de Recherche en Epidémiologie et Statistiques, INSERM U1153, Centre d'Épidémiologie Clinique, Hôpital Hôtel-Dieu, Assistance Publique-Hôpitaux de Paris (AP-HP), Descartes University, Paris, France., Paris, Ile-de-France, France, 4Center for Immunology of Viral Infections and Autoimmune Diseases, Assistance Publique – Hôpitaux de Paris, Hôpitaux Universitaires Paris-Sud, Le Kremlin-Bicêtre, Université Paris Sud, INSERM, Paris, France, 5Department of Rheumatology, Strasbourg University Hospital, Strasbourg, France

    Background/Purpose: Several studies have reported an increased risk of gastro-intestinal perforation (GIP) in rheumatoid arthritis (RA) patients treated with tocilizumab (TCZ) compared to conventional synthetic…
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