ACR Meeting Abstracts

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  • Abstract Number: 1926 • 2018 ACR/ARHP Annual Meeting

    Effects of Social Networking on Chronic Disease Management in Rheumatoid Arthritis

    Maria A. Lopez-Olivo1, Jessica Foreman2, Heather Lin3, Cheuk Hong Leung4, Tiffany Westrich-Robertson5, Catherine Hofstetter6, Susan K. Peterson7, Anne Lyddiatt8, Amye L. Leong9, Irmgard U. Willcockson10 and Maria Suarez-Almazor1, 1Section of Rheumatology and Clinical Immunology, Department of General Internal Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX, 2Section of Rheumatology and Clinical Immunology, Department of General Internal Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA, Houston, TX, 3Biostatistics, Department of Biostatistics, The University of Texas MD Anderson Cancer Center, Houston, TX, USA, Houston, TX, 4Department of Biostatistics, Department of Biostatistics, The University of Texas MD Anderson Cancer Center, Houston, TX, USA, Houston, TX, 5International Foundation for Autoimmune and Autoinflammatory Arthritis, Saint Louis, Missouri, USA, St Louis, MO, 6OMERACT patient research partner group, Ottawa, ON, Canada, 7Department of Behavioral Science, The University of Texas MD Anderson Cancer Center, Houston Texas, USA, Houston, TX, 8Musculoskeletal Group, Cochrane Collaboration, Hamilton, ON, Canada, 9Spokesperson; Strategic Relations, Bone and Joint Decade, Santa Barbara, CA, 10School of Biomedical Informatics, University of Texas Health Science Center at Houston, Houston, TX

    Background/Purpose: We evaluated a social networking intervention to help patients with rheumatoid arthritis become active partners in their own care. We developed a closed independent…
  • Abstract Number: 1927 • 2018 ACR/ARHP Annual Meeting

    Do Remission and Low Disease Activity State Go Hand in Hand with Patient’s Perception of Disease Burden and Quality of Life in Systemic Lupus Erythematosus?

    Chiara Tani1, Elena Elefante1, Chiara Stagnaro2, Viola Signorini2, Linda Carli1, Meenakshi Jolly3 and Marta Mosca1, 1Rheumatology Unit, University of Pisa, Pisa, Italy, 2University of Pisa, Rheumatology Unit, PISA, Italy, 3Rush University Medical Center, Chicago, IL

    Background/Purpose: Disease remission is the ideal treatment target in SLE; when remission cannot be reached, the lowest possible disease activity state should be targeted. Available…
  • Abstract Number: 1928 • 2018 ACR/ARHP Annual Meeting

    Patient-Physician Communication about Medication Costs in Rheumatoid Arthritis

    K. Julia Kaal1, Nick Bansback1,2,3, Aslam Anis4,5 and Mark Harrison5,6,7,8, 1University of British Columbia, Vancouver, BC, Canada, 2St Paul's Hospital, Centre for Health Evaluation and Outcomes Sciences, Vancouver, BC, Canada, 3Arthritis Research Canada, Richmond, BC, Canada, 4University of British Columbia, School of Population and Public Health, Vancouver, BC, Canada, 5Centre for Health Evaluation and Outcomes Sciences, Vancouver, BC, Canada, 6Arthritis Research Canada, Vancouver, BC, Canada, 7Pharmaceutical Sciences, University of British Columbia, Vancouver, BC, Canada, 8Collaborations in Outcomes Research and Evaluation, Vancouver, BC, Canada

    Background/Purpose: Patients often have to pay for prescription medications out-of-pocket and cost-related nonadherence is a recognized problem. The treatment of rheumatoid arthritis is associated with…
  • Abstract Number: 1929 • 2018 ACR/ARHP Annual Meeting

    The Neutrophil-Lymphocyte Ratio in Newly Diagnosed Rheumatoid Arthritis and Its Ability to Predict Treatment Failure

    Daniel Boulos1, Robert Metcalf2, Susanna Proudman3 and Ian Wicks4, 1Rheumatology, Royal Melbourne Hospital, Melbourne, Melbourne, Australia, 2Rheumatology, Royal Adelaide Hospital, Adelaide, Adelaide, Australia, 3Royal Adelaide Hospital, Rheumatology Unit and University of Adelaide, Discipline of Medicine, Adelaide, Australia, 4Wicks Lab, Walter and Eliza Hall Institute, Melbourne, Australia

    Background/Purpose: To assess whether the neutrophil-lymphocyte ratio (NLR) can predict those who require disease modifying therapy escalation and hence progression in rheumatoid arthritis (RA). Methods:…
  • Abstract Number: 1930 • 2018 ACR/ARHP Annual Meeting

    Histologic and Transcriptional Evidence of Subclinical Synovial Inflammation in Rheumatoid Arthritis Patients in Clinical Remission

    Dana Orange1, Phaedra Agius2, Edward F. DiCarlo3, Serene Z. Mirza4, Cristina Rozo5, Tania Pannellini5, Mark P. Figgie6, William H. Robinson7, Jackie Szymonifka5, Vivian P. Bykerk5, Laura T. Donlin8 and Susan M. Goodman5, 1Rockefeller University, New York, NY, 2New York Genome Center, New York, NY, 3Laboratory Medicine, Hospital for Special Surgery, New York, NY, 4Rheumatology, Hospital for Special Surgery, New York, NY, 5Hospital for Special Surgery, New York, NY, 6Surgery, Hospital for Special Surgery, New York, NY, 7Stanford University, Palo Alto, CA, 8Arthritis and Tissue Degeneration Program and the David Z. Rosensweig Genomics Research Center, Hospital for Special Surgery, New York, NY

    Background/Purpose:   Rheumatoid Arthritis (RA) patients in clinical remission may still develop structural damage that has been attributed to ongoing synovial inflammation, sometimes only detectable…
  • Abstract Number: 1931 • 2018 ACR/ARHP Annual Meeting

    Abundance of Plasma Microbial Small RNAs Are Predictive of Improvement in Disease Activity after DMARD Initiation for Rheumatoid Arthritis

    Michelle J. Ormseth1, Quanhu Sheng1, Shilin Zhao1, Joseph F. Solus1, Qiong Wu1, Ryan Allen1, Yan Guo1, Fei Ye1, Marisol Ramirez1, Kasey Vickers1, S. Louis Bridges Jr.2, Jeffrey R. Curtis3 and C Michael Stein1, 1Vanderbilt University Medical Center, Nashville, TN, 2Clinical Immunology & Rheum, Univ of Alabama, Birmingham, AL, 3University of Alabama at Birmingham, Birmingham, AL

    Background/Purpose: Small RNAs (sRNAs) are important regulators of biological processes and are potential biomarkers of disease and drug response. We previously found that microbial sRNAs…
  • Abstract Number: 1932 • 2018 ACR/ARHP Annual Meeting

    Complications Following Total Knee Arthroplasty in Inflammatory Versus Osteoarthritis

    Shawn Richardson1, William Schairer1, Cynthia Kahlenberg2, Thomas P. Sculco3, Peter K. Sculco3, Linda A. Russell4, Susan M. Goodman2 and Mark P. Figgie5, 1Hospital for Special Surgery, new york, NY, 2Hospital for Special Surgery, New York, NY, 3Orthopaedic Surgery, Hospital for Special Surgery/Weill Cornell Medicine, New York, NY, 4Rheumatology, Hospital for Special Surgery/Weill Cornell Medicine, New York, NY, 5Surgery, Hospital for Special Surgery, New York, NY

    Background/Purpose: TKA is commonly performed in patients with a history of inflammatory arthritis. These patients are likely at higher risk of complications, from both the…
  • Abstract Number: 1933 • 2018 ACR/ARHP Annual Meeting

    Histological Features and Tissue-Macrophage Phenotype of Synovial Biopsies Identify RA Patients in Sustained Remission at Risk of Disease Flare after Treatment Tapering or Discontinuation

    Stefano Alivernini1, Barbara Tolusso1, Aziza Elmesmari2, Laura Bui3, Giusy Peluso1, Maria Rita Gigante1, Samuel Finlay2,4, Luca Petricca1, Clara Di Mario1, Simone Perniola1,5, Anna Laura Fedele1, Francesco Federico3, Iain B. McInnes2,4, Gianfranco Ferraccioli1, Mariola Kurowska-Stolarska2,6 and Elisa Gremese1, 1Division of Rheumatology, Fondazione Policlinico Universitario A. Gemelli IRCCS - Catholic University of the Sacred Heart, Rome, Italy, 2Institute of Infection, Immunity and Inflammation, University of Glasgow, Glasgow, United Kingdom, 3Institute of Pathology, Fondazione Policlinico Universitario A. Gemelli IRCCS - Catholic University of the Sacred Heart, Rome, Italy, 4Rheumatoid Arthritis Pathogenesis Centre of Excellence (RACE), Glasgow, United Kingdom, 5Department of Verona - University of Verona (ITALY), Verona, Italy, 6Rheumatoid Arthritis Pathogenesis Centre of Excellence (RACE), Rome, Italy

    Background/Purpose: Flares of immune-mediated inflammatory diseases, as Rheumatoid Arthritis (RA) occur unpredictably representing a major burden for patients and clinicians. We aimed to dissect the…
  • Abstract Number: 1934 • 2018 ACR/ARHP Annual Meeting

    microRNA Targeting IL-33 Gene As Biomarker to Predict Subclinical Atherosclerosis in Patients with Early Rheumatoid Arthritis

    Isaac T. Cheng1, Qing Shang2, Jiayun Shen3, Martin Li3, Queenie Mak2, Kitty Y Kwok4, Isaac CW Yim5, Edmund Kwok Ming Li2, Priscilla Wong1, Ronald ML Yip6, Steve H Pang6 and Lai-Shan Tam7, 1Department of Medicine & Therapeutics, The Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong, China, Hong Kong, China, 2Department of Medicine and Therapeutics, The Chinese University of Hong Kong, Hong Kong, Hong Kong, 3Department of Medicine & Therapeutics, The Chinese University of Hong Kong, Hong Kong, Hong Kong, 4Department of Medicine, Queen Elizabeth Hospital, Hong Kong, Hong Kong, 5Department of Medicine, Tseung Kwan O Hospital, Hong Kong, Hong Kong, 6Department of Medicine, Kwong Wah Hospital, Hong Kong, Hong Kong, 7Department of Medicine & Therapeutics, The Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong, China, Hong Kong, Hong Kong

    Background/Purpose: Patients with RA had increased risk of cardiovascular disease (CVD). Interleukin 33 (IL-33) plays an important role in pathogenesis of RA and development of…
  • Abstract Number: 1935 • 2018 ACR/ARHP Annual Meeting

    Multiple Dose Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of ASP5094, an Anti-Alpha9 Integrin Monoclonal Antibody, in Patients with Rheumatoid Arthritis on Methotrexate

    Jiayin Huang1, Tomasz Wojtkowski1, Paul Blahunka1, Ronald Smulders2 and Christopher Lademacher1, 1Astellas Pharma US, Inc., Northbrook, IL, 2Astellas Pharma Europe BV, Leiden, Netherlands

    Background/Purpose: Joint synovium is the main tissue involved in rheumatoid arthritis (RA) lesions. Alpha9 integrin is expressed by synovial tissue lining cells and has been…
  • Abstract Number: 1936 • 2018 ACR/ARHP Annual Meeting

    A Randomized, Double-Blind, Parallel-Group, Multicenter Study to Compare the Efficacy, Safety and Immunogenicity of a Proposed Adalimumab Biosimilar (GP2017) with Reference Adalimumab in Patients with Moderate-to-Severe Active Rheumatoid Arthritis

    Piotr Wiland1, Sławomir Jeka2, Eva Dokoupilová3,4, Juan Manuel Miranda Limón5, Julia Jauch-Lembach6, Anjali Thakur6, Halimuniyazi Haliduola6 and Norman B Gaylis7, 1Wrocław Medical University, Wrocław, Poland, 2Collegium Medicum UMK, 2nd University Hospital, Bydgoszcz, Poland, 3MEDICAL PLUS s.r.o., Uherské Hradiště, Czech Republic, 4Faculty of Pharmacy, University of Veterinary and Pharmaceutical sciences, Brno, Czech Republic, 5RM Pharma Specialists, Mexico City, Mexico, 6Hexal AG, Holzkirchen, Germany, 7Arthritis & Rheumatic Disease Specialties, Aventura, FL

    Background/Purpose: GP2017, a proposed adalimumab biosimilar, matched reference adalimumab (refADL) in preclinical and pharmacokinetics studies.1,2 The confirmatory efficacy and safety study in patients with plaque-type…
  • Abstract Number: 1937 • 2018 ACR/ARHP Annual Meeting

    Low-Dose IL-2 Restored Reduced Regulatory T Cells in Patients with Rheumatoid Arthritis

    Ming Yan1, Sheng-Xiao Zhang2, Ruihuan Jia2, Yu-Fei Hao1, He-Hua Sun1, Yan-Yan Wang1, Guang-Ying Liu1, Cai-Hong Wang3, Chong Gao4 and Xiao-Feng Li3, 1Rheumatology, The Second Hospital of Shanxi Medical University, Taiyuan, China, 2The Second Hospital of Shanxi Medical University, Taiyuan, China, 3The Second Hospital of Shanxi Medical Univerity, Taiyuan, China, 4Department of Pathology, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA, Cambridge, MA

    Background/Purpose: Patients with rheumatoid arthritis (RA) have lymphocyte dysfunction characterized by deficiency or dysfunction of regulatory T cells (Tregs), which plays crucial roles in immune tolerance. Low dose IL-2…
  • Abstract Number: 1938 • 2018 ACR/ARHP Annual Meeting

    A Phase IIb Dose-Ranging Study of Anti-GM-CSF with Methotrexate Treatment in Patients with Rheumatoid Arthritis (RA) and an Inadequate Response to Methotrexate

    Chris Buckley1, Jesus A Simon Campos2, Sergey Yakushin3, Vyacheslav Zhdan4, Katherine Davy5, David Inman6, Elena Fisheleva7,8, Anubha Gupta8, Mark Layton9, Nina Mitchell7,8, Jatin Patel10, Russell Williamson6 and Paul-Peter Tak11, 1University of Birmingham, Birmingham, United Kingdom, 2Hospital CEM/BIOCEM, Merida, Mexico, 3Ryazan Regional Clinical Cardiology Dispensary, Ryazan, Russian Federation, 4M.V.Sklifosovskyi Poltava Regional Clinical Hospital, Poltava, Ukraine, 5Statistics, GlaxoSmithKline, Stevenage, UK, Stevenage, United Kingdom, 6GlaxoSmithKline, Stockley Park, United Kingdom, 7Currently at Biomarin UK Ltd, London, United Kingdom, 8GlaxoSmithKline, Stevenage, United Kingdom, 9ImmunoInflammation, ImmunoInflammation, GlaxoSmithKline, Stevenage, UK, Stevenage, United Kingdom, 10ImmunoInflammation, GlaxoSmithKline, Stevenage, UK, Stevenage, United Kingdom, 11University of Cambridge, Cambridge and GlaxoSmithKline, Stevenage, United Kingdom

    Background/Purpose: GSK3196165 is a high-affinity anti-GM-CSF cytokine IgG mAb currently in development for RA, with reported efficacy using IV dosing. This study evaluated the efficacy…
  • Abstract Number: 1939 • 2018 ACR/ARHP Annual Meeting

    Sirolimus Treatment in Patients with Refractory Rheumatoid Arthritis: A Double-Arm, Open-Label, phase1/2 Trail

    Jia Wang1, Sheng-Xiao Zhang2, Fang-Yuan Hu3, Xiao-Juan Zheng1, Ting Cheng1, Na-Na Yu2, Wen-Xian Yang1, Chong Gao4, Hong-Yan Wen2 and Xiao-Feng Li5, 1Rheumatology, The Second Hospital of Shanxi Medical University, Taiyuan, China, 2The Second Hospital of Shanxi Medical University, Taiyuan, China, 3Rheumatology, The Second Hospital of Shanxi Medical Univerity, Taiyuan City, China, 4Department of Pathology, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA, Cambridge, MA, 5The Second Hospital of Shanxi Medical Univerity, Taiyuan, China

    Background/Purpose:  Patients with refractory rheumatoid arthritis (RA) have T-cell dysfunction that associates the activation of mTOR that is inhibited by rapamycin, which has been developed…
  • Abstract Number: 1940 • 2018 ACR/ARHP Annual Meeting

    Reductions in Absolute Neutrophil Count (ANC) with Sarilumab Resulting in Dose Delays or Dose Decreases: Effects on Efficacy and Safety

    Jeffrey R. Curtis1, Gregory St. John2, Michael Pannucci2, Yong Lin3, José A. Maldonado-Cocco4, Tom W.J. Huizinga5, Marina Stanislav6 and Paul Emery7, 1University of Alabama, Birmingham, AL, 2Regeneron Pharmaceuticals, Inc., Tarrytown, NY, 3Sanofi Genzyme, Bridgewater, NJ, 4Universidad de Buenos Aires, Buenos Aires, Argentina, 5Leiden University Medical Center, Leiden, Netherlands, 6Research Rheumatology Institute n. a. V.A. Nassonova, Moscow, Russian Federation, 7University of Leeds and NIHR Leeds Biomedical Research Centre, Leeds, United Kingdom

    Background/Purpose: In sarilumab randomized controlled trials (RCTs), dose delay and/or reduction was recommended for management of patients who developed neutropenia Grade (G) 3 (ANC ≥500…
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