ACR Meeting Abstracts

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  • Abstract Number: 2678 • 2018 ACR/ARHP Annual Meeting

    Integrated Safety Profile of Atacicept from All Clinical Studies to Date

    Caroline Gordon1,2, Roberto Bassi3, Peter Chang4, Amy H. Kao3, David Jayne5, David Wofsy6, Victor Ona3 and Patricia Fleuranceau-Morel3, 1Rheumatology Research Group, Institute of Inflammation and Ageing, University of Birmingham, Birmingham, United Kingdom, 2University of Birmingham, Birmingham, United Kingdom, 3EMD Serono Research & Development Institute, Inc. (a business of Merck KGaA, Darmstadt, Germany), Billerica, MA, 4EMD Serono Research & Development Institute, Inc. (a business of Merck KGaA, Darmstadt, Germany), BIllerica, MA, 5Department of Medicine, University of Cambridge, Cambridge, United Kingdom, 6Rheumatology, University of California, San Francisco, San Francisco, CA

    Background/Purpose: We conducted an integrated analysis of pooled safety data from all 17 atacicept clinical studies to date, across multiple indications, to further define atacicept’s…
  • Abstract Number: 2679 • 2018 ACR/ARHP Annual Meeting

    Glucocorticoids Withdrawal in Systemic Lupus Erythematosus: Are Remission and Low Disease Activity Reliable Starting Points for Stopping Therapy? a Real-Life Experience

    Viola Signorini, Chiara Tani, Elena Elefante, Chiara Stagnaro, Linda Carli and Marta Mosca, Rheumatology Unit, University of Pisa, Pisa, Italy

    Background/Purpose: Glucocorticoids (GC) are a cornerstone of the treatment of Systemic Lupus Erythematosus (SLE); however, a significant organ damage is associated with long-term GC use…
  • Abstract Number: 2680 • 2018 ACR/ARHP Annual Meeting

    Activation Towards Health Self-Management in Patients with Systemic Lupus Erythematosus

    Paul R. Fortin1, Carolyn Neville2, Anne-Sophie Julien3, Murray Rochon4, Davy Eng5, Christine A. Peschken6, Evelyne Vinet7, Marie Hudson8, Doug Smith9, Mark Matsos10, Janet E. Pope11, Ann E. Clarke12, Stephanie Keeling13, J. Antonio Avina-Zubieta14 and Deborah Da Costa15, 1Medicine, CHU de Québec - Université Laval, Québec, QC, Canada, 2Department of Medicine, McGill University Health Center, Montreal, QC, Canada, 3CHU de Québec - Université Laval, Quebec City, QC, Canada, 4Jack Digital, Toronto, ON, Canada, 5Centre de recherche du CHU de Québec - Université Laval - Axe maladies infectieuses et immunitaires, CHU de Québec - Université Laval, Quebec, QC, Canada, 6RR 149G, University of Manitoba, Winnipeg, MB, Canada, 7Divisions of Rheumatology and Clinical Epidemiology, McGill University Health Centre, Montreal, QC, Canada, 8Division of Rheumatology, Jewish General Hospital, Lady Davis Institute for Medical Research, Montreal, QC, Canada, 9Division of Rheumatology, Department of Medicine, The Ottawa Hospital - University of Ottawa, Ottawa, ON, Canada, 10Medicine, McMaster University, Hamilton, ON, Canada, 11Department of Medicine, University of Western Ontario, London, ON, Canada, 12Department of Medicine, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada, 13Department of Medicine, University of Alberta, University of Alberta, Edmonton, AB, Canada, 14Division of Rheumatology, Department of Medicine, University of British Columbia, Vancouver, BC, Canada, 15Medicine, McGill University, Montreal, QC, Canada

    Background/Purpose: Systemic lupus erythematosus (SLE) is a chronic autoimmune disease with fluctuating levels of disease activity.  Control of disease activity is associated with better outcomes…
  • Abstract Number: 2681 • 2018 ACR/ARHP Annual Meeting

    Lupus Primary Care Management Practices

    Karin Tse and R. Paola Daly, Lupus Foundation of America, Washington, DC

    Background/Purpose: Due to the systemic nature of lupus, individuals may interact with a diverse health care team when experiencing lupus symptoms and before receiving a…
  • Abstract Number: 2682 • 2018 ACR/ARHP Annual Meeting

    Novel Antibody Against Commensal Bacterial Antigen in Prediction of the Response of Rituximab in Systemic Lupus Erythematosus

    Yu-Min Kuo1,2, Jenhao Chen3, Jean-san Chia4, Chiau-jing Jung5 and Song-Chou Hsieh6, 1Graduate Institute of Clinical Medicine, National Taiwan University College of Medicine, Taipei, Taiwan, Taipei, Taiwan, 2Division of Allergy, Immunology and Rheumatology, Department of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan, 3Division of Allergy, Immunology and Rheumatology, Department of Internal Medicine, National Taiwan University Hospital,Yunlin branch, Yunlin County, Taiwan, 4Graduate Institute of Immunology, National Taiwan University College of Medicine, Taipei, Taiwan, 5Department of Microbiology and Immunology, School of Medicine,, College of Medicine, Taipei Medical University, Taipei, Taiwan, 6National Taiwan University Hospital, Taipei, Taiwan

    Background/Purpose: Streptoccocal infections can cause rheumatic fever sharing clinical presentations similar to SLE. Whether oral commensal streptococci could induce cross-reactive and pathogenic antibodies remained unknown.…
  • Abstract Number: 2683 • 2018 ACR/ARHP Annual Meeting

    Selective Expansion and Targeting of FoxP3+CD127lo Regulatory T Cells By Low-Dose IL-2 Therapy in Active SLE

    Jens Humrich1, Caroline von Spee-Mayer2, Philipp Enghard3, Angelika Rose4, Elise Siegert5, Tobias Alexander5, Falk Hiepe6, Gerd R. Burmester7 and Gabriela Riemekasten8, 1Department of Rheumatology, University Hospital Schleswig-Holstein - Campus Lübeck, Lübeck, Germany, 2Immunology, University Hospital Freiburg, Freiburg, Germany, 3Department of Nephrology, Charité – University Medicine Berlin, Berlin, Germany, 4Rheumatology and Clinical Immunology, Charité – University Medicine Berlin, Berlin, Germany, 5Rheumatology and Clinical Immunology, Charité - University Medicine Berlin, Berlin, Germany, 6Rheumatology, Charité – University Medicine Berlin, Berlin, Germany, 7Rheumatology and Clinical Immunology, Charité-University Medicine Berlin, Berlin, Germany, 8Rheumatology, University Hospital Schleswig-Holstein - Campus Lübeck, Lübeck, Germany

    Background/Purpose: Interleukin-2 (IL-2) is crucial for the growth and survival of regulatory T cells (Treg), and thus for the control of autoimmunity. In previous studies…
  • Abstract Number: 2684 • 2018 ACR/ARHP Annual Meeting

    Type I IFN, TLR7, MHC Class I, B Cell and OX40 Pathways Suppressed By Anifrolumab (anti-type I IFN receptor) in Moderate to Severe SLE Patients

    Katie Streicher1, Jixin Wang1, Philip Z. Brohawn2, Brandon W. Higgs2, Raj Tummala3 and Koustubh Ranade4, 1Translational Medicine, MedImmune, Gaithersburg, MD, 2MedImmune LLC, Gaithersburg, MD, 3MedImmune, Gaithersburg, MD, 4Translational Medicine, MedImmune LLC, Gaithersburg, MD

    Background/Purpose: Type I interferon has been identified as one of the central mediators in the pathogenesis of SLE, such that patients are characterized by activation…
  • Abstract Number: 2685 • 2018 ACR/ARHP Annual Meeting

    Interferon-Inducible Gene Expression Kit As a Potential Diagnostic Test for Anifrolumab: Analytical Validation for Use in Clinical Trials

    Philip Z. Brohawn1, Brandon W. Higgs1, Sabina Patel2, Adrian Moody3, Peter Cooper3 and Koustubh Ranade4, 1MedImmune LLC, Gaithersburg, MD, 2AstraZeneca, Cambridge, United Kingdom, 3QIAGEN Manchester Ltd., Manchester, United Kingdom, 4Translational Medicine, MedImmune LLC, Gaithersburg, MD

    Background/Purpose: Anifrolumab is a fully human monoclonal antibody that binds to the type I interferon (IFN) receptor. Its efficacy and safety in the treatment of…
  • Abstract Number: 2686 • 2018 ACR/ARHP Annual Meeting

    Podocyte Foot Process Width Is a Prediction Marker for Complete Renal Remission at 6 and 12 Months after Induction Therapy in Lupus Nephritis

    Kunihiro Ichinose1, Mineaki Kitamura2, Shuntaro Sato3, Keita Fujikawa4, Yoshiro Horai5, Naoki Matsuoka6, Masahiko Tsuboi6, Fumiaki Nonaka7, Masataka Umeda1, Tomohiro Koga8, Takashi Igawa8, Tomoya Nishino2 and Atsushi Kawakami8, 1Department of Immunology and Rheumatology, Unit of Advanced Preventive Medical Sciences, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan, 2Department of Nephrology, Nagasaki University Hospital, Nagasaki, Japan, 3Clinical Research Center, Nagasaki University Hospital, Nagasaki, Japan, 4Japan Community Health care Organization Isahaya General Hospital, Nagasaki, Japan, 5Department of Rheumatology, Clinical Research Center, NHO Nagasaki Medical Center, Omura, Japan, 6Nagasaki Medical Hospital of Rheumatology, Nagasaki, Japan, 7Department of Internal Medicine, Sasebo City General Hospital, Sasebo, Japan, 8Department of Immunology and Rheumatology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan

    Background/Purpose: Lupus nephritis (LN) is a most important predictor of morbidity and mortality in patients with systemic lupus erythematosus (SLE).Histopathology samples from patients with LN…
  • Abstract Number: 2687 • 2018 ACR/ARHP Annual Meeting

    Patient-Level Evaluation of Components of the American College of Rheumatology Combined Response Index in Systemic Sclerosis (CRISS) Using Patient-Reported Anchors

    Vivek Nagaraja1, John Powers2, Celia J. F. Lin3, Benjamin Brennan4, Veronica J. Berrocal5 and Dinesh Khanna1, 1Division of Rheumatology, Department of Internal Medicine, University of Michigan Scleroderma Program, University of Michigan, Ann Arbor, MI, 2University of Maryland School of Medicine, Rockville, MD, 3Genentech, Inc., South San Francisco, CA, 4School of Public Health, University of Michigan, Ann Arbor, MI, 5Div of Rheumatology, University of Michigan, Ann Arbor, MI

    Background/Purpose: Treatment benefit is demonstrated by evidence that interventions have positive impacts on how patients feel, function, and/or survive (FDA Guidance, 21CFR314.510). The ACR CRISS,…
  • Abstract Number: 2688 • 2018 ACR/ARHP Annual Meeting

    Increased Serum Uric Acid Levels Are Associated with a Higher Risk of Digital Ulcers in Patients with Systemic Sclerosis

    Han-Na Lee1, Seung-Geun Lee1, Eunsung Kim1, JungHee Koh1, Yun-Kyung Kim2, Ho-Jae Kim2 and Geun-Tae Kim3, 1Division of Rheumatology, Department of Internal Medicine, Pusan National University School of Medicine, Pusan National University Hospital, Busan, Korea, Republic of (South), 2Division of Rheumatology, Department of Internal Medicine, Kosin University College of Medicine, Busan, Korea, Republic of (South), 3Kosin University College of Medicine, Busan, Korea, Republic of (South)

    Background/Purpose: Endothelial cell dysfunction and/or injury are considered critical early events in the pathogenesis of vasculopathy in patients with systemic sclerosis (SSc). Hyperuricemia is known…
  • Abstract Number: 2689 • 2018 ACR/ARHP Annual Meeting

    Association between Small Vessel Disease and Arterial Stiffness in Systemic Sclerosis

    Stergios Soulaidopoulos1, Eleni Pagkopoulou1, Eva Triantafyllidou1, Niki Katsiki2, George D. Kitas3,4, Asterios Karagiannis2, Alexandros Garyfallos1 and Theodoros Dimitroulas1, 1Fourth Department of Internal Medicine, Hippokration University Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece, 2Second Department of Propaedeutic Internal Medicine, Hippokration University Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece, 3Department of Rheumatology, Dudley Group of Hospitals, NS Foundation Trust, Dudley, United Kingdom, 4Arthritis Research UK Centre for Epidemiology, University of Manchester, Manchester, United Kingdom

    Background/Purpose: Microangiopathy predominates in the pathophysiology of Systemic Sclerosis (SSc). However, large vessel involvement leading to higher risk for cardiovascular disease in SSc remains unclear.…
  • Abstract Number: 2690 • 2018 ACR/ARHP Annual Meeting

    Potential Markers of Skin Involvement in Systemic Sclerosis

    Radim Becvar1, Hana Storkanova2, Barbora Sumova1, Maja Spiritovic1, Sabina Oreska2, Ladislav Šenolt1 and Michal Tomcik2, 1Institute of Rheumatology, Prague, Czech Republic, Prague, Czech Republic, 2Department of Rheumatology, First Faculty of Medicine, Charles University, Prague, Czech Republic, Prague, Czech Republic

    Background/Purpose: Skin fibrosis is a hallmark of systemic sclerosis (SSc). There are no widely accepted biomarkers of skin involvement in this condition. Several serum or…
  • Abstract Number: 2691 • 2018 ACR/ARHP Annual Meeting

    Increased Plasma Angiopoietin-2 in Systemic Sclerosis: Potential for Use As a Biomarker of Vasculopathy and Fibrosis

    Victoria Flower1,2, Shaney Barratt3,4, Darren Hart5, Amanda MacKenzie2, Jacqueline Shipley5, Stephen Ward2 and John Pauling1,2, 1Department of Rheumatology, Royal National Hospital for Rheumatic Diseases, Royal United Hospitals NHS Foundation Trusts, Bath, United Kingdom, 2Centre for Therapeutic Innovations & Department of Pharmacy and Pharmacology, University of Bath, Bath, United Kingdom, 3Academic Respiratory Unit, School of Clinical Sciences, University of Bristol, Bristol, United Kingdom, 4North Bristol NHS Trust, Bristol, United Kingdom, 5Clinical Measurement Department, Royal National Hospital for Rheumatic Diseases, Royal United Hospitals NHS Foundation Trusts, Bath, United Kingdom

    Background/Purpose: Angiogenic pathways are likely to contribute to pathogenesis of both vasculopathy and fibrosis in Systemic sclerosis (SSc). The angiogenic actions of Angiopoietins (pro-angiogenic Ang1…
  • Abstract Number: 2692 • 2018 ACR/ARHP Annual Meeting

    High Frequency Ultrasound As a Novel Approach to Quantifying the Digital Microangiopathy of Systemic Sclerosis

    Victoria Flower1,2, Shaney Barratt3,4, Darren Hart5, Amanda MacKenzie2, Jacqueline Shipley5, Stephen Ward2 and John Pauling1,2, 1Department of Rheumatology, Royal National Hospital for Rheumatic Diseases, Royal United Hospitals NHS Foundation Trusts, Bath, United Kingdom, 2Centre for Therapeutic Innovations & Department of Pharmacy and Pharmacology, University of Bath, Bath, United Kingdom, 3North Bristol NHS Trust, Bristol, United Kingdom, 4Academic Respiratory Unit, School of Clinical Sciences, University of Bristol, Bristol, United Kingdom, 5Clinical Measurement Department, Royal National Hospital for Rheumatic Diseases, Royal United Hospitals NHS Foundation Trusts, Bath, United Kingdom

    Background/Purpose: Structural and functional vascular abnormalities occur in Systemic Sclerosis (SSc). We report on the use of High Frequency Ultrasound (HFUS) with Superb Microvascular Imaging…
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