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  • Abstract Number: 2888 • 2018 ACR/ARHP Annual Meeting

    Concomitant Csdmards Influence Clinical Response to TNF Inhibitors Only in Overweight Patients with Axial Spondyloarthritis

    Borja Hernández-Breijo1, Victoria Navarro-Compán1, Ana Martínez1, Andrea Jochems1, Alejandro Villalba2, Diana Peiteado3, Eva L. Kneepkens4, Gerrit Wolbink4, Theo Rispens5, Dora Pascual-Salcedo1, Alejandro Balsa1 and Chamaida Plasencia1, 1Immuno-Rheumatology research group, IdiPaz. La Paz University Hospital, Madrid, Spain, 2Rheumatology, La Paz University Hospital, Madrid, Spain, 3Hospital Universitario La Paz, Madrid, Spain, 4Rheumatology, Reade, Amsterdam, Netherlands, 5Immunopathology, Sanquin Research, Amsterdam, Netherlands

    Background/Purpose: In patients with axial spondyloarthritis (axSpA), the use of conventional synthetic disease-modifying anti-rheumatic drugs (csDMARDs), such as methotrexate (MTX) and sulfasalazine (SSZ), as well…
  • Abstract Number: 2889 • 2018 ACR/ARHP Annual Meeting

    Inhibition of Radiographic Progression and Correlation with Changes in Composite Indices of Disease Activity in Patients with Active Psoriatic Arthritis Treated with Intravenous Golimumab, As Measured in a Phase III Trial

    Philip J. Mease1, Shelly Kafka2, Soumya D Chakravarty3, Diane D. Harrison4, Kim Hung Lo4, Stephen Xu4, Elizabeth C Hsia5 and Arthur Kavanaugh6, 1Swedish Medical Centre and University of Washington, Seattle, WA, 2Janssen Scientific Affairs, LLC, Horsham, PA, 3Janssen Scientific Affairs, LLC/Drexel University School of Medicine, Horsham/Phila, PA, 4Janssen Research & Development, LLC, Spring House, PA, 5Janssen Reseach & Development, LLC/ U of Pennsylvania School of Medicine, Spring House/Philadelphia, PA, 6University of California, San Diego, School of Medicine, La Jolla, CA

    Background/Purpose: GO-VIBRANT is a Phase 3 trial of intravenous (IV) golimumab (GLM), an anti-tumor necrosis factor alpha (TNFα) monoclonal antibody, in adult patients (pts) w/…
  • Abstract Number: 2890 • 2018 ACR/ARHP Annual Meeting

    Effect of Tapering of Tumor Necrosis Factor Inhibitor on Achieving Inactive Disease in Axial Spondyloarthritis Based on the ‘Treat-to-Target’ Strategy: A Nationwide Prospective Cohort Study

    Jun Won Park1, Min Jung Kim1, Hyoun-Ah Kim2, Kichul Shin3, Yong-Beom Park4, Yeong Wook Song5 and Eun Young Lee1, 1Division of Rheumatology, Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea, Republic of (South), 2Department of Rheumatology, Ajou University School of Medicine, Suwon, Korea, Republic of (South), 3Kyungnam villa #102, Division of Rheumatology, Department of Internal Medicine, SMG-SNU Boramae Medical Center, Seoul, Korea, Republic of (South), 4Yonsei University College of Medicine, Seoul, Korea, Republic of (South), 5Department of Molecular Medicine and Biopharmaceutical Sciences, Graduate School of Convergence Science and Technology, and College of Medicine, Seoul National University, Seoul, Korea, Republic of (South)

    Background/Purpose: Although recent treatment guideline of axial spondyloarthritis (axSpA) by the European League Against Rheumatism (EULAR) recommended that tapering of tumor necrosis factor inhibitor (TNFi)…
  • Abstract Number: 2891 • 2018 ACR/ARHP Annual Meeting

    Eligibility Criteria for TNFi Therapy in Axial Spa: Going Beyond Basdai

    José Marona1,2, Alexandre Sepriano2,3, Santiago Rodrigues Manica1,2, Fernando Pimentel-Santos1,2, Ana Filipa Mourão1,2, Nélia Gouveia2, Jaime Cunha Branco1,2, Filipe Vinagre4, Raquel Roque4, João Rovisco5, Mary Lucy Marques5, José Tavares Costa6, Joana Leite Silva6, Helena Santos7, Nathalie Madeira7, Elsa Vieira-Sousa8,9, Ana Rita Machado10, Miguel Bernardes11, Raquel Ferreira11 and Sofia Ramiro2,12,13, 1Rheumatology, Hospital de Egas Moniz - Centro Hospitalar Lisboa Ocidental, EPE, Lisbon, Portugal, 2CEDOC, NOVA Medical School, Lisbon, Portugal, 3Rheumatology, Leiden University Medical Center, Leiden, Netherlands, 4Rheumatology, Hospital Garcia de Orta, Almada, Portugal, 5Rheumatology, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal, 6Rheumatology, Unidade Local de Saúde do Alto Minho, Ponte de Lima, Portugal, 7Rheumatology, Instituto Português de Reumatologia, Lisbon, Portugal, 8Rheumatology and Metabolic Bone Diseases, Hospital de Santa Maria - Centro Hospitalar Lisboa Norte, EPE, Lisbon, Portugal, 9Rheumatology Research Unit, Instituto de Medicina Molecular - Faculty of Medicine, University of Lisbon, Lisbon Academic Medical Centre, Lisbon, Portugal, 10Serviço de Reumatologia e Doenças Ósseas Metabólicas, Hospital de Santa Maria, Centro Hospitalar Lisboa Norte, Lisboa, Portugal, Lisboa, Portugal, 11Rheumatology, Centro Hospitalar de São João, Oporto, Portugal, 12Department of Rheumatology, Leiden University Medical Centre, Leiden, Netherlands, 13Department of Rheumatology, Zuyderland Medical Center, Heerlen, Netherlands

     Background/Purpose: A BASDAI ≥4 has often been required to start TNF inhibitors (TNFi) therapy in patients with axial SpA (axSpA). However, this cut-off of high…
  • Abstract Number: 2892 • 2018 ACR/ARHP Annual Meeting

    Safety and Immune Response of a Live Attenuated Herpes Zoster Vaccine in Patients with Systemic Lupus Erythematosus (SLE): A Randomized Placebo-Controlled Trial

    Chi Chiu Mok1, Kwok Hung Chan2, Ling Yin Ho3 and Patrick Chiu Yat Woo2, 1Medicine, Tuen Mun Hospital, Hong Kong, Hong Kong, 2Microbiology, University of Hong Kong, Hong Kong, Hong Kong, 3Dept of Medicine, Tuen Mun Hospital, Hong Kong SAR, Hong Kong

    Background/Purpose: To evaluate the safety and immune response of a live attenuated herpes zoster (HZ) vaccine in patients with SLE by a randomized placebo-control trial…
  • Abstract Number: 2893 • 2018 ACR/ARHP Annual Meeting

    Clinical Outcomes and Response to Anti-Thrombotic Treatment Among Patients with Concomitant Lupus Nephritis and Thrombotic Microangiopathy: A Multicenter Cohort Study

    Savino Sciascia1, Jinoos Yazdany2, Maria Jose Cuadrado3, Massimo Radin4, Maria Dall'Era2, Ishita Aggarwal5, Roberta Fenoglio6, Antonella Barreca7, Mauro Papotti7, Irene Cecchi8, Elena Rubini9, Karen Schreiber10 and Dario Roccatello6, 1Center of Research of Immunopathology and Rare Diseases- Coordinating Center of Piemonte and Valle d’Aosta Network for Rare Diseases, Department of Clinical and Biological Sciences, University of Turin, Italy, Center of Research of Immunopathology and Rare Diseases- Coordinating Center of Piemonte and Valle d’Aosta Network for Rare Diseases, Department of Clinical and Biological Sciences, University of Turin, Italy, Torino, Italy, 2University of California, San Francisco, San Francisco, CA, 3Clinica Universidad de Navarra, Madrid, Spain, 4Department of Clinical and Biological Sciences, Center of Research of Immunopathology and Rare Diseases- Coordinating Center of Piemonte and Valle d’Aosta Network for Rare Diseases, Department of Clinical and Biological Sciences, University of Turin, Italy, Turin, Italy, 5Medicine, Santa Clara Valley Medical Center, San Jose, CA, 6Center of Research of Immunopathology and Rare Diseases- Coordinating Center of Piemonte and Valle d’Aosta Network for Rare Diseases, Department of Clinical and Biological Sciences, University of Turin and S. Giovanni Bo, Turin, Italy, 7University of Turin, Turin, Italy, 8Center of Research of Immunopathology and Rare Diseases- Coordinating Center of Piemonte and Valle d’Aosta Network for Rare Diseases, Department of Clinical and Biological Sciences, University of Turin, Italy, Turin, Italy, 9Center of Research of Immunopathology and Rare Diseases- Coordinating Center of Piemonte and Valle d’Aosta Network for Rare Diseases, Department of Clinical and Biological Sciences, University of Turin and S. Giovanni Bosco Hospital, Turin, Italy., Turin, Italy, 10Department of Thrombosis and Haemophilia, Guy's and St Thomas' Hospital, London, United Kingdom., London, United Kingdom

    Background/Purpose: Renal vascular involvement is an important prognostic marker of lupus nephritis (LN). Among patients with various vascular changes, individuals with thromboticmicroangiopathy (TMA) present with…
  • Abstract Number: 2894 • 2018 ACR/ARHP Annual Meeting

    Psychosis in Systemic Lupus Erythematosus: Results from an International, Inception Cohort Study

    John G. Hanly1, Qiuju Li2, Li Su3, Murray Urowitz4, Caroline Gordon5, Sang-Cheol Bae6, Juanita Romero-Díaz7, Jorge Sanchez-Guerrero4, Sasha Bernatsky8, Ann E. Clarke9, Daniel J. Wallace10, David A. Isenberg11, Anisur Rahman12, Joan T. Merrill13, Paul R. Fortin14, Dafna D Gladman15, Ian N. Bruce16, Michelle Petri17, Ellen M. Ginzler18, Mary Dooley19, Kristján Steinsson20, Rosalind Ramsey-Goldman21, Asad A Zoma22, Susan Manzi23, Ola Nived24, Andreas Jönsen24, Munther A Khamashta25, Graciela S. Alarcón26, Ronald F van Vollenhoven27, Cynthia Aranow28, Meggan Mackay28, Guillermo Ruiz-Irastorza29, Manuel Ramos-Casals30, S. Sam Lim31, Murat Inanc32, Kenneth C. Kalunian33, Søren Jacobsen34, Christine A. Peschken35, Diane L. Kamen36, Anca Askanase37, Chris Theriault38 and Vernon Farewell39, 1Division of Rheumatology, Department of Medicine and Department of Pathology, Queen Elizabeth II Health Sciences Centre and Dalhousie University, Halifax, NS, Canada, 2MRC Biostatistics Unit, Cambridge, United Kingdom, 3Nova Scotia Rehab Site, Division of Rheumatology, Capital Health and Dalhousie University, Halifax, NS, Canada, 4University of Toronto Lupus Research Program, Toronto Western Hospital, Toronto, ON, Canada, 5Rheumatology Research Group, Institute of Inflammation and Ageing, University of Birmingham, Birmingham, United Kingdom, 6Rheumatology, Hanyang University Hospital for Rheumatic Diseases, Seoul, Korea, Republic of (South), 7Immunology and Rheumatology, Instituto Nacional de Ciencias Medicas y Nutricion, Mexico City, Mexico, 8Divisions of Rheumatology and Clinical Epidemiology, The Research Institute of the McGill University Health Centre, Montreal, QC, Canada, 9Department of Medicine, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada, 10Cedars-Sinai/David Geffen School of Medicine at UCLA, Los Angeles, CA, 11University College London, London, United Kingdom, 12Rayne Institute, University College London, London, United Kingdom, 13Arthritis and Clinical Immunology Research Program, Oklahoma Medical Research Foundation, Oklahoma City, OK, 14Medicine, CHU de Québec - University of Laval, Quebec, QC, Canada, 15Krembil Research Institute, Toronto Western Hospital, Toronto, ON, Canada, 16Centre for Musculoskeletal Research, Division of Musculoskeletal and Dermatological Sciences, The University of Manchester, Manchester, United Kingdom, 17Johns Hopkins University School of Medicine, Baltimore, MD, 18Rheumatology, SUNY Downstate Medical Center, Brooklyn, NY, 19Dooley Rheumatology, Chapel Hill Doctors, Chapel Hill, NC, 20Rheumatology, Univ. Hospital, Reykjavik, Iceland, 21FSM, Northwestern University, Chicago, IL, 22Lanarkshire Center for Rheumatology, Hairmyres Hospital, East Kilbride, East Kilbride, Scotland, United Kingdom, 23Autoimmunity Institute and Medicine Institute, Allegheny Health Network, Pittsburgh, PA, 24Rheumatology, Lund University, Department of Clinical Sciences, Lund, Sweden, 25Graham Hughes Lupus Research Laboratory, The Rayne Institute, London, United Kingdom, 26University of Alabama at Birmingham, Birmingham, AL, 27Unit for clinical therapy research (ClinTRID), Karolinska Institute, Stockholm, Sweden, 28The Feinstein Institute for Medical Research, Manhasset, NY, 29Autoimmune Diseases Research Unit, Department of Internal Medicine, BioCruces Health Research Institute, Hospital Universitario Cruces, University of the Basque Country, Barakaldo, Spain, 30Laboratory of Systemic Autoimmune Diseases “Josep Font”, CELLEX, Institut d’Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Department of Systemic Autoimmune Diseases, ICMID, Hospital Clinic, Barcelona, Spain, Barcelona, Spain, 31Emory University School of Medicine, Atlanta, GA, 32Department of Internal Medicine, Division of Rheumatology, Istanbul University, Istanbul Faculty of Medicine, Istanbul, Turkey, 33Division of Rheumatology, Allergy and Immunology, UCSD School of Medicine, La Jolla, CA, 34Rheumatology, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark, 35RR 149G, University of Manitoba, Winnipeg, MB, Canada, 36Medicine/Rheumatology & Immunology, Medical University of South Carolina, Charleston, SC, 37Rheumatology, Columbia University, College of Physician and Surgeons, New York, NY, 38Medicine, Queen Elizabeth II Health Sciences Centre and Dalhousie University, Halifax, NS, Canada, 39Medicine, Division of Rheumatology, Capital Health and Dalhousie University, Halifax, NS, Canada

    Background/Purpose: Psychosis, one of the rarer neuropsychiatric (NP) events in lupus patients, features in both the ACR and Systemic Lupus International Collaborating Clinics (SLICC) classification…
  • Abstract Number: 2895 • 2018 ACR/ARHP Annual Meeting

    Effect of Vitamin D on Serum Markers of Bone Turnover in SLE in a Randomized Controlled Trial

    Sara K. Tedeschi1, Cynthia Aranow2, Diane L. Kamen3, Meryl S. LeBoff4, Betty Diamond2 and Karen Costenbader5, 1Division of Rheumatology, Immunology and Allergy, Brigham & Women's Hospital, Harvard Medical School, Boston, MA, 2The Feinstein Institute for Medical Research, Manhasset, NY, 3Medicine/Rheumatology & Immunology, Medical University of South Carolina, Charleston, SC, 4Division of Endocrinology, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, 5Division of Rheumatology, Immunology and Allergy, Brigham and Women's Hospital, Boston, MA

    Background/Purpose: Bone health in SLE is adversely affected by vitamin D deficiency, inflammatory cytokines including interferon (IFN)-α, and glucocorticoid use. We tested the hypothesis that…
  • Abstract Number: 2896 • 2018 ACR/ARHP Annual Meeting

    Increased Mortality Among Patients with Systemic Lupus Erythematosus after Hydroxychloroquine Discontinuation

    April Jorge1, Na Lu2,3, Eric C. Sayre3, Hamid Tavakoli4, Natalie McCormick5, John M. Esdaile3,6, Mary DeVera5, Hyon K. Choi1 and J. Antonio Avina-Zubieta7, 1Rheumatology, Allergy, and Immunology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, 2Division of Rheumatology, Allergy, and Immunology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, 3Arthritis Research Canada, Richmond, BC, Canada, 4Faculty of Pharmaceutical Sciences, University of British Columbia, Vancouver, BC, 5Faculty of Pharmaceutical Sciences, University of British Columbia, Vancouver, BC, Canada, 6Department of Medicine, Division of Rheumatology, University of British Columbia, Vancouver, BC, Canada, 7Division of Rheumatology, Department of Medicine, University of British Columbia, Vancouver, BC, Canada

    Background/Purpose: Hydroxychloroquine (HCQ) is near-universally recommended for patients with SLE. Use of this medication has previously been associated with a substantial survival benefit among SLE…
  • Abstract Number: 2897 • 2018 ACR/ARHP Annual Meeting

    Hydroxychloroquine Blood Levels Show Significant Trend Test for Risk of Retinopathy

    Michelle Petri1, Marwa Elkhalifa2, Daniel Goldman1, Laurence S Magder3 and Mandeep Singh4, 1Medicine (Rheumatology), Johns Hopkins University School of Medicine, Baltimore, MD, 2Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, 3Epidemiology and Public health, University of Maryland School of Medicine, Baltimore, MD, 4Ophthalmology, Johns Hopkins University School of Medicine, Baltimore, MD

    Background/Purpose: Hydroxychloroquine (HCQ) retinopathy after 10 years or more of use is more frequent than previously appreciated. This led to new ophthalmology guidelines that changed…
  • Abstract Number: 2898 • 2018 ACR/ARHP Annual Meeting

    Increased Frequency of Circulating CD4+CXCR5-PD1hi Peripheral Helper T (cTph) Cells in Patients with Seropositive Early Rheumatoid Arthritis (RA)

    Paula Fortea-Gordo1, Laura Nuño2, Alejandro Villalba2, Diana Peiteado3, Irene Monjo4, Paloma Sanchez-Mateos5, Amaya Puig-Kröger6, Alejandro Balsa1 and Maria Eugenia Miranda-Carus1, 1Rheumatology, Hospital La Paz - IdiPAZ, Madrid, Spain, 2Rheumatology, La Paz University Hospital, Madrid, Spain, 3Hospital Universitario La Paz, Madrid, Spain, 4Rheumatology, Rheumatology, La Paz University Hospital, Madrid, Spain, 5Immunology, Hospital Gregorio Marañon, Madrid, Spain, 6Immuno-oncology, Hospital Gregorio Marañon, Madrid, Spain

    Background/Purpose: A novel population of CD4+ T cells with B cell helping capacity has been described in the synovial tissues and peripheral blood of seropositive…
  • Abstract Number: 2899 • 2018 ACR/ARHP Annual Meeting

    Sustained Drug-Free Remission in Early RA Following Methotrexate-Based Strategy: Role of the JAK-STAT Pathway

    Xavier M Teitsma1, Johannes W. G. Jacobs2, Arno N Concepcion3, Attila Pethö-Schramm4, Michelle EA Borm5, Jacob van Laar1, Johannes W. J. Bijlsma6 and Floris PJG Lafeber1, 1Department of Rheumatology & Clinical Immunology, University Medical Center Utrecht, Utrecht, the Netherlands, Utrecht, Netherlands, 2Rheumatolgy & Clinical Immunology, University Medical Center Utrecht, Utrecht, Netherlands, 3Rheumatology & Clinical Immunology, University Medical Center Utrecht, Utrecht, Netherlands, 4F. Hoffmann-La Roche, Basel, Switzerland, 5Roche Nederland BV, Woerden, Netherlands, 6Department of Rheumatology & Clinical Immunology, University Medical Center Utrecht, Utrecht, Netherlands

    Background/Purpose: We previously identified several co-expressed genes associated with achieving sustained drug-free remission (sDFR) following a methotrexate (MTX)-based strategy in early rheumatoid arthritis (RA).1 The…
  • Abstract Number: 2900 • 2018 ACR/ARHP Annual Meeting

    Impaired TCR Signaling Paves the Way for Cytokine Hyper-Responsiveness in Arthritogenic T Cells

    Judith Ashouri1, Lih-Yun Hsu1, Dmitry Rychkov2, Marina Sirota2, Lisa Lattanza3, Eric Hansen3, Julie Zikherman1 and Arthur Weiss1, 1Rosalind Russell and Ephraim P. Engleman Rheumatology Research Center, Department of Medicine, Division of Rheumatology, University of California, San Francisco, San Francisco, CA, 2Pediatrics, Institute for Computational Health Sciences, University of California, San Francisco, San Francisco, CA, 3Orthopedic Surgery, University of California, San Francisco, San Francisco, CA

    Background/Purpose: The inability to identify relevant arthritogenic CD4 T cells in patients and in murine disease models has limited our understanding of disease initiating events…
  • Abstract Number: 2901 • 2018 ACR/ARHP Annual Meeting

    Sputum Neutrophils from Individuals at-Risk for RA Demonstrate Increased Citrullinated Histone H3 Containing Neutrophil Extracellular Traps That Correlate with Sputum Anti-Cyclic Citrullinated Peptide Antibody Levels

    Yuko Okamoto1, Nickie L. Seto2, Mariana J. Kaplan2, Ashley Visser1, Jill M. Norris3, Kevin D. Deane1, V. Michael Holers4 and M. Kristen Demoruelle1, 1Division of Rheumatology, University of Colorado Denver, Aurora, CO, 2Systemic Autoimmunity Branch, NIAMS/NIH, Bethesda, MD, 3Department of Epidemiology, Colorado School of Public Health, Aurora, CO, 4Division of Rheumatology, University of Colorado School of Medicine, Aurora, CO

    Background/Purpose: Our group previously demonstrated that anti-citrullinated (cit) protein antibodies (ACPA) in the sputum correlate with remnants of neutrophil extracellular traps (NETs) in RA-free subjects…
  • Abstract Number: 2902 • 2018 ACR/ARHP Annual Meeting

    Antibodies to PAD4 Drive Monocyte Activation and Differentiation into Osteoclast-like Cells

    Pooja Naik1, Jing Shi2, Felipe Andrade3 and Erika Darrah4, 1Department of Medicine, Division of Rheumatology, Johns Hopkins University School of Medicine, Baltimore, MD, 2Division of Rheumatology, Johns Hopkins University School of Medicine, Baltimore, MD, 3Medicine/Rheumatology, Johns Hopkins University School of Medicine, Baltimore, MD, 4Department of Medicine/Division of Rheumatology, Johns Hopkins University School of Medicine, Baltimore, MD

    Background/Purpose: Agonistic antibodies to Peptidylarginine Deiminase 4 (PAD4) are hallmarks of a severe form of rheumatoid arthritis (RA) characterized by the most erosive joint damage…
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