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  • Abstract Number: 565 • 2018 ACR/ARHP Annual Meeting

    Genetic Polymorphism in Dihydrofolate Reductase Impacts Methotrexate Polyglutamation in Adult Rheumatoid Arthritis

    Thierry Dervieux1, Marie Grosjean2, Chuang Jiang3,4, Kelley Brady1, Kjeld Schmiegelow2, Joel Kremer5 and Jun Yang4, 1Exagen Diagnostics, Inc., Vista, CA, 2University Hospital Rigshospitalet, Copenhagen, Denmark, 3Shanghai Children’s Medical Center, Shanghai Jiaotong University School of Medicine, Shanghai, China, 4Department of Pharmaceutical Sciences, St. Jude Children’s Research Hospital, Memphis, TN, 5Albany Medical College and The Center for Rheumatology, Albany, NY

    Background/Purpose: Methotrexate (MTX) is anti-folate activated to MTX polyglutamates (MTXPGs). MTX metabolism includes multiple enzyme-mediated reactions and genetic polymorphisms in these genes are linked to…
  • Abstract Number: 566 • 2018 ACR/ARHP Annual Meeting

    Capillary Blood Based Methotrexate Polyglutamate Assay for Monitoring Low Dose Methotrexate Therapy in Rheumatic Diseases

    Thierry Dervieux1, Kelley Brady1, Deborah Stimson1, Ying Qu1, Tyler O'Malley1, Robert Apilado1, Smitha Reddy2, Puja Chitkara3, John Conklin1, Roberta Alexander1 and Claudia Ibarra1, 1Exagen Diagnostics, Inc., Vista, CA, 2Arthritis Care and Research Center, San Diego, CA, 3Center for Arthritis and Rheumatologic Excellence, Chula Vista, CA

    Background/Purpose: The red blood cell (RBC) Methotrexate (MTX) polyglutamate (MTXPG3) assay is a helpful therapeutic drug monitoring (TDM) tool in autoimmune rheumatic diseases. Our objective…
  • Abstract Number: 567 • 2018 ACR/ARHP Annual Meeting

    Non-Surgical Periodontal Therapy Plus Short-Term Antibiotic Treatment May Improve Clinical Disease Activity: A Pilot Study in Difficult to Treat Rheumatoid Arthritis

    Burkhard Moeller1, Philip Bender2, Sigrun Eick2, Kim Midwood3, Jan Potempa4, Stephan Reichenbach5, Anja Schwenzer3, Peter M. Villiger6 and Alicia Wong3, 1Rheumatology, Immunology and Allergology, Inselspital, University Hospital of Bern, Bern, Switzerland, 2School of Dental Medicine, University of Bern, Bern, Switzerland, 3Kennedy Institute for Rheumatology, Oxford University, Oxford, United Kingdom, 4Department of Microbiology, Faculty of Biochemistry, Biophysics and Biotechnology, Jagiellonian University, Krakow, Poland, 5Institute of Social and Preventive Medicine, University of Bern, Bern, Switzerland, 6University of Bern, Bern, Switzerland

    Background/Purpose: Autoimmunity against citrullinated peptides is a hallmark of rheumatoid arthritis (RA). Chronic periodontitis (CP) is a known major source of citrullinated peptides. Here, we…
  • Abstract Number: 568 • 2018 ACR/ARHP Annual Meeting

    Change in RF and Anti-CCP Isotype Levels in RA Patients Treated with Anti-TNF, Abatacept, Rituximab or Tocilizumab and Correlation with Clinical and Radiographic Outcomes: Data from a Randomized Trial

    Renaud Felten1, Marie-Alexandra Alyanakian2, Lucienne Chatenoud2, Jean Sibilia1, Frédérique Gandjbakhch3, Cédric Lukas4 and Jacques-Eric Gottenberg1, 1University Hospital of Strasbourg, Department of Rheumatology, Strasbourg, France, 2Laboratoire d'Immunologie Biologique, Hôpital Necker-Enfants Malades, Paris, France, 3Pitié Salpêtrière Hospital, Department of Rheumatology, Paris, France, 4University Hospital Lapeyronie, Department of Rheumatology, Montpellier, France

    Background/Purpose: In rheumatoid arthritis (RA), little is known about the prognostic relevance of the change in autoantibody (ab) levels. Seroconversion was reported to be associated…
  • Abstract Number: 569 • 2018 ACR/ARHP Annual Meeting

    Clinical and Sociodemographic Characteristics of Patients with Rheumatoid Arthritis (RA) Starting Triple Therapy and a Combination of a TNF Inhibitor and Methotrexate from a Large US Registry

    Joel Kremer1,2, J. Lynn Palmer3, George W. Reed4, Dimitrios A. Pappas5, Leslie R Harrold6, Jeffrey Greenberg1 and Jeffrey R. Curtis7, 1Corrona LLC, Waltham, MA, 2Albany Medical College and The Center for Rheumatology, Albany, NY, 3Corrona Research Foundation, Albany, NY, 4UMass Medical School, Worcester, MA, 5Columbia University, New York, NY, 6University of Massachusetts Medical School, Worcester, MA, 7University of Alabama at Birmingham, Birmingham, AL

    Background/Purpose: The combination of methotrexate (MTX), hydroxychloroquine (HCQ) and sulfasalazine (SSZ) has been called Triple Therapy (Triple) and has been compared with a combination of…
  • Abstract Number: 570 • 2018 ACR/ARHP Annual Meeting

    Evaluation of CXCL13, sICAM1, MMP-3 and S100A8/A9 As Serum Biomarkers in Patients with Rheumatoid Arthritis Treated with Subcutaneous Tocilizumab

    D. James Haddon, Thierry Sornasse, Michael J. Townsend, Jinglan Pei and Margaret Michalska, Genentech, Inc., South San Francisco, CA

    Background/Purpose: Serum levels of C-X-C motif chemokine ligand 13 (CXCL13) and soluble intercellular adhesion molecule-1 (sICAM-1) have been associated with outcomes in patients with rheumatoid…
  • Abstract Number: 571 • 2018 ACR/ARHP Annual Meeting

    United States Rheumatology Practice-Based Real-World Evidence of Methotrexate Utilization and Response to Therapy in Rheumatoid Arthritis Patients Treated with Intravenous Golimumab

    Aaron Broadwell1, Vance Bray2, Douglas Conaway3, Joy Schechtman4, Alan J. Kivitz5, Dennis Parenti6, Shawn Black6, Stephen Xu7, Wayne Langholff7 and Shelly Kafka6, 1Rheumatology Osteoporosis Specialists, Shreveport, LA, 2Denver Arthritis Clinic, Denver, CO, 3Carolina Health Specialists, Myrtle Beach, SC, 4Sun Valley Arthritis Center, Peoria, AZ, 5Altoona Arthritis & Osteoporosis Center, Altoona, PA, 6Janssen Scientific Affairs, LLC, Horsham, PA, 7Janssen Research & Development, LLC, Spring House, PA

    Background/Purpose: AWARE (Comparative and Pragmatic Study of Golimumab IV Versus Infliximab in Rheumatoid Arthritis) is an ongoing Phase 4 comparator study designed to provide a…
  • Abstract Number: 572 • 2018 ACR/ARHP Annual Meeting

    Combining Tocilizumab with Methotrexate Improves Sustainability. Real World Evidence Report from Quebec Database Rhumadata®

    Denis Choquette1, Louis Bessette2, Jacques Brown2, Boulos Haraoui1, Frédéric Massicotte1, Jean-Pierre Pelletier1, Jean-Pierre Raynauld1, Marie-Anaïs Rémillard1, Diane Sauvageau1, Angèle Turcotte2, Édith Villeneuve1 and Louis Coupal1, 1Rheumatology, Institut de Recherche en Rhumatologie de Montréal (IRRM), Montréal, QC, Canada, 2Rheumatology, Centre de l'Ostéoporose et de Rhumatologie de Québec (CORQ), Québec, QC, Canada

    Background/Purpose: Biologic therapy targeting TNF have consistently demonstrated better efficacy and effectiveness when combined with a conventional synthetic DMARD (csDMARD), most frequently methotrexate. Although pre-clinical…
  • Abstract Number: 573 • 2018 ACR/ARHP Annual Meeting

    Subcutaneous Tocilizumab in Monotherapy or in Combination with DMARD in Patients with Moderate to Severe Active Rheumatoid Arthritis: Observational Study to Describe Real-World Drug Retention Rate at 12 Months, Interim Analysis

    Pascal Hilliquin1, Thomas Barnetche2, Guy Baudens3, Ralph Niarra4, Isabelle Idier5 and Alain Saraux6, 1Rheumatology, Hôpital Sud Francilien, Corbeil-Essonne, France, 2Rheumatology Department, FHU ACRONIM, Bordeaux University Hospital, Bordeaux, France, 3Rheumatology, CHR Valenciennes, Valenciennes, France, 4Biostatistics, Keyrus of behalf of Roche SAS, Boulogne-Billancourt, France, 5Medical department, Chugai Pharma France, Paris La Defense, France, 6Rheumatology, CHU Brest, Brest, France

    Background/Purpose: In France, tocilizumab (TCZ) subcutaneous (sc) 1st prescription and yearly renewal are restricted to hospital. Monitoring may be done by both office-based or hospital…
  • Abstract Number: 574 • 2018 ACR/ARHP Annual Meeting

    Longitudinal Efficacy Analysis of Patients with Active Rheumatoid Arthritis and Inadequate Response to Conventional Synthetic Dmards: Response Following Rescue from Baricitinib 2mg to 4mg Once-Daily

    Roy Fleischmann1, Mark C. Genovese2, Anabela Cardoso3, Luna Sun3, Yun-Fei Chen3, Chad D. Walls3, Douglas E. Schlichting3, Tsutomu Takeuchi4, Maxime Dougados5, Josef S. Smolen6 and Jeffrey R. Curtis7, 1Metroplex Clinical Research Center, University of Texas Southwestern Medical Center, Dallas, TX, 2Stanford University Medical Center, Palo Alto, CA, 3Eli Lilly and Company, Indianapolis, IN, 4Keio University School of Medicine, Tokyo, Japan, 5Paris Descartes University, Hôpital Cochin, Paris, France, 6Division of Rheumatology, Department of Medicine 3, Medical University of Vienna, Vienna, Austria, 7University of Alabama at Birmingham, Birmingham, AL

    Background/Purpose: Baricitinib (bari), an oral selective Janus kinase 1/2 inhibitor, has shown clinical efficacy in patients (pts) with RA and an inadequate response to conventional…
  • Abstract Number: 575 • 2018 ACR/ARHP Annual Meeting

    Time to Discontinuation of Biologic Therapy By Mechanism of Action in Rheumatoid Arthritis: Results from a Rheumatoid Arthritis Cohort

    Mohammad Movahedi1, Elliot Hepworth2, Reza Mirza2, Angela Cesta3, Maggie Larche4 and Claire Bombardier1,5,6, 1Toronto General Hospital Research Institute, University Health Network, Toronto, ON, Canada, 2Department of Internal Medicine, McMaster University, Hamilton, ON, Canada, 3Ontario Best Practices Research Initiative, University Health Network, Toronto, ON, Canada, 4Medicine, McMaster University, Hamilton, ON, Canada, 5University of Toronto, Department of Medicine (DOM) and Institute of Health Policy Management, and Evaluation (IHPME), Toronto, ON, Canada, 6Division of Rheumatology, Mount Sinai Hospital, Toronto, ON, Canada

    Background/Purpose: Patients with rheumatoid arthritis (RA) may discontinue their biologic disease modifying antirheumatic drug (bDMARDs) due to non-response, loss of response or adverse events. However,…
  • Abstract Number: 576 • 2018 ACR/ARHP Annual Meeting

    An Analysis of Early Introduction of Adalimumab and Subsequent Bio-Free Condition in the Patients with Rheumatoid Arthritis

    Satoshi Ito1, Yoichi Kurossawa1,2, Eriko Hasegawa1,2, Daisuke Kobayashi1,2, Shinji Taniguhi1, Asami Abe1, Hiroshi Otani1, Kiyoshi Nakazono1, Akira Murasawa1, Ichiei Narita2 and Hajime Ishikawa1, 1Department of Rheumatology, Niigata Rheumatic Center, Shibata, Japan, 2Division of Clinical Nephrology and Rheumatology, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan

    Background/Purpose: HOPEFUL-1 trial showed efficacy of combination therapy with adalimumab (ADA) plus methotrexate (MTX) in MTX naïve patients with active early rheumatoid arthritis (eRA). In…
  • Abstract Number: 577 • 2018 ACR/ARHP Annual Meeting

    Expanded Autoantibody Profiles Predict Treatment Response to Biologic Therapy in Rheumatoid Arthritis

    Ted R. Mikuls1, Amrita Bath2, Bryant R. England3, Michael J. Duryee4, Carlos D. Hunter4, Joel Kremer5, Dimitrios A. Pappas6,7, William H. Robinson8, Jeffrey R. Curtis9 and Geoffrey M. Thiele10, 1Internal Medicine, Division of Rheumatology, VA Nebraska-Western Iowa Health Care System and University of Nebraska Medical Center, Omaha, NE, 2Rheumatology, University of Nebraska Medical Center, Omaha, NE, 3Rheumatology, VA Nebraska-Western Iowa Health Care System & University of Nebraska Medical Center, Omaha, NE, 4Internal Medicine Division of Rheumatology, University of Nebraska Medical Center, Omaha, NE, 5Albany Medical Center, Albany, NY, 6Columbia University, New York, NY, 7Corrona, LLC, Waltham, MA, 8Stanford University, Palo Alto, CA, 9University of Alabama at Birmingham, Birmingham, AL, 10University of Nebraska Medical Center, Omaha, NE

    Background/Purpose:  Although biologics represent a major advance in rheumatoid arthritis (RA), many patients fail to achieve adequate responses to these agents.  As previous studies have…
  • Abstract Number: 578 • 2018 ACR/ARHP Annual Meeting

    Effect of Disease Duration and Other Patient Baseline Characteristics on Outcomes in Tocilizumab-Treated Rheumatoid Arthritis Patients: A Pooled Analysis

    Andrea Rubbert-Roth1, Daniel Aletaha2, Jenny Devenport3, Paris N. Sidiropoulos3, Yves Luder4, Michael Edwardes5 and Johannes W. G. Jacobs6, 1Kantonsspital St Gallen, St Gallen, Switzerland, 2Department of Internal Medicine III, Division of Rheumatology, Medical University of Vienna, Vienna, Austria, Vienna, Austria, 3Genentech, Inc., South San Francisco, CA, 4F. Hoffmann-La Roche, Basel, Switzerland, 5Everest Clinical Research, Markham, ON, Canada, 6Department of Rheumatology & Clinical Immunology, University Medical Center Utrecht, Utrecht, the Netherlands, Utrecht, Netherlands

    Background/Purpose: Tocilizumab (TCZ) efficacy and safety in rheumatoid arthritis (RA) have been well established by numerous phase 3 and 4 studies and observational studies. The…
  • Abstract Number: 579 • 2018 ACR/ARHP Annual Meeting

    Changes in DNA Methylation Identify Response to Treatment with Methotrexate and TNF Inhibitors Among RA Patients

    Cameron Adams1, Katie Marker1, Melissa Krueger2, Lisa Barcellos1 and Lindsey A. Criswell3, 1School of Public Health, UC Berkeley, Berkeley, CA, 2UC San Francisco, San Francisco,, CA, 3University of California San Francisco, San Francisco, CA

    Background/Purpose: Epigenetic modifications including DNA methylation are implicated in the development and progression of autoimmune diseases, such as rheumatoid arthritis  [MIM 180300]. Evidence indicates that…
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All abstracts accepted to ACR Convergence are under media embargo once the ACR has notified presenters of their abstract’s acceptance. They may be presented at other meetings or published as manuscripts after this time but should not be discussed in non-scholarly venues or outlets. The following embargo policies are strictly enforced by the ACR.

Accepted abstracts are made available to the public online in advance of the meeting and are published in a special online supplement of our scientific journal, Arthritis & Rheumatology. Information contained in those abstracts may not be released until the abstracts appear online. In an exception to the media embargo, academic institutions, private organizations, and companies with products whose value may be influenced by information contained in an abstract may issue a press release to coincide with the availability of an ACR abstract on the ACR website. However, the ACR continues to require that information that goes beyond that contained in the abstract (e.g., discussion of the abstract done as part of editorial news coverage) is under media embargo until 10:00 AM CT on October 25. Journalists with access to embargoed information cannot release articles or editorial news coverage before this time. Editorial news coverage is considered original articles/videos developed by employed journalists to report facts, commentary, and subject matter expert quotes in a narrative form using a variety of sources (e.g., research, announcements, press releases, events, etc.).

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