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  • Abstract Number: 877 • 2017 ACR/ARHP Annual Meeting

    Modification of the  Classification Criteria for Primary Sjögren Syndrome: An International Vignette Survey

    Sandrine Jousse-Joulin1, Florence Gatineau2, Chiara Baldini3, Alan N. Baer4, Francesca Barone5, Hendrika Bootsma6, Simon Bowman7, Pilar Brito Zeron8, Divi Cornec9, Thomas Doerner10, Salvatore De Vita11, Benjamin Fisher12, Daniel S. Hammenfors13, Malin V. Jonsson14, Xavier Mariette15, Vera Milic16, Hideki Nakamura17, Wan-Fai Ng18, Emmanuel Nowak2, Manuel Ralos-Casals19, Astrid Rasmussen20, Raphaèle Seror21, Caroline Shiboski22, Takashi Nakamura23, Arjan Vissink24, Alain Saraux25 and Valérie Devauchelle-Pensec1, 1Rheumatology, Brest university medical school, EA 2216, UBO and CHU de la Cavale Blanche,, Brest, France, 2INSERM CIC 1412, Brest Medical University Hospital, Brest, France, 3Internal Medicine, Rheumatology Unit, University of Pisa, Pisa, Italy, 4Medicine (Rheumatology), Johns Hopkins University School of Medicine, Baltimore, MD, 5Institute of Inflammation and Ageing (IIA), University of Birmingham, Birmingham, United Kingdom, 6Department of Rheumatology and Clinical Immunology, University of Groningen, University Medical Centre Groningen, Groningen, Netherlands, 7Department of Rheumatology, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK, Birmingham, United Kingdom, 8Autoimmune Diseases Unit, Department of Internal Medicine, Hospital CIMA-Sanitas, Barcelona, Spain, 9CHU Brest, Brest, France, 10Charité Universitätmedizin Berlin and DRFZ, Berlin, Germany, 11Rheumatology Clinic, Academic Hospital S. M. della Misericordia, Medical Area Department, University of Udine, Italy, Udine, Italy, 12Rheumatology Research Group, University of Birmingham, Birmingham, United Kingdom, 13Broegelmann Research Laboratory, Department of Clinical Science, University of Bergen, Bergen, Norway, Bergen, Norway, 14Section for Oral and Maxillofacial Radiology, Department of Clinical Dentistry, University of Bergen, Bergen, Norway, Bergen, Norway, 15Université Paris Sud, Paris, France, 16Institute of Rheumatology, School of Medicine, University of Belgrade, Belgrade, Serbia, 17Department of Immunology and Rheumatology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan, 18Institute of Cellular Medicine, Newcastle University, Newcastle upon Tyne, United Kingdom, 19Department of Medicine, University of Barcelona, Barcelone, Spain, 20Arthritis and Clinical Immunology Program, Oklahoma Medical Research Foundation, Oklahoma City, OK, 21Assistance Publique-Hôpitaux de Paris (APHP), Hôpitaux universitaires Paris Sud, Université Paris Sud, kremlin bicetre, France, 22Department of Orofacial Sciences, School of Dentistry, University of California, San Francisco, CA, 23Department of Radiology and Cancer Biology, Nagasaki University School of Dentistry, Nagasaki, Japan, 24Department of Oral and Maxillofacial Surgery, University of Groningen, University Medical Center Groningen, Groningen, Netherlands, 25Rheumatology Department, Rheumatology Department, CHU de la Cavale Blanche, Brest, France, Brest Cedex, France

    Background/Purpose: The common classification criteria sets of primary Sjogren syndrome, did not considered the ultrasonography (US) of the major salivary glands as a useful item.…
  • Abstract Number: 878 • 2017 ACR/ARHP Annual Meeting

    Diagnosis of Salivary Gland Lymphoma in Sjogren’s Syndrome Utilizing Ultrasound-Guided Core Needle Biopsies

    Alan N. Baer1, Thomas Grader-Beck1, Brendan Antiochos1, Julius Birnbaum1, Qing Kay Li2, Deborah Belchis2 and Joel Fradin3, 1Medicine (Rheumatology), Johns Hopkins University School of Medicine, Baltimore, MD, 2Pathology, Johns Hopkins University School of Medicine, Baltimore, MD, 3Radiology, Johns Hopkins University School of Medicine, Baltimore, MD

    Background/Purpose: Ultrasound (US)-guided core needle biopsy (CNB) with or without concomitant fine needle aspiration (FNA) is a standard method for pre-operative evaluation of salivary gland…
  • Abstract Number: 879 • 2017 ACR/ARHP Annual Meeting

    Association of Venous Thromboembolism with Spondyloarthopathies Among Hospitalized Patients – Data from National Inpatient Sample

    Dilli Poudel1, Rashmi Dhital2, Raju Khanal2, Pragya Shrestha3, Sijan Basnet2, Sushil Ghimire2 and Paras Karmacharya4, 1Internal Medicine, Reading Health System, WEST READING, PA, 2Internal Medicine, Reading Health System, West Reading, PA, 3Internal medicine, Reading Health System, West Reading, PA, 4Division of Rheumatology, Mayo Clinic, Rochester, MN

    Background/Purpose: Venous thromboembolism (VTE) encompassing deep venous thrombosis (DVT) and pulmonary embolism (PE) is the third most common cause of death related to cardiovascular disease…
  • Abstract Number: 880 • 2017 ACR/ARHP Annual Meeting

    Tofacitinib Treatment in Patients with Psoriatic Arthritis and Rates of Radiologic Progression According to Baseline CRP Levels: Results from a Phase 3 Clinical Study

    Désirée van der Heijde1, Dafna D Gladman2, Oliver FitzGerald3, Arthur Kavanaugh4, Daniela Graham5, Cunshan Wang5 and Lara Fallon6, 1Leiden University Medical Center, Leiden, Netherlands, 2Department of Medicine, University of Toronto, Toronto Western Hospital, Toronto, ON, Canada, 3Department of Rheumatology, St Vincent's University Hospital, Dublin, Ireland, 4University of California San Diego School of Medicine, La Jolla, San Diego, CA, 5Pfizer Inc, Groton, CT, 6Pfizer Canada, Montreal, QC, Canada

    Background/Purpose: Tofacitinib is an oral Janus kinase inhibitor under investigation for the treatment of psoriatic arthritis (PsA). Here, we evaluate radiographic progression in PsA patients…
  • Abstract Number: 881 • 2017 ACR/ARHP Annual Meeting

    Ustekinumab Is Superior to TNF Inhibitor Treatment in Resolving Enthesitis in Psa Patients with Active Enthesitis- Results from the Enthesial Clearance in Psoriatic Arthritis Study

    Elizabeth G. Araujo1, Matthias Englbrecht2, Sabrina Hoepken1, Stephanie Finzel3, Axel J. Hueber2, Juergen Rech4 and Georg Schett1, 1Rheumatology and Immunology, Department of Internal Medicine 3, Universitätsklinikum Erlangen, Erlangen, Germany, Erlangen, Germany, 2Department of Medicine 3, Rheumatology and Immunology, University of Erlangen-Nuremberg, Erlangen, Germany, 3Rheumatology and Clinical Immunology, University Medical Center Freiburg, Freiburg, Freiburg, Germany, 4Friedrich-Alexander-University Erlangen-Nürnberg (FAU), Department of Internal Medicine 3 – Rheumatology and Immunology, Universitätsklinikum Erlangen, Erlangen, Germany., Erlangen, Germany

    Background/Purpose: IL-23 is considered to play an important role in the development of enthesitis. Ustekinumab (UST), a combined inhibitor of IL-12/IL-23 shows efficacy in psoriatic…
  • Abstract Number: 882 • 2017 ACR/ARHP Annual Meeting

    A New Model of Care for Improving Early Rheumatology Access of Psoriatic Arthritis Patients

    Keith Colaco1,2, Dana Jerome3, Jensen Yeung4,5, Noah Ivers6,7,8, Carol Kitai7, Chandra Farrer3 and Lihi Eder1,9, 1Women's College Research Institute, Women's College Hospital, Toronto, ON, Canada, 2Institute of Medical Science, University of Toronto, Toronto, ON, Canada, 3Rheumatology, Women's College Hospital, Toronto, ON, Canada, 4Dermatology, Women's College Hospital, Toronto, ON, Canada, 5University of Toronto, Toronto, ON, Canada, 6Institute for Clinical Evaluative Sciences, Toronto, ON, Canada, 7Women's College Hospital, Toronto, ON, Canada, 8Family and Community Medicine, University of Toronto, Toronto, ON, Canada, 9Medicine, University of Toronto, Toronto, ON, Canada

    Background/Purpose: The prevalence of undiagnosed psoriatic arthritis (PsA) in psoriasis patients is high, with delays in diagnosis contributing to poor patient outcomes. We aimed to…
  • Abstract Number: 883 • 2017 ACR/ARHP Annual Meeting

    The Risk of Deep Venous Thrombosis and Pulmonary Embolism in Ankylosing Spondylitis: A General Population-Based Study

    Jonathan Chan1, Anthony So2, Eric C. Sayre3 and J. Antonio Avina-Zubieta4, 1Rheumatology, University of British Columbia, Vancouver, BC, Canada, 2University of British Columbia, Vancouver, BC, Canada, 3Arthritis Research Canada, Richmond, BC, Canada, 4Division of Rheumatology, Department of Medicine, University of British Columbia, Vancouver, BC, Canada

    Background/Purpose: Venous thromboembolism (VTE)(pulmonary embolism [PE] and deep vein thrombosis[DVT]) is a potentially life threatening disease. Previous hospital-based studies have shown an increased risk of…
  • Abstract Number: 884 • 2017 ACR/ARHP Annual Meeting

    Changes in Lipid Levels and Incidence of Cardiovascular Events Following Tofacitinib Treatment in Patients with Psoriatic Arthritis: An Integrated Analysis across Phase 3 and Long-Term Extension Studies

    Dafna D Gladman1, Christina Charles-Schoeman2, Iain B. McInnes3, Douglas J. Veale4, Bruce Thiers5, Daniela Graham6, Cunshan Wang6, Thomas Jones7, Robert Wolk6 and Ryan DeMasi7, 1Department of Medicine, University of Toronto, Toronto Western Hospital, Toronto, ON, Canada, 2University of California, Los Angeles, Los Angeles, CA, 3Glasgow Biomedical Research Centre, University of Glasgow, Glasgow, United Kingdom, 4St. Vincent’s University Hospital and University College Dublin, Dublin, Ireland, 5Medical University of South Carolina, Charleston, SC, 6Pfizer Inc, Groton, CT, 7Pfizer Inc, Collegeville, PA

    Background/Purpose: Cardiovascular (CV) disease and cardiometabolic syndrome are common comorbidities/causes of mortality in patients (pts) with psoriatic arthritis (PsA). Tofacitinib is an oral Janus kinase…
  • Abstract Number: 885 • 2017 ACR/ARHP Annual Meeting

    48-Week Complete Remission By Ethnic, Sex and Age Subgroups in Patients with Active Lupus Nephritis Treated with Voclosporin

    David Wofsy1, David A. Isenberg2, Frédéric A. Houssiau3, Mary Anne Dooley4, Neil Solomons5 and Simrat Randhawa6, 1Rheumatology, UCSF, San Francisco, CA, 2Centre for Rheumatology Research, Division of Medicine, University College London, London, United Kingdom, 3Rheumatology, Pôle de Maladies Rhumatismales, Université catholique de Louvain, Brussels, Belgium, 4UNC Kidney Centre, Chapel Hill, NC, 5Aurinia Pharmaceuticals Inc., Victoria, BC, Canada, 6Medical Affairs, Aurinia Pharmaceuticals, Victoria, BC, Canada

    Background/Purpose: Voclosporin (VCS) is a novel CNI with a favorable metabolic profile, no observed effect on electrolytes, and a predictable dose response potentially eliminating the…
  • Abstract Number: 886 • 2017 ACR/ARHP Annual Meeting

    CC-220 Decreases B-Cell Subsets and Plasmacytoid Dendritic Cells in Systemic Lupus Erythematosus (SLE) Patients and Is Associated with Skin Improvement: Pharmacodynamic Results from a Phase IIa Proof of Concept Study

    Victoria P Werth1, Richard Furie2, Allison Gaudy3, Ying Ye3, Shimon Korish3, Nikolay Delev3, Douglas Hough3, Michael Weiswasser3, Suktae Choi3 and Peter Schafer3, 1University of Pennsylvania and the VA Medical Center, Philadelphia, PA, 2Northwell Health, Great Neck, NY, 3Celgene Corporation, Summit, NJ

    Background/Purpose: CC-220 is a high affinity ligand for cereblon with immunomodulatory properties, currently in development for the treatment of Systemic Lupus Erythematosus as well as…
  • Abstract Number: 887 • 2017 ACR/ARHP Annual Meeting

    A Randomized, Placebo-Controlled, Double-Blind, Ascending-Dose, Safety, and Pharmacokinetics Study of CC-220 in Subjects with Systemic LUPUS Erythematosus

    Richard Furie1, Victoria P. Werth2, Allison Gaudy3, Ying Ye3, Shimon Korish3, Ada Azaryan3, Nikolay Delev3, Douglas Hough3, Michael Weiswasser3, Suktae Choi3 and Peter Schafer3, 1Northwell Health, Great Neck, NY, 2University of Pennsylvania and the VA Medical Center, Philadelphia, PA, 3Celgene Corporation, Summit, NJ

    Background/Purpose: CC-220 is a CUL4CRBN E3 ubiquitin ligase modulator that binds to cereblon and leads to potent and deep reduction of the transcription factors Ikaros(IKZF1)…
  • Abstract Number: 888 • 2017 ACR/ARHP Annual Meeting

    Phase 3 Trial Results with Blisibimod, a Selective Inhibitor of B-Cell Activating Factor, in Subjects with Moderate-to-Severe Systemic Lupus Erythematosus

    Joan T. Merrill1, Renee S. Martin2, William Shanahan2, Morton Scheinberg3, Kenneth C. Kalunian4 and David Wofsy5, 1Oklahoma Medical Research Foundation, Oklahoma City, OK, 2Anthera, Hayward, CA, 3Department of Immunology, Center for Clinical Immunology, Sao Paulo SP, Brazil, 4Division of Rheumatology, Allergy and Immunology, UCSD School of Medicine, La Jolla, CA, 5Rheumatology, UCSF, San Francisco, CA

    Background/Purpose: The Phase 3 CHABLIS-SC1 trial (NCT01395745) evaluated blisibimod, an inhibitor of B-cell activating factor (BAFF), in SLE. Prior SLE trials suggested that treatments are…
  • Abstract Number: 889 • 2017 ACR/ARHP Annual Meeting

    Attainment of Low Disease Activity By Patients with Systemic Lupus Erythematosus Starting with High Disease Activity in a 24-Week, Randomized, Placebo-Controlled, Phase IIb Study of Atacicept (ADDRESS II)

    Eric F Morand1, Joan T. Merrill2, Amy H. Kao3, Cristina Vazquez-Mateo3, Stephen Wax4, Peter Chang4, Kishore Pudota3 and David A. Isenberg5, 1Monash University, Melbourne, Australia, 2Arthritis and Clinical Immunology Research Program, Oklahoma Medical Research Foundation, Oklahoma City, OK, 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, 5Centre for Rheumatology, Division of Medicine, University College London, London, United Kingdom

    Background/Purpose: Low disease activity (LDA) in lupus patients is increasingly a goal of treatment.  For instance, Lupus Low Disease Activity State (LLDAS) attainment is associated…
  • Abstract Number: 890 • 2017 ACR/ARHP Annual Meeting

    Synergetic B-Cell Immunomodulation with Rituximab and Belimumab Combination Treatment in Severe, Refractory SLE

    Tineke Kraaij1, Sylvia W.A. Kamerling1, Esther N.M. de Rooij1, Paul L. van Daele2, O.W. Bredewold1, Jaap A. Bakker3, Ingeborg Bajema4, Hans U. Scherer5, Rene E.M. Toes5, Tom W.J. Huizinga5, Ton Rabelink1, Cees van Kooten1 and Y.K. Onno Teng1, 1Nephrology, Leiden University Medical Center, Leiden, Netherlands, 2Immunology, Erasmus Medical Center, Rotterdam, Netherlands, 3Clinical Chemistry and Laboratory Medicine, Leiden University Medical Center, Leiden, Netherlands, 4Pathology, Leiden University Medical Center, Leiden, Netherlands, 5Rheumatology, Leiden University Medical Center, Leiden, Netherlands

    Background/Purpose: Neutrophil extracellular traps (NETs) are auto-antigenic DNA strands and potentially give rise to SLE-specific autoantibodies that can deposit in glomeruli. It has been shown…
  • Abstract Number: 891 • 2017 ACR/ARHP Annual Meeting

    Long-Term Efficacy and Safety of Tocilizumab in Patients with Refractory Takayasu Arteritis Treated Continuously over 52 Weeks: Results from Phase 3, Randomized, Double-Blind, Placebo-Controlled Trial and Open-Label Extension in Japan

    Yoshikazu Nakaoka1, Mitsuaki Isobe2, Syuji Takei3, Yoshiya Tanaka4, Tomonori Ishii5, Shumpei Yokota6, Akira Nomura7, Seitaro Yoshida7 and Norihiro Nishimoto8, 1Department of Vascular Physiology, National Cerebral and Cardiovascular Center Research Institute, Osaka, Japan, 2Sakakibara Heart Institute, Tokyo, Japan, 3Pediatrics of Developmental Medicine, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima, Japan, 4The First Department of Internal Medicine, University of Occupational and Environmental Health, Kitakyushu, Japan, 5Clinical Research, Innovation and Education Center, Tohoku University Hospital, Sendai, Japan, 6Laboratory of Pediatric Research, Institute of Medical Science, Tokyo Medical University, Tokyo, Japan, 7Chugai Pharmaceutical Co., Ltd., Tokyo, Japan, 8Department of Molecular Regulation for Intractable Disease, Institute of Medical Science, Tokyo Medical University, Tokyo, Japan

    Background/Purpose: Tocilizumab (TCZ), a humanized anti–IL-6 receptor antibody, showed a favorable trend toward relapse suppression in patients (pts) with refractory Takayasu arteritis (TAK) in a…
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