ACR Meeting Abstracts

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  • Abstract Number: 1822 • 2017 ACR/ARHP Annual Meeting

    The Effect of Sarilumab in Combination with Dmards on Fasting Glucose and Glycosylated Hemoglobin in Patients with Rheumatoid Arthritis with and without Diabetes

    Mark C. Genovese1, Roy Fleischmann2, Owen Hagino3, Chih-Chi Hu4, Claudia Pena-Rossi3, Jonathan Sadeh3, Neil M.H. Graham5, Erin K. Mangan5, Hubert van Hoogstraten4 and Thomas Mandrup-Poulsen6, 1Stanford University Medical Center, Palo Alto, CA, 2Metroplex Clinical Research Center, University of Texas Southwestern Medical Center, Dallas, TX, 3Sanofi, Bridgewater, NJ, 4Sanofi Genzyme, Bridgewater, NJ, 5Regeneron Pharmaceuticals, Inc., Tarrytown, NY, 6University of Copenhagen, Copenhagen, Denmark

    Background/Purpose: IL-6 involvement has been reported in glucose metabolism.1-4 Sarilumab, a human mAb blocking the IL-6Rɑ, was evaluated for treatment of RA in 3 clinical…
  • Abstract Number: 1823 • 2017 ACR/ARHP Annual Meeting

    Methotrexate Requires High Serum BAFF Levels to Prevent Immunization Against TNF-α Inhibitors

    Samuel Bitoun1, Pierre Dönnes2, Aline Doublet3, Kimberly Florence4, Agnes Hincelin-Mery5, Gaetane Nocturne6, Mattieu Allez7, N Ruperto8, Marc Pallardy9 and Xavier Mariette10, 1INSERM U1184, IMVA, Paris Sud University,LabEx LERMIT, Le Kremlin Bicëtre, France, 2SciCross AB, Skövde, Sweden, 3Department of Rheumatology, Kremlin-Bicêtre hospital INSERM U1184, Le Kremlin Bicêtre, France, 4Immunogenicity and Clinical Immunology, GlaxoSmithKline, King of Prussia, PA, 5Sanofi, Chilly-Mazarin, France, 6INSERM U1184, IMVA, Paris Sud University,LabEx LERMIT, Le Kremlin Bicêtre, France, 7Department of Gastroenterology, Hopital Saint-Louis, APHP, Paris, France, 8PRINTO Coordinating Centre, Genoa, Italy, 9Inflammation, Chimiokines et Immunopathologie, INSERM UMR 996, Faculté de Pharmacie, Chatenay Mallabry, France, 10Université Paris Sud, Paris, France

    Background/Purpose: Immunization against TNF Inhibitors (TNFi) is observed in 30-50% of patients with inflammatory rheumatic diseases. With most TNFi, anti-drug antibodies (ADA) lead to rapid…
  • Abstract Number: 1824 • 2017 ACR/ARHP Annual Meeting

    Evaluation of Pneumococcal and Tetanus Vaccine Responses in Patients with Rheumatoid Arthritis Receiving Baricitinib: Results from a Long-Term Extension Trial Substudy

    Kevin Winthrop1, Clifton O. Bingham III2, John D. Bradley3, Maher Issa3, Rena Klar4 and Cynthia E. Kartman3, 1Oregon Health and Sciences University, Portland, OR, 2Rheumatology, Johns Hopkins University, Baltimore, MD, 3Eli Lilly and Company, Indianapolis, IN, 4Quintiles IMS Holdings, Inc., Durham, NC

    Background/Purpose: Clinical guidelines recommend pneumococcal and tetanus vaccinations in patients (pts) with RA.1 Baricitinib (bari) is an oral, selective Janus kinase (JAK) 1/JAK 2 inhibitor…
  • Abstract Number: 1825 • 2017 ACR/ARHP Annual Meeting

    Comparative Analysis of Achievement of Individual Important Response Measured By DAS28dcrit in a Randomized Head-to-Head Trial of Tocilizumab Vs. Adalimumab in Active Rheumatoid Arthritis

    Michaela Koehm1, Michael Hofmann2, Rasmus Lüthje2, Matthew McIntosh3, Varghese Abraham3, Cem Gabay4, Arthur Kavanaugh5, Harald Burkhardt6 and Frank Behrens6, 1Division of Rheumatology and Fraunhofer IME-Project-Group Translational Medicine and Pharmacology, Goethe University, Frankfurt/Main, Germany, 2Rheumatology, Chugai Pharma Europe Ltd., Frankfurt, Germany, 3Genentech, San Francisco, CA, 4SCQM, Geneva, Switzerland, Geneva, Switzerland, 5Medicine, University of California, San Diego, La Jolla, CA, 6Division of Rheumatology and Fraunhofer IME-Project-Group Translational Medicine and Pharmacology, Goethe University, Frankfurt, Germany

    Background/Purpose: Fluctuations in disease activity due to short-term situational effects and measurement errors are important considerations for evaluation of individual clinically meaningful therapeutic response in…
  • Abstract Number: 1826 • 2017 ACR/ARHP Annual Meeting

    Secukinumab Achievement of Psoriatic Arthritis Disease Activity Score (PASDAS) Related Remission: 2-Year Results from a Phase 3 Study

    Laura C Coates1, Dafna D Gladman2, Peter Nash3, Oliver FitzGerald4, Arthur Kavanaugh5, Lawrence Rasouliyan6, Luminita Pricop7, Kevin Ding7 and Corine Gaillez8, 1Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, United Kingdom, 2Toronto Western Hospital, Toronto, ON, Canada, 3University of Queensland, Brisbane, Australia, 4St Vincent's University Hospital, Dublin, Ireland, 5UC San Diego School of Medicine, La Jolla, CA, 6RTI Health Solutions, Barcelona, Spain, 7Novartis Pharmaceuticals Corporation, East Hanover, NJ, 8Novartis Pharma AG, Basel, Switzerland

    Background/Purpose: Psoriatic arthritis (PsA) disease activity score (PASDAS) assessing multiple facets of PsA was demonstrated to distinguish treatment effect, perform better in statistical terms than…
  • Abstract Number: 1827 • 2017 ACR/ARHP Annual Meeting

    Comparison of Ixekizumab and Ustekinumab Efficacy in the Treatment of Nail Lesions of Patients with Moderate-to-Severe Plaque Psoriasis: 24-Week Data from a Phase 3 Trial

    Pierre-Dominique Ghislain1, Curdin Conrad2, Yves Dutronc3, Carsten Henneges3, David Sandoval Calderon3, Myriam Vincent3, Liesbet Ghys3, Jolien de Gruijter3 and Peter C M van de Kerkhof4, 1Cliniques Universitaires Saint-Luc, Brussels, Belgium, 2Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland, 3Eli Lilly and Company, Indianapolis, IN, 4Department of Dermatology, Radboud University Nijmegen Medical Center, Nijmegen, Netherlands

    Background/Purpose: Nails are frequently involved in psoriasis and represent one of the most difficult to treat manifestations of the disease. This study evaluated the comparative…
  • Abstract Number: 1828 • 2017 ACR/ARHP Annual Meeting

    Secukinumab Provides Sustained Improvements in the Signs and Symptoms of Active Ankylosing Spondylitis: 2-Year Results from a Phase 3 Study

    Karel Pavelka1, Alan J. Kivitz2, Eva Dokoupilova3, Ricardo Blanco4, Marco Maradiaga5, Hasan Tahir6, Alan Slade7, Yi Wang7, Susanne Rohrer8 and Brian Porter7, 1Institute of Rheumatology, Prague, Czech Republic, Prague, Czech Republic, 2Altoona Center for Clinical Research, Duncansville, PA, 3MEDICAL PLUS s.r.o., Uherske Hradiste, Czech Republic, 4Hospital Universitario Marqués de Valdecilla, Santander, Spain, 5Centro de Investigación de Tratamientos Innovadores de Sinaloa, Culiacán, Mexico, 6Barts Health NHS Trust, London, United Kingdom, 7Novartis Pharmaceuticals Corporation, East Hanover, NJ, 8Novartis Pharma AG, Basel, Switzerland

    Background/Purpose: Secukinumab (SEC) improved the signs and symptoms of AS in 2 Phase 3 studies (MEASURE 1 and 2).1,2 Here, we present interim results through…
  • Abstract Number: 1829 • 2017 ACR/ARHP Annual Meeting

    Patterns and Predictors of Progression of Sacroiliitis in Psoriatic Arthritis and Its Relationship with Human Leukocyte Antigen (HLA) Alleles. Results from the Toronto Cohort

    Musaab Elmamoun1, Justine (Yang) Ye2, Richard J. Cook3, Vinod Chandran4 and Dafna D Gladman5, 1Rheumatology, University of Toronto, Toronto Western Hospital, Toronto, ON, Canada, 2University of Toronto, Toronto Western Hospital, Toronto, ON, Canada, 3Statistics and Actuarial Science, University of Waterloo, Waterloo, ON, Canada, 4Medicine, Krembil Research Institute, Toronto Western Hospital, University of Toronto, Toronto, ON, Canada, 5Rheumatology, Toronto Western Hospital, University of Toronto, Toronto, ON, Canada

    Background/Purpose: Psoriatic arthritis (PsA) is clinically heterogeneous, with broad phenotypes of musculoskeletal (MSK) involvement including peripheral arthritis, enthesitis, dactylitis, and axial involvement. Sacroiliitis (SI) in…
  • Abstract Number: 1830 • 2017 ACR/ARHP Annual Meeting

    Bone Marrow Edema in Sacroiliac Joints of Young Athletes Is Common and Shows Most Frequently in the Posterior Lower Ilium

    Ulrich Weber1, Anne Grethe Jurik2, Anna Zejden3, Ejnar Larsen4, Steen Hylgaard Jørgensen5, Kaspar Rufibach6, Christian Schioldan7 and Søren Schmidt-Olsen5, 1Department of Research, King Christian 10th Hospital for Rheumatic Diseases, Graasten, Denmark, 2Dept. of Radiology, Aarhus University Hospital, Aarhus, Denmark, 3Radiology, Aarhus University Hospital, Aarhus, Denmark, 4Radiology, North Denmark Regional Hospital, Hjørring, Denmark, 5Rheumatology and Sports Medicine, North Denmark Regional Hospital, Hjørring, Denmark, 6Biostatistics, F. Hoffmann-La Roche, Basel, Switzerland, Basel, Switzerland, 7Physiotherapy, Clinic Benefit, Frederikshavn, Denmark

    Background/Purpose: Low grade bone marrow edema (BME) was reported in the sacroiliac joints (SIJ) of up to 25% of healthy individuals and mechanical back pain…
  • Abstract Number: 1831 • 2017 ACR/ARHP Annual Meeting

    A Positive MRI of the Sacroiliac Joints Is Not Specific for Axial Spondyloarthritis but Frequently Occurs in Healthy Individuals

    Janneke de Winter1, Manouk de Hooge2, Marleen van de Sande1, Lonneke van Hoeven3, Jet de Jong1, Anoek de Koning2, Inger Jorid Berg4, Roberta Ramonda5, Dominique Baeten1,6, Désirée van der Heijde7, Angelique Weel8 and Robert B.M. Landewé9, 1Clinical Immunology and Rheumatology, Amsterdam Rheumatology and immunology Center, Academic Medical Center/University of Amsterdam, Amsterdam, Netherlands, 2Rheumatology, Leiden University Medical Center, Leiden, Netherlands, 3Rheumatology, Maasstad Hospital, Rotterdam, Netherlands, 4Rheumatology, Diakonhjemmet Hospital, Oslo, Norway, 5Rheumatology Unit, Department of Medicine DIMED, University of Padova, Padova, Italy, 6UCB Pharma, Slough, United Kingdom, 7Leiden University Medical Center, Leiden, Netherlands, 8Department of Rheumatology, Maasstad Hospital, Rotterdam, Netherlands, 9Amsterdam Rheumatology & Immunology Center, Academic Medical Center, Amsterdam, Netherlands

    Background/Purpose: Inflammation shown on MRI of the sacroiliac joint (MRI-SI) is prevalent in axSpA (±30%) but the specificity is not well known, hence we compared…
  • Abstract Number: 1832 • 2017 ACR/ARHP Annual Meeting

    Gut Dysbiosis Contributes to Autoimmune Pathogenesis in Lupus-Prone Mice

    Seung Chul Choi1, Josephine Brown1, Mansour Mohamadzadeh2, Byron Croker1 and Laurence Morel3, 1Pathology, University of Florida, Gainesville, FL, 2Infectious Diseases & Pathology, University of Florida, Gainesville, FL, 3Pathology, Immunology, and Laboratory Medicine, University of Florida, Gainesville, FL

    Background/Purpose: Multiple studies have demonstrated that commensal bacteria play an immunoregulatory role and that gut dysbiosis is associated with inflammatory diseases. This study was conducted…
  • Abstract Number: 1833 • 2017 ACR/ARHP Annual Meeting

    iRhom2 Deficiency Protects Fcgr2b-/- Lupus-Prone Mice from Kidney Damage By Modulating ADAM17-Dependent Shedding of TNF-α and EGFR Ligand

    Xiaoping Qing1, Yurii Chinenov2, Patricia M. Redecha3, Michael Madaio4, Priya Issuree5, David McIlwain6, Tak Mak7, Carl Blobel5 and Jane E. Salmon8, 1Program in Inflammation and Autoimmunity, Hospital for Special Surgery, New York, NY, 2Arthritis & Tissue Degeneration Program, Hospital for Special Surgery, New York, NY, 3Autoimmunity & Inflammation, Hospital for Special Surgery, New York, NY, 4Medicine, Medical College of Georgia, Augusta, GA, 5Arthritis and Tissue Degeneration Program, Hospital for Special Surgery, New York, NY, 6Department of Microbiology and Immunology, Stanford University, Stanford, CA, 7Campbell Family Institute for Breast Cancer Research, Princess Margaret Cancer Center, Toronto, ON, Canada, 8Medicine/Rheumatology, Hospital of Special Surgery, New York, NY

    Background/Purpose: A disintegrin and metalloprotease 17 (ADAM17) controls ecto-domain shedding of TNFα and epithelial-growth factor ligands (EGFR) such as heparin-binding EGF (HB-EGF).  TNFa and HB-EGF…
  • Abstract Number: 1834 • 2017 ACR/ARHP Annual Meeting

    Selective Inhibitors of Nuclear Export Prevent Lupus Progression By Targeting Germinal Center Formation and Autoreactive Antibody Secreting Cells

    Javier Rangel-Moreno1, Jennifer Barnard2, Shelton Cochran3, Margaret Lee3, Sharon Tamir3 and Jennifer H. Anolik4, 1Medicine- Allergy, Immunology, and Rheumatology, University of Rochester Medical Center, Rochester, NY, 2Medicine-Allergy, Immunology and Rheumatology, University of Rochester Medical Center, Rochester, NY, 3Karyopharm Therapeutics, Newton, MA, 4Medicine- Allergy, Immunology and Rheumatology, University of Rochester Medical Center, Rochester, NY

    Background/Purpose: There is great interest in developing new treatment approaches for systemic lupus erythematosus (SLE), but the biologic therapies under investigation over the past several…
  • Abstract Number: 1835 • 2017 ACR/ARHP Annual Meeting

    Microglial Defects Contribute to Neuropsychiatric Symptoms of Systemic Lupus Erythematosus

    Hadijat Makinde1, Philip J. Homan2, Harris Perlman2 and Carla Cuda2, 1Northwestern University, Chicago, IL, 2Department of Medicine Division of Rheumatology, Northwestern University Feinberg School of Medicine, Chicago, IL

    Background/Purpose: Neuropsychiatric symptoms of systemic lupus erythematosus (NP-SLE), including headaches, cognitive dysfunction and psychiatric disorders, appear in up to 75% of SLE patients and may…
  • Abstract Number: 1836 • 2017 ACR/ARHP Annual Meeting

    Amelioration of Neuropsychiatric Systemic Lupus Erythematosus By Fingolimod-Mediated Sphingosine-1-Phosphate Receptor Modulation

    Elise Mike1, Ariel Stock1 and Chaim Putterman2, 1Microbiology and Immunology, Albert Einstein College of Medicine, Bronx, NY, 2Division of Rheumatology, Albert Einstein College of Medicine, Bronx, NY, USA, Bronx, NY

    Background/Purpose: While the pathogenesis of neuropsychiatric SLE (NPSLE) is not fully understood, critical aspects of disease development include neuroinflammation and loss of brain barrier integrity.…
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