ACR Meeting Abstracts

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  • Abstract Number: 1882 • 2017 ACR/ARHP Annual Meeting

    Thymus and Activation-Regulated Chemokine (TARC) As Biomarker for IgG4-Related Disease

    Masataka Umeda1,2, Tomoki Origuchi3, Shinya Kawashiri1,4, Tomohiro Koga1,5, Kunihiro Ichinose1, Yushiro Endo1, Sousuke Tsuji1, Ayuko Takatani1, Takashi Igawa1, Toshimasa Shimizu1, Shoichi Fukui1,4, Remi Sumiyoshi1, Ayako Nishino1,6, Naoki Iwamoto1, Mami Tamai1, Hideki Nakamura1 and Atsushi Kawakami1, 1Department of Immunology and Rheumatology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan, 2Medical Education Development Center, Nagasaki University Hospital, Nagasaki, Japan, 3Department of Rehabilitation Sciences, Nagasaki University, Nagasaki, Japan, 4Departments of Community Medicine, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan, 5Center for Bioinformatics and Molecular Medicine, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki City, Japan, 6Center for Comprehensive Community Care Education, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan

    Background/Purpose: TARC, also known as chemokine ligand 17 (CCR17), is expressed in the thymus and is produced by dendritic cells, endothelial cells, keratinocytes and fibroblasts.…
  • Abstract Number: 1883 • 2017 ACR/ARHP Annual Meeting

    Patterns of Osteoarticular Involvement in SAPHO Syndrome: A Cluster Analysis Based on Whole Body Bone Scintigraphy in 157 Patients

    Yihan Cao1, Chen Li2, Ping Xu1, Yueting Li1, Qiao Yang1 and Xiaochuan Sun1, 1Peking Union Medical College, Beijing, China, 2Peking Union Medical College Hospital, Beijing, China

    Background/Purpose: The aim was to explore patterns of osteoarticular involvement in SAPHO syndrome using cluster analysis of lesions revealed by whole body bone scintigraphy. Methods:…
  • Abstract Number: 1884 • 2017 ACR/ARHP Annual Meeting

    Mepolizumab for the Treatment of Patients with Eosinophilic Granulomatosis with Polyangiitis: Post-Hoc Results of a Phase III Randomized, Placebo-Controlled Trial

    Jonathan Steinfeld1, Eric S Bradford2, Judith Brown3, Stephen Mallett4, Steven W Yancey2 and Michael E Wechsler5, 1Respiratory TAU & Flexible Discovery Unit, GSK, Philadelphia, PA, USA, Philadelphia, PA, 2Respiratory Therapeutic Area, GSK, Research Triangle Park, NC, USA, Research Triangle Park, NC, 3Research and Development, Immuno-Inflammation TAU, GSK, Stockley Park West, Uxbridge, Middlesex, UK, Uxbridge, United Kingdom, 4Research & Development, Statistics, GSK, Stockley Park West, Uxbridge, Middlesex, UK, Uxbridge, United Kingdom, 5Department of Medicine,, National Jewish Health, Denver, CO

    Background/Purpose: In a recent Phase III study (NCT02020889) in patients with Eosinophilic Granulomatosis with Polyangiitis (EGPA) the anti-interleukin-5 monoclonal antibody mepolizumab showed significant benefit when…
  • Abstract Number: 1885 • 2017 ACR/ARHP Annual Meeting

    Epidemiology of Hospitalized Adult Onset Still’s Disease in United States

    Bella Y. Mehta1, William Briggs2 and Petros Efthimiou3, 1Rheumatology, Hospital for Special Surgery/Weill Cornell Medicine/Mailman School of Public Health, New York, NY, 2New York Presbyterian/ Brooklyn Methodist Hospital, New York, NY, 3Medicine/Rheumatology, New York University School of Medicine/NYU Langone Health, New York, NY

    Background/Purpose: There is a dearth of epidemiological studies on Adult Onset Still’s Disease (AOSD) and no consensus on its incidence and prevalence. Most studies report…
  • Abstract Number: 1886 • 2017 ACR/ARHP Annual Meeting

    Continued Fracture Risk Reduction after 12 Months of Romosozumab Followed By Denosumab through 36 Months in the Extension of the Phase 3 Fracture Study in Postmenopausal Women with Osteoporosis

    E Michael Lewiecki1, Rajani V Dinavahi2, Marise Lazaretti-Castro3, Peter R Ebeling4, J Adachi5, Akimitsu Miyauchi6, Evelien Gielen7, Cassandra E Milmont2, Cesar Libanati8 and Andreas Grauer2, 1New Mexico Clinical Research & Osteoporosis Center, Albuquerque, NM, 2Amgen Inc., Thousand Oaks, CA, 3Federal University of São Paulo, São Paulo, Brazil, 4Monash University, Melbourne, Australia, 5McMaster University, Hamilton, ON, Canada, 6Miyauchi Medical Center, Osaka, Japan, 7University Hospitals Leuven, Leuven, Belgium, 8UCB Pharma, Brussels, Belgium

    Background/Purpose: Romosozumab (Romo) is a monoclonal antibody that binds sclerostin with a dual effect, increasing bone formation and decreasing bone resorption. In the primary analysis…
  • Abstract Number: 1887 • 2017 ACR/ARHP Annual Meeting

    Ten-Year Continued Nonvertebral Fracture Reduction in Postmenopausal Osteoporosis with Denosumab Treatment

    S Ferrari1, PW Butler2, DL Kendler3, Paul D Miller4, C Roux5, AT Wang2, Rachel B. Wagman2 and EM Lewiecki6, 1Geneva University Hospital, Geneva, Switzerland, 2Amgen Inc., Thousand Oaks, CA, 3University of British Columbia, Vancouver, BC, Canada, 4Colorado Center for Bone Research, Lakewood, CO, 5Paris Descartes University, Paris, France, 6New Mexico Clinical Research & Osteoporosis Center, Albuquerque, NM

    Background/Purpose: Treatment with denosumab (DMAb) for 3 years significantly reduces the incidence of nonvertebral fractures (NVFx; Cummings NEJM 2009). While there are limited data describing…
  • Abstract Number: 1888 • 2017 ACR/ARHP Annual Meeting

    Effect of Denosumab Compared with Risedronate on Percentage Change in Lumbar Spine Bone Mineral Density at 12 Months in Subgroups of Glucocorticoid-Treated Individuals

    Kenneth Saag1, N Pannacciulli2, P Geusens3, J Adachi4, Eric Lespessailles5, J Malouf6, O Messina7, AT Wang2, Rachel B. Wagman2 and WF Lems8, 1University of Alabama, Birmingham, AL, 2Amgen Inc., Thousand Oaks, CA, 3Maastricht University, Maastricht, Netherlands, 4McMaster University, Hamilton, ON, Canada, 5University Hospital Orleans, Orleans, France, 6Hospital San Pablo, Barcelona, Spain, 7Cosme Argerich Hospital, Buenos Aries, Argentina, 8VU University Medical Centre, Amsterdam, Netherlands

    Background/Purpose: Glucocorticoid (GC)-induced osteoporosis (GIOP) remains the most common secondary cause of osteoporosis. We previously demonstrated that denosumab (DMAb) significantly increased lumbar spine (LS) BMD…
  • Abstract Number: 1889 • 2017 ACR/ARHP Annual Meeting

    Safety and Efficacy of Denosumab Among Subjects with Mild-to-Moderate Chronic Kidney Disease (CKD) in the “Fracture Reduction Evaluation of Denosumab in Osteoporosis Every 6 Months” Extension Study

    Aaron Broadwell1, Peter R Ebeling2, Edward Franek3, Stefan Goemaere4, Rachel B. Wagman5, Xiang Yin5, Susan Yue5 and Paul D Miller6, 1Rheumatology and Osteoporosis Specialists, Shreveport, LA, 2Monash University, Clayton, Australia, 3Mossakowski Medical Research Centre, Polish Academy of Sciences, Warsaw, Poland, 4Ghent University Hospital, Gent, Belgium, 5Amgen Inc., Thousand Oaks, CA, 6Colorado Center for Bone Research, Lakewood, CO

    Background/Purpose: As renal function may decline with age, it is important to understand the safety and efficacy of therapeutic agents for postmenopausal osteoporosis (PMO) and…
  • Abstract Number: 1890 • 2017 ACR/ARHP Annual Meeting

    Persistent Fracture Reduction with Abaloparatide-SC (TYMLOS™) Followed By 24 Months of Alendronate

    Kenneth Saag1, Paul D Miller2, Felicia Cosman3,4, Lorraine A Fitzpatrick5, Gary Hattersley6, Robert Gut6, Bruce Mitlak6, John P Bilezikian4 and Robin K Dore7, 1Department of Medicine, University of Alabama at Birmingham, Birmingham, AL, 2Colorado Center for Bone Research, Lakewood, CO, 3Helen Hayes Hospital, West Haverstraw, NY, 4Columbia University College of Physicians and Surgeons, New York, NY, 5Chief Medical Officer, Radius Health, Inc., Waltham, MA, 6Radius Health, Inc., Waltham, MA, 7Robin K Dore, MD, Inc., Tustin, CA

    Background/Purpose: In the ACTIVE phase III trial, postmenopausal women with osteoporosis were randomized 1:1:1 to abaloparatide (ABL; n=824), blinded placebo (PBO; n=821), or open-label teriparatide…
  • Abstract Number: 1891 • 2017 ACR/ARHP Annual Meeting

    Low Alkaline Phosphatase Levels: Could It be Hypophosphatasia?

    C. Tornero1, P. Aguado1, S. García-Carazo1, J.A. Tenorio2, P. Lapunzina2, K. Heath2, A. Buño3, J.M. Iturzaeta3, Irene Monjo4, C. Plasencia1 and Alejandro Balsa1, 1Rheumatology, Rheumatology. La Paz University Hospital, Spain., Madrid, Spain, 2Institute of Medical and Molecular Genetics (INGEMM), Institute of Medical and Molecular Genetics (INGEMM). La Paz University Hospital, Spain., Madrid, Spain, 3Laboratory medicine, Laboratory medicine. La Paz University Hospital, Spain., Madrid, Spain, 4Rheumatology, Rheumatology. La Paz University Hospital, Spain., MADRID, Spain

    Background/Purpose: Hypophosphatasia (HPP) is a rare inherited disorder caused by mutations in ALPL (alkaline phosphatase liver type ALPL gene). Clinical presentation is variable and adult…
  • Abstract Number: 1892 • 2017 ACR/ARHP Annual Meeting

    A20 Haploinsufficiency: Clinical Phenotypes and Disease Course of Patients with This Newly Recognized Autoinflammatory Disease

    Florence A. Aeschlimann1, Ezgi Deniz Batu2, Ellen Go3, Ahmet Gül4, Patrycja M. Hoffmann5, Helen L. Leavis6, Seza Ozen7, Annet van Royen-Kerkof6, Daniella Schwartz8, Deborah L. Stone9, Ivona Aksentijevich10, Daniel L. Kastner11 and Ronald Laxer1, 1Rheumatology, The Hospital for Sick Children, University of Toronto, Toronto, ON, Canada, 2Pediatric Rheumatology, Hacettepe University Faculty of Medicine, Ankara, Turkey, 3Pediatrics, Indiana University School of Medicine, Indianapolis, IN, 4Department of Internal Medicine, Division of Rheumatology, Istanbul University, Istanbul Faculty of Medicine, Istanbul, Turkey, 5Inflammatory Disease Section, National Human Genome Research Institute, Bethesda, MD, 6Pediatric Immunology, University Medical Center Utrecht, Utrecht, Netherlands, 7Department of Pediatrics, Division of Rheumatology, Hacettepe University Faculty of Medicine, Ankara, Turkey, 8NIAMS - Rheumatology, National Institutes of Health, Bethesda, MD, 9Inflammatory Disease Section, NHGRI/NIH, Bethesda, MD, 10National Human Genome Research Institute, National Institutes of Health, Inflammatory Disease Section, Bethesda, MD, 11Inflammatory Disease Section, National Human Genome Research Institute, National Institutes of Health, Bethesda, MD

    Background/Purpose: Haploinsufficiency of A20 (HA20) is a newly discovered autoinflammatory disease caused by mutations in TNFAIP3. A20 is a protein with a crucial role in…
  • Abstract Number: 1893 • 2017 ACR/ARHP Annual Meeting

    Pharmacokinetics (PK), Pharmacodynamics (PD), and Proposed Dosing of Oral Janus Kinase (JAK)1 and JAK2 Inhibitor Baricitinib in Patients with IFN-Mediated Autoinflammatory Diseases (AIDs)

    Hanna Kim1, Kristina M. Brooks2, Paul Wakim3, Mary Blake4, Stephen R. Brooks5, Gina A. Montealegre Sanchez6, Adriana Almeida de Jesus6, Yan Huang6, Wanxia Li Tsai7, Massimo G. Gadina4, Parag Kumar2 and Raphaela Goldbach-Mansky6, 1Pediatric Translational Research Branch, NIAMS/NIH, Bethesda, MD, 2Clinical Pharmacokinetics Research Unit, Pharmacy Department, NIH Clinical Center, Bethesda, MD, 3Biostatistics and Clinical Epidemiology Service, NIH Clinical Center, Bethesda, MD, 4Translational Immunology Section, Office of Science and Technology, NIAMS/NIH, Bethesda, MD, 5Biodata Mining and Discovery Section, Office of Science and Technology, NIAMS/NIH, Bethesda, MD, 6Translational Autoinflammatory Disease Studies (TADS), Laboratory of Clinical Investigation and Microbiology (LCIM), NIAID/NIH, Bethesda, MD, 7Translational Immunology, Office of Science and Technology, NIAMS/NIH, Bethesda, MD

    Background/Purpose: JAK inhibitors reduce IFN-signaling ex vivo. We evaluated the PK and PD of the oral JAK1 and JAK2 inhibitor, baricitinib, from data collected in…
  • Abstract Number: 1894 • 2017 ACR/ARHP Annual Meeting

    Genetic Phenotypes Impacting Efficacy and Safety of Canakinumab in Patients with Colchicine-Resistant FMF, TRAPS and Hids/Mkd: Results from Cluster Study

    Fabrizio De Benedetti1, Paivi Miettunen2, Tilmann Kallinich3, Gerd Horneff4, Riva Brik5, Alberto Tomassini6, Takahiro Yasumi7, Sinisa Savic8, Ivan Foeldvari9, Liora Harel10, Romina Gallizzi11, Antonio Speziale12, Guido Junge12 and Marco Gattorno13, 1Division of Rheumatology, IRCCS Bambino Gesù Children's Hospital, Rome, Rome, Italy, 2Alberta Children's Hospital Research Institute/University of Calgary, Calgary, AB, Canada, 3Charité, Humbolt University Medicine Berlin, Berlin, Germany, 4Asklepios Kliniken GmbH, Hamburg, Germany, 5Pediatrics, Rambam Medical Center, Haifa, Israel, 6Institute for Maternal and Child Health- IRCCS “Burlo Garofolo”, Trieste, Italy, 7Department of Pediatrics, Kyoto University Graduate School of Medicine, Kyoto, Japan, 8University of Leeds, Leeds, United Kingdom, 9Hamburger Zentrum für Kinder-und Jugend Rheumatologie, Hamburg, Germany, 10Schneider Children's Medical Center of Israel, Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel, 11Department of Pediatrics, University of Messina, Messina, Italy, 12Novartis Pharma AG, Basel, Switzerland, 13Pediatric Rheumatology, G. Gaslini Institute, Genoa, Italy

    Background/Purpose: Familial Mediterranean fever (FMF), Hyper IgD Syndrome (HIDS)/mevalonate kinase deficiency (MKD) and TNF-receptor associated periodic syndrome (TRAPS) are monogenic auto-inflammatory diseases caused by mutations…
  • Abstract Number: 1895 • 2017 ACR/ARHP Annual Meeting

    Serum Interleukin 18 As a Biomarker for Systemic Juvenile Idiopathic Arthritis and Macrophage Activation Syndrome and Use of Recombinant Human IL-18 BP in a Patient with Refractory Disease

    Shima Yasin1, Rachel Brown1, Ndate Fall2, Krista Solomon1, Scott Canna3, Charlotte Girard4, Cem Gabay5, Eduardo Schiffrin6, Andrew Sleight6, Alexei A. Grom7 and Grant Schulert8, 1Pediatric Rheumatology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, 2Division of Rheumatology, Cincinnati Children's Hospital, Cincinnati, OH, 3NIAMS, National Institutes of Health, Bethesda, MD, 4Division of Rheumatology, Department of Internal Medicine Specialties, University Hospital of Geneva, Geneva, Switzerland, 5SCQM, Geneva, Switzerland, Geneva, Switzerland, 6AB2 Bio, Lausanne, Switzerland, 7Division of Pediatric Rheumatology, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, United States Minor Outlying Islands, 8Pediatric Rheumatology, Division of Pediatric Rheumatology, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH

    Background/Purpose: Systemic juvenile idiopathic arthritis is an autoinflammatory childhood arthritis with prominent innate immune activity. Macrophage activation syndrome is a severe and potentially fatal complication…
  • Abstract Number: 1896 • 2017 ACR/ARHP Annual Meeting

    IL-18 As a Diagnostic Biomarker, Differentiating Systemic JIA from Acute Leukaemia, Severe Bacterial Infections and Other Auto-Immune Disorders

    Arjen Leek1, Nienke Ter Haar2, Valerie De Haas3, Ayman El Idrissi1, Judith Wienke1, Sytze de Roock4, Dirk Holzinger5, Wilco de Jager6, Jorg van Loosdregt7 and Sebastiaan Vastert4,8, 1Pediatric Rheumatology and Immunology, University Medical Center Utrecht, Utrecht, Netherlands, 2Department of Pediatric Rheumatology and immunology, University Medical Center Utrecht, Utrecht, Netherlands, 3DCOG Laboratory, SKION, Den Haag, Netherlands, 4Laboratory of Translational Immunology, University Medical Center Utrecht, Utrecht, Netherlands, 5Department of Pediatric Rheumatology and Immunology, University of Muenster, Muenster, Germany, 6Dept Immunology, UMC Utrecht, Utrecht, Netherlands, 7Laboratory for Translational immunology, University Medical Center Utrecht, Utrecht, Netherlands, 8Division of Pediatric Rheumatology, University Medical Center Utrecht, Utrecht, Netherlands

    Background/Purpose: Systemic onset Juvenile Idiopathic Arthritis (sJIA) is a disease characterized by systemic inflammation in addition to arthritis and it’s diagnosis currently still depends on…
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