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  • Abstract Number: 2272 • 2017 ACR/ARHP Annual Meeting

    Long-Term Effectiveness and Safety of Abatacept in Juvenile Idiopathic Arthritis: Ongoing Results from the Abatacept in JIA Registry

    Daniel J Lovell1, N Ruperto2, N Tzaribachev3, A Zeft4, Rolando Cimaz5, V Stanevica6, Gerd Horneff7, John F. Bohnsack8, Thomas A. Griffin9, R Carrasco10, Maria Trachana11, Jason A Dare12, I Foeldvari13, Richard K Vehe14, TA Simon15, Hermine I. Brunner16 and Alberto Martini2, 1Cincinnati Children’s Hosp. Medical Center, Cincinnati, OH, 2Istituto G. Gaslini Pediatria II Reumatologia, Genova, Italy, 3University Medical Center Schleswig-Holstein, Bad Bramstedt, Germany, 4Cleveland Clinic, Cleveland, OH, 5Azienda Ospedaliero-Universitaria Meyer, Florence, Italy, 6Riga Stradins University, Riga, Latvia, 7Asklepios Klinik Zentrum für Allgemeine Paediatrie und Neonatologie, Sankt Augustin, Germany, 8University of Utah School of Medicine, Salt Lake City, UT, 9Levine Children’s Hospital at Carolinas Medical Center, Charlotte, NC, 10Specially For Children, Austin, TX, 11Hippokration General Hospital, Thessaloniki, Greece, 12University of Arkansas for Medical Sciences, Little Rock, AR, 13Hamburg Centre for Pediatric Rheumatology, Hamburg, Germany, 14University of Minnesota, Minneapolis, MN, 15Bristol-Myers Squibb, Princeton, NJ, 16Cincinnati Children's Hospital Medical Center, Cincinnati, OH

    Background/Purpose: Abatacept is an FDA- and EMA-approved biologic that is widely used in children with juvenile idiopathic arthritis (JIA). The purpose of this long-term ongoing…
  • Abstract Number: 2273 • 2017 ACR/ARHP Annual Meeting

    An Open-Label Extension Study to Assess the Long-Term Safety of Etanercept in Pediatric Patients with Extended Oligo, Enthesitis Related, and Psoriatic Juvenile Idiopathic Arthritis: 6-Year Data from the Clipper Studies

    Ivan Foeldvari1, Tamas Constantin1, Jelena Vojinovic2, Gerd Horneff1, Joke Dehoorne1, Gordana Susic1, Katarzyna Kobusinska1, Violeta Vladislava Panaviene1, Zbigniew Zuber1, Valda Stanevicha1, Vyacheslav Chasnyk1, Ronald Pedersen3, Jack F Bukowski4, Tina Hinnershitz5, Bonnie Vlahos6, Alberto Martini1 and Nicolino Ruperto1, 1Paediatric Rheumatology International Trials Organisation (PRINTO), Genoa, Italy, 2Paediatric Rheumatology International Trials Organisation (PRINTO), Genoa, Jersey, 3Department of Biostatistics, Pfizer, Collegeville, PA, 4Clinical Affairs, Pfizer, Collegeville, PA, 5Specialty Care MDG, Pfizer, Collegeville, PA, 6Clinical Sciences, Pfizer, Collegeville, PA

    Background/Purpose: A Phase 3b, open-label (OL), multicenter study (CLIPPER) has shown the safety of etanercept (ETN) in pediatric patients (pts) with extended oligoarticular (eo) juvenile…
  • Abstract Number: 2274 • 2017 ACR/ARHP Annual Meeting

    Risk of Serious Events, Serious Infections, Uveitis, Crohn’s Disease, Colitis and Malignancies in Patients with Juvenile Idiopathic Arthritis on Continuous Treatment with Etanercept over Time: A Report from a Biologics Registry

    Gerd Horneff1, Frank Weller-Heinemann2, Toni Hospach3, Prasad Oommen4, Gerd Ganser5, Johannes Peter Haas6, K Minden7 and Ariane Klein8, 1Asklepios Clinic, Sankt Augustin, Germany, 2PRINTO, Genoa, Italy, 3Pediatrics, Olgahospital, Klinikum Stuttgart, Stuttgard, Germany, 4University Duesseldorf, Duesseldorf, Germany, 5Pediatric Rheumatology, Sankt Josef Stift Sendenhorst, Sendenhorst, Germany, 6Centre for Pediatric Rheumatology Garmisch-Partenkirchen, Garmisch-Partenkirchen, Germany, 7Charité – University of Medicine Berlin, Berlin, Germany, 8Center of Pediatrics and Neonatology, Asklepios Clinic Sankt Augustin, Sankt Augustin, Germany

    Background/Purpose: To investigate changes in the risk for adverse events of special interest in juvenile idiopathic arthritis (JIA) patients treated with Etanercept documented in the…
  • Abstract Number: 2275 • 2017 ACR/ARHP Annual Meeting

    Factors Related to Sustained Discontinuation of Medications for Well-Controlled JIA in the Childhood Arthritis & Rheumatology Research Alliance Registry

    Daniel B. Horton1, Fenglong Xie2, Melissa L. Mannion3, Sarah Ringold4, Colleen K. Correll5, Anne C. Dennos6 and Timothy Beukelman7, 1Rutgers Biomedical and Health Sciences, New Brunswick, NJ, 2Division of Clinical Immunology & Rheumatology, University of Alabama at Birmingham, Birmingham, AL, 3Pediatric rheumatology, University of Alabama at Birmingham, Birmingham, AL, 4Seattle Children's Hospital, Seattle, WA, 5Pediatrics, University of Minnesota, Minneapolis, MN, 6Duke Clinical Research Institute, Durham, NC, 7Pediatrics, University of Alabama at Birmingham, Birmingham, AL

    Background/Purpose: Stopping medications is a priority for many patients with well-controlled JIA, but few factors predict favorable outcomes after discontinuation. We examined factors associated with…
  • Abstract Number: 2276 • 2017 ACR/ARHP Annual Meeting

    Etanercept (Enbrel®) Treatment Retention in the Sub-Population of Pediatric Patients from a Retrospective Cohort Study Using Canadian Claims-Level Data

    Majed M M Khraishi1, Brad Millson2, John Woolcott3, Heather Jones4 and Lisa Marshall4, 1Faculty of Medicine, Memorial University of Newfoundland, St John's, NF, Canada, 2Health Access and Outcomes, QuintilesIMS, Kanata, ON, Canada, 3Inflammation & Immunology Global Outcomes & Evidence,, Pfizer, Inflammation & Immunology Global Outcomes & Evidence, Collegeville, PA, 4Inflammation & Immunology Global Medical Affairs, Pfizer, Collegeville, PA

    Background/Purpose: Etanercept (ETN) was the first biologic approved for use in the treatment of patients with polyarticular-course juvenile idiopathic arthritis (JIA),1 and is now indicated…
  • Abstract Number: 2277 • 2017 ACR/ARHP Annual Meeting

    Safety of Biologic Therapies for the Treatment of Juvenile Idiopathic Arthritis: Results from the Spanish Registry of Adverse Events with Biologic Therapies (BIOBADASER)

    Juan José Bethencourt Baute1, Carlos Sánchez-Piedra2, Lorena Expósito Pérez1, M. Victoria Hernández3, Javier Manero4, Rosa Rosello5, Fernando Sánchez-Alonso6, Dolores Ruiz-Montesinos7, Eva Perez Pampín8, Carlos Rodriguez-Lozano9, Cristina Campos Fernandez10, Cristina Fernández-Carballido11, Raquel Martín-Domenech11, Javier Del Pino-Montes12, Mercedes Freire13, Federico Díaz-González14, Juan J. Gomez-Reino15 and Sagrario Bustabad16, 1Servicio de Reumatología, Hospital Universitario de Canarias, Tenerife, Spain, 2Research Unit, Spanish Society of Rheumatology, Madrid, Spain, 3Hospital Clinic. Barcelona. Spain, Barcelona, Spain, 4Rheumatology, Hospital Miguel Servet, Zaragoza, Spain, 5Hospital San Jorge, Huesca, Spain, 6Unidad de Investigación, Spanish Society of Rheumatology, Madrid, Spain, 7Rheumatology, Hospital Virgen Macarena, Seville, Spain, 8Rheumatology, Complejo Hospitalario Universitario de Santiago, Santiago de Compostela, Spain, 9Hospital de Gran Canaria Dr. Negrín, Gran Canaria, Spain, 10Rheumatology, Hospital Universitario de Valencia., Valencia, Spain, 11Hospital General Universitario de Elda, Elda, Spain, 12Rheumatology, HOSPITAL CLÍNICO UNIVERSITARIO DE SALAMANCA, Salamanca, Spain, 13Servicio de Reumatología. Instituto de Investigación Biomédica de A Coruña (INIBIC). Complexo HospitalarioUniversitario de A Coruña (CHUAC), Sergas. Universidade da Coruña (UDC), A Coruña, Spain, 14Servicio de Reumatología. Hospital Universitario de Canarias, Santa Cruz de Tenerife, Spain, 15Fundacion Ramon Dominguez, Hospital Clinico Universitario, Santiago de Compostela, Spain, 16Rheumatology, Servicio de Reumatología. Hospital Universitario de Canarias, La Laguna, Tenerife, Spain

    Background/Purpose: Juvenile idiopathic arthritis (JIA) is the most common chronic rheumatic disease in childhood. The treatment of JIA has been revolutionized by the use of…
  • Abstract Number: 2278 • 2017 ACR/ARHP Annual Meeting

    Biologic Switching Among JIA Patients: A Cohort Study in the Childhood Arthritis and Rheumatology Research Alliance Registry

    Melissa L. Mannion1, Fenglong Xie2, Daniel B. Horton3, Sarah Ringold4, Colleen K. Correll5, Anne C. Dennos6 and Timothy Beukelman7, 1Pediatric rheumatology, University of Alabama at Birmingham, Birmingham, AL, 2Division of Clinical Immunology & Rheumatology, University of Alabama at Birmingham, Birmingham, AL, 3Pediatrics, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, 4Seattle Children's Hospital, Seattle, WA, 5Pediatrics, University of Minnesota, Minneapolis, MN, 6Duke Clinical Research Institute, Durham, NC, 7Pediatric Rheumatology, University of Alabama at Birmingham, Birmingham, AL

    Background/Purpose:   Biologic medications have allowed a significant proportion of JIA patients to achieve inactive disease. However, some patients will have ongoing moderate to high…
  • Abstract Number: 2279 • 2017 ACR/ARHP Annual Meeting

    Dynamics of Concomitant Therapy in Children with Juvenile Idiopathic Arthritis Treated with Etanercept

    Ekaterina Alexeeva1,2, Tatiana Dvoryakovskaya1,2, Victor Gladkikh3,4, Andrei Moskalev4,5, Rina Denisova2, Ksenia Isaeva2, Olga Lomakina2, Margarita Soloshenko2 and Anna Karaseva2, 1Pediatrics, The Federal State Autonomous Educational Institution of Higher Education The First Moscow State Medical University named after I.M. Sechenov Ministry of Health of the Russian Federation (Sechenov University), Moscow, Russian Federation, 2Reumatology department, Federal State Autonomous Institution"National Scientific and Practical Center of Children's Health"Of the Ministry of Health of the Russian Federation, Moscow, Russian Federation, 3Department of Biostatistics, EOL Labs ltd, Novosibirsk, Rwanda, 4Laboratory of Computational Physics, Institute of Computational Mathematics and Mathematical Geophysics SB RAS, Novosibirsk, Russian Federation, 5Department of Biostatistics, EOL Labs ltd, Novosibirsk, Russian Federation

    Background/Purpose: The effectiveness of target use of biological medications depends on how personalized they are to fit patient’s individual parameters with juvenile idiopathic arthritis (JIA).…
  • Abstract Number: 2280 • 2017 ACR/ARHP Annual Meeting

    Effectiveness of Switching to Adalimumab As the Second- and Third-Line Biological Drug in Patients with Juvenile Idiopathic Arthritis

    Ekaterina Alexeeva1, Tatiana Dvoryakovskaya2, Victor Gladkikh3,4, Andrei Moskalev4,5, Rina Denisova1, Ksenia Isaeva1, Olga Lomakina1, Margarita Soloshenko1 and Anna Karaseva1, 1Reumatology department, Federal State Autonomous Institution"National Scientific and Practical Center of Children's Health"Of the Ministry of Health of the Russian Federation, Moscow, Russian Federation, 2Pediatrics, The Federal State Autonomous Educational Institution of Higher Education The First Moscow State Medical University named after I.M. Sechenov Ministry of Health of the Russian Federation (Sechenov University), Moscow, Russian Federation, 3Department of Biostatistics, EOL Labs ltd, Novosibirsk, Rwanda, 4Laboratory of Computational Physics, Institute of Computational Mathematics and Mathematical Geophysics SB RAS, Novosibirsk, Russian Federation, 5Department of Biostatistics, EOL Labs ltd, Novosibirsk, Russian Federation

    Background/Purpose: The range of biological drugs currently used in JIA therapy includes not only anti-TNF but also other varieties. However, despite the high effectiveness and…
  • Abstract Number: 2281 • 2017 ACR/ARHP Annual Meeting

    Patterns of Medication Use in Non-Systemic Polyarthritis: Data from the Childhood Arthritis and Rheumatology Research Alliance Patient Registry

    Sarah Ringold1, Fenglong Xie2, Daniel B. Horton3, Melissa L. Mannion4, Colleen K. Correll5, Anne C. Dennos6 and Timothy Beukelman7, 1Seattle Children's Hospital, Seattle, WA, 2Division of Clinical Immunology & Rheumatology, University of Alabama at Birmingham, Birmingham, AL, 3Pediatrics, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, 4Pediatric rheumatology, University of Alabama at Birmingham, Birmingham, AL, 5Pediatrics, University of Minnesota, Minneapolis, MN, 6Duke Clinical Research Institute, Durham, NC, 7Pediatric Rheumatology, University of Alabama at Birmingham, Birmingham, AL

    Background/Purpose: The Childhood Arthritis and Rheumatology Research Alliance (CARRA) Registry began enrolling children with juvenile idiopathic arthritis (JIA) in July 2015. The large number of…
  • Abstract Number: 2282 • 2017 ACR/ARHP Annual Meeting

    The Childhood Arthritis and Rheumatology Research Alliance Start Time Optimization of Biologic Therapy in Polyarticular JIA Study: Interim Report of Baseline Patient Characteristics and Treatment Choices

    Sarah Ringold1, George A. Tomlinson2, Pamela F. Weiss3, Laura E. Schanberg4, Brian M. Feldman5, Mary Ellen Riordan6, Anne C. Dennos7, Vincent Del Gaizo8, Katherine Murphy9 and Yukiko Kimura6, 1Seattle Children's Hospital, Seattle, WA, 2Medicine, Mount Sinai Hospital, Toronto, ON, Canada, 3Division of Rheumatology, Center for Pediatric Clincial Effectiveness, Children's Hospital of Philadelphia, Philadelphia, PA, 4Pediatrics, Duke University Medical Center, Durham, NC, 5Rheumatology, The Hospital for Sick Children, Toronto, ON, Canada, 6Hackensack University Medical Center, Hackensack, NJ, 7Duke Clinical Research Institute, Durham, NC, 8Parent Partner, Whitehouse Station, NJ, 9Parent Partner, San Francisco, CA

    Background/Purpose: Despite the many available new and effective treatments for polyarticular JIA (P-JIA), there is significant variation in the timing of when biologic medications are…
  • Abstract Number: 2283 • 2017 ACR/ARHP Annual Meeting

    Adalimumab Therapy in Juvenile Idiopathic Arthritis:   Addition of Lidocaine for Prevention of Injection Site Pain or Not? That Is the Question.   a Comparison Study

    Barbara Ostrov1, Brandt Groh2, Lisabeth V. Scalzi3, C. April Bingham2, Natalya Gaffney2, Meredith Buckley2, Lisa Robbins2 and Rosanne Ayala4, 1Pediatrics, Penn State Hershey Medical Center, Hershey, PA, 2Pediatrics, Penn State College of Medicine, Hershey, PA, 3Penn State Hershey Medical Center, Hershey, PA, 4Penn State College of Medicine, Hershey, PA

    Background/Purpose: Up to 37% of patients prescribed adalimumab (AD) report significant injection-site pain (Registered Prescribing Information, 2016). For AD to be a stable pre-filled product,…
  • Abstract Number: 2284 • 2017 ACR/ARHP Annual Meeting

    Use of Biological Therapies in Adult Patients Diagnosed with Juvenile Idiopathic Arthritis: Results from the Spanish Registry of Adverse Events with Biologic Therapies (BIOBADASER)

    Carlos Sánchez-Piedra1, Rosa Rosello2, Javier Manero3, M. Victoria Hernández4, Fernando Sánchez-Alonso5, Eduardo Cuende6, Blanca García Magallon3, Ana M. Ortiz Garcia7, Cesar Diaz-Torné8, Mercedes Freire9, Paloma Vela10, Raúl Menor Almagro11, Agueda Prior12, Federico Díaz-González13, Juan J. Gomez-Reino14 and Sagrario Bustabad15, 1Research Unit, Spanish Society of Rheumatology, Madrid, Spain, 2Hospital San Jorge, Huesca, Spain, 3Rheumatology, Hospital Miguel Servet, Zaragoza, Spain, 4Rheumatology Service, Hospital Clínic de Barcelona, Barcelona, Spain, 5Unidad de Investigación, Spanish Society of Rheumatology, Madrid, Spain, 6University Hospital Príncipe de Asturias, Immune System Diseases, Rheumatology department, Alcalá de Henares, Madrid, Spain, 7Rheumatology, Rheumatology Service, Hospital Universitario de La Princesa, IIS-IP, Madrid, Spain, 8GEACSER, Madrid, Spain, 9Servicio de Reumatología. Instituto de Investigación Biomédica de A Coruña (INIBIC). Complexo HospitalarioUniversitario de A Coruña (CHUAC), Sergas. Universidade da Coruña (UDC), A Coruña, Spain, 10Reumatología, Hospital General Universitario de Alicante. Alicante. Spain, Alicante, Spain, 11Rheumatology, Hospital Universitario Virgen del Rocío, Sevilla, Spain, 12Rheumatology, Hospital Universitari Germans Trias i Pujol, Barcelona, Spain, 13Servicio de Reumatología. Hospital Universitario de Canarias, Santa Cruz de Tenerife, Spain, 14Fundacion Ramon Dominguez, Hospital Clinico Universitario, Santiago de Compostela, Spain, 15Rheumatology, Servicio de Reumatología. Hospital Universitario de Canarias, La Laguna, Tenerife, Spain

    Background/Purpose: Juvenile idiopathic arthritis (JIA) is the most common chronic rheumatic disease in childhood. The advent of new biological drugs has changed the prognosis and…
  • Abstract Number: 2285 • 2017 ACR/ARHP Annual Meeting

    Treatment of Adult Juvenile Idiopathic Arthritis Patients with Biologic Agents. Data from the National Registry

    Katerina Jarosova1, Lenka Szczukova2, Zlatuse Kristkov3 and Jiri Vencovsky4, 1Institute of Rheumatology, Prague, Czech Republic, 2Institute of Biostatistics and Analyses. Faculty of Medicine, Masaryk University, Brno, Czech Republic, 3Institute of Biostatistics and Analyses, Faculty of Medicine, Masaryk University, Brno, Czech Republic, 4Institute of Rheumatology, Prague 2, Czech Republic

    Background/Purpose: To analyze the efficacy and safety of biologic agents in adult patients with juvenile idiopathic arthritis (JIA). Methods: ATTRA is a Czech national registry…
  • Abstract Number: 2286 • 2017 ACR/ARHP Annual Meeting

    Determinants of Anti-Tumor Necrosis Factor Drug Use in Juvenile Spondyloarthropathy and Impact on Clinical Disease Outcomes

    Melissa Oliver1, Julia F Simard2, Dana Gerstbacher3, Tzielan Lee4 and Christy Sandborg5, 1Pediatric Rheumatology, Stanford University, Department of Pediatric Rheumatology, Palo Alto, CA, 2Division of Epidemiology, Health Research and Policy Department, Stanford School of Medicine, Stanford, CA, 3Stanford University, Palo Alto, CA, 4Pediatric Rheumatology, Stanford University, Palo Alto, CA, 5Pediatric Rheumatology PTD, Stanford Medical Center, Palo Alto, CA

    Background/Purpose: Patients with juvenile spondyloarthropathy (JSpA) have lower clinical remission rates, report higher pain scores, worse functioning and lower quality of life compared to other…
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