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  • Abstract Number: 2817 • 2018 ACR/ARHP Annual Meeting

    Cardiovascular Disease Risk with Biologics and Tofacitinib Compared to Conventional Synthetic Dmards in Patients with Rheumatoid Arthritis

    Gulsen Ozen1, Sofia Pedro2 and Kaleb Michaud1,2, 1Rheumatology, University of Nebraska Medical Center, Omaha, NE, 2FORWARD, The National Databank for Rheumatic Diseases, Wichita, KS

    Background/Purpose: Cardiovascular disease (CVD) represents the leading cause of death in RA, accounting for ~50% of excess mortality. Disease activity, strongly linked to CVD, has…
  • Abstract Number: 2818 • 2018 ACR/ARHP Annual Meeting

    Galectin-3 As a Marker of Subclinical Atherosclerosis, Arterial Stiffness and Myocardial Performance in Patients with Rheumatoid Arthritis

    Panagiota Anyfanti1, Eugenia Gkaliagkousi1, Areti Triantafyllou1, Eleni Gavriilaki1, Panagiotis Dolgyras1, Sophia Chatzimichailidou2, Vasiliki Galanopoulou3, Stella Douma1 and Spyros Aslanidis2, 13rd Department of Internal Medicine, Papageorgiou Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece, Thessaloniki, Greece, 2Rheumatology Department-2nd Propedeutic Department of Internal Medicine, Hippokration Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece, Thessaloniki, Greece, 3Rheumatology Department, Papageorgiou Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece, Thessaloniki, Greece

    Background/Purpose: Galectin-3 has emerged as a promising novel biomarker of cardiovascular fibrosis, that can improve cardiovascular risk stratification in high-risk populations. Rheumatoid arthritis (RA) is…
  • Abstract Number: 2819 • 2018 ACR/ARHP Annual Meeting

    Alcohol Consumption and the Risk of Coronary Heart Disease and Mortality in Patients with Rheumatoid Arthritis

    Isaac Smith1, Jie Wei2, Yuqing Zhang3, Hyon K. Choi2 and Marcy Bolster1, 1Massachusetts General Hospital, Boston, MA, 2Division of Rheumatology, Allergy, and Immunology, Massachusetts General Hospital, Boston, MA, 3Department of Rheumatology, Allergy and Immunology, Massachusetts General Hospital, Boston, MA

    Background/Purpose: Rheumatoid arthritis (RA) is associated with an increased risk of premature cardiovascular events and mortality. Prospective general population studies have shown moderate alcohol consumption…
  • Abstract Number: 2820 • 2018 ACR/ARHP Annual Meeting

    Sustained Clinical Remission after Discontinuation of Infliximab with a Raising Dose Strategy in Patients with Rheumatoid Arthritis (RRRR study): A Randomized Controlled Trial

    Yoshiya Tanaka1, Koji Oba2,3, Takao Koike4,5, Nobuyuki Miyasaka6, Tsuneyo Mimori7, Tsutomu Takeuchi8, Shintaro Hirata9, Eiichi Tanaka10, Hidekata Yasuoka11, Yuko Kaneko8, Kosaku Murakami7, Tomohiro Koga12, Kazuhisa Nakano13, Koichi Amano14, Kazuyasu Ushio15, Tatsuya Atsumi16, Masayuki Inoo17, Kazuhiro Hatta18, Shinichi Mizuki19, Shohei Nagaoka20, Shinichiro Tsunoda21, Hiroaki Dobashi22, Nao Horie3 and Norihiro Sato3, 1University of Occupational and Environmental Health, Kitakyushu, Japan, 2Interfaculty Initiative in Information Studies, The University of Tokyo, Tokyo, Japan, 3Clinical Research and Medical Innovation Center, Hokkaido University Hospital, Sapporo, Japan, 4Hokkaido Medical Center for Rheumatic Diseases, Sapporo, Japan, 5NTT Sapporo Medical Center, Sapporo, Japan, 6Department of Medicine and Rheumatology, Tokyo Medical and Dental University, Tokyo, Japan, 7Department of Rheumatology and Clinical Immunology, Graduate School of Medicine, Kyoto University, Kyoto, Japan, 8Division of Rheumatology, Department of Internal Medicine, Keio University School of Medicine, Tokyo, Japan, 9Department of Clinical Immunology and Rheumatology, Hiroshima University Hospital, Hiroshima, Japan, 10Institute of Rheumatology, Tokyo Women's Medical University, Tokyo, Japan, 11Division of Rheumatology, Department of Internal Medicine, Keio University School of Medicine, tokyo, Japan, 12Center for Bioinformatics and Molecular Medicine, Nagasaki University, Graduate School of Biomedical Sciences, Nagasaki, Japan, 13The First Department of Internal Medicine, University of Occupational and Environmental Health, Kitakyushu, Japan, 14Department of Rheumatology and Clinical Immunology, Saitama Medical Center, Saitama Medical University, Saitama, Japan, 15Ushio Clinic, Osaka, Japan, 16Department of Rheumatology, Endocrinology and Nephrology, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, Japan, 17Utazu hospital, Utatsu-cho, Japan, 18Department of General Medicine, Tenri Hospital, Tenri, Japan, 19Center for Rheumatic Diseases, Matsuyama Red Cross Hospital, Matsuyama, Japan, 20Department of Rheumatology, Yokohama Minami Kyosai Hospital, Yokohama, Japan, 21Division of Rheumatology Department of Internal Medicine, Hyogo College of Medicine, Nishinomiya, Japan, 22Division of Endocrinology and Metabolism, Hematology, Rheumatology and Respiratory Medicine, Department of Internal Medicine, Kagawa University, Miki-cho, Japan

    Background/Purpose: Infliximab (IFX), a TNF inhibitor, is one of the most widely used biological disease-modifying antirheumatic drugs. Recent studies indicated that baseline levels of serum…
  • Abstract Number: 2821 • 2018 ACR/ARHP Annual Meeting

    Dose Tapering and Discontinuation of Biological Therapy in Rheumatoid Arthritis Patients in Routine Care – 2-Year Outcomes and Predictors

    Cecilie Heegaard Brahe1, Simon Krabbe1, Mikkel Østergaard1, Lykke Midtbøll Ørnbjerg1, Daniel Glinatsi1, Henrik Rogind1, Hanne Slott Jensen2, Annette Hansen3, Jesper Nørregaard4, Søren Jacobsen5, Lene Terslev1, Tuan Khai Huynh4, Dorte Vendelbo Jensen6, Natalia Manilo2, Karsten Asmussen2, Per Brown-Frandsen5, Mikael Boesen7, Zoreh Rastiemadabadi7, Lone Morsel-Carlsen7, Jakob M. Møller8, Niels Steen Krogh9 and Merete Lund Hetland10, 1Copenhagen Center for Arthritis Research (COPECARE), Center for Rheumatology and Spine Diseases, Rigshospitalet, Centre for Head and Orthopaedics, Rigshospitalet, Glostrup, Denmark, 2Center for Rheumatology and Spine Diseases, Bispebjerg-Frederiksberg Hospital, Copenhagen, Copenhagen, Denmark, 3Center for Rheumatology and Spine Diseases, Copenhagen University Hospital Gentofte, Gentofte, Denmark, Copenhagen, Denmark, 4Center for Rheumatology and Spine Diseases, Nordsjællands Hospital, Hillerød, Denmark, Hillerød, Denmark, 5Center for Rheumatology and Spine Diseases, Centre for Head and Orthopaedics, Rigshospitalet, Copenhagen, Denmark, 6Center for Rheumatology and Spine Diseases, Copenhagen University Hospital Gentofte, Gentofte, Copenhagen, Denmark, 7Department of Radiology, Bispebjerg-Frederiksberg Hospital, Copenhagen, Copenhagen, Denmark, 8Department of Radiology, Copenhagen University Hospital Herlev, Copenhagen, Denmark, 9ZiteLab ApS, Copenhagen, Denmark, 10DANBIO Registry, Center for Rheumatology and Spine Diseases, Centre for Head and Orthopaedics, Rigshospitalet, Glostrup, Glostrup, Denmark

    Dose tapering and discontinuation of biological therapy in rheumatoid arthritis patients in routine care –  2-year outcomes and predictors   Background/Purpose: A cohort of routine care…
  • Abstract Number: 2822 • 2018 ACR/ARHP Annual Meeting

    Should We Prefer Leflunomide to Methotrexate in Combination with Biologics? a Systematic Review and a Meta-Analysis

    Guillaume Decarriere1, Thomas Barnetche2, Cédric Lukas3, Cécile Gaujoux-Viala4, Bernard Combe5, Jacques Morel6 and Claire I. Daien7, 1Department of Rheumatology, CHU Lapeyronie, Montpellier, France, 2Rheumatology Department, FHU ACRONIM, Bordeaux University Hospital, Bordeaux, France, 3Rheumatology, CHU Lapeyronie and EA2415, Montpellier University, University of Montpellier, France, 4Rheumatology, Nîmes University Hospital and EA2415 Montpellier University, Nîmes, France, 5Rheumatology, University Hospital Lapeyronie, Montpellier, Montpellier, France, 6Department of Rheumatology, University Hospital Lapeyronie, Montpellier, Montpellier, France, 7Department of rheumatology, Lapeyronie Hospital and Montpellier University, Montpellier, France

    Background/Purpose: In rheumatoid arthritis (RA), biologics are more efficient in combination with methotrexate (MTX) than in monotherapy. When MTX cannot be used, others csDMARD can…
  • Abstract Number: 2823 • 2018 ACR/ARHP Annual Meeting

    Comparative Long-Term Effectiveness of Switching to Another Tumour Necrosis Factor Antagonists, Tocilizumab or Rituximab in Patients with Rheumatoid Arthritis and Inadequate Response to a First-Line TNF Inhibitor

    Daniela Santos Faria1, Mónica Eusébio2, Joana Leite Silva3, Joana Ramos Rodrigues1, Joana Sousa Neves1, Ana Catarina Duarte4, Carina Lopes5, Ana Valido6, Joana Dinis6, João Freitas7, Mariana Santiago7, Raquel Ferreira8, Sara Ganhão9, Luís Cunha Miranda10, Daniela Peixoto1, Filipa Teixeira1, Sérgio Alcino1, Carmo Afonso1, José Tavares Costa3 and Maria José Santos11, 1Rheumatology, ULSAM, Ponte de Lima, Portugal, 2Sociedade Portuguesa de Reumatologia, Lisboa, Portugal, LIsboa, Portugal, 3Rheumatology, Unidade Local de Saúde do Alto Minho, Ponte de Lima, Portugal, 4Rheumatology, Hospital Garcia de Orta, Almada, Portugal, 5Rheumatology, Hospital de Egas Moniz - Centro Hospitalar Lisboa Ocidental, EPE, Lisbon, Portugal, 6Rheumatology, Centro Hospitalar Lisboa Norte, Lisbon, Portugal, 7Rheumatology, Centro Hospitalar e Universitário de Coimbra, CHUC-EPE, Coimbra, Portugal, 8Rheumatology, Centro Hospitalar de São João, Oporto, Portugal, 9Rheumatology, Centro Hospitalar de São João, Porto, Portugal, 10Instituto Português de Reumatologia, Lisbon, Portugal, 11Reuma.pt, Almada, Portugal, Almada, Portugal

    Background/Purpose: Tumour necrosis factor inhibitors (TNFi) are highly effective treatments for active Rheumatoid Arthritis (RA). However, up to 40% of patients either fail to respond…
  • Abstract Number: 2824 • 2018 ACR/ARHP Annual Meeting

    On Tapering Therapy for RA Patients in Clinical Remission; Flare on Csdmards Predicted By Clinical Features and Musculoskeletal Ultrasound, Whereas T-Cell Abnormalities Predictive for b-DMARD Tapering

    Hanna Gul1, Frederique Ponchel2 and Paul Emery3, 1Rheumatology, Leeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds & Leeds NIHR Biomedical Research Centre, Leeds, United Kingdom, 2Leeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds, Leeds, United Kingdom, 3University of Leeds and NIHR Leeds Biomedical Research Centre, Leeds, United Kingdom

    Background/Purpose: Tapering of disease-modifying therapy (DMARDs) is recommended by EULAR/ACR for rheumatoid arthritis (RA) patients who achieve sustained remission on stable therapy. However, there is…
  • Abstract Number: 2825 • 2018 ACR/ARHP Annual Meeting

    Reduction of Antidrug Antibody Levels after Switching to Rituximab in Patients with Rheumatoid Arthritis with Previous Failure to Infliximab or Adalimumab

    Ana Martínez1,2, Chamaida Plasencia2,3, Victoria Navarro-Compán2, Borja Hernández-Breijo2, Dora Pascual-Salcedo2, Pilar Nozal4, Cristina Diego4, Irene Monjo2,3, Laura Nuño3,5 and Alejandro Balsa2,6, 1Immunology. La Paz University Hospital, Madrid, Spain, 2Immuno-Rheumatology research group, IdiPaz. La Paz University Hospital, Madrid, Spain, 3Rheumatology, La Paz University Hospital, Madrid, Spain, 4La Paz University Hospital, Immunology, Madrid, Spain, 5Immuno-Rheumatology research group, IdiPaz. La Paz University Hospital, madrid, Spain, 6Hospital Universitario La Paz, Madrid, Spain

    Background/Purpose: Rituximab (Rtx) induces transient depletion of B cells. Previous data showed that Rtx is particularly effective on autoimmune diseases in which auto-antibodies (auto-Ab) are…
  • Abstract Number: 2826 • 2018 ACR/ARHP Annual Meeting

    Emergence of Severe Spondyloarthropathy Related Entheseal Pathology Following Successful Vedolizumab Therapy for Inflammatory Bowel Disease

    Sayam Dubash1,2, Marianayagam Thiraupathy3, Ilaria Tinazzi4, Tariq Al Araimi5, Christian Pagnoux6, Adam Weizman7, Pascal Richette8,9, My-Linh Tran Minh10, Mattieu Allez10, Animesh Singh11, Francesco Ciccia12, John Hamlin13, Ai Lyn Tan1,2, Helena Marzo-Ortega1,2 and Dennis McGonagle1,2, 1Rheumatology, Chapel Allerton Hospital, NIHR Leeds Biomedical Research Centre, Leeds Teaching Hospitals NHS Trust, Leeds, United Kingdom, 2Leeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds, Leeds, United Kingdom, 3East and North Hertfordshire NHS Trust, Stevenage, United Kingdom, 4Rheumatology, Sacro Cuore-Don Calabria Hospital, Negrar, Italy, 5Rheumatology, Mount Sinai Hospital, Toronto, ON, Canada, 6Division of Rheumatology, Division of Rheumatology, Mount Sinai Hospital, Toronto, ON, Canada, 7Gastroenterology, Mount Sinai Hospital, Toronto, ON, Canada, 8Rheumatology, Université Paris Diderot, Paris, France, 9Lariboisière Hospital, Lariboisière, University of Paris 7, Paris, France, 10Department of Gastroenterology, APHP, Hôpital Saint Louis, Sorbonne Paris-Cité University, Paris, France, 11Rheumatology, The Royal Free Hospital, London, United Kingdom, 12Rheumatology, University of Palermo, Palermo, Italy, 13Department of Gastroenterology, Leeds Teaching Hospitals NHS Trust, Leeds, United Kingdom

    Background/Purpose: Vedolizumab therapy for inflammatory bowel disease (IBD) has been associated with mild spondyloarthritis (SpA) related features including sacroiliitis and synovitis.  Herein, we report a…
  • Abstract Number: 2827 • 2018 ACR/ARHP Annual Meeting

    Remission Targets and Prevention of Subclinical Atherosclerosis in Psoriatic Arthritis- Which Target Should We Choose?

    Isaac T. Cheng1, Qing Shang2, Edmund Kwok Ming Li2, Priscilla Wong1, Lydia Ho Pui Tam2, Tracy Y. Zhu3, M Mimi Chang4, JW Jack LEE5, PW Alex Lee2 and Lai-Shan Tam4, 1Department of Medicine & Therapeutics, The Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong, China, Hong Kong, China, 2Department of Medicine and Therapeutics, The Chinese University of Hong Kong, Hong Kong, Hong Kong, 3Bone Quality and Health Centre of the Department of Orthopedics & Traumatology, The Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong, China, 4Department of Medicine & Therapeutics, The Chinese University of Hong Kong, Hong Kong, Hong Kong, 5Biostatistics Division, School of Public and Primary Care, The Chinese University of Hong Kong, Hong Kong, Hong Kong

    Background/Purpose: Systemic inflammation contributes to the excess risk of cardiovascular disease (CVD) in PsA. We had demonstrated that achieving sustained minimal disease activity (sMDA) was…
  • Abstract Number: 2828 • 2018 ACR/ARHP Annual Meeting

    Utility of Fecal Calprotectin Levels for the Diagnosis of Inflammatory Bowel Disease in Patients with Spondylorarthritis

    Maria Espinosa1, Consuelo Ramos Giraldez1, Carolina Merino1, Belen Ruiz Antoran2, Jose Campos1, Carmen Barbadillo3, Hilda Godoy3, Belen Agudo4, Yago Gonzalez4, Jose Luis Andreu5 and Jesus Sanz1, 1Rheumatology, H.U. Puerta de Hierro, Madrid, Spain, 2Pharmacology, H.U. Puerta de Hierro, Madrid, Spain, 3H.U. Puerta de Hierro, Madrid, Spain, 4Gastroenterology, H.U. Puerta de Hierro, Madrid, Spain, 5Hospital Universitario Puerta de Hierro, Madrid, Spain

    Background/Purpose: It is estimated that between 5 and 10% of patients with spondyloarthritis (SpA) are associated with inflammatory bowel disease (IBD).The purpose of our study…
  • Abstract Number: 2829 • 2018 ACR/ARHP Annual Meeting

    The Response to TNF-Blockers Treatment of Spa Patients Is Influenced By the Interplay between HLA-B27 and Gut Microbiota Composition at Baseline

    Marie Vallier1, Maxime Dougados2, Stephanie Ferreira3, Silvia Menegatti4, Elisabetta Bianchi5, Lars Rogge5, Mathias Chamaillard1 and Corinne Miceli-Richard2, 1CIIL - U1019 - NLRII, Institut Pasteur, Lille, France, 2Rheumatology Department, Paris Descartes University, Paris, France, 3Genoscreen, Lille, France, 4Immunology, Immunoregulation Unit, Institut Pasteur, Paris, France, 5Immunology, Institut Pasteur, Paris, France

    Background/Purpose: The response to TNF-blockers in axial spondyloarthritis (AxSpA) is at least partially influenced by HLA-B27 through a still poorly understood mechanism. Given that HLA-B27…
  • Abstract Number: 2830 • 2018 ACR/ARHP Annual Meeting

    Synovitis in Psoriatic Arthritis and Seronegative Rheumatoid Arthritis: Differential Histological Features

    Stefano Alivernini1, Dario Bruno1, Anna Laura Fedele1, Luca Petricca1, Giusy Peluso1, Domenico Birra1, Barbara Tolusso1, Laura Bui2, Francesco Federico2, Gianfranco Ferraccioli1 and Elisa Gremese1, 1Division of Rheumatology, Fondazione Policlinico Universitario A. Gemelli IRCCS - Catholic University of the Sacred Heart, Rome, Italy, 2Institute of Pathology, Fondazione Policlinico Universitario A. Gemelli IRCCS - Catholic University of the Sacred Heart, Rome, Italy

    Background/Purpose: To identify synovial tissue (ST) biomarkers differentially expressed in Psoriatic Arthritis (PsA) and seronegative Rheumatoid Arthritis (Abneg RA) and test their predictive value of…
  • Abstract Number: 2831 • 2018 ACR/ARHP Annual Meeting

    High Need for Anti-TNF Therapy after Withdrawal Strategy in Early Peripheral Spondyloarthritis

    Philippe Carron1, Gaëlle Varkas2, Thomas Renson3, Roos Colman4, Dirk Elewaut5 and Filip van Den Bosch6, 1Department of Rheumatology, Ghent University Hospital and VIB Ghent University, Ghent, Belgium, 2Laboratory for Molecular Immunology and Inflammation, Department of Rheumatology, Ghent University Hospital and VIB Ghent University, Ghent, Belgium, 3Department of Rheumatology, Ghent University Hospital, Ghent, 9000, Belgium, 4Department of Public Health, Ghent University, Ghent, Belgium, Biostatistics Unit,Ghent University, Ghent, Belgium, Ghent, Belgium, 5Ghent University Hospital and VIB Ghent University, Ghent, Belgium, 6Rheumatology, Ghent University Hospital and VIB Ghent University, Gent, Belgium

    Background/Purpose: Treatment with TNFi in early stages of peripheral Spondyloarthritis (pSpA) results in higher rates of clinical remission, compared to treatment in more longstanding disease.…
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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.

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