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  • Abstract Number: 2862 • 2018 ACR/ARHP Annual Meeting

    Magnitude of Response to TNF Inhibitors in Children with Spondyloarthritis and Sacroiliitis

    Rosemary Peterson1, Rui Xiao2, Timothy G. Brandon3, David M. Biko4, Michael Francavilla4, Nancy A. Chauvin5 and Pamela F. Weiss6, 1Pediatric Rheumatology, Children's Hospital of Philadelphia, Philadelphia, PA, 2Department of Biostatistics and Epidemiology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, 3Rheumatology, Children's Hospital of Philadelphia, Philadelphia, PA, 4Radiology, Children's Hospital of Philadelphia, Philadelphia, PA, 5Radiology, Penn State Hershey Medical Center, Hershey, PA, 6Pediatrics, Children's Hospital Philadelphia, Philadelphia, PA

    Background/Purpose: We aimed to quantify the magnitude of biologic effect on sacroiliitis in juvenile SpA by comparing the change in the Spondyloarthritis Research Consortium of…
  • Abstract Number: 2863 • 2018 ACR/ARHP Annual Meeting

    Long-Term Efficacy and Safety of Canakinumab in Patients with Colchicine-Resistant FMF (crFMF), Hids/Mkd and TRAPS: Results from the Pivotal Phase 3 Cluster Trial

    Fabrizio De Benedetti1, Joost Frenkel2, Anna Simon3, Jordi Anton4, Helen J. Lachmann5, Marco Gattorno6, Seza Ozen7, Isabelle Koné-Paut8, Eldad Ben-Chetrit9, Magdalena Wozniak10, Xiaoling Wei11 and Eleni Vritzali12, 1IRCCS Ospedale Pediatrico Bambino Gesù, Roma, Italy, 2University Medical Center,Utrecht, Utrecht, Netherlands, 3General Internal Medicine, Radboud University, Nijmegen Medical Centre, Nijmegen, Netherlands, 4Unitat de Reumatologia Pediàtrica, Hospital Sant Joan de Déu, Barcelona, Spain, 5UCL Division of Medicine, UK National Amyloidosis Centre, London, United Kingdom, 6Pediatric Division, G Gaslini Institute, Genoa, Italy, 7Department of Pediatrics, Division of Rheumatology, Hacettepe University Faculty of Medicine, Ankara, Turkey, 8APHP, CHU de Bicêtre, University of Paris SUD, Paris, France, 9Rheumatology Unit, Hadassah—Hebrew University Medical Center, Jerusalem, Israel, 10Novartis Ireland Ltd, Dublin, Ireland, 11China Novartis Institutes for Biomedical Research Co., Ltd, Beijing, China, 12Novartis Pharma AG, Basel, Switzerland

    Background/Purpose: Canakinumab (CAN), a selective, human anti-interleukin (IL)-1β  has demonstrated efficacy and safety in patients (pts) with colchicine-resistant familial Mediterranean fever (crFMF), hyper-IgD syndrome (HIDS)/mevalonate…
  • Abstract Number: 2864 • 2018 ACR/ARHP Annual Meeting

    Identification of Optimal Subcutaneous Doses of Tocilizumab in Children with Systemic Juvenile Idiopathic Arthritis

    Hermine I. Brunner1, Nicola Ruperto2, Daniel J Lovell1, Gerd Horneff3, María Luz Gámir-Gámir4, Markus Hufnagel5, Joy Hsu6, Min Bao6, Wendy Douglass7, Navita L. Mallalieu6, Chris Wells7, Christopher M. Mela8 and Fabrizio De Benedetti9, 1Pediatric Rheumatology Collaborative Study Group (PRCSG), Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, 2Pediatric Rheumatology International Trial Organization (PRINTO), Istituto Giannina Gaslini Pediatria II-Reumatologia, Genoa, Italy, 3Asklepios Clinic Sankt Augustin, and University Hospital of Cologne, Cologne, Germany, 4Hospital Ramon y Cajal Unidad de Reumatologia Pediatrica, Madrid, Spain, 5Department of Pediatrics and Adolescent Medicine, University Medical Center, Medical Faculty, University of Freiburg, Freiburg, Germany, 6Roche Innovation Center, New York, NY, 7Roche Products Ltd., Welwyn Garden City, United Kingdom, 8Roche Products Ltd, Welwyn Garden City, United Kingdom, 9IRCCS Ospedale Pediatrico Bambino Gesù, Roma, Italy

    Background/Purpose: Efficacy and safety of intravenous (IV) tocilizumab (TCZ) were shown in patients (pts) with systemic JIA (sJIA) in the phase 3 TENDER study.1 This…
  • Abstract Number: 2865 • 2018 ACR/ARHP Annual Meeting

    Canakinumab, on a Reduced Dose or a Prolonged Dose Interval without Concomitant Corticosteroids and Methotrexate, Maintains Efficacy in Systemic Juvenile Idiopathic Arthritis Patients in Clinical Remission

    Pierre Quartier1, Ekaterina Alexeeva2, Carine Wouters3, Inmaculada Calvo4, Tilmann Kallinich5, Bo Magnusson6, Nico Wulffraat7, Xiaoling Wei8, Alan Slade9, Ken Abrams9 and Alberto Martini10, 1AP-HP, Institut des Maladies Génétiques (IMAGINE), and Université Paris-Descartes, Necker-Enfants Malades Hospital, Paris, France, 2National Medical Research Center of Children's Health and Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation, Moscow, Russian Federation, 3Gasthuisberg University Hospital, Leuven, Belgium, 4Hospital Universitario La Fe, Valencia, Spain, 5Charité Berlin Campus Virchow, Berlin, Germany, 6Karolinska University Hospital, Stockholm, Sweden, 7University Medical Center Utrecht, Utrecht, Netherlands, 8China Novartis Institutes for Biomedical Research Co., Ltd, Beijing, China, 9Novartis Pharmaceuticals Corporation, East Hanover, NJ, 10Universita di Genova Pediatria II, Genova, Italy

    Background/Purpose: Treatment with canakinumab (CAN), a selective, human anti-IL-1β monoclonal antibody, has shown sustained therapeutic effect along with corticosteroid dose reduction/discontinuation in patients with systemic…
  • Abstract Number: 2866 • 2018 ACR/ARHP Annual Meeting

    Biologic Refractory Disease in a Cohort Study of Children and Young People with Juvenile Idiopathic Arthritis from the United Kingdom

    Eleanor Heaf1, Lianne Kearsley-Fleet1, Rebecca Davies1, Diederik De Cock2, Eileen Baildam3, Michael W. Beresford3,4, Helen E. Foster5, Taunton R. Southwood6, Wendy Thomson7,8 and Kimme L. Hyrich2,8, 1Arthritis Research UK Centre for Epidemiology, The University of Manchester, Manchester Academic Health Science Centre, Manchester, United Kingdom, 2Arthritis Research UK Centre for Epidemiology, The University of Manchester, Manchester, United Kingdom, 3Clinical Academic Department of Paediatric Rheumatology, Alder Hey Children's NHS Foundation Trust, Liverpool, United Kingdom, 4Institute of Translational Medicine (Child Health), University of Liverpool, Liverpool, United Kingdom, 5Newcastle University and Great North Children's Hospital, Newcastle Upon Tyne, United Kingdom, 6Institute of Child Health, University of Birmingham and Birmingham Children's Hospital, Birmingham, United Kingdom, 7Arthritis Research UK Centre for Genetics and Genomics, The University of Manchester, Manchester Academic Health Science Centre, Manchester, United Kingdom, 8National Institute of Health Research Manchester Biomedical Research Centre, Manchester University NHS Foundation Trust, Manchester Academic Health Science Centre, Manchester, United Kingdom

    Background/Purpose: Biologics are a main treatment option for children and young people with juvenile idiopathic arthritis (JIA) who do not respond or are intolerant to…
  • Abstract Number: 2867 • 2018 ACR/ARHP Annual Meeting

    Efficacy and Safety of Intravenous Belimumab in Children with Systemic Lupus Erythematosus

    Hermine I. Brunner1, Carlos Abud-Mendoza2, Diego I. Viola3, Inmaculada Calvo4, Deborah M. Levy5, Julia Calderon Gallegos6, Manuel Ferrandiz7, Vyacheslav Chasnyk8, Vladmir Keltsev9, Jordi Anton10, Maria Paz11, Michael Shishov12, Alina Lucica Boteanu13, Michael Henrickson14, Damon Bass15, Kenneth Clark16, Anne Hammer15, Beulah Ji16, David Roth15, Herbert Struemper17, Mei-Lun Wang18, Alberto Martini19, Daniel J Lovell20 and Nicola Ruperto19, 1Pediatric Rheumatology Collaborative Study Group (PRCSG), Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, 2Hospital Central Dr. Ignacio Morones Prieto, San Luis Potosy, Mexico, 3CAICI Institute, Rosario City, Santa Fe State, Argentina, 4Hospital Universitario La Fe, Valencia, Spain, 5Rheumatology, Hospital for Sick Children, Toronto, ON, Canada, 6Instituto de Ginecologia y Reproduccion, Santiago De Surco, Peru, 7Instituto Nacional de Salud del Nino, Lima, Peru, 8St Petersburg State Pediatric Medical Academy, St Petersburg, Russian Federation, 9City Clinical Hospital No.5, Tolyatti, Russian Federation, 10SJD Barcelona Children’s Hospital, Barcelona, Spain, 11Clinica Anglo Americana, Lima, Peru, 12Phoenix Children's Hospital, Phoenix, AZ, 13University Hospital Ramón y Cajal, Madrid, Spain, 14Cincinnati Children’s Medical Center, Cincinnati, OH, 15GlaxoSmithKline, Philadelphia, PA, 16GlaxoSmithKline, Stevenage, United Kingdom, 17GlaxoSmithKline, Research Triangle Park, NC, 18GlaxoSmithKline, Collegeville, PA, 19Universita di Genova Pediatria II, Genova, Italy, 20Cincinnati Children's Medical Center, Cincinnati, OH

    Background/Purpose: Belimumab (BEL) is approved in adults with active systemic lupus erythematosus (SLE). There are no approved biologic therapies for pediatric patients with childhood-onset SLE…
  • Abstract Number: 2868 • 2018 ACR/ARHP Annual Meeting

    Tender Joint Count May Not Reflect Inflammatory Activity in Established Rheumatoid Arthritis Patients; Results from a Longitudinal Study of Tocilizumab

    Hilde B Hammer1, Inger Marie Jensen Hansen2, Pentti Järvinen3, Marjatta Leirisalo-Repo4, Michael Ziegelasch5, Birte Agular6 and Lene Terslev7, 1Dept. of Rheumatology, Diakonhjemmet Hospital, Oslo, Norway, 2Rheumatology, Svendborg Hospital, Svendborg, Denmark, 3Rheumatology, Kiljava Medical Research, Kiljavan, Finland, 4Rheumatology, University of Helsinki, Helsinki, Finland, 5Rheumatology, University Hospital, Linköping, Linköping, Sweden, 6Roche, Copenhagen, Denmark, 7Rheumatology, Rigshospitalet Glostrup, Copenhagen, Denmark

    Background/Purpose: Tender joints may be caused by non-inflammatory pathologies but are still included in composite scores like CDAI. The present objective was to explore the…
  • Abstract Number: 2869 • 2018 ACR/ARHP Annual Meeting

    Incorporation of Patient Reported Outcomes Data in the Care of US Veterans with Rheumatoid Arthritis: A Randomized, Controlled Trial

    Michael R Bubb1, Reuben Judd1 and Ann D Chauffe2, 1Medicine, Malcom Randall VAMC, Gainesville, FL, 2Rheumatology Clinic of Opelousas, Opelousas, LA

    Background/Purpose: Quantitative disease activity measures are required to implement a treat-to-target algorithm for the treatment of rheumatoid arthritis (RA). Available measures based on patient-derived data…
  • Abstract Number: 2870 • 2018 ACR/ARHP Annual Meeting

    Thresholds for Disease Activity Measures DAS28, CDAI, and RAPID3 Do Not Align with Clinical Practice Patterns of Rheumatoid Arthritis (RA) Disease Management Decisions

    Brian C. Sauer1, Chia-Chen Teng, MS1, Neil A. Accortt2, David H. Collier2, Tzu-Chieh Lin2 and Grant W. Cannon1, 1Salt Lake City VA Medical Center and University of Utah, Salt Lake City, UT, 2Amgen Inc., Thousand Oaks, CA

    Background/Purpose:   Treatment guidelines recommend using disease activity measures (DAMs) to guide RA therapy, but DAM use in real-world treatment decisions is not defined.  We…
  • Abstract Number: 2871 • 2018 ACR/ARHP Annual Meeting

    Comprehensive Provider Judgement Is a Significant Determinant of Major Therapeutic Change in Patients with Moderate to Severe Rheumatoid Arthritis

    Jacob R. Stever1, Brian C. Sauer1 and Grant W. Cannon2, 1Salt Lake City VA Medical Center and University of Utah, Salt Lake City, UT, 2Division of Rheumatology, Salt Lake City VA Medical Center and University of Utah, Salt Lake City, UT

    Background/Purpose:   We have previously reported an evaluation of 941 US Veterans in the Veterans Affairs (VA) Rheumatoid Arthritis (RA) (VARA) registry that 559 (59%)…
  • Abstract Number: 2872 • 2018 ACR/ARHP Annual Meeting

    Variation in Predictors of Patient and Physician Defined Flares in Rheumatoid Arthritis

    Anna O'Connor1, Joshua Baker2, Bryant R. England3, Brian C. Sauer4, Grant W. Cannon5 and J. Steuart Richards6, 1Department of Rheumatology, University of Pittsburgh Medical Center, Pittsburgh, PA, 2Philadelphia VA Medical Center and University of Pennsylvania, Philadelphia, PA, 3Rheumatology, VA Nebraska-Western Iowa Health Care System & University of Nebraska Medical Center, Omaha, NE, 4Salt Lake City VA Medical Center and University of Utah, Salt Lake City, UT, 5Division of Rheumatology, Salt Lake City VA Medical Center and University of Utah, Salt Lake City, UT, 6Pittsburgh VA Medical Center and University of Pittsburgh, Pittsburgh, PA

    Background/Purpose: The identification of risk factors associated with flares in RA is challenging because of the use of different composite disease activity scores and a…
  • Abstract Number: 2873 • 2018 ACR/ARHP Annual Meeting

    Remaining Pain and Widespread, Non-Inflammatory Pain Distribution during the First 12 Months after RA Diagnosis

    Yvonne C. Lee1, Orit Schieir2, Marie-France Valois3, Susan J. Bartlett4, Gilles Boire5, Boulos Haraoui6, Carol A Hitchon7, Edward C. Keystone8, Diane Tin9, Carter Thorne10, Janet E. Pope11 and Vivian P. Bykerk12, 1Northwestern University Feinberg School of Medicine, Chicago, IL, 2McGill University, Montreal, ON, Canada, 3McGill University, Montreal, QC, Canada, 4Rheumatology, Johns Hopkins University School of Medicine, Baltimore, MD, 5Rheumatology Division, Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre Hospitalier Universitaire de Sherbrooke and Universite de Sherbrooke, Sherbrooke, QC, Canada, 6Institut de Recherche en Rhumatologie de Montréal (IRRM), Montreal, QC, Canada, 7University of Manitoba, Winnipeg, MB, Canada, 8Mount Sinai Hospital, Toronto, ON, Canada, 9The Arthritis Program, Southlake Regional Health Centre, Newmarket, ON, Canada, 10University of Toronto, Newmarket, ON, Canada, 11Department of Medicine, University of Western Ontario, London, ON, Canada, 12Hospital for Special Surgery, New York, NY

    Background/Purpose: The incidence of fibromyalgia is highest in the first 12 months after RA diagnosis,1 indicating that this period may represent a critical window during…
  • Abstract Number: 2874 • 2018 ACR/ARHP Annual Meeting

    Comparison of Missing Data Reporting and Handling in Randomized Controlled Trials of Rheumatoid Arthritis Drug Therapy: A Snapshot Ten Years Apart

    Fawad Aslam1, Karina Torralba2 and Nasim A. Khan3, 1Rheumatology, Mayo Clinic, Scottsdale, AZ, 2University of Southern California, LA, CA, 3Rheumatology, Univ of Arkansas for Med Sci, Little Rock, AR

    Background/Purpose: Intention-to-treat (ITT) principle is recommended to analyze randomized controlled trials (RCTs). It entails analyzing all subjects per the assigned group at randomization to avoid…
  • Abstract Number: 2875 • 2018 ACR/ARHP Annual Meeting

    Identifying Trends in Lines of Therapy Following Initial Biologic Disease-Modifying Antirheumatic Drug in Patients with Rheumatoid Arthritis

    Jay Lin1, Jeannie Choi2, Jeffrey R. Curtis3, Melissa Lingohr-Smith1 and Susan Boklage4, 1Novosys Health, Green Brook, NJ, 2Sanofi, Bridgewater, NJ, 3University of Alabama at Birmingham, Birmingham, AL, 4Regeneron Pharmaceuticals, Inc., Tarrytown, NY

    Background/Purpose: Among patients with rheumatoid arthritis (RA) who have an inadequate response to conventional synthetic disease-modifying antirheumatic drugs (csDMARDs), the addition of a biologic DMARD…
  • Abstract Number: 2876 • 2018 ACR/ARHP Annual Meeting

    Torque Teno Virus Quantification for Functional Monitoring of Immunomodulation with Biological Compounds in the Treatment of Rheumatoid Arthritis

    Paul Studenic1, Gregor Bond2, Andreas Kerschbaumer3, Manuel Bécède3, Karel Pavelka4, Dmitry Karateev5, Jutta Stieger6, Rudolf Puchner7, Ruediger Mueller8, Elisabeth Puchhammer-Stöckl9, Martina Durechova10, Michaela Loiskandl10, Thomas Perkmann11, Marta Olejarova4, Elena Luchikhina12, Carl-Walter Steiner13, Michael Bonelli10, Josef S. Smolen14 and Daniel Aletaha10, 1Division of Rheumatology, Department of Internal Medicine III, Division of Rheumatology, Medical University of Vienna, Vienna, Austria, 2Internal Medicine 3, Division of Nephrology, Medical University of Vienna, Vienna, Austria, 3Department of Internal Medicine III, Division of Rheumatology, Medical University of Vienna, Vienna, Austria, 4Department of Experimental Rheumatology, 1st Faculty of Medicine, Institute of Rheumatology, Charles University in Prague, Prague, Czech Republic, 5Department of Rheumatology, Department of Rheumatology, Moscow Regional Research and Clinical Institute (MONIKI), Moscow, Russian Federation, 62nd Deparment of Medicine, 2nd Deparment of Medicine, Hitzing Hospital, Vienna, Austria, 7Private Office, Wels, Austria, 8Division of Rheumatology, Immunology and Rehabilitation, Division of Rheumatology, Immunology and Rehabilitation, Kantonsspital St Gallen, St. Gallen, Switzerland, 9Institute for Virology, Institute for Virology, Medical University of Vienna, Vienna, Austria, 10Department of Internal Medicine 3, Division of Rheumatology, Medical University of Vienna, Vienna, Austria, 11Department of Laboratory Medicine, Department of Laboratory Medicine, Medical University of Vienna, Vienna, Austria, 12Department of rheumatology, Moscow Regional Research and Clinical Institute (MONIKI), Moscow, Russian Federation, 13Internal Medicine 3, Division of Rheumatology, Medical University of Vienna, Vienna, Austria, 14Division of Rheumatology, Department of Medicine 3, Medical University of Vienna, Vienna, Austria

    Background/Purpose: Rheumatoid arthritis (RA) patients who fail to respond to methotrexate (MTX) can be subjected to an addition of biologic disease-modifying antirheumatic drug (bDMARD). Currently…
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