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  • Abstract Number: 2782 • 2017 ACR/ARHP Annual Meeting

    Patient Beliefs and Preference to Initiate a Proposed Medication in Rheumatoid Arthritis

    Richard W Martin1, Rohit Nallani2, Andrew D Head1, Aaron T Eggebeen1, James D Birmingham1 and Eric T Slavin1, 1Medicine, Rheumatology, Michigan State University, College of Human Medicine, Grand Rapids, MI, 2Michigan State University, College of Human Medicine, Grand Rapids, MI

    Background/Purpose : Normative economic theory assumes that people making decisions have complete information of the options, rationally weigh the opportunity costs, expected outcomes and optimize…
  • Abstract Number: 2783 • 2017 ACR/ARHP Annual Meeting

    Medications Associated with Osteoporotic Fracture Risk in Patients with Rheumatoid Arthritis

    Gulsen Ozen1, Sofia Pedro2, Frederick Wolfe2 and Kaleb Michaud1, 1Rheumatology, University of Nebraska Medical Center, Omaha, NE, 2National Data Bank for Rheumatic Diseases, Wichita, KS

    Background/Purpose: Osteoporotic (OP) fractures are a major cause of disability, cost, and mortality in RA. Besides increased OP fracture risk, chronic inflammation and pain predispose…
  • Abstract Number: 2784 • 2017 ACR/ARHP Annual Meeting

    Are We over-Testing for Liver Enzyme Abnormalities in Rheumatoid Arthritis Patients Prescribed Methotrexate?

    Chi Chi Lau1, Syeda Maria Sayeed1, Amanda Kennedy2, Joan Skelly3 and Sheldon Cooper4, 1Rheumatology/ Medicine, University of Vermont, Burlington, VT, 2Internal Medicine, University of Vermont, Burlington, VT, 3Biostatistics, University of Vermont, Burlington, VT, 4Department of Medicine/Rheumatology, University of Vermont, Burlington, VT

    Background/Purpose:   Methotrexate (MTX) is a first line drug for Rheumatoid Arthritis (RA) that  is associated with elevated liver function tests (LFTs) in 10- 20%…
  • Abstract Number: 2785 • 2017 ACR/ARHP Annual Meeting

    Serious Infections Associated with Tofacitinib in Rheumatoid Arthritis Patients Previously Treated with Methotrexate

    Marina Amaral de Avila Machado1, Cristiano S. Moura2, Steve Ferreira Guerra1, Jeffrey R. Curtis3, Michal Abrahamowicz4, Hassan Behlouli1 and Sasha Bernatsky5, 1Department of Medicine, McGill University Health Centre, Montreal, QC, Canada, 21Division of Clinical Epidemiology, McGill University Health Centre, Montreal, QC, Canada, 3Rheumatology & Immunology, University of Alabama at Birmingham, Birmingham, AL, 4Department of Medicine, McGill University Health Centre, Montreak, QC, Canada, 5Divisions of Rheumatology and Clinical Epidemiology, McGill University Health Centre, Montreal, QC, Canada

    Background/Purpose: Little is known about the real-world safety of tofacitinib, an oral Janus kinase inhibitor. We compared serious infections associated with tofacitinib, disease-modifying antirheumatic drugs…
  • Abstract Number: 2786 • 2017 ACR/ARHP Annual Meeting

    Timing of Abatacept Infusions before Elective Arthroplasty and the Risk of Post-Operative Infection

    Michael D. George1, Joshua Baker2, Kevin Winthrop3, E Alemao4, Lang Chen5, SE Connolly4, TA Simon4, Qufei Wu6, Fenglong Xie7, Shuo Yang7 and Jeffrey R. Curtis8, 1Division of Rheumatology, University of Pennsylvania, Philadelphia, PA, 2Rheumatology, University of Pennsylvania, Philadelphia, PA, 3Oregon Health Sciences University, Portland, OR, 4Bristol-Myers Squibb, Princeton, NJ, 5University of Alabama at Birmingham, Birmingham, AL, 6Biostatistics and Analysis Center, University of Pennsylvania, Philadelphia, PA, 7Division of Clinical Immunology & Rheumatology, University of Alabama at Birmingham, Birmingham, AL, 8Division of Clinical Immunology and Rheumatology, University of Alabama at Birmingham, Birmingham, AL

    Background/Purpose: Current guidelines recommend holding biologic DMARDs before major surgery, despite limited data. Few studies have examined perioperative timing of individual biologic therapies. This study…
  • Abstract Number: 2787 • 2017 ACR/ARHP Annual Meeting

    Tuberculosis, Potential Opportunistic Infections, and Other Infections of Interest in Patients with Moderate to Severe Rheumatoid Arthritis in the Baricitinib Program

    Kevin Winthrop1, Stephen Lindsey2, Masayoshi Harigai3, John D. Bradley4, Lei Chen4, David L. Hyslop4, Maher Issa4, Atsushi Nishikawa5, Sarah Witt4, Christina L. Dickson4 and Maxime Dougados6, 1Oregon Health & Science University, Portland, OR, 2Ochsner Health Center, Baton Rouge, LA, 3Division of Epidemiology and Pharmacoepidemiology of Rheumatic Diseases, Institute of Rheumatology, Tokyo Women's Medical University, Tokyo, Japan, 4Eli Lilly and Company, Indianapolis, IN, 5Lilly Japan K.K., Kobe, Japan, 6Rene Descartes University, Cochin Hospital, Paris, France

    Background/Purpose: Baricitinib (bari) is an oral selective Janus kinase (JAK) 1 and JAK2 inhibitor approved in the EU for the treatment (trt) of moderately to…
  • Abstract Number: 2788 • 2017 ACR/ARHP Annual Meeting

    The Risk of Major Toxicity with Aspirin for Primary Cardiovascular Prevention in Rheumatoid Arthritis Patients  Using Nsaids: A Secondary Cohort Analysis of a Randomized Controlled Clinical Trial

    Daniel H. Solomon1, Peter Libby2, Qiuquing Wang3, Katherine E Wolski4, Lisa M Wisniewski4, Neville Yeomans5, Michael Lincoff6, Steven E Nissen7 and M. Elaine Husni8, 1Brigham and Women's Hospital and Harvard Medical School, Boston, MA, 2Cardiology, Brigham and Women's Hospital, Boston, MA, 3Cleveland Clinic, Cleveland, OH, 4Cardiovascular Medicine, Cleveland Clinic, Cleveland, OH, 5Western Sydney Medical School, Sydney, Australia, 6Cardiology, Cleveland Clinic Foundation, Cleveland, OH, 7Cardiovascular Medicine, Chair, Cleveland Clinic, Cleveland, OH, 8Rheumatology Dept A50, Cleveland Clinic Foundation, Cleveland, OH

    Background/Purpose: There are relatively clear guidelines for the use of low dose aspirin in the general population for primary cardiovascular (CV) prevention, but the risk-benefit…
  • Abstract Number: 2789 • 2017 ACR/ARHP Annual Meeting

    Deficiency of the Novel Rheumatoid Arthritis (RA) Risk Gene, LBH, Induces Replication Stress in RA Fibroblast-like Synoviocytes (FLS) and Exacerbates Arthritis Severity

    Shinji Matsuda1, Deepa Hammaker2, Katheryn Topolewski3, Karoline Briegel4, Steven Dowdy5, David L. Boyle6, Wei Wang7 and Gary S. Firestein8, 1Medicine, UC San Diego, La Jolla, CA, 2Division of Rheumatology, Allergy and Immunology, UCSD School of Medicine, La Jolla, CA, 3UC San Diego, La Jolla, CA, 4University of Miami, Miami, FL, 5UC San Diego School of Medicine, La Jolla, CA, 6University of California San Diego, La Jolla, CA, 7Chemistry and Biochemistry, UC San Diego, La Jolla, CA, 8Medicine, University of California San Diego, La Jolla, CA

    Background/Purpose: LBH (Limb-bud and heart development) was recently identified as an RA risk gene that has abnormally methylated loci and a functional enhancer SNP in…
  • Abstract Number: 2790 • 2017 ACR/ARHP Annual Meeting

    Regulation of ASK1 Expression and Its Role in Rheumatoid Arthritis (RA)

    Gyrid Nygaard1, Deepa Hammaker2, David L. Boyle3, Li Li4, Julie Di Paolo5 and Gary S. Firestein6, 1Medicine, UC San Diego, La Jolla, CA, 2Division of Rheumatology, Allergy and Immunology, UCSD School of Medicine, La Jolla, CA, 3University of California San Diego, La Jolla, CA, 4Gilead Sciences, South San Francisco, CA, 5Immunology and Inflammation Biology, Gilead Sciences, Foster City, CA, 6Medicine, University of California San Diego, La Jolla, CA

    Background/Purpose: Rheumatoid arthritis (RA) fibroblast-like synoviocytes (FLS) reside in the synovial intimal lining. They display a unique aggressive phenotype, invading the articular cartilage and promoting…
  • Abstract Number: 2791 • 2017 ACR/ARHP Annual Meeting

    Receptor Activator of Nuclear Factor Kappa-B Ligand (RANKL) and Marginal Jawbone Loss Predates the Onset of Rheumatoid Arthritis

    Elin Kindstedt1, Linda Johansson2, Py Palmqvist3, Cecilia Koskinen Holm1, Heidi Kokkonen4, Ingegerd Johansson3, Pernilla Lundberg3 and Solbritt Rantapaa-Dahlqvist5, 11Department of Odontology/Molecular Periodontology, Umeå University, Umeå, Sweden, 2Public Health and Clinical Medicine/Rheumatology, Umeå University, Umeå, Sweden, 3Department of Odontology/Molecular Periodontology, Umeå University, Umeå, Sweden, 4Public Health and Clinical Medicine/ Rheumatology, Umeå University, Umeå, Sweden, 5Dept of Public Health and Clinical Medicine/Rheumatology, Umeå University, Sweden, Umeå, Sweden

    Background/Purpose: Previous studies have shown a higher incidence of alveolar bone loss in patients with rheumatoid arthritis (RA) and that patients with periodontitis are at…
  • Abstract Number: 2792 • 2017 ACR/ARHP Annual Meeting

    Th22 Cells Are a Potent Inducer of Osteoclastogenesis in Rheumatoid Arthritis

    Yusuke Miyazaki1, Shingo Nakayamada2, Satoshi Kubo1, Kazuhisa Nakano2, Kei Sakata3, Shigeru Iwata4, Ippei Miyagawa5 and Yoshiya Tanaka6, 1The First Department of Internal Medicine, University of Occupational and Environmental Health, Japan, Kitakyushu, Japan, 2First Department of Internal Medicine, University of Occupational and Environmental Health, Japan, Kitakyushu, Japan, 3The First Department of Internal Medicine, University of Occupational and Environmental Health, Japan, Kitakyshu, Japan, 4First Department of Internal Medicine, School of Medicine, University of Occupational and Environmental Health, Japan, Kitakyushu, Japan, 5University of Occupational and Environmental Health, Japan, Kitakyushu, Japan, 6The First Department of Internal Medicine, University of Occupational and Environmental Health, Kitakyushu, Japan

    Background/Purpose: CD4+ T cells can differentiate into functionally distinct subsets and play a pivotal role in rheumatoid arthritis (RA). Th22 cells have been identified as…
  • Abstract Number: 2793 • 2017 ACR/ARHP Annual Meeting

    Joint Location-Specific JAK-STAT Signaling in Rheumatoid Arthritis (RA) Fibroblast-like Synoviocytes (FLS)

    Deepa Hammaker1, Gyrid Nygaard1, David L. Boyle2, Rizi Ai3, Wei Wang4 and Gary S. Firestein5, 1Medicine, UC San Diego, La Jolla, CA, 2University of California San Diego, La Jolla, CA, 3UC San Diego, La Jolla, CA, 4Chemistry and Biochemistry, UC San Diego, La Jolla, CA, 5Medicine, University of California San Diego, La Jolla, CA

    Background/Purpose: Aberrant epigenetic marks in RA FLS contribute to disease pathogenesis and aggressive FLS behavior. Computational data also suggest that RA FLS isolated from different…
  • Abstract Number: 2794 • 2017 ACR/ARHP Annual Meeting

    Apolipoprotein B Binds to Enolase-1 and Aggravates Inflammation in Rheumatoid Arthritis

    Joo Youn Lee1, Min Jueng Kang1, Ji Yong Choi2, Ji Soo Park3, Jin Kyun Park1,2, Eun Young Lee4, Eun Bong Lee5, Thomas Pap6, Eugene Yi1 and Yeong Wook Song1,2, 1Department of Molecular medicine and biopharmaceutical science, Seoul National University, seoul, Korea, Republic of (South), 2Division of Rheumatology, Department of Internal Medicine, Seoul National University, Seoul, Korea, Republic of (South), 3Department of Molecular medicine and biopharmaceutical science, Seoul National University, Seoul, Korea, Republic of (South), 4Division of Rheumatology, Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea, Republic of (South), 5Division of Rheumatology, Department of Internal Medicine, Seoul National University, seoul, Korea, Republic of (South), 6Institute of Experimental Musculoskeletal Medicine, University Hospital Münster, Münster, Germany

    Background/Purpose: Rheumatoid arthritis (RA) is a chronic systemic autoimmune disease characterized by synovial inflammation and joint destruction. Monocytes and synovial macrophages are key players in…
  • Abstract Number: 2795 • 2017 ACR/ARHP Annual Meeting

    Comparison of Switching from the Originator Rituximab to the Biosimilar Rituximab GP2013 or Re‑Treatment with the Originator Rituximab in Patients with Active Rheumatoid Arthritis: Safety and Immunogenicity Results from a Multicenter, Randomized, Double-Blind Study

    Hans-Peter Tony1, Hendrik Schulze-Koops2, Klaus Krüger3, Stanley B Cohen4, Alan J. Kivitz5, Slawomir Jeka6, Edit Vereckei7, Liyi Cen8 and Dmitrij Kollins8, 1Department of Internal Medicine 2, Rheumatology and Clinical Immunology, University Hospital Würzburg, Würzburg, Germany, 2Division of Rheumatology and Clinical Immunology, Department of Internal Medicine IV, University of Munich, Munich, Germany, 3Praxiszentrum St. Bonifatius München, München, Germany, 4Metroplex Clinical Research Centre, Dallas, TX, 5Altoona Center for Clinical Research, Duncansville, PA, 62nd University Hospital, CM UMK, Department of Rheumatology and Connective Tissue Diseases,, Bydgoszcz, Poland, 7National Institute of Rheumatology and Physiotherapy, Budapest, Hungary, 8Clinical Development, Sandoz, a Novartis Division, Holzkirchen, Germany

    Background/Purpose: GP2013, is a biosimilar to European Union (EU) approved reference rituximab (RTX), developed in a stepwise approach that adheres to stringent biosimilar development guidelines.…
  • Abstract Number: 2796 • 2017 ACR/ARHP Annual Meeting

    A Randomized, Double Blind Trial over 52 Weeks to Demonstrate Bioequivalence of GP2013 and Reference Rituximab in Patients with Rheumatoid Arthritis

    Josef S. Smolen1, Stanley B Cohen2, Morton Scheinberg3, Tamas Shisha4, Dmitrij Kollins4, Peijuan Zhu5, Liyi Cen4, Alan J. Kivitz6, Andra Rodica Balanescu7, Juan J. Gomez-Reino8 and Hans-Peter Tony9, 1Medical University Vienna, Division of Rheumatology, Department of Internal Medicine III, Vienna, Austria, 2Metroplex Clinical Research Centre, Dallas, TX, 3Rheumatology, Hospital Israelita Albert Einstein, Sao Paulo, Brazil, 4Clinical Development, Sandoz, a Novartis Division, Holzkirchen, Germany, 5Clinical Pharmacology, Sandoz, a Novartis Division, NJ, NJ, 6Altoona Center for Clinical Research, Duncansville, PA, 7Research Center of Rheumatic Diseases, “Sf. Maria” Hospital, University of Medicine and Pharmacy “Carol Davila”, Bucharest, Romania, 8BIOBADASER, Santiago, Spain, Santiago de Compostela, Spain, 9Department of Internal Medicine 2, Rheumatology and Clinical Immunology, University Hospital Würzburg, Würzburg, Germany

    Background/Purpose: Rituximab (RTX) is a mAB indicated for the treatment of RA in patients with inadequate response to anti-TNF therapy. The current study compares the…
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