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  • Abstract Number: 2857 • 2017 ACR/ARHP Annual Meeting

    Short and Long-Term Follow-up of Tocilizumab for Severe Juvenile Idiopathic Arthritis-Associated Uveitis

    Nuria Vegas-Revenga1, Vanesa Calvo-Río1, Montserrat Santos-Gómez2, Inmaculada Calvo3, Mº Isabel González- Fernández3, Berta López- Montesinos3, Marina Mesquida4, Alfredo Adan4, M. Victoria Hernández4, Olga Maiz5, Antonio Atanes6, Beatriz Bravo7, Consuelo Modesto8, Gisela Díaz-Cordovés9, Natalia Palmou-Fontana1, Javier Loricera1, MC Gonzalez-Vela10, Rosalia Demetrio11, Carlos Fernández-Díaz1, Lucia C. Domínguez-Casas1, José Luis Martín-Varillas1, Belén Atienza-Mateo1, Jose L. Hernández12, Miguel Angel González-Gay1 and Ricardo Blanco1, 1Rheumatology, Hospital Universitario Marqués de Valdecilla. IDIVAL. Santander. Universidad de Cantabria. Spain, Santander, Spain, 2Rheumatology, Hospital de Sierrallana. Torrelavega. Spain, Torrelavega, Spain, 3Rheumatology, Hospital Universitario i Politecnico La Fe. Valencia. Spain, Valencia, Spain, 4Hospital Clinic. Barcelona. Spain, Barcelona, Spain, 5Hospital Donostia. Spain, San Sebastian, Spain, 6Rheumatology, Complejo Hospitalario Universitario A Coruña (CHUAC). Spain, A Coruna, Spain, 7Rheumatology, HU Virgen de las Nieves. Granada. Spain, Granada, Spain, 8Hospital Universitari Vall d'Hebron. Barcelona. Spain, Barcenola, Spain, 9Rheumatology, Hospital Regional Universitario de Málaga. Spain, Málaga, Spain, 10Pathology Anatomy, Hospital Universitario Marqués de Valdecilla. IDIVAL. Santander. Universidad de Cantabria. Spain, Santander, Spain, 11Hospital Universitario Marqués de Valdecilla. IDIVAL. Santander. Universidad de Cantabria. Spain, Santander, Spain, 12Internal Medicine, Hospital Universitario Marqués de Valdecilla. IDIVAL. Santander. Universidad de Cantabria. Spain, Santander, Spain

    Background/Purpose: Our objective was to assess the efficacy of tocilizumab (TCZ) at short and long term follow-up for severe juvenile idiopathic arthritis-associated uveitis.Methods: A Multicentre…
  • Abstract Number: 2858 • 2017 ACR/ARHP Annual Meeting

    Validation of Biomarkers to Predict Flare in Polyarticular JIA upon Stopping Anti-TNF Therapy

    Daniel J Lovell1, Sarah Ringold2 and P. Scott Eastman3, 1PRCSG, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, 2Seattle Children's Hospital, Seattle, WA, 3Senior Director, New Product Development, Crescendo Bioscience, South San Francisco, CA

    Background/Purpose: More than 40% of children with polyarticular forms of Juvenile Idiopathic Arthritis (JIA) experience clinical inactive disease on medication (CR). No clinical variable or…
  • Abstract Number: 2859 • 2017 ACR/ARHP Annual Meeting

    Development of New Juvenile Arthritis Disease Activity Score Cut-Offs for Oligoarthritis and RF-Negative Polyarthritis from a Large Multinational Cohort of Children with Juvenile Idiopathic Arthritis

    Alessandro Consolaro1,2, Pieter Van Dijkhuizen1, Graciela Espada3, Boriana Varbanova4, Sheila Oliveira5, Paivi Miettunen4, Gaëlle Chédeville5, Michaël Hofer5, Pavla Dolezalová5, Ivan Foeldvari5, Gerd Horneff5, Anne Estmann5, Chris Pruunsild5, Rosa Merino5, Inmaculada Calvo Penades5, Pablo Mesa del Castillo5, Pekka Lahdenne5, Maka Ioseliani5, Maria Trachana5, Olga Vougiouka5, Miroslav Harjacek5, Ilonka Orban5, Tamás Constantin5, Nahid Shafaie5, Violeta Vladislava Panaviene5, Marite Rygg5, Elzbieta Smolewska5, Jose Antonio Melo Gomes5, Jelena Vojinovic5, Ekaterina Alexeeva5, Tadej Avcin5, Veronika Vargova5, Nuray Aktay Ayaz6, Ozgur Kasapcopur5, Yaryna Boyko5, Sarah Ringold5, Mariangela Rinaldi5, Marco Garrone5, Nicolino Ruperto7 and Angelo Ravelli8,9, 1Pediatria II, Reumatologia, Istituto Giannina Gaslini, Genoa, Italy, 2University of Genova, GENOA, Italy, 3Istituto Giannina Gaslini - Pediatria II, Reumatologia - PRINTO, Genova, Italy, 4Istituto Giannina Gaslini - Pediatria II, Reumatologia - PRINTO, GENOA, Italy, 5Istituto Giannina Gaslini - Pediatria II, Reumatologia - PRINTO, Genoa, Italy, 6Istituto Giannina Gaslini - Pediatria II, Reumatologia - PRINTO, Gernoa, Italy, 7Istituto Giannina Gaslini, Genoa, Italy, 8University of Genova, IRCCS Istituto Giannina Gaslini, Genova, Italy, 9University of Genova, Genova, Italy

    Background/Purpose: The measurement of the level of disease activity plays a pivotal role in the care of patients with ju­venile idiopathic arthritis (JIA). To serve…
  • Abstract Number: 2860 • 2017 ACR/ARHP Annual Meeting

    Enthesitis-Related Arthritis: Axial -Pattern  Is Associated with an Expansion of Peripheral Th17 Populations .

    Maria M. Katsicas1, Carolina Carrara2 and Ricardo Russo3, 1Service of Immunology & Rheumatology., Hospital de Pediatría Prof Dr JP Garrahan, Buenos Aires, Argentina, 2Immunology& Rheumatology, Hospital de Pediatría Prof Dr JP Garrahan, Buenos Aires, Argentina, 3Service of Immunology/Rheumatology, Hospital de Pediatría Garrahan, Buenos Aires, Argentina

    Background/Purpose: Enthesitis-related arthritis (ERA) is a category of juvenile idiopathic arthritis encompassing most cases of juvenile spondyloarthropathy. Two different clinical patterns (axial /peripheral) have been…
  • Abstract Number: 2861 • 2017 ACR/ARHP Annual Meeting

    Treat-to-Target in Rheumatoid Arthritis: What Level of Treatment Response Is Necessary By 3 Months in Order to Achieve the Treatment Target By 6 Months? Results from the Real Life NOR-DMARD Study

    Vibeke Norvang1, Inge C Olsen2, Joseph Sexton1, Eirik K Kristianslund1, Till Uhlig1, Tore Kvien3, Daniel Aletaha4, Josef S. Smolen4 and Espen A. Haavardsholm1, 1Dept. of Rheumatology, Diakonhjemmet Hospital, Oslo, Norway, 2Department of Rheumatology, Diakonhjemmet Hospital, Oslo, Norway, 3Diakonhjemmet Hospital, Oslo, Norway, 4Medical University Vienna, Division of Rheumatology, Department of Internal Medicine III, Vienna, Austria

    Background/Purpose : In a treat-to-target strategy in rheumatoid arthritis (RA) treatment adoptions are recommended in case of poor improvement in disease activity 3 months after…
  • Abstract Number: 2862 • 2017 ACR/ARHP Annual Meeting

    Diverse Disease Activity Measures Demonstrate That the Routine Assessment of Patient Index Data with 3 Measures (Rapid-3) Assesses Only Non Inflammatory Components of Disease and Should Not be Utilized in a Treat to Target Strategy in Rheumatoid Arthritis

    Craig Wiesenhutter, Coeur d'Alene Arthritis Clinic, Coeur D Alene, ID

    Background/Purpose: Treating Rheumatoid Arthritis (RA) patients to target (T2T) has been shown to result in better outcomes in patients with RA. Surrogate measures of disease…
  • Abstract Number: 2863 • 2017 ACR/ARHP Annual Meeting

    Serum Proteomic Signatures Predict Relapse in Rheumatoid Arthritis Patients Undergoing DMARD Withdrawal

    Liam O'Neil1, Victor Spicer2, Carol A Hitchon2, Juergen Rech3, Axel J. Hueber4, John Wilkins2, Hani El-Gabalawy1 and Georg Schett3, 1Rheumatology, University of Manitoba, Winnipeg, MB, Canada, 2University of Manitoba, Winnipeg, MB, Canada, 3Friedrich-Alexander-University Erlangen-Nürnberg (FAU), Department of Internal Medicine 3 – Rheumatology and Immunology, Universitätsklinikum Erlangen, Erlangen, Germany., Erlangen, Germany, 4Department of Medicine 3, Rheumatology and Immunology, University of Erlangen-Nuremberg, Erlangen, Germany

    Background/Purpose: Early and targeted treatment strategies have led to increasing numbers of patients with RA achieving sustained clinical remission. If and when to taper Disease…
  • Abstract Number: 2864 • 2017 ACR/ARHP Annual Meeting

    Anti-Acetylated Peptide Antibodies Positive Rheumatoid Arthritis Patients Show a More Favorable Response to Tumor-Necrosis-Factor Inhibitor Treatment and Better Disease Activity Control over Time

    Paul Studenic1, Stephan Blüml1, Holger Bang2, Daniela Sieghart1, Daniel Aletaha1, Helmuth Haslacher3, Josef S. Smolen1,4 and Günter Steiner1, 1Medical University Vienna, Division of Rheumatology, Department of Internal Medicine III, Vienna, Austria, 2Orgentec Diagnostika GmbH, Mainz, Germany, 3Medical University Vienna, Department of Laboratory Medicine, Vienna, Austria, 4Department of Internal Medicine, Hietzing Hospital, Vienna, Austria

    Background/Purpose: Anti-acetylated-peptide antibodies (AAPA) have been found in rheumatoid arthritis (RA) patients and may be additional markers for diagnosis, particularly in rheumatoid factor (RF)/ anti-citrullinated…
  • Abstract Number: 2865 • 2017 ACR/ARHP Annual Meeting

    The Utility and Limitations of Serum C-Reactive Protein in Appraising Synovial Inflammation

    Carl Orr1, Aurélie Najm2, Francis Young1, Trudy McGarry3, Monika Biniecka4, Ursula Fearon5 and Douglas J. Veale6, 1Centre for Arthritis and Rheumatic Diseases, Dublin Academic Medical Centre, University College Dublin, Dublin 4, Ireland, 2INSERM U1238 University of medicine, PHY-OS Laboratory, Nantes, France, 3St. Vincent's University Hospital, Dublin, Ireland, 4Dublin Academic Medical Centre, Dublin, Ireland, 5Trinity College Dublin, Department of Molecular Rheumatology, Trinity College Dublin, Dublin, Ireland, 6Rheumatology, St. Vincent's University Hospital, Dublin 4, Ireland

    Background/Purpose: Despite the clinical role of synovial histology in the differential diagnosis of arthritis, there are still profound unmet needs regarding predictors for diagnosis, disease…
  • Abstract Number: 2866 • 2017 ACR/ARHP Annual Meeting

    Microarray Pathway Analysis Comparing Baricitinib and Adalimumab in Moderate to Severe Rheumatoid Arthritis Patients, from a Phase 3 Study

    Paul Emery1, Peter C. Taylor2, Michael Weinblatt3, Yoshiya Tanaka4, Edward C. Keystone5, Ernst R. Dow6, Richard Higgs6, William L. Macias6, Guilherme Rocha6, Terence P. Rooney6, Douglas E. Schlichting6, Steven H. Zuckerman6 and Iain B. McInnes7, 1Leeds MSK Biomed/Chapel Allerton Hospital, Leeds, United Kingdom, 2NDORMS, University of Oxford, Oxford, United Kingdom, 3Brigham and Women’s Hospital, Boston, MA, 4The First Department of Internal Medicine, University of Occupational and Environmental Health, Kitakyushu, Japan, 5University of Toronto, Toronto, ON, Canada, 6Eli Lilly and Company, Indianapolis, IN, 7University of Glasgow, Glasgow, United Kingdom

    Background/Purpose: In RA-BEAM (NCT01710358), baricitinib (BARI), an oral selective inhibitor of Janus kinase (JAK) 1 and JAK 2, yielded significant improvements in patients (pts) with…
  • Abstract Number: 2867 • 2017 ACR/ARHP Annual Meeting

    CD39 Positive Regulatory T Cells As a Biomarker of Responsiveness to Methotrexate in Rheumatoid Arthritis

    Vikas Gupta1, Shobhita Katiyar2, Ankita Singh2, Ramnath Misra1 and Amita Aggarwal1, 1Clinical Immunology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India, 2Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India

    Background/Purpose: About 30-40% of patients with RA do not respond to MTX, the first-line therapy in RA. Early identification of responders may allow the use…
  • Abstract Number: 2868 • 2017 ACR/ARHP Annual Meeting

    Pharmacodynamic Analysis of Whole Blood Gene Expression over 2 Years in a Phase IIIb Head-to-Head Trial of Abatacept and Adalimumab in Patients with RA

    O Jabado1, MA Maldonado1, Michael Schiff2, Michael Weinblatt3, Roy Fleischmann4, William H. Robinson5, A Greenfield1 and SE Connolly1, 1Bristol-Myers Squibb, Princeton, NJ, 2University of Colorado, Denver, CO, 3Brigham and Women’s Hospital, Boston, MA, 4Metroplex Clinical Research Center Dallas, Dallas, TX, 5Stanford University, Palo Alto, CA

    Background/Purpose: The head-to-head AMPLE study compared the safety and efficacy of abatacept (co-stimulatory modulator) versus adalimumab (TNFα inhibitor) for treatment of RA over 2 years.…
  • Abstract Number: 2869 • 2017 ACR/ARHP Annual Meeting

    Significant Decrease of T-Cells but Not Macrophages in the Synovium of Patients with Active Rheumatoid Arthritis after Treatment with Tocilizumab

    Katerina Chatzidionysiou1, Marianne Engström1, Erik af Klint1, Aase Hensvold1 and Anca I Catrina2, 1Rheumatology Unit, Department of Medicine, Karolinska Institute, Karolinska University Hospital, Stockholm, Sweden, 2Department of Medicine, Rheumatology Unit, Department of Medicine, Karolinska Institute, Karolinska University Hospital, Stockholm, Sweden

    Background/Purpose: Tocilizumab (TCZ) is an anti-IL6R monoclonal antibody approved for the treatment of Rheumatoid Arthritis (RA). There is limited data on synovial tissue histology changes.…
  • Abstract Number: 2870 • 2017 ACR/ARHP Annual Meeting

    Ex Vivo Comparison of Baricitinib, Upadacitinib, Filgotinib, and Tofacitinib for Cytokine Signaling in Human Leukocyte Subpopulations

    Iain B. McInnes1, Richard Higgs2, Jonathan Lee2, William L. Macias2, Songqing Na2, Robert A. Ortmann2, Guilherme Rocha2, Thomas Wehrman3, Xin Zhang2, Steven H. Zuckerman2 and Peter C. Taylor4, 1University of Glasgow, Glasgow, United Kingdom, 2Eli Lilly and Company, Indianapolis, IN, 3Primity Bio, Fremont, CA, 4NDORMS, University of Oxford, Oxford, United Kingdom

    Background/Purpose: Baricitinib (bari), an oral selective Janus kinase (JAK) 1/2 inhibitor, has been approved in the EU for the treatment of adults with moderately to…
  • Abstract Number: 2871 • 2017 ACR/ARHP Annual Meeting

    Anti-RA33 (hnRNP-A2/B1) Autoantibodies Are Associated with the Therapeutic Response to Methotrexate and Anti-TNF Treatment in Patients with Rheumatoid Arthritis

    Daniela Sieghart1, Paul Studenic1, Farideh Alasti2, Daniel Aletaha3, Josef S. Smolen1 and Günter Steiner2, 1Medical University Vienna, Division of Rheumatology, Department of Internal Medicine III, Vienna, Austria, 2Rheumatology, Medical University of Vienna, Vienna, Austria, 3Department of Medicine III, Division of Rheumatology, Medical University of Vienna, Vienna, Austria

    Background/Purpose: Besides the determination of rheumatoid factor (RF) and anti-citrullinated protein antibodies (ACPA), anti-RA33 antibodies (which are directed to the nuclear antigen hnRNP-A2/B1) could be…
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