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  • Abstract Number: 1391 • 2017 ACR/ARHP Annual Meeting

    Ultrasound Response to Tocilizumab in Surgically Replaced Joints and Surgically Operated Joint Areas of Rheumatoid Arthritis Patients

    Evan Choate1, Gurjit S. Kaeley2, Jenny Brook3, John Fitzgerald4, David Elashoff5 and Veena K. Ranganath6, 1David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA, 2Rheumatology, University of Florida College of Medicine, Jacksonville, Jacksonville, FL, 3Medicine, David Geffen School of Medicine, UCLA, Los Angeles, CA, 4David Geffen School of Medicine, Division of Rheumatology, Department of Internal Medicine, University of California, Los Angeles, Los Angeles, CA, 5David Geffen School of Medicine,, University of California, Los Angeles, Los Angeles, CA, 6Medicine/Rheumatology, University of California, Los Angeles, Los Angeles, CA

    Background/Purpose: Rheumatoid Arthritis (RA) disease activity outcomes are used for treatment decisions (ie. DAS28-ESR). Surgically operated joints (SOJ) are assumed not to respond to therapy…
  • Abstract Number: 1392 • 2017 ACR/ARHP Annual Meeting

    Effect Size Comparison of Ultrasound Measures in Rheumatoid Arthritis

    Veena K. Ranganath1, David Elashoff2, Jenny Brook3, Ami Ben-Artzi4, Geraldine Navarro5, Lynnette Avedikian-Tatosyan6, George Karpouzas7, William Martin5, Tanaz A. Kermani5, Soo Choi5 and Gurjit S. Kaeley8, 1Medicine/Rheumatology, University of California, Los Angeles, Los Angeles, CA, 2David Geffen School of Medicine,, University of California, Los Angeles, Los Angeles, CA, 3Medicine, David Geffen School of Medicine, UCLA, Los Angeles, CA, 4Medicine, Cedars, Beverly Hills, CA, 5Medicine, Division of Rheumatology, David Geffen School of Medicine, UCLA, Los Angeles, CA, 6Healthcare Partners, Los Angeles, CA, 7Division of Rheumatology, Harbor-UCLA Medical Center, Torrance, CA, 8Rheumatology, University of Florida College of Medicine, Jacksonville, Jacksonville, FL

    Background/Purpose: Currently there are several outcome metrics used for the assessment and quantification of musculoskeletal (MSK) ultrasound inflammatory burden in rheumatoid arthritis (RA). This study…
  • Abstract Number: 1393 • 2017 ACR/ARHP Annual Meeting

    Patient Characteristics, Treatment Strategy or Investigator Effect: An Analysis of Factors Driving Variation in Outcomes in Early Rheumatoid Arthritis

    Cheryl Barnabe1, Orit Schieir2, Glen Hazlewood1, Susan J. Bartlett3, Carol A Hitchon4, Janet E. Pope5, Gilles Boire6, Edward C. Keystone7, Diane Tin8, B Haraoui9, Vivian P. Bykerk10 and Carter Thorne11, 1Division of Rheumatology, University of Calgary, Calgary, AB, Canada, 2Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada, 3Department of Medicine, Division of ClinEpi, Rheumatology, Respirology, McGill University, Montreal, QC, Canada, 4University of Manitoba, Winnipeg, MB, Canada, 5Department of Medicine, Division of Rheumatology, University of Western Ontario, St Joseph's Health Care, London, ON, Canada, 6Rheumatology Division, Centre Hospitalier Universitaire de Sherbrooke and Universite de Sherbrooke, Sherbrooke, QC, Canada, 7University of Toronto, Toronto, ON, Canada, 8The Arthritis Program, Southlake Regional Health Centre, Newmarket, ON, Canada, 9Institut de Recherche en Rhumatologie de Montréal (IRRM), Montreal, QC, Canada, 102-005, Mt Sinai Hospital, Toronto, ON, Canada, 11University of Toronto, Newmarket, ON, Canada

    Background/Purpose: Outcomes in ERA are largely thought to reflect individual prognostic factors and treatment strategy employed. We hypothesize that an additional factor may be the…
  • Abstract Number: 1394 • 2017 ACR/ARHP Annual Meeting

    Comparison of Improvements in Disease Activity between Classes of Biologic Disease Modifying Anti-Rheumatic Drugs in Routine Clinical Practice: Findings from a Large Contemporaneous Real World Cohort

    Richard Gliklich1, Zhaohui Su2, Gregory Donadio1, Tom Brecht2, Costas Boussios2, Francis O’Donovan3, Charles Kekeh3, Anna Lafontant2, Kathryn Starzyk2 and Vandana Menon2, 1OM1, Inc, Cambridge, MA, 2Research, OM1, Inc, Cambridge, MA, 3Data Science, OM1, Inc, Cambridge, MA

    Background/Purpose: RA is estimated to affect approximately 1.3 million adults in the US and accounts for a significant proportion of US health care spend with…
  • Abstract Number: 1395 • 2017 ACR/ARHP Annual Meeting

    Patient Reported Outcomes in Rheumatoid Arthritis: Best Domain, Best Interface

    Iris Navarro-Millán1, Anna Cornelius-Schecter1, Aprajita Jagpal2, Bernadette Johnson3, Liana Fraenkel4, Monika M. Safford1 and Jeffrey R. Curtis2, 1Weill Cornell Medical College, New York, NY, 2Division of Clinical Immunology and Rheumatology, University of Alabama at Birmingham, Birmingham, AL, 3Clinical Immunology & Rheumatology, University of Alabama at Birmingham, Birmingham, AL, 4Rheumatology, Rheumatology, Yale University School of Medicine, New Haven, CT, New Haven, CT

    Background/Purpose: Quantifiable measures of patients’ symptoms such as patient reported outcomes (PROs) provides the physician with quantifiable information of subjective symptoms experienced by patients with…
  • Abstract Number: 1396 • 2017 ACR/ARHP Annual Meeting

    Can 3 0-10 Physician Visual Analog Scales (VAS) to Assess Levels of Inflammation, Damage and Distress Offer Comprehensive Quantitative Data That May be As Informative As Detailed, Formal Swollen and Tender Joint Counts?

    MJ Bergman1 and Theodore Pincus2, 1Drexel University College of Medicine, Philadelphia, PA, 2Rheumatology, Rush University Medical Center, Chicago, IL

    Background/Purpose: Management of patients with rheumatoid arthritis (RA) remains primarily according to a patient history and physical examination, unlike in many other chronic diseases, in…
  • Abstract Number: 1397 • 2017 ACR/ARHP Annual Meeting

    American College of Rheumatology Response Rates Determined Using 28 Versus 68/66 Joint Count in Patients with Rheumatoid Arthritis Receiving Tofacitinib in Phase 3 Studies

    Josef S. Smolen1, William Shergy2, Grace C. Wright3, Ryan DeMasi4, Kenneth Kwok5, Christopher F Mojcik5, Noriko Iikuni5, Svitlana Tatulych6 and Gustavo Citera7, 1Medical University of Vienna and Hietzing Hospital, Vienna, Austria, 2Rheumatology Associates of North Alabama, Huntsville, AL, 3NYU Langone Medical Center, New York, NY, 4Pfizer Inc, Collegeville, PA, 5Pfizer Inc, New York, NY, 6Pfizer Inc, Groton, CT, 7Instituto de Rehabilitación Psicofísica, Buenos Aires, Argentina

    Background/Purpose: Tofacitinib is an oral Janus kinase inhibitor for the treatment of rheumatoid arthritis (RA). In a clinical trial setting, standard criteria for measuring the…
  • Abstract Number: 1398 • 2017 ACR/ARHP Annual Meeting

    Sleep and Physical Activity: An Objective Profile of People with Rheumatoid Arthritis

    Sean McKenna1, Marie Tierney2, Sandy Fraser3, Aoife O'Neill4 and Norelee Kennedy1, 1Department of Clinical Therapies, University of Limerick, Ireland, Limerick, Ireland, 2Discipline of General Practice, National University of Galway, Ireland, Galway, Ireland, 3Department of Rheumatology, University Hospitals Limerick, Ireland, Limerick, Ireland, 4Department of Mathematics, University of Limerick, Ireland, Limerick, Ireland

    Background/Purpose: Regular physical activity is important for people with rheumatoid arthritis (RA). Sleep requirements for adults should be on a ‘sleep needs spectrum’ of between…
  • Abstract Number: 1399 • 2017 ACR/ARHP Annual Meeting

    Tissues Are Differently Modulated By Tocilizumab and Methotrexate; Assessment of Connective Tissue Metabolites in the Ambition Study

    Anne C. Bay-Jensen1, Anne Sofie Siebuhr1, Christian S. Thudium2 and Morten Asser Karsdal1, 1Rheumatology, Nordic Bioscience, Herlev, Denmark, 2Biomarkers and Research, Nordic Bioscience, Herlev, Denmark

    Background/Purpose: The response to any treatment in rheumatoid arthritis (RA) is assessed by symptomatic changes, such as swollen joint count and DAS28. However, such assessments…
  • Abstract Number: 1400 • 2017 ACR/ARHP Annual Meeting

    Beneficial Effect of Anti-IL-6 Blockade on Insulin Resistance and Insulin Sensitivity in Patients with Rheumatoid Arthritis

    Raquel López-Mejías1, Fernanda Genre1, Sara Remuzgo-Martínez1, Begoña Ubilla1, Veronica Mijares1, Jaime Calvo-Alen2, Javier Llorca3, Santos Castañeda4 and Miguel Angel González-Gay5, 1Epidemiology, Genetics and Atherosclerosis Research Group on Systemic Inflammatory Diseases, Rheumatology Division, IDIVAL, Santander, Spain, 2Rheumatology Department, Hospital Universitario Araba, Vitoria-Gasteiz, Spain, 3Department of Epidemiology and Computational Biology, School of Medicine, University of Cantabria, and CIBER Epidemiología y Salud Pública (CIBERESP), IDIVAL, Santander, Spain, 4Hospital Universitario La Princesa. IIS-IP. Madrid. Spain, Madrid, Spain, 5Epidemiology, Genetics and Atherosclerosis Research Group on Systemic Inflammatory Diseases, Rheumatology Division, IDIVAL. School of Medicine, University of Cantabria., Santander, Spain

    Background/Purpose: Systemic inflammation, insulin resistance, and endothelial dysfunction were implicated in the development of cardiovascular disease in rheumatoid arthritis (RA) [1-3]. Since insulin resistance can…
  • Abstract Number: 1401 • 2017 ACR/ARHP Annual Meeting

    Persistence of Mast Cell-Rich Synovitis Is Associated with Lack of Response to Synthetic Disease Modifying Anti-Rheumatic Drugs in Patients with Early Rheumatoid Arthritis

    Felice Rivellese, Frances Humby, Sara Pagani, Alessandra Nerviani and Costantino Pitzalis, Centre for Experimental Medicine and Rheumatology, William Harvey Research Institute, Barts and The London, School of Medicine and Dentistry, Queen Mary University of London, London, United Kingdom

    Background/Purpose: Mast cells (MCs) are immune cells infiltrating the synovial membrane and implicated in the pathogenesis of Rheumatoid Arthritis, but their strict contribution to disease…
  • Abstract Number: 1402 • 2017 ACR/ARHP Annual Meeting

    In RA, Becoming Seronegative over the 1st Year of DMARD Treatment Does Not Improve Chances of Drug-Free Remission in the Long-Term

    Emma de Moel1, Veerle Derksen1, LA Trouw1, Holger Bang2, Yvonne P. Goekoop-Ruiterman3, GM Steup-Beekman1,4, Tom W.J. Huizinga5, Cornelia F Allaart5, Rene E.M. Toes1 and Diane van der Woude6, 1Rheumatology, Leiden University Medical Center, Leiden, Netherlands, 2Orgentec Diagnostika GmbH, Mainz, Germany, 3Rheumatology, HAGA hospital, The Hague, Netherlands, 4Rheumatology, Haaglanden Medical Center, The Hague, Netherlands, 5Department of Rheumatology, LUMC, Leiden, Netherlands, Leiden, Netherlands, 6Department of Rheumatology, Leiden University Medical Center, Leiden, Netherlands

    Background/Purpose: Patients with RA harbor autoantibodies of various isotypes and directed against several post-translational modifications. Baseline seropositivity is a poor prognostic factor for sustained drug-free…
  • Abstract Number: 1403 • 2017 ACR/ARHP Annual Meeting

    Mediterranean Diet Is Inversely Associated with Risk of Rheumatoid Arthritis: A Swedish Population Based Case-Control Study

    Daniela Di Giuseppe1, Kari Johansson2, Johan Askling3 and Lars Alfredsson4, 1Department of Medicine Solna, Karolinska Institutet, Stockholm, Sweden, 2Department of Medicine, Karolinska Institutet, Solna, Sweden, 3Unit of Clinical Epidemiology, Department of Medicine, Karolinska University Hospital and Karolinska Institutet, Stockholm, Sweden, 4Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden

    Background/Purpose: The Mediterranean Diet has been associated with lower mortality and risk of cardiovascular diseases and cancer. Although its components have been analyzed in several…
  • Abstract Number: 1404 • 2017 ACR/ARHP Annual Meeting

    Hydrogen Sulfide Metabolism and Rheumatoid Arthritis

    Alexis Guice1, Richa Dhawan2, Sibile Pardue3 and Christopher Kevil4, 1INTERNAL MEDICINE, LSU UNIVERSITY HEALTH, SHREVEPORT, LA, 2INTERNAL MEDICINE, SECTION OF RHEUMATOLOGY, LSU UNIVERSITY HEALTH, SHREVEPORT, LA, 3LSU UNIVERSITY HEALTH, SHREVEPORT, LA, 4PATHOLOGY,MOLECULAR CELLULAR PHYSIOLOGY AND CELL BIOLOGY AND ANATOMY, LSU UNIVERSITY HEALTH, SHREVEPORT, LA

    Background/Purpose: Hydrogen sulfide (H2S) is an endogenous gasotransmitter known to play a role in inflammation. While levels of hydrogen sulfide have been studied in patient…
  • Abstract Number: 1405 • 2017 ACR/ARHP Annual Meeting

    Using Flow and Mass Cytometry to Demonstrate Robust Tissue Processing to Query Molecular Heterogeneity in Phase 1 of the Accelerating Medicines Partnership (AMP) – RA Network

    Kevin Wei1, Deepak Rao2, Fan Zhang3, Chamith Fonseka3, Kamil Slowikowski3, Joshua Keegan4, Laura T. Donlin5, Jason Turner6, Mandy J. McGeachy7, Nida Meednu8, David Lieb9, Stephen Kelly10, Susan M. Goodman11, David L. Boyle12, William H. Robinson13, Paul J. Utz14, Gary S. Firestein15, Harris Perlman16, Edward F. DiCarlo17, Costantino Pitzalis10, Andrew Filer18, Brendan Boyce19, Ellen M. Gravallese20, Chad Nusbaum21, James Lederer4, Nir Hacohen22,23,24, Peter Gregersen25, Larry W. Moreland26, Michael Holers27, Vivian P. Bykerk28, Soumya Raychaudhuri3, Michael Brenner29 and Jennifer H. Anolik8, 1Division of Rheumatology, Immunology and Allergy, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, 2Division of Rheumatology, Immunology, and Allergy, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, 3Divisions of Genetics and Rheumatology, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, 4Department of Surgery, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, 5Arthritis and Tissue Degeneration Program and the David Z. Rosensweig Genomics Research Center, Hospital for Special Surgery, New York, NY, 6Institute of Inflammation and Ageing, University of Birmingham, Birmingham, United Kingdom, 7Medicine, University of Pittsburgh, Pittsburgh, PA, 8Medicine- Allergy, Immunology and Rheumatology, University of Rochester Medical Center, Rochester, NY, 9Broad Institute, Cambridge, MA, 10Centre for Experimental Medicine and Rheumatology, William Harvey Research Institute, Barts and The London, School of Medicine and Dentistry, Queen Mary University of London, London, United Kingdom, 11Medicine, Hospital for Special Surgery/Weill Cornell Medicine, New York, NY, 12University of California San Diego, La Jolla, CA, 13Stanford University School of Medicine, Stanford, CA, 14Medicine, Stanford University School of Medicine, Stanford, CA, 15Medicine, University of California San Diego, La Jolla, CA, 16Department of Medicine, Division of Rheumatology, Northwestern University Feinberg School of Medicine, Northwestern University Feinberg School of Medicine,, Chicago, IL, 17Laboratory Medicine, Hospital for Special Surgery, New York, NY, 18Institute of Inflammation and Ageing (IIA), University of Birmingham, Birmingham, United Kingdom, 19University of Rochester Medical Center, Rochester, NY, 20Lazare Research Bldg, University of Massachusetts Medical School, Worcester, MA, 21The Broad Institute and Harvard, Cambridge, MA, 22Harvard Medical School, Boston, MA, 23Massachusetts General Hospital, Charlestown, MA, 24Broad Institute of MIT and Harvard, Cambridge, MA, 25The Feinstein Institute for Medical Research, Northwell Health, Manhasset, NY, 26Rheumatology & Clinical Immunology, University of Pittsburgh, Pittsburgh, PA, 27Medicine, Division of Rheumatology, University of Colorado Denver, Aurora, CO, 28Divison of Rheumatology, Hospital for Special Surgery, New York, NY, 29Brigham and Women's Hospital and Harvard Medical School, Boston, MA

    Background/Purpose: Discovery and application of new therapies for rheumatoid arthritis (RA) has been hampered by multiple factors, including disease heterogeneity and the lack of well…
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