ACR Meeting Abstracts

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  • Abstract Number: 949 • 2016 ACR/ARHP Annual Meeting

    Comparison of Treatment Response, Remission Rate and Drug Adherence in Polyarticular Juvenile Idiopathic Arthritis Patients Treated with Etanercept, Adalimumab or Tocilizumab

    Gerd Horneff1,2, Ariane Klein3, Kirsten Minden4,5, Hans-Iko Huppertz6, Frank Weller-Heinemann7, Jasmin B. Kuemmerle-Deschner8, Johannes Peter Haas9 and Toni Hospach10, 1Asklepios Klinik Zentrum für Allgemeine Paediatrie und Neonatologie, Sankt Augustin, Germany, 2Department of Pediatrics, Centre of Pediatric Rheumatology, Sankt Augustin, Germany, 3Center of Pediatrics and Neonatology, Asklepios Clinic Sankt Augustin, Sankt Augustin, Germany, 4Epidemiology, Charite, DRFZ, Berlin, Germany, 5Children’s University Hospital Charite/German Rheumatism Research Centre Berlin, Berlin, Germany, 6Klinikum Bremen-Mitte, Prof.-Hess-Kinderklinik, Bremen, Germany, 7Prof.-Hess-Kinderklinik, Bremen,, Berlin, Germany, 8Universitätsklinikum Tübingen, Klinik fuer Kinder- und Jugendmedizin, Tübingen, Germany, 9German Center for Pediatric and Adolescent Rheumatology, Garmisch-Partenkirchen, Germany, 10Pediatrics, Olgahospital, Klinikum Stuttgart, Stuttgard, Germany

    Background/Purpose:  Treatment response, remission rates and compliance in polyarticular JIA patients treated with adalimumab(ADA), etanercept(ETA), or tocilizumab(TCZ) were analyzed in clinical practice. Methods:  Data from the German BIKER…
  • Abstract Number: 950 • 2016 ACR/ARHP Annual Meeting

    Flares after Withdrawal of Biotherapies in JIA: Clinical and  Laboratory Correlates of Remission Duration

    Gabriele Simonini1, Erika Scoccimarro1, Irene Pontikaki2, Giovanna Ferrara3, Teresa Giani1, Andrea Taddio3, Pier Luigi Meroni4 and Rolando Cimaz1, 1Pediatric Rheumatology Unit, Anna Meyer Children's Hospital-University of Florence, Firenze, Italy, 2Rheumatology Department, Gaetano Pini Institute, University of Milan, Milano, Italy, 3Institute for Maternal and Child Health - IRCCS "Burlo Garofolo", University of Trieste, Trieste, Italy, 4Rheumatology Department, University of Milan, Istituto Ortopedico Gaetano Pini, Milano, Italy

    Background/Purpose: Information regarding the history of patients with JIA after systemic treatment withdrawal would be helpful in driving the choice of duration therapy. While some…
  • Abstract Number: 951 • 2016 ACR/ARHP Annual Meeting

    A Nationwide Non-Medical Switch from Originator to Biosimilar Infliximab in Patients with Inflammatory Arthritis. Eleven Months’ Clinical Outcomes from the Danbio Registry

    Bente Glintborg1, Inge Juul Sørensen2, Dorte Vendelbo Jensen2, Niels Steen Krogh3, Anne Gitte Loft4, Jakob Espesen2, Jimmi Olsen2, Oliver Hendricks5, Jolanta Grydehøj2, Inger Marie Jensen Hansen2, Michael Veedfald Sørensen2, Stavros Chrysidis2, Birgitte Lange Andersen2, Natalia Manilo2, Mette Klarlund2, Lis Smedegaard Andersen2, Henrik Nordin2, Salome Kristensen2, Jesper Nørregaard2 and Merete Lund Hetland1, 1Danish Rheumatologic Biobank and DANBIO registry, Rigshospitalet, Glostrup, Gentofte and Herlev University Hospital, Copenhagen, Denmark, 2The DANBIO registry and the Danish Departments of Rheumatology, Copenhagen, Denmark, 3ZiteLab ApS, Copenhagen, Denmark, 4Departments of Rheumatology at Vejle and Aarhus Hospitals, Vejle and Aarhus, Denmark, 5Dep. of Rheumatology, King Christians Hospital for Rheumatic Diseases, Copenhagen, Denmark

    Background/Purpose: According to national guidelines issued in May 2015, a non-medical switch from originator infliximab (IFX) (Remicade) to biosimilar Remsima was conducted in all Danish…
  • Abstract Number: 952 • 2016 ACR/ARHP Annual Meeting

    A Randomized, Double-Blind, Placebo-Controlled Phase 3 Study Evaluating Treatment Strategies (Continuation Versus Withdrawal) for Maintaining Low Disease Activity after 1 Year of Certolizumab Pegol in DMARD-Naive Patients with Early and Progressive, Active RA

    Michael Weinblatt1, Clifton Bingham III2, Gerd-Rüdiger Burmester3, Vivian P. Bykerk4, Daniel E. Furst5, Xavier Mariette6, Désirée van der Heijde7, Ronald van Vollenhoven8, Brenda VanLunen9, Cécile Ecoffet10, Christopher Cioffi9 and Paul Emery11, 1Brigham and Women's Hospital, Boston, MA, 2Johns Hopkins University, Baltimore, MD, 3Charité – University Medicine Berlin, Berlin, Germany, 4Divison of Rheumatology, Hospital for Special Surgery, New York, NY, 5David Geffen School of Medicine at UCLA, Los Angeles, CA, 6Université Paris-Sud, Paris, France, 7Leiden University Medical Center, Leiden, Netherlands, 8Amsterdam Rheumatology and Immunology Center (ARC), Amsterdam, Netherlands, 9UCB Pharma, Raleigh, NC, 10UCB Pharma, Brussels, Belgium, 11University of Leeds, Leeds, United Kingdom

    Background/Purpose: There is interest in tapering or stopping biologic DMARD therapy in RA patients (pts) who have achieved sustained disease control.1 We report the results…
  • Abstract Number: 953 • 2016 ACR/ARHP Annual Meeting

    Comparison of 10-Years Disease Outcomes of Rheumatoid Arthritis Patients with Continued Low Disease Activity on Methotrexate with or without Initial Combination Therapy with Infliximab or Prednisone and Sulfasalazine

    SA Bergstra1, RBM Landewé2,3, TWJ Huizinga1 and CF Allaart1, 1Department of Rheumatology, LUMC, Leiden, Netherlands, Leiden, Netherlands, 2Amsterdam Rheumatology & Immunology Center, Netherlands, Amsterdam, Netherlands, 3Zuyderland Medical Center, Heerlen, Netherlands, Heerlen, Netherlands

    Background/Purpose: Low disease activity and remission in rheumatoid arthritis (RA) patients is achieved earlier and in higher frequency when the initial treatment includes a combination…
  • Abstract Number: 954 • 2016 ACR/ARHP Annual Meeting

    Effectiveness of Different Dosages of Retreatment of Rituximab in Combination with Leflunomide: Results from a Multicenter Randomized Placebo Controlled Investigator Initiated Clinical Trial in Active Rheumatoid Arthritis (Amara-Study

    Frank Behrens1, Tanja Rossmanith2, Michaela Koehm3, Rieke Alten4, Martin Aringer5, GR Burmester6, Eugen Feist7, Klaus Krüger8, Ulf Müller-Ladner9, Andrea Rubbert-Roth10, Siegfried Wassenberg11, Hans-Peter Tony12, Herbert Kellner13, Marina Backhaus14 and Harald Burkhardt1, 1Division of Rheumatology and Fraunhofer IME-Project-Group Translational Medicine and Pharmacology, Goethe University, Frankfurt, Germany, 2Fraunhofer Institute for Molecular Biology and Applied Ecology IME, Project Group Translational Medicine & Pharmacology TMP, Frankfurt, Germany, 3Division of Rheumatology and Fraunhofer IME-Project-Group Translational Medicine and Pharmacology, Goethe University, Frankfurt/Main, Germany, 4Schlosspark-Klinik University Medicine, Berlin, Germany, 5Abteilung für Rheumatologie, Dresden, Germany, 6Charité – University Medicine Berlin, Berlin, Germany, 7Charité-Universitätsmedizin Berlin, Berlin, Germany, 8Praxiszentrum St. Bonifatius, München, Germany, 9Justus-Liebig-University Giessen, Department of Internal Medicine and Rheumatology, Kerckhoff-Klinik, Bad Nauheim, Germany, Bad-Nauheim, Germany, 10Division Rheuamatology, University Köln, Köln, Germany, 11Rheumazentrum, Ratingen, Germany, 12Rheumatology/Immunology, Medical Clinic II, University Clinic Wuerzburg, Würzburg, Germany, 13Rheumatology Patient Care, Munchen, Germany, 14Rheumatology, Park-Klinik Weissensee, Berlin, Germany

    Background/Purpose: Use of biologicals such as Rituximab (RTX) in Rheumatoid Arthritis (RA) is effective and often only licensed in combination with Methotrexate (MTX). In cases…
  • Abstract Number: 955 • 2016 ACR/ARHP Annual Meeting

    Tocilizumab Infusion Intervals Can be Extended to 5 or 6 Weeks in RA Patients Who Sustained Low Disease Activity By 4 Weeks Interval of Tocilizumab Infusion

    Hiroshi Uda and Osamu Saiki, Rheumatology, Higashiosaka City General Hospital, Higashiosaka, Japan

    Background/Purpose: A period of 4 weeks (w) has been recommended as the interval between tocilizumab (TCZ) infusions. The cost of TCZ is very high, which…
  • Abstract Number: 956 • 2016 ACR/ARHP Annual Meeting

    The Effect of Treatment Adjustments Aimed at DAS Remission on Physical Functioning in Undifferentiated and Rheumatoid Arthritis Patients in Low Disease Activity

    SA Bergstra1, OM Olivas Vergara1, G Akdemir1, GM Steup-Beekman2, HK Ronday3, JB Harbers4, RBM Landewé5,6 and CF Allaart1, 1Department of Rheumatology, LUMC, Leiden, Netherlands, Leiden, Netherlands, 2Department of Rheumatology, Bronovo Hospital, The Hague, Netherlands, The Hague, Netherlands, 3Department of Rheumatology, HAGA hospital, The Hague, Netherlands, The Hague, Netherlands, 4Department of Rheumatology, Franciscus Hospital, Roosendaal, Netherlands, Roosendaal, Netherlands, 5Amsterdam Medical Center, Amsterdam, Netherlands, 6Zuyderland Medical Center, Heerlen, Netherlands, Heerlen, Netherlands

    Background/Purpose: Should we aim at remission if patients are in low disease activity (LDA)? We assessed if rheumatoid or undifferentiated arthritis (RA, UA) patients who…
  • Abstract Number: 957 • 2016 ACR/ARHP Annual Meeting

    International Patient and Physician Consensus on Psoriatic Arthritis Outcomes for Clinical Trials

    Ana-Maria Orbai1, Maarten de Wit2, Philip J Mease3, Judy A. Shea4, Laure Gossec5, Ying Ying Leung6, William Tillett7, Musaab Elmamoun8, Kristina Callis Duffin9, Willemina Campbell10, Robin Christensen11, Laura C. Coates12, Emma Dures13, Lihi Eder14, Oliver FitzGerald15, Dafna D. Gladman16, Niti Goel17, Suzanne Grieb18, Sarah Hewlett19, Pil Hoejgaard20, Umut Kalyoncu21,22, Christine Lindsay23, Neil J. McHugh24, Bev Shea25, Ingrid Steinkoenig26, Vibeke Strand27 and Alexis Ogdie28, 1Rheumatology, Johns Hopkins University School of Medicine, Baltimore, MD, 2Medical Humanities, VU Medical Centre, Amsterdam, Netherlands, 3Rheumatology Research, Swedish Medical Center, Seattle, WA, 4Division of General Internal Medicine, University of Pennsylvania, Philadelphia, PA, 5Rheumatology, Paris 06 University, Paris, France, 6North District Hospital, Hong Kong, China, 7Rheumatology, Royal National Hospital for Rheumatic Diseases, Bath, United Kingdom, 8Rheumatology, St. Vincent's University Hospital, Dublin 4, Ireland, 9Department of Dermatology, University of Utah, Salt Lake City, UT, 10Toronto Western Hospital, Toronto, ON, Canada, 11Musculoskeletal Statistics Unit, The Parker Institute, Copenhagen University Hospital, Bispebjerg and Frederiksberg, Copenhagen, Denmark, 12University of Leeds, Leeds, United Kingdom, 13Academic Rheumatology, Bristol, University of the West of England, Bristol, Bristol, United Kingdom, 14Women's College Research Institute, University of Toronto, Toronto, ON, Canada, 15Department of Rheumatology, St Vincent’s University Hospital and Conway Institute, University College, Dublin, Ireland, 16Rheumatology, Centre for Prognosis Studies in the Rheumatic Diseases, Toronto Western Hospital and University of Toronto, Toronto, ON, Canada, 17Quintiles; Duke University School of Medicine, Durham, NC, 18Johns Hopkins Bayview Medical Center, Center for Child and Community Health Research, Baltimore, MD, 19Academic Rheumatology, University of West of England, Bristol, United Kingdom, 20The Parker Institute, Bispebjerg and Frederiksberg Hospital, The Capital Region of Denmark, Denmark, 21Rheumatology, Johns Hopkins University, Baltimore, MD, 22Rheumatology, Hacettepe University Faculty of Medicine, Ankara, Turkey, 23Medical Affairs, Amgen Inc, Thousand Oaks, CA, 24Rheumatology, Royal National Hospital for Rheumatic Diseases, Upper Borough Walls, United Kingdom, 25University of Ottawa, Ottawa, ON, Canada, 26Patient Research Partner,, Cleveland, OH, 27School of Medicine, Division of Immunology/Rheumatology, Stanford University, Palo Alto, CA, 28University of Pennsylvania, Philadelphia, PA

    Background/Purpose:   A psoriatic arthritis (PsA) core domain set to be measured in randomized controlled trials (RCT) was developed by Group for Research and Assessment…
  • Abstract Number: 958 • 2016 ACR/ARHP Annual Meeting

    Safety and Efficacy of ABT-122, a TNF and IL-17–Targeted Dual Variable Domain (DVD)–Ig™, in Psoriatic Arthritis Patients with Inadequate Response to Methotrexate: Results from a Phase 2 Trial

    Philip J Mease1, Mark C. Genovese2, Michael Weinblatt3, Paul M. Peloso4, Kun Chen4, Yihan Li4, Heikki T. Mansikka4, Amit Khatri4, Ahmed A. Othman4, Neil Wishart4, John Liu4 and Robert J. Padley4, 1Rheumatology and Internal Medicine, Swedish Medical Center and University of Washington, Seattle, WA, 2Stanford University Medical Center, Palo Alto, CA, 3Brigham and Women’s Hospital, Boston, MA, 4AbbVie Inc., North Chicago, IL

    Background/Purpose:  Since inhibition of either Tumor Necrosis Factor (TNF) or interleukin 17 (IL-17) alone has demonstrated efficacy in psoriatic arthritis (PsA) on both joint and…
  • Abstract Number: 959 • 2016 ACR/ARHP Annual Meeting

    Efficacy and Safety of Ixekizumab in Patients with Active Psoriatic Arthritis: 52 Week Results from a Phase 3 Study

    Philip J Mease1, Masato Okada2, Mitsumasa Kishimoto2, Catherine L. Shuler3, Hilde Carlier3, Chen-Yen Lin3, Jiani Mou3, Susan R Moriarty3, Chin H. Lee3 and Dafna D Gladman4, 1Rheumatology and Internal Medicine, Swedish Medical Center and University of Washington, Seattle, WA, 2Immuno-Rheumatology Center, St. Luke's International Hospital, Tokyo, Japan, 3Eli Lilly and Company, Indianapolis, IN, 4University of Toronto, Toronto, ON, Canada

    Background/Purpose: Ixekizumab (IXE) is an IgG4 monoclonal antibody that binds with high affinity and specificity to the proinflammatory cytokine IL-17A. In this phase 3 study…
  • Abstract Number: 960 • 2016 ACR/ARHP Annual Meeting

    Ultrasonographic Improvement of Peripheral Subclinical Enthesopathy in Therapy-Naive Patients Treated with Ustekinumab for Chronic Plaque Psoriasis: A 52-Week, Prospective, Open Label, Controlled Cohort Study

    Laura Savage1, Mark Goodfield2, Elizabeth M.A. Hensor3, Paul Emery3 and Dennis McGonagle4, 1NIHR Musculoskeletal Biomedical Research Unit, University of Leeds, Leeds, United Kingdom, 2Department of Dermatology, Leeds Centre for Dermatology, Leeds Teaching Hospitals NHS Trust, Leeds, United Kingdom, 3NIHR-Leeds Musculoskeletal Biomedical Research Unit, Leeds, United Kingdom, 4Leeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds, Leeds, United Kingdom

    Background/Purpose: Subclinical enthesopathy is recognised in up to 50% of psoriasis patients and is thought to precede inflammatory PsA. It is not known if effective…
  • Abstract Number: 961 • 2016 ACR/ARHP Annual Meeting

    Secukinumab Provides Sustained Improvements in the Signs and Symptoms of Active Psoriatic Arthritis through 3 Years: Efficacy and Safety Results from a Phase 3 Trial

    Philip J Mease1, Arthur Kavanaugh2, Andreas Reimold3, Hasan Tahir4, Juergen Rech5, Stephen Hall6, Piet Geusens7,8, Pellet Pascale9, Evie Maria Delicha10, Luminita Pricop11 and Shephard Mpofu10, 1Swedish Medical Center and University of Washington, Seattle, WA, 2UC San Diego School of Medicine, La Jolla, CA, 3Dallas VA Medical Center and University of Texas Southwestern Medical Center, Dallas, TX, 4Barts Health NHS Trust, London, United Kingdom, 5Department of Internal Medicine 3 – Rheumatology and Immunology, Universitätsklinikum Erlangen, Friedrich-Alexander-University Erlangen-Nürnberg (FAU), Erlangen, Germany, 6Monash University, Melbourne, Australia, 7University of Hasselt, Hasselt, Belgium, 8Maastricht University Hospital, Maastricht, Netherlands, 9Novartis Pharma AG, basel, Switzerland, 10Novartis Pharma AG, Basel, Switzerland, 11Novartis Pharmaceuticals Corporation, East Hanover, NJ

    Background/Purpose:  Secukinumab, an anti–interleukin-17A monoclonal antibody, provided rapid and significant improvements in the key clinical domains of psoriatic arthritis (PsA) in the FUTURE 1 study…
  • Abstract Number: 962 • 2016 ACR/ARHP Annual Meeting

    No Increased Risk of Inflammatory Bowel Disease Among Secukinumab-Treated Patients with Moderate to Severe Psoriasis, Psoriatic Arthritis, or Ankylosing Spondylitis: Data from 14 Phase 2 and Phase 3 Clinical Studies

    Atul A. Deodhar1, Stefan Schreiber2, Kunal Gandhi3, Todd Fox4, Corine Gaillez4 and Chetan Karyekar3, 1Oregon Health & Science University, Portland, OR, 2Christian-Albrechts-Universität Kiel, Kiel, Germany, 3Novartis Pharmaceuticals Corporation, East Hanover, NJ, 4Novartis Pharma AG, Basel, Switzerland

    Background/Purpose:  Secukinumab, a fully human anti–interleukin-17A monoclonal antibody, has been evaluated and approved for the treatment of moderate to severe psoriasis, active psoriatic arthritis (PsA)…
  • Abstract Number: 963 • 2016 ACR/ARHP Annual Meeting

    Treatment of Homocysteine Improves Urine Protein/Cr Ratio in SLE

    Wei Fu1 and Michelle Petri2, 1Rheumatology, Johns Hopkins University School of Medicine, Baltimore, MD, 2Rheumatology Division, Johns Hopkins University School of Medicine, Baltimore, MD

    Background/Purpose: Homocysteine is a proven prospective risk factor for stroke and arterial thrombosis in SLE. However, checking for homocysteine and treating high levels is actually…
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