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  • Abstract Number: 1811 • 2017 ACR/ARHP Annual Meeting

    Lupus Patients, and Their Sisters, Have Higher Miscarriage Rates Than Healthy Women

    Eliza Chakravarty1, David Miklos2, Nathan Pezant3, Fang Wu2, Indra Adrianto4, R. Hal Scofield3, Joel M. Guthridge5, Courtney Montgomery4 and Judith A. James4, 1Arthritis and Clinical Immunology, Oklahoma Medical Research Foundation, Oklahoma City, OK, 2Hematology, Stanford University, Stanford, CA, 3Oklahoma Medical Research Foundation, Oklahoma City, OK, 4Arthritis and Clinical Immunology Program, Oklahoma Medical Research Foundation, Oklahoma City, OK, 5Arthritis and Clinical Immunology Program, Oklahoma Medical Research Foundation, OKC, OK

    Background/Purpose: Systemic lupus erythematosus (SLE) is a chronic autoimmune disease that primarily affects women during the childbearing years. Among its protean manifestation, pregnancy complications including…
  • Abstract Number: 1812 • 2017 ACR/ARHP Annual Meeting

    Preeclampsia and Incident Cardiovascular Disease in SLE Pregnancy

    Julia F Simard1, Marios Rossides2, Elizabeth V. Arkema3, Elisabet Svenungsson4, Anna-Karin Wikstrom5, Murray Mittleman6 and Jane E. Salmon7, 1Division of Epidemiology, Health Research and Policy Department, Stanford School of Medicine, Stanford, CA, 2Medicine Solna, Clinical Epidemiology Unit, Karolinska Institutet, Stockholm, Sweden, 3Clinical Epidemiology Unit, Department of Medicine, Karolinska Institutet, Stockholm, Sweden, 4Department of Medicine Solna, Rheumatology Unit, Karolinska Institutet, Karolinska University Hospital, Stockholm, Sweden, Stockholm, Sweden, 5Clinical Epidemiology Unit, Department of Medicine, Karolinska Institute, Stockholm, Sweden, 6Epidemiology, Harvard T. H. Chan School of Public Health, Boston, MA, 7Medicine/Rheumatology, Hospital of Special Surgery, New York, NY

    Background/Purpose: Pre-pregnancy cardiovascular health has been associated with preeclampsia during pregnancy, as well as future cardiovascular disease (CVD). Preeclampsia is related to endothelial dysfunction, hypertension,…
  • Abstract Number: 1813 • 2017 ACR/ARHP Annual Meeting

    Rates of Contraceptive Use and Unintended Pregnancy in Teen Girls Prescribed Teratogenic Medications

    Kimberly Hays1, Kit Simpson1, David Bundy1, Elizabeth Wallis1 and Natasha M. Ruth2, 1Pediatrics, Medical University of South Carolina, Charleston, SC, 2Rheumatology, Medical University of South Carolina, Charleston, SC

    Background/Purpose: Reproductive aged women with rheumatic diseases are often prescribed teratogenic medications. These medications pose a serious threat to the mother and fetus. Rates of…
  • Abstract Number: 1814 • 2017 ACR/ARHP Annual Meeting

    Time Trends over a Decade Show Earlier Intensified Medication Strategies and Improved Outcomes in Canadians with Early Inflammatory Arthritis

    Orit Schieir1, Marie-France Valois2, Susan J. Bartlett3,4, Carol A Hitchon5, Janet E. Pope6, Gilles Boire7, Boulos Haraoui8, Diane Tin9, Carter Thorne10, Edward C. Keystone11,12 and Vivian P. Bykerk13,14, 1Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada, 2McGill University, Montreal, QC, Canada, 3Department of Medicine, Division of ClinEpi, Rheumatology, Respirology, McGill University, Montreal, QC, Canada, 4Division of Rheumatology, Johns Hopkins University School of Medicine, Baltimore, MD, 5University of Manitoba, Winnipeg, MB, Canada, 6Department of Medicine, Division of Rheumatology, University of Western Ontario, St Joseph's Health Care, London, ON, Canada, 7Rheumatology Division, Centre Hospitalier Universitaire de Sherbrooke and Universite de Sherbrooke, Sherbrooke, QC, Canada, 8Institute de Rheumatologie, Montreal, QC, Canada, 9The Arthritis Program, Southlake Regional Health Centre, Newmarket, ON, Canada, 10University of Toronto, Newmarket, ON, Canada, 11University of Toronto, Toronto, ON, Canada, 12Rheumatology, Mount Sinai Hospital, Toronto, ON, Canada, 13Mount Sinai Hospital, Toronto, ON, Canada, 14Divison of Rheumatology, Hospital for Special Surgery, New York, NY

     Background/Purpose: Treatment recommendations aim to improve outcomes in rheumatoid arthritis (RA) through early identification and a treat-to-target approach. We examined recent trends over the past…
  • Abstract Number: 1815 • 2017 ACR/ARHP Annual Meeting

    Patterns of Methotrexate Use and Discontinuation in a U.S. Rheumatoid Arthritis Registry

    Jeffrey R. Curtis1, Gene Wallenstein2, Liza Takiya3, David Gruben2, Connie Chen4, Ying Shan5, Taylor Blachley5, Kimberly J Dandreo5 and Joel Kremer6, 1University of Alabama at Birmingham, Birmingham, AL, 2Pfizer Inc, Groton, CT, 3Pfizer Inc, Collegeville, PA, 4Pfizer Inc, New York, NY, 5Corrona, LLC, Southborough, MA, 6Albany Medical College and The Center for Rheumatology, Albany, NY

    Background/Purpose: Methotrexate (MTX) remains a cornerstone therapy in the management of rheumatoid arthritis (RA), but patterns of adherence, intolerance, and inadequate response are not well…
  • Abstract Number: 1816 • 2017 ACR/ARHP Annual Meeting

    Sex Differences in Orthopedic Surgery Among Patients with Rheumatoid Arthritis

    Michael Richter1, Cynthia S. Crowson2, Eric L. Matteson3 and Ashima Makol3, 1Internal Medicine, Mayo Clinic, Rochester, MN, 2Health Sciences Research, Mayo Clinic College of Medicine and Science, Rochester, MN, 3Rheumatology, Mayo Clinic College of Medicine and Science, Rochester, MN

    Background/Purpose: Despite a decline in the incidence of orthopedic surgeries for rheumatoid arthritis (RA) in recent years, joint replacement remains an option for patients with…
  • Abstract Number: 1817 • 2017 ACR/ARHP Annual Meeting

    Abatacept Shows Better Sustainability Than TNF Inhibitors When Used Following Initial Biologic DMARD Failure in the Treatment of RA: 8 Years of Real-World Observations from the Rhumadata® Clinical Database and Registry

    Denis Choquette1, L Bessette2, E Alemao3, B Haraoui4, F Massicotte1, M Mtibaa5, E Muratti5, Jean-Pierre Pelletier1, R Postema6, Jean-Pierre Raynauld7, M-A Rémillard8, D Sauvageau1, A Turcotte9, É Villeneuve1 and L Coupal10, 1Rheumatology, Institut de Recherche en Rhumatologie de Montréal (IRRM), Montréal, QC, Canada, 2Centre d'ostéoporose et de rhumatologie de Québec (CORQ), Québec, QC, Canada, 3Bristol-Myers Squibb, Princeton, NJ, 4Institut de Recherche en Rhumatologie de Montréal (IRRM), Montreal, QC, Canada, 5Bristol-Myers Squibb, Montréal, QC, Canada, 6Bristol-Myers Squibb, Uxbridge, United Kingdom, 7Osteoarthritis Research Unit, University of Montreal Hospital Research Centre (CRCHUM), Montreal, QC, Canada, 8Rheumatology, Institut de Recherche en Rhumatologie de Montréal (IRRM), Montreal, QC, Canada, 9Rheumatology, Centre d’Ostéoporose et de Rhumatologie de Québec (CORQ), Québec, QC, Canada, 10Institut de Recherche en Rhumatologie de Montréal (IRRM), Montréal, QC, Canada

    Background/Purpose: In the absence of biomarkers predicting response to a specific therapy, the choice of second biologic is based mostly on habit and availability of…
  • Abstract Number: 1818 • 2017 ACR/ARHP Annual Meeting

    Development of Abatacept- and Adalimumab-Specific Predictive Models of Response to Therapy in RA Using Data from a Head-to-Head Study

    S Bandyopadhyay1, MA Maldonado1, R Ammar1, Michael Schiff2, Michael Weinblatt3, Roy Fleischmann4 and SE Connolly1, 1Bristol-Myers Squibb, Princeton, NJ, 2University of Colorado, Denver, CO, 3Brigham and Women’s Hospital, Boston, MA, 4University of Texas Southwestern Medical Centre, Dallas, TX

    Background/Purpose: Highly effective, targeted DMARD therapies with different mechanisms of action are available for RA. Translating precision medicine into clinical practice requires treatment-specific predictive models,…
  • Abstract Number: 1819 • 2017 ACR/ARHP Annual Meeting

    Delay of Diagnosis and Treatment in Seronegative Rheumatoid Arthritis: Missing the Window of Opportunity

    Caitrin Coffey1, Cynthia S. Crowson2, Elena Myasoedova3, Eric L. Matteson4 and John M. Davis III5, 1Internal Medicine, Mayo Clinic, Rochester, MN, 2Health Sciences Research, Mayo Clinic College of Medicine and Science, Rochester, MN, 3Rheumatology, Mayo Clinic, Rochester, MN, 4Rheumatology, Mayo Clinic College of Medicine and Science, Rochester, MN, 5Division of Rheumatology, Mayo Clinic, Rochester, MN

    Background/Purpose: Evidence supports a therapeutic window of opportunity in early rheumatoid arthritis (RA), during which DMARD therapy most effectively improves clinical outcomes. The 2010 ACR/EULAR…
  • Abstract Number: 1820 • 2017 ACR/ARHP Annual Meeting

    Sustained Effectiveness after Remission Induction with Methotrexate and Step-Down Glucocorticoids in Patients with Early Rheumatoid Arthritis Following a Treat-to-Target Strategy after 2 Years

    Veerle Stouten1, Johan Joly2, Diederik De Cock1, Sofia Pazmino1, Kristien Van der Elst2,3, René Westhovens1,2 and Patrick Verschueren1,2, 1KU Leuven Department of Development and Regeneration, Skeletal Biology and Engineering Research Center, Leuven, Belgium, 2University Hospitals Leuven on behalf of the CareRA Study Group, Leuven, Belgium, 3KU Leuven, Department of Public Health and Primary Care, Skeletal Biology and Engineering Research Center, Leuven, Belgium

    Background/Purpose: Remission induction with methotrexate (MTX) and a moderate-dose, step-down scheme of Glucocorticoids (GC), (COBRA Slim strategy), showed equally high remission rates at year 1…
  • Abstract Number: 1821 • 2017 ACR/ARHP Annual Meeting

    Dose Reduction of Baricitinib in Patients with Rheumatoid Arthritis Achieving Sustained Disease Control: Results of a Prospective Study

    Tsutomu Takeuchi1, Mark C. Genovese2, Boulos Haraoui3, Zhanguo Li4, Li Xie5, Rena Klar6, Ana Pinto Correia5, Susan Otawa5, Pedro Lopez-Romero7, Inmaculada de la Torre5, Terence P. Rooney5 and Josef S. Smolen8, 1Keio University School of Medicine, Tokyo, Japan, 2Stanford University Medical Center, Palo Alto, CA, 3Institut de Rhumatologie de Montreal, Montreal, QC, Canada, 4Peking University People's Hospital, Beijing, China, 5Eli Lilly and Company, Indianapolis, IN, 6Quintiles IMS Holdings, Inc., Durham, NC, 7Europe Research Center, Eli Lilly and Company, Madrid, Spain, 8Medical University of Vienna, Vienna, Austria

    Background/Purpose: In patients (pts) with active RA and inadequate response (IR) to DMARDs, phase 3 studies demonstrated efficacy of baricitinib (2-mg and 4-mg). Larger, more…
  • Abstract Number: 1822 • 2017 ACR/ARHP Annual Meeting

    The Effect of Sarilumab in Combination with Dmards on Fasting Glucose and Glycosylated Hemoglobin in Patients with Rheumatoid Arthritis with and without Diabetes

    Mark C. Genovese1, Roy Fleischmann2, Owen Hagino3, Chih-Chi Hu4, Claudia Pena-Rossi3, Jonathan Sadeh3, Neil M.H. Graham5, Erin K. Mangan5, Hubert van Hoogstraten4 and Thomas Mandrup-Poulsen6, 1Stanford University Medical Center, Palo Alto, CA, 2Metroplex Clinical Research Center, University of Texas Southwestern Medical Center, Dallas, TX, 3Sanofi, Bridgewater, NJ, 4Sanofi Genzyme, Bridgewater, NJ, 5Regeneron Pharmaceuticals, Inc., Tarrytown, NY, 6University of Copenhagen, Copenhagen, Denmark

    Background/Purpose: IL-6 involvement has been reported in glucose metabolism.1-4 Sarilumab, a human mAb blocking the IL-6Rɑ, was evaluated for treatment of RA in 3 clinical…
  • Abstract Number: 1823 • 2017 ACR/ARHP Annual Meeting

    Methotrexate Requires High Serum BAFF Levels to Prevent Immunization Against TNF-α Inhibitors

    Samuel Bitoun1, Pierre Dönnes2, Aline Doublet3, Kimberly Florence4, Agnes Hincelin-Mery5, Gaetane Nocturne6, Mattieu Allez7, N Ruperto8, Marc Pallardy9 and Xavier Mariette10, 1INSERM U1184, IMVA, Paris Sud University,LabEx LERMIT, Le Kremlin Bicëtre, France, 2SciCross AB, Skövde, Sweden, 3Department of Rheumatology, Kremlin-Bicêtre hospital INSERM U1184, Le Kremlin Bicêtre, France, 4Immunogenicity and Clinical Immunology, GlaxoSmithKline, King of Prussia, PA, 5Sanofi, Chilly-Mazarin, France, 6INSERM U1184, IMVA, Paris Sud University,LabEx LERMIT, Le Kremlin Bicêtre, France, 7Department of Gastroenterology, Hopital Saint-Louis, APHP, Paris, France, 8PRINTO Coordinating Centre, Genoa, Italy, 9Inflammation, Chimiokines et Immunopathologie, INSERM UMR 996, Faculté de Pharmacie, Chatenay Mallabry, France, 10Université Paris Sud, Paris, France

    Background/Purpose: Immunization against TNF Inhibitors (TNFi) is observed in 30-50% of patients with inflammatory rheumatic diseases. With most TNFi, anti-drug antibodies (ADA) lead to rapid…
  • Abstract Number: 1824 • 2017 ACR/ARHP Annual Meeting

    Evaluation of Pneumococcal and Tetanus Vaccine Responses in Patients with Rheumatoid Arthritis Receiving Baricitinib: Results from a Long-Term Extension Trial Substudy

    Kevin Winthrop1, Clifton O. Bingham III2, John D. Bradley3, Maher Issa3, Rena Klar4 and Cynthia E. Kartman3, 1Oregon Health and Sciences University, Portland, OR, 2Rheumatology, Johns Hopkins University, Baltimore, MD, 3Eli Lilly and Company, Indianapolis, IN, 4Quintiles IMS Holdings, Inc., Durham, NC

    Background/Purpose: Clinical guidelines recommend pneumococcal and tetanus vaccinations in patients (pts) with RA.1 Baricitinib (bari) is an oral, selective Janus kinase (JAK) 1/JAK 2 inhibitor…
  • Abstract Number: 1825 • 2017 ACR/ARHP Annual Meeting

    Comparative Analysis of Achievement of Individual Important Response Measured By DAS28dcrit in a Randomized Head-to-Head Trial of Tocilizumab Vs. Adalimumab in Active Rheumatoid Arthritis

    Michaela Koehm1, Michael Hofmann2, Rasmus Lüthje2, Matthew McIntosh3, Varghese Abraham3, Cem Gabay4, Arthur Kavanaugh5, Harald Burkhardt6 and Frank Behrens6, 1Division of Rheumatology and Fraunhofer IME-Project-Group Translational Medicine and Pharmacology, Goethe University, Frankfurt/Main, Germany, 2Rheumatology, Chugai Pharma Europe Ltd., Frankfurt, Germany, 3Genentech, San Francisco, CA, 4SCQM, Geneva, Switzerland, Geneva, Switzerland, 5Medicine, University of California, San Diego, La Jolla, CA, 6Division of Rheumatology and Fraunhofer IME-Project-Group Translational Medicine and Pharmacology, Goethe University, Frankfurt, Germany

    Background/Purpose: Fluctuations in disease activity due to short-term situational effects and measurement errors are important considerations for evaluation of individual clinically meaningful therapeutic response in…
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All abstracts accepted to ACR Convergence are under media embargo once the ACR has notified presenters of their abstract’s acceptance. They may be presented at other meetings or published as manuscripts after this time but should not be discussed in non-scholarly venues or outlets. The following embargo policies are strictly enforced by the ACR.

Accepted abstracts are made available to the public online in advance of the meeting and are published in a special online supplement of our scientific journal, Arthritis & Rheumatology. Information contained in those abstracts may not be released until the abstracts appear online. In an exception to the media embargo, academic institutions, private organizations, and companies with products whose value may be influenced by information contained in an abstract may issue a press release to coincide with the availability of an ACR abstract on the ACR website. However, the ACR continues to require that information that goes beyond that contained in the abstract (e.g., discussion of the abstract done as part of editorial news coverage) is under media embargo until 10:00 AM CT on October 25. Journalists with access to embargoed information cannot release articles or editorial news coverage before this time. Editorial news coverage is considered original articles/videos developed by employed journalists to report facts, commentary, and subject matter expert quotes in a narrative form using a variety of sources (e.g., research, announcements, press releases, events, etc.).

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