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  • Abstract Number: 1886 • 2017 ACR/ARHP Annual Meeting

    Continued Fracture Risk Reduction after 12 Months of Romosozumab Followed By Denosumab through 36 Months in the Extension of the Phase 3 Fracture Study in Postmenopausal Women with Osteoporosis

    E Michael Lewiecki1, Rajani V Dinavahi2, Marise Lazaretti-Castro3, Peter R Ebeling4, J Adachi5, Akimitsu Miyauchi6, Evelien Gielen7, Cassandra E Milmont2, Cesar Libanati8 and Andreas Grauer2, 1New Mexico Clinical Research & Osteoporosis Center, Albuquerque, NM, 2Amgen Inc., Thousand Oaks, CA, 3Federal University of São Paulo, São Paulo, Brazil, 4Monash University, Melbourne, Australia, 5McMaster University, Hamilton, ON, Canada, 6Miyauchi Medical Center, Osaka, Japan, 7University Hospitals Leuven, Leuven, Belgium, 8UCB Pharma, Brussels, Belgium

    Background/Purpose: Romosozumab (Romo) is a monoclonal antibody that binds sclerostin with a dual effect, increasing bone formation and decreasing bone resorption. In the primary analysis…
  • Abstract Number: 1887 • 2017 ACR/ARHP Annual Meeting

    Ten-Year Continued Nonvertebral Fracture Reduction in Postmenopausal Osteoporosis with Denosumab Treatment

    S Ferrari1, PW Butler2, DL Kendler3, Paul D Miller4, C Roux5, AT Wang2, Rachel B. Wagman2 and EM Lewiecki6, 1Geneva University Hospital, Geneva, Switzerland, 2Amgen Inc., Thousand Oaks, CA, 3University of British Columbia, Vancouver, BC, Canada, 4Colorado Center for Bone Research, Lakewood, CO, 5Paris Descartes University, Paris, France, 6New Mexico Clinical Research & Osteoporosis Center, Albuquerque, NM

    Background/Purpose: Treatment with denosumab (DMAb) for 3 years significantly reduces the incidence of nonvertebral fractures (NVFx; Cummings NEJM 2009). While there are limited data describing…
  • Abstract Number: 1888 • 2017 ACR/ARHP Annual Meeting

    Effect of Denosumab Compared with Risedronate on Percentage Change in Lumbar Spine Bone Mineral Density at 12 Months in Subgroups of Glucocorticoid-Treated Individuals

    Kenneth Saag1, N Pannacciulli2, P Geusens3, J Adachi4, Eric Lespessailles5, J Malouf6, O Messina7, AT Wang2, Rachel B. Wagman2 and WF Lems8, 1University of Alabama, Birmingham, AL, 2Amgen Inc., Thousand Oaks, CA, 3Maastricht University, Maastricht, Netherlands, 4McMaster University, Hamilton, ON, Canada, 5University Hospital Orleans, Orleans, France, 6Hospital San Pablo, Barcelona, Spain, 7Cosme Argerich Hospital, Buenos Aries, Argentina, 8VU University Medical Centre, Amsterdam, Netherlands

    Background/Purpose: Glucocorticoid (GC)-induced osteoporosis (GIOP) remains the most common secondary cause of osteoporosis. We previously demonstrated that denosumab (DMAb) significantly increased lumbar spine (LS) BMD…
  • Abstract Number: 1889 • 2017 ACR/ARHP Annual Meeting

    Safety and Efficacy of Denosumab Among Subjects with Mild-to-Moderate Chronic Kidney Disease (CKD) in the “Fracture Reduction Evaluation of Denosumab in Osteoporosis Every 6 Months” Extension Study

    Aaron Broadwell1, Peter R Ebeling2, Edward Franek3, Stefan Goemaere4, Rachel B. Wagman5, Xiang Yin5, Susan Yue5 and Paul D Miller6, 1Rheumatology and Osteoporosis Specialists, Shreveport, LA, 2Monash University, Clayton, Australia, 3Mossakowski Medical Research Centre, Polish Academy of Sciences, Warsaw, Poland, 4Ghent University Hospital, Gent, Belgium, 5Amgen Inc., Thousand Oaks, CA, 6Colorado Center for Bone Research, Lakewood, CO

    Background/Purpose: As renal function may decline with age, it is important to understand the safety and efficacy of therapeutic agents for postmenopausal osteoporosis (PMO) and…
  • Abstract Number: 1890 • 2017 ACR/ARHP Annual Meeting

    Persistent Fracture Reduction with Abaloparatide-SC (TYMLOS™) Followed By 24 Months of Alendronate

    Kenneth Saag1, Paul D Miller2, Felicia Cosman3,4, Lorraine A Fitzpatrick5, Gary Hattersley6, Robert Gut6, Bruce Mitlak6, John P Bilezikian4 and Robin K Dore7, 1Department of Medicine, University of Alabama at Birmingham, Birmingham, AL, 2Colorado Center for Bone Research, Lakewood, CO, 3Helen Hayes Hospital, West Haverstraw, NY, 4Columbia University College of Physicians and Surgeons, New York, NY, 5Chief Medical Officer, Radius Health, Inc., Waltham, MA, 6Radius Health, Inc., Waltham, MA, 7Robin K Dore, MD, Inc., Tustin, CA

    Background/Purpose: In the ACTIVE phase III trial, postmenopausal women with osteoporosis were randomized 1:1:1 to abaloparatide (ABL; n=824), blinded placebo (PBO; n=821), or open-label teriparatide…
  • Abstract Number: 1891 • 2017 ACR/ARHP Annual Meeting

    Low Alkaline Phosphatase Levels: Could It be Hypophosphatasia?

    C. Tornero1, P. Aguado1, S. García-Carazo1, J.A. Tenorio2, P. Lapunzina2, K. Heath2, A. Buño3, J.M. Iturzaeta3, Irene Monjo4, C. Plasencia1 and Alejandro Balsa1, 1Rheumatology, Rheumatology. La Paz University Hospital, Spain., Madrid, Spain, 2Institute of Medical and Molecular Genetics (INGEMM), Institute of Medical and Molecular Genetics (INGEMM). La Paz University Hospital, Spain., Madrid, Spain, 3Laboratory medicine, Laboratory medicine. La Paz University Hospital, Spain., Madrid, Spain, 4Rheumatology, Rheumatology. La Paz University Hospital, Spain., MADRID, Spain

    Background/Purpose: Hypophosphatasia (HPP) is a rare inherited disorder caused by mutations in ALPL (alkaline phosphatase liver type ALPL gene). Clinical presentation is variable and adult…
  • Abstract Number: 1892 • 2017 ACR/ARHP Annual Meeting

    A20 Haploinsufficiency: Clinical Phenotypes and Disease Course of Patients with This Newly Recognized Autoinflammatory Disease

    Florence A. Aeschlimann1, Ezgi Deniz Batu2, Ellen Go3, Ahmet Gül4, Patrycja M. Hoffmann5, Helen L. Leavis6, Seza Ozen7, Annet van Royen-Kerkof6, Daniella Schwartz8, Deborah L. Stone9, Ivona Aksentijevich10, Daniel L. Kastner11 and Ronald Laxer1, 1Rheumatology, The Hospital for Sick Children, University of Toronto, Toronto, ON, Canada, 2Pediatric Rheumatology, Hacettepe University Faculty of Medicine, Ankara, Turkey, 3Pediatrics, Indiana University School of Medicine, Indianapolis, IN, 4Department of Internal Medicine, Division of Rheumatology, Istanbul University, Istanbul Faculty of Medicine, Istanbul, Turkey, 5Inflammatory Disease Section, National Human Genome Research Institute, Bethesda, MD, 6Pediatric Immunology, University Medical Center Utrecht, Utrecht, Netherlands, 7Department of Pediatrics, Division of Rheumatology, Hacettepe University Faculty of Medicine, Ankara, Turkey, 8NIAMS - Rheumatology, National Institutes of Health, Bethesda, MD, 9Inflammatory Disease Section, NHGRI/NIH, Bethesda, MD, 10National Human Genome Research Institute, National Institutes of Health, Inflammatory Disease Section, Bethesda, MD, 11Inflammatory Disease Section, National Human Genome Research Institute, National Institutes of Health, Bethesda, MD

    Background/Purpose: Haploinsufficiency of A20 (HA20) is a newly discovered autoinflammatory disease caused by mutations in TNFAIP3. A20 is a protein with a crucial role in…
  • Abstract Number: 1893 • 2017 ACR/ARHP Annual Meeting

    Pharmacokinetics (PK), Pharmacodynamics (PD), and Proposed Dosing of Oral Janus Kinase (JAK)1 and JAK2 Inhibitor Baricitinib in Patients with IFN-Mediated Autoinflammatory Diseases (AIDs)

    Hanna Kim1, Kristina M. Brooks2, Paul Wakim3, Mary Blake4, Stephen R. Brooks5, Gina A. Montealegre Sanchez6, Adriana Almeida de Jesus6, Yan Huang6, Wanxia Li Tsai7, Massimo G. Gadina4, Parag Kumar2 and Raphaela Goldbach-Mansky6, 1Pediatric Translational Research Branch, NIAMS/NIH, Bethesda, MD, 2Clinical Pharmacokinetics Research Unit, Pharmacy Department, NIH Clinical Center, Bethesda, MD, 3Biostatistics and Clinical Epidemiology Service, NIH Clinical Center, Bethesda, MD, 4Translational Immunology Section, Office of Science and Technology, NIAMS/NIH, Bethesda, MD, 5Biodata Mining and Discovery Section, Office of Science and Technology, NIAMS/NIH, Bethesda, MD, 6Translational Autoinflammatory Disease Studies (TADS), Laboratory of Clinical Investigation and Microbiology (LCIM), NIAID/NIH, Bethesda, MD, 7Translational Immunology, Office of Science and Technology, NIAMS/NIH, Bethesda, MD

    Background/Purpose: JAK inhibitors reduce IFN-signaling ex vivo. We evaluated the PK and PD of the oral JAK1 and JAK2 inhibitor, baricitinib, from data collected in…
  • Abstract Number: 1894 • 2017 ACR/ARHP Annual Meeting

    Genetic Phenotypes Impacting Efficacy and Safety of Canakinumab in Patients with Colchicine-Resistant FMF, TRAPS and Hids/Mkd: Results from Cluster Study

    Fabrizio De Benedetti1, Paivi Miettunen2, Tilmann Kallinich3, Gerd Horneff4, Riva Brik5, Alberto Tomassini6, Takahiro Yasumi7, Sinisa Savic8, Ivan Foeldvari9, Liora Harel10, Romina Gallizzi11, Antonio Speziale12, Guido Junge12 and Marco Gattorno13, 1Division of Rheumatology, IRCCS Bambino Gesù Children's Hospital, Rome, Rome, Italy, 2Alberta Children's Hospital Research Institute/University of Calgary, Calgary, AB, Canada, 3Charité, Humbolt University Medicine Berlin, Berlin, Germany, 4Asklepios Kliniken GmbH, Hamburg, Germany, 5Pediatrics, Rambam Medical Center, Haifa, Israel, 6Institute for Maternal and Child Health- IRCCS “Burlo Garofolo”, Trieste, Italy, 7Department of Pediatrics, Kyoto University Graduate School of Medicine, Kyoto, Japan, 8University of Leeds, Leeds, United Kingdom, 9Hamburger Zentrum für Kinder-und Jugend Rheumatologie, Hamburg, Germany, 10Schneider Children's Medical Center of Israel, Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel, 11Department of Pediatrics, University of Messina, Messina, Italy, 12Novartis Pharma AG, Basel, Switzerland, 13Pediatric Rheumatology, G. Gaslini Institute, Genoa, Italy

    Background/Purpose: Familial Mediterranean fever (FMF), Hyper IgD Syndrome (HIDS)/mevalonate kinase deficiency (MKD) and TNF-receptor associated periodic syndrome (TRAPS) are monogenic auto-inflammatory diseases caused by mutations…
  • Abstract Number: 1895 • 2017 ACR/ARHP Annual Meeting

    Serum Interleukin 18 As a Biomarker for Systemic Juvenile Idiopathic Arthritis and Macrophage Activation Syndrome and Use of Recombinant Human IL-18 BP in a Patient with Refractory Disease

    Shima Yasin1, Rachel Brown1, Ndate Fall2, Krista Solomon1, Scott Canna3, Charlotte Girard4, Cem Gabay5, Eduardo Schiffrin6, Andrew Sleight6, Alexei A. Grom7 and Grant Schulert8, 1Pediatric Rheumatology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, 2Division of Rheumatology, Cincinnati Children's Hospital, Cincinnati, OH, 3NIAMS, National Institutes of Health, Bethesda, MD, 4Division of Rheumatology, Department of Internal Medicine Specialties, University Hospital of Geneva, Geneva, Switzerland, 5SCQM, Geneva, Switzerland, Geneva, Switzerland, 6AB2 Bio, Lausanne, Switzerland, 7Division of Pediatric Rheumatology, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, United States Minor Outlying Islands, 8Pediatric Rheumatology, Division of Pediatric Rheumatology, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH

    Background/Purpose: Systemic juvenile idiopathic arthritis is an autoinflammatory childhood arthritis with prominent innate immune activity. Macrophage activation syndrome is a severe and potentially fatal complication…
  • Abstract Number: 1896 • 2017 ACR/ARHP Annual Meeting

    IL-18 As a Diagnostic Biomarker, Differentiating Systemic JIA from Acute Leukaemia, Severe Bacterial Infections and Other Auto-Immune Disorders

    Arjen Leek1, Nienke Ter Haar2, Valerie De Haas3, Ayman El Idrissi1, Judith Wienke1, Sytze de Roock4, Dirk Holzinger5, Wilco de Jager6, Jorg van Loosdregt7 and Sebastiaan Vastert4,8, 1Pediatric Rheumatology and Immunology, University Medical Center Utrecht, Utrecht, Netherlands, 2Department of Pediatric Rheumatology and immunology, University Medical Center Utrecht, Utrecht, Netherlands, 3DCOG Laboratory, SKION, Den Haag, Netherlands, 4Laboratory of Translational Immunology, University Medical Center Utrecht, Utrecht, Netherlands, 5Department of Pediatric Rheumatology and Immunology, University of Muenster, Muenster, Germany, 6Dept Immunology, UMC Utrecht, Utrecht, Netherlands, 7Laboratory for Translational immunology, University Medical Center Utrecht, Utrecht, Netherlands, 8Division of Pediatric Rheumatology, University Medical Center Utrecht, Utrecht, Netherlands

    Background/Purpose: Systemic onset Juvenile Idiopathic Arthritis (sJIA) is a disease characterized by systemic inflammation in addition to arthritis and it’s diagnosis currently still depends on…
  • Abstract Number: 1897 • 2017 ACR/ARHP Annual Meeting

    the Ferritin to ESR Ratio: A Simple Measure to Distinguish Macrophage Activation Syndrome from Systemic Arthritis Flare

    Esraa M. A. Eloseily1,2, Francesca Minoia3, Timothy Beukelman2, Angelo Ravelli4 and Randy Q. Cron2, 1Pediatrics, Assiut University, Assiut, Egypt, 2Pediatric Rheumatology, University of Alabama at Birmingham, Birmingham, AL, 3Istituto Giannina Gaslini, Genoa, Italy, 4University of Genova, Genova, Italy

    Background/Purpose: Macrophage activation syndrome (MAS) is a life threatening complication of systemic juvenile idiopathic arthritis (sJIA). As MAS often shares clinical and laboratory features with…
  • Abstract Number: 1898 • 2017 ACR/ARHP Annual Meeting

    Overweight/Obesity Affect Histological Features of Synovial Membrane of Rheumatoid Arthritis Patients from Disease Onset to Stable Remission Achievement

    Stefano Alivernini1, Barbara Tolusso1, Maria Rita Gigante1, Laura Bui2, Clara Di Mario1, Luca Petricca1, Gabriele Di Sante1, Roberta Benvenuto2, Anna Laura Fedele1, Francesco Federico2, Gianfranco Ferraccioli3 and Elisa Gremese1, 1Institute of Rheumatology, Fondazione Policlinico Universitario A. Gemelli - Catholic University of the Sacred Heart, Rome, Italy, 2Institute of Pathology, Fondazione Policlinico Universitario A. Gemelli - Catholic University of the Sacred Heart, Rome, Italy, 3Institute of Rheumatology, Università Cattolica - Fondazione Policlinico Universitario A.Gemelli, Rome, Italy

    Background/Purpose: Despite animal models, little is known about synovial tissue (ST) composition of overweight/obese Rheumatoid Arthritis patients. The aim of the study was to investigate…
  • Abstract Number: 1899 • 2017 ACR/ARHP Annual Meeting

    Osteopontin and Leptin Are Associated with Erosive Disease in an Inception Cohort of Rheumatoid Arthritis Treated-to-Target with Combination Conventional DMARD Therapy

    Mihir D. Wechalekar1,2,3, Susan Lester4, Sunil Nagpal5, Suzanne Cole6, Jessica Peters7, Anuk Das8, Pravin Hissaria9, Tania Crotti10, Catherine Hill1,11,12, Sudha Raghunath13, Llew Spargo14, Jennifer G Walker13,14,15, Malcolm D. Smith2 and Susanna Proudman1,10, 1Rheumatology Unit, Royal Adelaide Hospital, Adelaide, Australia, 2Flinders University, Adelaide, Australia, 3Rheumatology Unit, Repatriation General Hospital, Adelaide, Australia, 4Queen Elizabeth Hospital, Adelaide, Australia, 5Immunology, Janssen Research & Development, Spring House, PA, 6Immunology, Janssen Research and Development, Spring House, PA, 7Janssen Research & Development, Spring House, PA, 8Janssen R&D, Berwyn, PA, 9Immunology, SA Pathology, Adelaide, Australia, 10University of Adelaide, Adelaide, Australia, 11Medicine, The University of Adelaide, Adelaide, Australia, 12The Queen Elizabeth Hospital, Adelaide, Australia, 13Repatriation General Hospital, Adelaide, Australia, 14Rheumatology Unit, Royal Adelaide Hospital, South Australia, Adelaide, Australia, 15Flinders University of South Australia, Adelaide, Australia

    Background/Purpose: We sought to identify biomarkers associated with erosive disease and bone loss in an inception rheumatoid arthritis (RA) cohort receiving treat-to-target combination DMARD therapy…
  • Abstract Number: 1900 • 2017 ACR/ARHP Annual Meeting

    Effect of Age and Body Mass Index (BMI) on Multi-Biomarker Disease Activity (MBDA) Score in Patients with Rheumatoid Arthritis

    Kerri Ford1, David Chernoff1, Xingbin Wang1, Eric H. Sasso1, Carol J. Etzel2,3 and Dimitrios A. Pappas3,4, 1Crescendo Bioscience Inc., South San Francisco, CA, 2Departments of Epidemiology and Biostatistics, University of Texas School of Public Health, Houston, TX, 3Corrona, LLC, Southborough, MA, 4Columbia University, New York, NY

    Background/Purpose: We evaluated the associations between MBDA score and age and between MBDA score and BMI in patients with rheumatoid arthritis (RA). These relationships may…
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