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  • Abstract Number: 2606 • 2017 ACR/ARHP Annual Meeting

    Pneumococcal Vaccination in Patients with Systemic Lupus Erythematosus: A Multicenter Placebo-Controlled Randomized Double-Blind Study

    Sophie Grabar1, Matthieu Groh2, Mathilde Bahuaud3, Nathalie Costedoat-Chalumeau4, Veronique Le Guern5, Renato Fior6, Boris Bienvenu7, eric hachulla8, Mohamed Hamidou9, Jean Sibilia10, Alexis Mathian11, Thomas Hanslik12, Loïc Guillevin for the French Vasculitis Study Group13, Frédéric Batteux3 and Odile Launay14, 1Université Paris Descartes, Sorbonne Paris Cité AP-HP, Unité de Biostatistique et Epidémiologie, Groupe Hospitalier Cochin Broca Hôtel-Dieu, Paris, France; INSERM, UPMC Université Paris 06, Institut Pierre Louis d’épidémiologie et de Santé Publique (IP, Paris, France, 2National Referral Center for Rare Systemic Autoimmune Diseases, Hôpital Cochin, AP–HP, Université Paris Descartes, Paris, France, 3Université Paris Descartes, Sorbonne Paris Cité AP-HP, Département d’Immunologie Biologique, Groupe Hospitalier Cochin Broca Hôtel-Dieu, Paris, France, Paris, France, 4Service de médecine interne Pôle médecine, Hôpital Cochin, Centre de référence maladies auto-immunes et systémiques rares de l’île de France, Paris, France, 5Department of Internal Medicine, Department of Internal Medicine, Cochin University Hospital, Paris, France, 6Université Paris-Sud, AP-HP, Service de Médecine Interne et Immunologie Clinique, Hôpital Antoine Béclère, Clamart, France, Clamant, France, 7Internal Medicine, Hôpital de la côte de Nacre, Caen, France, 8chru lille hospital, lille, France, 9Medecine Interne, CHU Hôtel Dieu, Nantes, France, 10Department of Rheumatology, Strasbourg University Hospital, Strasbourg, France, 11Université Pierre et Marie Curie, Sorbonne Paris Cité AP-HP, Service de Médecine Interne 2, Centre de Référence National pour le Lupus et le Syndrome des Antiphospholipides, institut E3M, Paris, France, Paris, France, 12Université Versailles Saint-Quentin-en-Yvelines, APHP, Service de Médecine Interne, Hôpital Ambroise Paré, Boulogne-Billancourt, France, Boulogne-Billancourt, France, 13Service de Médecine Interne, Centre de Référence Maladies Auto-Immunes et Auto-Inflammatoires Systémiques Rares, Hôpital Cochin, Paris, France, 14Université Paris Descartes, Sorbonne Paris Cité AP-HP, Groupe Hospitalier Cochin Broca Hôtel-Dieu, Fédération d'Infectiologie, Paris, France; Inserm, F-CRIN I-REIVAC., Paris, France

    Background/Purpose: Invasive pneumococcal disease and respiratory tract infections are both frequent and severe in patients with systemic lupus erythematosus (SLE). This study aimed to compare…
  • Abstract Number: 2607 • 2017 ACR/ARHP Annual Meeting

    Safety, Tolerability, Pharmacokinetic  and Pharmacodynamic  Effects of BIIB059, a Monoclonal Antibody Targeting BDCA2 Following Administration of Intravenous  and Subcutaneous  Single or Multiple Doses  in Healthy Volounters  and Subjects with Active SLE

    Himanshu Naik1, Cristina Musselli1, Catherine Barbey2, Romy B. Christmann1, Lauren Stevenson1, Dania Rabah1, Parul Gulati1 and Nathalie Franchimont1, 1Biogen, Cambridge, MA, 2Biogen, Zug, Switzerland

    Background/Purpose: BDCA2 is a plasmacytoid dendritic cell (pDC)-specific receptor that, upon activation, inhibits the production of inflammatory factors by human pDCs, including IFN-α a major…
  • Abstract Number: 2608 • 2017 ACR/ARHP Annual Meeting

    Tacrolimus in Non-Asian Systemic Lupus Erythematosus Patients: A Real-Life Experience from Three European Centers

    Chiara Tani1, Miguel Martin-Cascon2, Mériem Belhocine3, Roberta Vagelli1, Chiara Stagnaro4, Guillermo Ruiz-Irastorza5, Nathalie Costedoat-Chalumeau3 and Marta Mosca1, 1Rheumatology Unit, University of Pisa, Pisa, Italy, 2Autoimmune Diseases Research Unit, BioCruces, Hospital Universitario Cruces, Barakaldo, Spain, 3Service de médecine interne Pôle médecine, Hôpital Cochin, Centre de référence maladies auto-immunes et systémiques rares de l’île de France, Paris, France, 4Rheumatology Unit, University of Pisa, PISA, Italy, 5Autoimmune Diseases Research Unit, BioCruces, Hospital Universitario Cruces, Baracaldo, Spain

    Background/Purpose: there is no consensus on the use of Tacrolimus (TAC) in patients with SLE; clinical studies on TAC, including all the RCT, are mostly…
  • Abstract Number: 2609 • 2017 ACR/ARHP Annual Meeting

    A Systematic Literature Mining and Gene Expression Analysis Identifies Possible Drug Candidates for Repositioning in Lupus

    Peter E. Lipsky, Matt Ryals, Adam Labonte, Sarah Heuer, James Dittman, Michelle Catalina and Amrie Grammer, AMPEL BioSolutions and RILITE Research Institute, Charlottesville, VA

    Background/Purpose: Since new therapies for lupus have been extremely slow to develop and lupus patients have a great unmet medical need, an independent pharma-external effort…
  • Abstract Number: 2610 • 2017 ACR/ARHP Annual Meeting

    Quantiferon Testing in a Clinical Trial of Systemic Lupus Erythematosus

    Niti Goel1, Stephen Wax2, Amy Kao2, Russell Reeve3 and Marsha Mackey4, 1QuintilesIMS, Duke University School of Medicine, Durham, NC, 2EMD Serono Research & Development Institute, Inc. (a business of Merck KGaA), Billerica, MA, 3QuintilesIMS, Durham, NC, 4QuintilesIMS, Rockville, MD

    Background/Purpose: Tuberculosis (TB) has been reported to occur at a higher rate in SLE patients than in the general population.  As a result, most clinical…
  • Abstract Number: 2611 • 2017 ACR/ARHP Annual Meeting

    Walk SLE – a Pilot Study Exploring Walk with Ease (WWE), a Self-Directed Walking Program, in Lupus Patients

    Brittaney-Belle E. Gordon1, Katherine Kaufman2, Sean T. Hicks1, Julie A. Norfleet1, Rebecca J. Cleveland1, Leigh F. Callahan3 and Saira Z. Sheikh1, 1Thurston Arthritis Research Center, University of North Carolina School of Medicine, Chapel Hill, NC, 2Department of Pediatrics, Duke University School of Medicine, Durham, NC, 3Thurston Arthritis Research Center, University of North Carolina at Chapel Hill, Chapel Hill, NC

    Background/Purpose: Fatigue and arthritis are common sources of impairment in SLE patients that persist despite lifestyle and pharmacologic interventions. Walk with Ease (WWE) is the…
  • Abstract Number: 2612 • 2017 ACR/ARHP Annual Meeting

    Disparities in Antimalarial Prescribing for Systemic Lupus Erythematosus Using a Real-World, Electronic Health Record

    J.B. Boone, Wendy Xiong, Cecilia P. Chung, Leslie Crofford and April Barnado, Medicine, Vanderbilt University Medical Center, Nashville, TN

    Background/Purpose: Antimalarials (AMs) reduce disease activity and improve survival in patients with systemic lupus erythematosus (SLE) and are recommended regardless of disease severity. Prior studies…
  • Abstract Number: 2613 • 2017 ACR/ARHP Annual Meeting

    Antimalarial Drug Toxicities in Rheumatic Skin Disease Patients

    Lavanya Mittal1, Lingqiao Zhang2, Rui Feng2 and Victoria Werth1, 1Department of Dermatology, Corporal Michael J. Crescenz VAMC, Department of Dermatology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, 2Department of Biostatistics and Epidemiology at the Hospital of the University of Pennsylvania, Philadelphia, PA

    Background/Purpose: Although existing evidence demonstrates the efficacy of antimalarials for rheumatic skin disease, the safety of these medications, and particularly quinacrine, remain debated. Quinacrine may…
  • Abstract Number: 2614 • 2017 ACR/ARHP Annual Meeting

    Hydroxychloroquine Initiation Dosing Trends and Predictors in Systemic Lupus Erythematosus

    April Jorge1, Leo Lu2, Yuqing Zhang3, Sharan K. Rai4, Lucy H. Young5, Ronald B. Melles6, Michael F. Marmor7, Karen H. Costenbader8, Rosalind Ramsey-Goldman9, S. Sam Lim10, John M. Esdaile11, Ann E. Clarke12, Murray Urowitz13, Anca Askanase14, Cynthia Aranow15, Michelle Petri16 and Hyon K. Choi4, 1Rheumatology, Allergy, and Immunology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, 2Allergy, Immunology, and Rheumatology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, 3School Division of Rheumatology, Allergy, and Immunology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, 4Division of Rheumatology, Allergy, and Immunology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, 5Department of Ophthalmology,, Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, MA, 6Department of Ophthalmology, Kaiser Permanente, Redwood City, CA, 7Department of Ophthalmology and Byers Eye Institute, Stanford University School of Medicine, Palo Alto, CA, 8Brigham and Women's Hospital, Harvard Medical School, Boston, MA, 9FSM, Northwestern University, Chicago, IL, 10Division of Rheumatology, Emory University School of Medicine, Atlanta, GA, 11Arthritis Research Canada, Richmond, BC, Canada, 12Division of Rheumatology, University of Calgary, Calgary, AB, Canada, 13Centre for Prognosis Studies in the Rheumatic Diseases, University of Toronto, Toronto Western Hospital, Toronto, ON, Canada, 14Rheumatology, Columbia University College of Physicians & Surgeons, New York, NY, 15Autoimmune and Musculoskeletal Disease, The Feinstein Institute for Medical Research, Manhasset, NY, 16Medicine (Rheumatology), Division of Rheumatology, Johns Hopkins University School of Medicine, MD, USA, Baltimore, MD

    Background/Purpose: Hydroxychloroquine (HCQ) is a cornerstone of systemic lupus erythematosus (SLE) care. The major long-term adverse event risk is vision-threatening toxic retinopathy. The 2012 EULAR,…
  • Abstract Number: 2615 • 2017 ACR/ARHP Annual Meeting

    Non-Pharmacological Treatment on Fatigue, Depression, Disease Activity, and Quality of Life of Systemic Lupus Erythematosus: A Systematic Review

    Monthida Fangtham1, Jacob Louis Nash2, Stephanie Hyon3, Raveendhara R. Bannuru4 and Chenchen Wang3, 1Internal Medicine, University of New Mexico, Albuquerque, NM, 2Health Sciences Library and Informatics Center, University of New Mexico, Albuquerque, NM, 3Rheumatology, Center of Integrative Medicine and Division of Rheumatology, Tufts Medical Center, Boston, MA, Boston, MA, 4Center of Integrative Medicine and Division of Rheumatology, Tufts Medical Center, Boston, MA, Boston, MA

    Background/Purpose: In recent years, non-pharmacological therapies have been deemed as potentially beneficial for patients with systemic lupus erythematosus (SLE). These include complementary and integrative approaches,…
  • Abstract Number: 2616 • 2017 ACR/ARHP Annual Meeting

    Mesenchymal Stem Cells Induce CD1c+ Tolerogenic Dendritic Cells Via up-Regulating FLT3L in Systemic Lupus Erythematosus

    Xinran Yuan1, Dandan Wang2 and Lingyun Sun3, 1Department of Rheumatology and Immunology, The Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, China, 2Department of Rheumatology and immunology, The Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, China, 3Department of Rheumatology and Immunology, the Affiliated Drum Tower Hospital, Nanjing University Medical School, nanjing, China

    Background/Purpose: Several tolerogenic dendritic cell (DC) subsets have been identified in human such as CD1c+ DCs, which could be elevated by injection of Flt-3 ligand…
  • Abstract Number: 2617 • 2017 ACR/ARHP Annual Meeting

    Electrocardiogram Abnormalities Related to Antimalarials in Systemic Lupus Erythematosus

    Taneisha McGhie1, Paula Harvey2, Jiandong Su1, Nicole Anderson3, George A. Tomlinson4 and Zahi Touma5, 1University of Toronto, Toronto Western Hospital, Toronto, ON, Canada, 2Cardiology, Women's College Hospital, University of Toronto, Toronto, ON, Canada, 3Rheumatology, University of Toronto, Toronto Western Hospital, Toronto, ON, Canada, 4Medicine, Mount Sinai Hospital, Toronto, ON, Canada, 5Rheumatology, University of Toronto, Division of Rheumatology, Institute of Health Policy, Management and Evaluation, Toronto, ON, Canada

    Background/Purpose: Anti-malarials (AM), such as hydroxychloroquine (HCQ) and chloroquine (CQ), have long been used for the treatment of systemic lupus erythematosus (SLE). However, despite their…
  • Abstract Number: 2618 • 2017 ACR/ARHP Annual Meeting

    Why Aren’t All Patients with SLE Taking Hydroxychloroquine? A Retrospective Chart Review

    Caroline H. Siegel1, Jennifer M. Grossman1, John Fitzgerald1, Bevra H. Hahn1,2, Lori Sahakian1, Eloise Olmos2 and Maureen A. McMahon1, 1UCLA David Geffen School of Medicine, Los Angeles, CA, 2Division of Rheumatology, UCLA David Geffen School of Medicine, Los Angeles, CA

    Background/Purpose: Although previous SLE treatment guidelines recommended judicious use of antimalarials, there is a growing body of evidence demonstrating that HCQ prevents flares, protects against…
  • Abstract Number: 2619 • 2017 ACR/ARHP Annual Meeting

    Hemophagocytic Syndrome in Patients from SLE Registry from the Spanish Society of Rheumatology (RELESSER)

    Ana Lois-Iglesias1, Francisco J. de Toro2, Antonio Zea3, María Galindo4, Esther Uriarte5, Iñigo Rúa-Figueroa6 and JM Pego-Reigosa7, 1Rheumatology, University Hospital A Coruña, A Coruña, Spain, 2Rheumatology Division, INIBIC-Complejo Hospitalario Universitario A Coruña (CHUAC), A Coruna, Spain, 3Hospital Ramón y Cajal. Madrid, Madrid, Spain, 4Servicio de Reumatología, Hospital 12 de Octubre, Madrid, Spain, 5Reumatología, Hospital de Donosti, Donosti, Spain, 6Rheumatology Division, Hospital Doctor Negrin, Las Palmas GC, Spain, 7Rheumatology Section, Hospital de Meixoeiro, Pontevedra, Spain, Vigo, Spain

    Background/Purpose: Systemic Lupus Erythematosus (SLE) is an autoimmune systemic rheumatic disease that, in our area, presents hematologic manifestations in approximately 70% of cases1. Some of…
  • Abstract Number: 2620 • 2017 ACR/ARHP Annual Meeting

    The Value of Repeat Biopsy in the Management of Lupus Nephritis Flares

    Javier Narváez1,2, Milagros Ricse2, Montserrat Goma3, Francesca Mitjavila4, Xavier Fulladosa5, Olga Capdevila4, Joan Torras5, Xavier Juanola2,6, Ramon Pujol4 and Joan Miquel Nolla2, 1Rheumatology Department, Hospital de Bellvitge. Barcelona. Spain, L’Hospitalet de Llobregat, Spain, 2Rheumatology, Hospital Universitario de Bellvitge, Barcelona, Spain, 3Pathology, Hospital Universitario de Bellvitge, Barcelona, Spain, 4Internal Medicine, Hospital Universitario de Bellvitge, Barcelona, Spain, 5Nephrology, Hospital Universitario de Bellvitge, Barcelona, Spain, 6Rheumatology, University Hospital Bellvitge, Barcelona, Spain

    Background/Purpose: Whether a repeat renal biopsy is helpful during lupus nephritis (LN) flares remains debatable. Our objective was to analyze the clinical utility of repeat…
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