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  • Abstract Number: 2624 • 2016 ACR/ARHP Annual Meeting

    Anti-Citrullinated Protein Antibodies Titers Are Independently Modulated By Disease Activity and Synthetic or Biologic Dmards in a Seropositive Early Arthritis Population

    Elena García Lorenzo1, Daniel Useros2, Aranzazu Alfranca3, Ana M. Ortiz Garcia1, Pablo Moreno Fresneda1, Isidoro Gonzalez-Alvaro1 and Rosario García-Vicuña1, 1Rheumatology, Rheumatology Service, Hospital Universitario de La Princesa, IIS-IP, Madrid, Spain, 2Rheumathology, Rheumatology Service, Hospital Universitario de La Princesa, IIS-IP, Madrid, Spain, 3Immunology, Immunology Service, Hospital Universitario de La Princesa, IIS-IP, Madrid, Spain

    Background/Purpose: Early introduction of some biologic (b) DMARDs has been proposed to reduce anti-citrullinated protein antibodies (ACPA) titers in clinical trials settings. However, less information…
  • Abstract Number: 2625 • 2016 ACR/ARHP Annual Meeting

    Safety of Multiple Retreatments with Rituximab  in Real Life: Long Term Registry Data from 1984 Patients with Rheumatoid Arthritis

    Jacques-Eric Gottenberg1, Philippe Ravaud2, Thomas Bardin3, Alain Cantagrel4, Bernard Combe5, Maxime Dougados6, RENE MARC FLIPO7, Olivier Vittecoq8, Thierry Schaeverbeke9, Isabelle Pane10, Jean Sibilia11, Xavier Mariette12 and on behaf of all of the investigators of the AIR registry and of the French Society of Rheumatology , 1Department of Rheumatology, Strasbourg University Hospital, Strasbourg, France, 2Epidemiology, Hotel Dieu, PARIS, France, 3Clinique de Rhumatologie, Hopital Lariboisiere, Paris Cedex 10, France, 4Rheumatology, INSERM CNRS UMR 1043, Paul Sabatier University Toulouse, Purpan Teaching Hospital, Toulouse, France, 5Département Rhumatologie, Hôpital Lapeyronie, Montpellier, France, 6Rheumatology, Paris Descartes University, Paris, France, 7Rheumatology, Department of Rheumatology, CHU Teaching Hospital Lille, France., Lille, France, 8INSERM U905 & Normandy University, Institute for Research and Innovation in Biomedicine, Rouen, France, 9Rheumatology, CHU Bordeaux, Bordeaux, France, 10Epidemiology, Hotel Dieu, Paris, France, 11Department of Rheumatology, Strasbourg University Hospital, Strasbourg, France, 12Institut National de la Santé et de la Recherche Médicale, Université Paris-Sud, AP-HP, Hôpitaux Universitaires Paris-Sud, Paris, France

    Background/Purpose: Data are very limited concerning the safety of multiple retreatments with rituximab (RTX) in rheumatoid arthritis in common practice. Methods: This is a multicenter…
  • Abstract Number: 2626 • 2016 ACR/ARHP Annual Meeting

    Soluble CD206 Plasma Levels Decreases with Treatment and Reflects Anti-Tnfa Discontinuation in Rheumatoid Arthritis

    Line Dam Heftdal1,2, Kristian Stengaard-Pedersen2, Merete Lund Hetland3,4, Kim Hørslev-Petersen5, Peter Junker6, Mikkel Østergaard4,7, Malene Hvid8,9, Bent Deleuran2,8,9, Holger Jon Møller8,10 and Stinne Greisen2,9, 1Department of Biomedicine, Department of Biomedicine, Aarhus University, Aarhus, Denmark, 2Department of Rheumatology, Aarhus University Hospital, Aarhus, Denmark, 3Copenhagen Center for Arthritis Research, Center for Rheumatology and Spine Diseases, Rigshospitalet, Denmark, Copenhagen, Denmark, 4Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Denmark, Copenhagen, Denmark, 5King Christian X's Hospital for Rheumatic Diseases,, University of Southern Denmark, Graasten, Denmark, 6Department of Rheumatology, Odense University Hospital, Odense, Denmark, 7Copenhagen Center for Arthritis Research, Center for Rheumatology and Spine Diseases, Rigshospitalet, Glostrup, Denmark, 8Department of Clinical Medicine, Aarhus University, Aarhus, Denmark, 9Department of Biomedicine, Aarhus University, Aarhus, Denmark, 10Department of Clinical Biochemistry, Aarhus University Hospital, Aarhus, Denmark

    Background/Purpose: Rheumatoid arthritis (RA) is an autoimmune disease characterized by chronic inflammation of the synovial joints and infiltration by activated macrophages. TNFa is a central…
  • Abstract Number: 2627 • 2016 ACR/ARHP Annual Meeting

    The Effect of Fostamatinib with Methotrexate on Circulating Biomarkers of Synovium, Cartilage and Bone Metabolism: Potential Utility for Clinical Development Decision Making in Rheumatoid Arthriti

    Adam Platt1, Anne C. Bay-Jensen2, Martin Braddock3, Martin Jenkins4, Kishwar Musa5, Christian S. Thudium6, Cecilie F. Kjelgaard-Petersen6, Emma Graham3, Sue Keeler3, Gill Slynn3, Michael Weinblatt7 and Morten Asser Karsdal2, 1Diagnostic Development, AstraZeneca, Cheshire, United Kingdom, 2Rheumatology, Nordic Bioscience, Herlev, Denmark, 3AstraZeneca, Macclesfield, United Kingdom, 4Research & Development, AstraZeneca, Macclesfield, United Kingdom, 5Laboratory, Nordic Bioscience, Herlev, Denmark, 6Biomarkers and Research, Nordic Bioscience, Herlev, Denmark, 7Brigham and Women's Hospital, Boston, MA

    Background/Purpose: Fostamatinib was developed for the treatment of RA and improved signs and symptoms of RA 1, but did not improve modified Total Sharp Score…
  • Abstract Number: 2628 • 2016 ACR/ARHP Annual Meeting

    Retention of Use and Safety of Subcutaneous Abatacept in Rheumatoid Arthritis: A Patient Record Assessment in a Compassionate Use Programme in South Africa, a Tuberculosis Endemic Country

    I Louw1, M Ally2, DC Janse van Rensburg2, E Van Duuren3, D Nel3, H Miller-Janson4, M de Necker4, JC de Beer4 and H Duvenhage5, 1Panorama Medical Centre, Cape Town, South Africa, 2University of Pretoria, Pretoria, South Africa, 3Jacaranda Hospital, Pretoria, South Africa, 4HEXOR (PTY) Ltd, Pretoria, South Africa, 5Bristol-Myers Squibb, Johannesburg, South Africa

    Background/Purpose: South Africa is a tuberculosis (TB) endemic country having one of the highest TB infection rates in the world with close to 1000 cases…
  • Abstract Number: 2629 • 2016 ACR/ARHP Annual Meeting

    Serious Adverse Events in Patients with RA Taking Abatacept Compared with Other Dmards. Results from a US-Wide Safety Registry

    Kaleb Michaud1,2, Sofia Pedro2, TA Simon3, Frederick Wolfe2 and Rebecca Schumacher2, 1University of Nebraska Medical Center, Omaha, NE, 2National Data Bank for Rheumatic Diseases, Wichita, KS, 3Bristol-Myers Squibb, Princeton, NJ

    Background/Purpose: Observational studies are critical in assessing medication safety and effectiveness in the real world. Nonrandom assignment can provide insight to how and when medications…
  • Abstract Number: 2630 • 2016 ACR/ARHP Annual Meeting

    EBV Load Quantification in Peripheral Blood Mononuclear Cells of Patients with Rheumatoid Arthritis Treated By Abatacept and Tocilizumab

    Emmanuel Massy1, Gaétan Texier2, Olivier Muis Pistor3, marielle Martin4, Isabelle Auger5, jean-Pierre Mattei6, Sandrine Guis7, Thao Pham8,9,10, Jean Roudier11,12,13 and Nathalie Balandraud14, 1Rheumatology, Hôpital Sainte Marguerite, marseille, France, 2Centre d'épidémiologie et de santé publique des armées (CESPA) Marseille, marseille, France, 3rheumatology, Hôpital Sainte marguerite, marseille, France, 4INSERM UMRS 1097, marseille, France, 5Université Aix Marseille II, INSERM UMR1097, Marseille, France, 6Rheumatology, Hôpital Sainte Marguerite AP-HM, marseille, France, 7Rheumatology 1, CRMBM-CEMEREM 7339, Aix-Marseille Université, AP-HM, CNRS, Marseilles, France, 8Rheumatology, Service de rhumatoiogie, Marseille, France, 9Rheumatology Department, Sainte Marguerite Hospital, Marseille, France, 10Rheumatology, APHM, Aix Marseille University, Marseille, France, 11Laboratoire d'Immunogénétique de la polyarthrite rhumatoide, INSERM UMR639, Marseille Cedex 09, France, 12Rheumatology 1, Aix Marseille Univ, AP-HM, INSERM, Marseille, France, 13Hopital Sainte Marguerite, Marseille, France, 14Rheumatology 1, AP-HM, INSERM, Marseilles, France

    Background/Purpose: For twenty years, the Epstein-Barr Virus (EBV) has been suspected to contribute to Rheumatoid Arthritis (RA). Immunity against EBV is impaired in RA. RA…
  • Abstract Number: 2631 • 2016 ACR/ARHP Annual Meeting

    Trends and Factors Associated with Use of Biologic Agents As Monotherapy Among US Patients with Rheumatoid Arthritis

    Chieh-I Chen1, Wenhui Wei2, Stuart Blackburn3, Emma Sullivan3 and James Piercy3, 1Regeneron Pharmaceuticals, Inc., Tarrytown, NY, 2Sanofi US, Inc., Bridgewater, NJ, 3Adelphi Real World, Manchester, United Kingdom

    Background/Purpose: For patients with rheumatoid arthritis (RA) receiving a biologic disease-modifying antirheumatic drug (bDMARD), the current standard of care is to use the bDMARD concurrently…
  • Abstract Number: 2632 • 2016 ACR/ARHP Annual Meeting

    Effects of Baseline Patient Characteristics on Baricitinib Efficacy in Patients with Rheumatoid Arthritis

    Joel M. Kremer1, Mark C. Genovese2, David Muram3, Jinglin Zhong4, Jahangir Alam3 and Michael Schiff5, 1Albany Medical College, Albany, NY, 2Stanford University Medical Center, Palo Alto, CA, 3Eli Lilly and Company, Indianapolis, IN, 4Quintiles, Rockville, MD, 5Rheumatology, University of Colorado, Denver, CO

    Background/Purpose : This analysis assessed the effects of baseline patient characteristics on the response to baricitinib treatment in patients with rheumatoid arthritis (RA) and incomplete…
  • Abstract Number: 2633 • 2016 ACR/ARHP Annual Meeting

    Effect of Different Biologic Agents on Lipid Profile in Rheumatoid Arthritis

    Fabio Cacciapaglia1, Simone Perniola1, Mariangela Nivuori1, Margherita Giannini1, Olga Magazzino1, Maria Giannotta1, Florenzo Iannone2 and Giovanni Lapadula1, 1Interdisciplinary Department of Medicine, Rheumatology Unit, University of Bari, General Hospital, Bari, Italy, 2Interdisciplinary Department of Medicine (DIM), Rheumatology Unit, University of Bari, General Hospital, Bari, Italy

    Background/Purpose:  o examine any change between different biologic agents on lipid profile of RA patients. Methods:  Patients affected by RA, according to the 2010 EULAR/ACR…
  • Abstract Number: 2634 • 2016 ACR/ARHP Annual Meeting

    Lack of Autoantibodies to Peptidyl Arginine Deiminase 4 Predict Increased Efficacy of Mavrilimumab in Rheumatoid Arthritis

    Ethan Grant1, Martin Schwickart2, Alex Godwood3, Rachel Moate3, Esther Song2, Carlos Chavez2, Marius Albulescu4, David Close4, Meina Liang2, Tomas Mustelin5, Zhengbin Yao6 and Koustubh Ranade1, 1Translational Medicine, MedImmune, Gaithersburg, MD, 2Clinical Pharmacology and DMPK, MedImmune, Gaithersburg, MD, 3MedImmune, Cambridge, United Kingdom, 4Clinical Development, MedImmune, Cambridge, United Kingdom, 5Respiratory, Inflammation and Autoimmunity, MedImmune, Gaithersburg, MD, 6Respiratory, Inflammation and Autoimmunity iMED, MedImmune, Gaithersburg, MD

    Background/Purpose:  Mavrilimumab is an anti-GM-CSF receptor Ab that has recently demonstrated clinical efficacy in Phase 2 studies in rheumatoid arthritis (RA) patients. Predictive biomarkers to…
  • Abstract Number: 2635 • 2016 ACR/ARHP Annual Meeting

    Using Patient Reported Outcomes to Inform a Treat to Target Treatment Approach in RA

    Eric M. Ruderman1, Jennifer Beaumont2, Emily Bacalao1, George J. Greene2, Azra Muftic2 and David Cella2, 1Medicine, Division of Rheumatology, Northwestern University Feinberg School of Medicine, Chicago, IL, 2Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL

    Background/Purpose: The Patient Reported Outcomes Measurement Information System (PROMIS) is an NIH initiative to develop patient-reported outcome measures (PROs) for use across chronic conditions. PROMIS…
  • Abstract Number: 2636 • 2016 ACR/ARHP Annual Meeting

    No Strong Evidence Supporting Predictors for Successful Dose Reduction or Discontinuation of a Biologic in Rheumatoid Arthritis: A Systematic Review

    L. Tweehuysen1, C.H. van den Ende2, F.M.M. Beeren2, E.M.J. Been2, F.H.J. van den Hoogen3,4 and A.A. den Broeder3, 1Sint Maartenskliniek, Nijmegen, Netherlands, 2Rheumatology, Sint Maartenskliniek, Nijmegen, Netherlands, 3Department of Rheumatology, Sint Maartenskliniek, Nijmegen, Netherlands, 4Rheumatology, Radboudumc, Nijmegen, Netherlands

    Background/Purpose: Tapering of biologics in rheumatoid arthritis (RA) is based on a trial-and-error disease activity guided strategy, because it is not known in advance which…
  • Abstract Number: 2637 • 2016 ACR/ARHP Annual Meeting

    Clinical Trials Aiming to Prevent the Development of Rheumatoid Arthritis Cannot Detect Prevention without Adequate Risk Stratification; A Trial Performed in UA-Patients As Example

    Leonie E Burgers, Cornelia F Allaart, Tom WJ Huizinga and Annette HM van der Helm-van Mil, Department of Rheumatology, Leiden University Medical Center, Leiden, Netherlands

    Background/Purpose:  Prevention of rheumatoid arthritis (RA) was the aim of several clinical trials performed in undifferentiated arthritis (UA). Overall these trials had negative results. As…
  • Abstract Number: 2638 • 2016 ACR/ARHP Annual Meeting

    In Vitro Expansion of Treg By Adaimumab Predicts Clinical Response to Therapy in Patients with Rheumatoid Arthritis

    Dao Xuan Nguyen, Centre of Rheumatology, Division of Medicine, University College London, London, United Kingdom

    Background/Purpose: Regulatory T cells (Treg) are potent suppressors of immune responses and are considered a pivotal element in resolving inflammation and autoimmunity. We have previously…
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