ACR Meeting Abstracts

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  • Abstract Number: 3211 • 2016 ACR/ARHP Annual Meeting

    Early Radiological Progression in Rheumatoid Arthritis Leads to More Long-Term Joint Damage in Daily Clinical Practice; Six Year Radiological Outcomes of a Strict Treat-to-Target Cohort in the Netherlands

    Letty G.A. Versteeg1, Laura M.M. Steunebrink1, Ina H. Kuper1, Harald E. Vonkeman2, Peter M. ten Klooster3, Arie E. van der Bijl4 and Mart A.F.J. van de Laar5, 1Rheumatology, Medisch Spectrum Twente - Arthritis Center Twente, Enschede, Netherlands, 2koningsplein, Medisch Spectrum Twente - Arthritis Center Twente, Enschede, Netherlands, 3Pcgr, University of Twente, Enschede, Netherlands, 4Isala Klinieken, Zwolle, Netherlands, 5Rheumatology, Arthritis Centre Twente, Medisch Spectrum Twente and University Twente, Enschede, Netherlands

    Background/Purpose: Implementation of treat-to-target (T2T) in Rheumatoid Arthritis (RA) leads to limited radiological damage during follow-up of 3 years. Questions are whether these results are…
  • Abstract Number: 3212 • 2016 ACR/ARHP Annual Meeting

    Treat-to-Target in RA: Does Early Simplified Disease Activity Index (SDAI) Remission Lead to Better 5-Year Functional Outcomes Than SDAI Low Disease Activity?

    Vibeke Norvang, Elisabeth Lie, Inge C Olsen, Eirik K Kristianslund, Tore K Kvien and Till Uhlig, Dept. of Rheumatology, Diakonhjemmet Hospital, Oslo, Norway

    Background/Purpose: The management of rheumatoid arthritis (RA) has evolved considerably during the last couple of decades, with current recommended practice being a treat-to-target approach, involving…
  • Abstract Number: 3213 • 2016 ACR/ARHP Annual Meeting

    Assessment of Two Different DAS Treatment Targets in Early Active Rheumatoid Arthritis Patients

    Gülsah Akdemir1, Iris M. Markusse2, Yvonne P. Goekoop-Ruiterman3, J.B. Harbers4, Maikel van Oosterhout5, Pit J.S.M. Kerstens6, Willem F. Lems7, TWJ Huizinga8 and Cornelia F. Allaart2, 1Department of Rheumatology, Leiden University Medical Center, Leiden, Netherlands, 2Rheumatology, LUMC, Leiden, Netherlands, 3Rheumatology, HAGA hospital, The Hague, Netherlands, 4Department of Rheumatology, Franciscus Hospital, Roosendaal, Netherlands, 5Rheumatology, Groene Hart Hospital, Gouda, Netherlands, 6Department of Rheumatology, Reade, Amsterdam, Netherlands, 7Rheumatology, Amsterdam Rheumatology and immunology Center, VU University medical center, Amsterdam, Netherlands, 8Leiden University Medical Centre, Leiden, Netherlands

    Background/Purpose: It remains to be determined if setting remission or low disease activity as treatment target affects significant outcomes in early active rheumatoid arthritis (RA)…
  • Abstract Number: 3214 • 2016 ACR/ARHP Annual Meeting

    Implementation of Treat to Target in Rheumatoid Arthritis through a Learning Collaborative

    Daniel H. Solomon1, Bing Lu2, Elena Losina3, Jen Agosti4, Agnes Zak5, Cassandra Corrigan5, Zhi Yu6, Sara Lee5, Asaf Bitton7, LR Harrold8, Theodore Pincus9, Helga Radner10, Josef Smolen11, Liana Fraenkel12 and Jeffrey N. Katz13, 1Division of Rheumatology, Immunology and Allergy, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, 2Brigham & Women's Hospital and Harvard Medical School, Boston, MA, 3Orthopaedic and Arthritis Center for Outcomes Research, Department of Orthopaedic Surgery, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, 4JRA Consulting, Andover, MA, 5Brigham and Women's Hospital, Boston, MA, 6Rheumatology Immunology & Allergy, Brigham and Women's Hospital, Boston, MA, 7Medicine, Brigham and Women's Hospital, Boston, MA, 8University of Massachusetts Medical School, Worcester, MA, 9Rheumatology, Rush University Medical Center, Chicago, IL, 10Rheumatology, Medical University of Vienna, Vienna, Austria, 11Division of Rheumatology, Medical University of Vienna and Hietzing Hospital, Vienna, Austria, 12Yale University School of Medicine, New Haven, CT, 13Rheumatology, Immunology, and Allergy, Brigham & Women's Hospital, Boston, MA

    Background/Purpose: Treat to target (TTT) is a recommended strategy in the management of rheumatoid arthritis (RA), but various studies suggest that its uptake in routine…
  • Abstract Number: 3215 • 2016 ACR/ARHP Annual Meeting

    ASK1 Is Regulated By IL-1β and TNF and Modulates Key Rheumatoid Arthritis (RA) Fibroblast-like Synoviocyte Functions (FLS)

    Gyrid Nygaard1, Deepa Hammaker2, David L. Boyle3, Astrid Clarke4, Li Li5, Julie Dipaolo6 and Gary Firestein7, 1Medicine, UC San Diego, La Jolla, CA, 2Division of Rheumatology, Allergy and Immunology, UCSD School of Medicine, La Jolla, CA, 3Division of Rheumatology, Allergy and Immunology, University of California, San Diego, La Jolla, CA, 4GIlead, South San Francisco, CA, 5Gilead Sciences, South San Francisco, CA, 6Gilead, South San Francisco, CA, 7Medicine, UCSD, La Jolla, CA

    Background/Purpose: RA fibroblast-like synoviocytes (FLS) possess a unique aggressive phenotype characterized by increased cell growth, cytokine production and invasion. Previous unsuccessful attempts to target the…
  • Abstract Number: 3216 • 2016 ACR/ARHP Annual Meeting

    Integrated High-Dimensional Analyses Reveal a Pathologically Expanded ‘Peripheral’ B Cell-Helper T Cell Population in Rheumatoid Arthritis

    Deepak Rao1, Michael Gurish2, Kamil Slowikowski3, Chamith Fonseka2, Jennifer Marshall4, Yanyan Liu5, Laura T. Donlin6, Lauren Henderson7, Fumitaka Mizoguchi8, Nikola Teslovich9, Michael Weinblatt10, Elena Massarotti10, Jonathan Coblyn11, Simon M. Helfgott10, Yvonne C. Lee12, Derrick J. Todd10, Vivian P. Bykerk13, Susan M. Goodman14, Alessandra B. Pernis15, Lionel Ivashkiv14, Elizabeth W. Karlson10, Peter Nigrovic9, Andrew Filer16, Christopher Buckley17, James Lederer18, Soumya Raychaudhuri19 and Michael Brenner1, 1Division of Rheumatology, Immunology, and Allergy, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, 2Division of Rheumatology, Immunology, Allergy, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, 3Divisions of Rheumatology and Genetics, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, 4Rheumatology Research Group, Institute of Inflammation and Ageing, University of Birmingham, Birmingham, United Kingdom, 5Brigham and Women's Hospital and Harvard Medical School, Boston, MA, 6Arthritis and Tissue Degeneration Program and the David Z. Rosensweig Genomics Research Center, Hospital for Special Surgery, New York, NY, 7Division of Immunology, Boston Children's Hospital, Harvard Medical School, Boston, MA, 8Department of Rheumatology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan, 9Brigham and Women's Hospital and Harvard Medical School, Cambridge, MA, 10Rheumatology, Immunology and Allergy, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, 11Division of Rheumatology, Immunology and Allergy, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, 12Rheumatology Immunology & Allergy, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, 13Divison of Rheumatology, Hospital for Special Surgery, New York, NY, 14Medicine, Hospital for Special Surgery, New York, NY, 15David Z. Rosensweig Genomics Research Center, Hospital for Special Surgery, New York, NY, 16University of Birmingham, Birmingham, United Kingdom, 17Rheumatology, University of Birmingham, Birmingham, United Kingdom, 18Department of Surgery, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, 19Brigham and Women's Hospital, Boston, MA

    Background/Purpose: Determining the pathologic functions of T cells that infiltrate target tissues remains a central challenge in autoimmune diseases. In rheumatoid arthritis (RA), the formation…
  • Abstract Number: 3217 • 2016 ACR/ARHP Annual Meeting

    Broad-Based Interrogation of the Serum Proteome Suggests That RA Onset Is Associated with Activation of the Intrinsic Coagulation Cascade

    Liam O'Neil1, Xiaobo Meng2, Irene Smolik3, Carol Hitchon2 and Hani El-Gabalawy4, 1Rheumatology, University of Manitoba, Winnipeg, MB, Canada, 2University of Manitoba, Winnipeg, MB, Canada, 3Arthritis Center, University of Manitoba, Winnipeg, MB, Canada, 4University of Manitoba Arthritis Center, Winnipeg, MB, Canada

    Background/Purpose: The establishment of longitudinal pre-clinical RA cohorts is beginning to provide important insights into the mechanisms that precede the onset of clinically detectable disease.…
  • Abstract Number: 3218 • 2016 ACR/ARHP Annual Meeting

    Synovial Mast Cells Associate with High Disease Activity and Predict Radiographic Progression at 12 Months in Patients with Early Rheumatoid Arthritis

    Felice Rivellese1, Frances Humby1, Stephen Kelly1, Amato de Paulis2, Gianni Marone2 and Costantino Pitzalis1, 1Centre for Experimental Medicine and Rheumatology, William Harvey Research Institute, Barts and The London, School of Medicine and Dentistry, Queen Mary University of London, London, United Kingdom, 2Department of Translational Medical Sciences and Center for Basic and Clinical Immunology Research (CISI), University of Naples Federico II, Naples, Italy

    Background/Purpose:   Mast cells (MCs) are immune cells present in the synovial membrane and implicated in the pathogenesis of Rheumatoid Arthritis, although their exact contribution…
  • Abstract Number: 3219 • 2016 ACR/ARHP Annual Meeting

    Altered microRNA Expression Pattern in Synovial and Blood Neutrophils in Rheumatoid Arthritis Reveals the Pathogenic Profile of These Cells. Effect of Biological Therapies

    Nuria Barbarroja1, Ivan Arias de la Rosa1, Carlos Perez-Sanchez1, Yolanda Jiménez-Gómez1, Maria Carmen Abalos-Aguilera2, Miguel Angel Caracuel-Ruiz3, Jerusalem Calvo-Gutierrez1, Rafaela Ortega-Castro1, Eduardo Collantes-Estévez1, Alejandro Escudero-Contreras1, Chary Lopez-Pedrera1 and Patricia Ruiz-Limon2, 1Rheumatology service, IMIBIC/Reina Sofia Hospital/University of Cordoba, Cordoba, Spain, 2Rheumatology Service, IMIBIC/Reina Sofia Hospital/University of Cordoba, Cordoba, Spain, 3Rheumatology service, IMIBIC/Reina Sofia Hospital/University of Cordoba, Córdoba, Spain

    Background/Purpose:  MicroRNAs (miRNA) have recently emerged as a new class of modulators of gene expression, regulating inflammation, degradation of extracellular matrix and invasive behavior of the…
  • Abstract Number: 3220 • 2016 ACR/ARHP Annual Meeting

    Distinct Single Cell Gene Expression Signatures of Monocyte Subsets Differentiate Between TNF-Alpha Inhibitor Treatment Response Groups in Rheumatoid Arthritis

    Theresa L. Wampler Muskardin1, Wei Fan2, Zhongbo Jin3, Mark A. Jensen4, Jessica M. Dorschner3, Yogita Ghodke-Puranik3, Kerry Wright1, John M. Davis III5, Eric L. Matteson1, Clement Michet Jr.1, Thomas G. Mason II6, Scott T. Persellin7, Daniel Schaffer1, Betty Dicke1, Danielle Vsetecka3 and Timothy B. Niewold8, 1Rheumatology, Mayo Clinic, Rochester, MN, 2Mayo Clinic, Rochester, MN, 3Division of Rheumatology and Department of Immunology, Mayo Clinic, Rochester, MN, 4Department of Immunology and Division of Rheumatology, Mayo Clinic, Rochester, MN, 5Division of Rheumatology, Mayo Clinic, Rochester, MN, 6Division of Rheumatology - Department of Medicine, Mayo Clinic Rochester, Rochester, MN, 7Department of Rheumatology, Mayo Clinic Rochester, Rochester, MN, 8Rheumatology and Immunology, Mayo Clinic, Rochester, MN

    Background/Purpose: In rheumatoid arthritis (RA), initiating effective treatment as soon as possible within the so-called therapeutic “window of opportunity” is the strategy, and remission is…
  • Abstract Number: 3221 • 2016 ACR/ARHP Annual Meeting

    Efficacy and Safety of Sarilumab Versus Adalimumab in a Phase 3, Randomized, Double-Blind, Monotherapy Study in Patients with Active Rheumatoid Arthritis with Intolerance or Inadequate Response to Methotrexate

    Gerd Burmester1, Yong Lin2, Rahul Patel2, Janet van Adelsberg3, Erin Mangan3, Hubert van Hoogstraten2, Deborah Bauer2, Juan Ignacio Vargas4 and Eun Bong Lee5, 1Med. Klinik mit SP Rheumatologie und Klinische Immunologie, Charit, Berlin, Germany, 2Sanofi Genzyme, Bridgewater, NJ, 3Regeneron Pharmaceuticals, Inc., Tarrytown, NY, 4Quantum Research, Puerto Varas, Chile, 5Seoul National University, Seoul, Korea, Republic of

    Background/Purpose: Sarilumab is a human mAb that blocks IL-6 from binding to both membrane-bound and soluble IL-6Rα. Efficacy and safety of sarilumab + non-biologic DMARDs…
  • Abstract Number: 3222 • 2016 ACR/ARHP Annual Meeting

    Efficacy and Safety of Monotherapy with Sirukumab, an Anti–IL-6 Cytokine Monoclonal Antibody, Compared with Adalimumab Monotherapy in Biologic-Naive Patients with Active Rheumatoid Arthritis: Results of a Global, Randomized, Double-Blind, Parallel-Group, Phase 3 Study

    Peter C. Taylor1, Michael Schiff2, Qingmin Wang3, Yusang Jiang3, Regina Kurrasch4, Shruti Daga5, Ravi Rao6, Benjamin Hsu3 and Paul-Peter Tak7, 1Kennedy Institute of Rheumatology, NDORMs, University of Oxford, Oxford, United Kingdom, 2University of Colorado, School of Medicine, Denver, CO, 3Janssen Research & Development, LLC, Spring House, PA, 4GlaxoSmithKline, Collegeville, PA, 5GlaxoSmithKline, Uxbridge, United Kingdom, 6GSK Medicines Research Centre, Stevenage, Hertfordshire, United Kingdom, 7GlaxoSmithKline, Stevenage, Hertfordshire, United Kingdom

    Background/Purpose: Sirukumab, a human monoclonal antibody that selectively binds to the cytokine IL-6 with high affinity, is under development for rheumatoid arthritis (RA) and other…
  • Abstract Number: 3223 • 2016 ACR/ARHP Annual Meeting

    Efficacy and Safety of Sirukumab, an Anti–IL-6 Cytokine Monoclonal Antibody, in Patients with Active Rheumatoid Arthritis Despite Anti-TNF Therapy: Results from a Randomized, Double-Blind, Placebo-Controlled, Global, Phase 3 Study

    Daniel Aletaha1, Clifton Bingham III2, Yoshiya Tanaka3, Prasheen Agarwal4, Regina Kurrasch5, Paul-Peter Tak6 and Sharon Popik4, 1Division of Rheumatology, Medical University of Vienna, Vienna, Austria, 2Division of Rheumatology, Johns Hopkins University School of Medicine, Baltimore, MD, 3University of Occupational and Environmental Health, Kitakyushu, Japan, 4Janssen Research & Development, LLC, Spring House, PA, 5GlaxoSmithKline, Collegeville, PA, 6GlaxoSmithKline, Stevenage, Hertfordshire, United Kingdom

    Background/Purpose: Sirukumab is a human monoclonal antibody that selectively binds to the IL-6 cytokine with high affinity and is under development for rheumatoid arthritis (RA)…
  • Abstract Number: 3224 • 2016 ACR/ARHP Annual Meeting

    Efficacy of Sirukumab, an Anti–IL-6 Cytokine Monoclonal Antibody, Based upon Prior Use of Non-Anti-TNF Biologics in Patients with Active Rheumatoid Arthritis Despite Anti-TNF Therapy: Results from a Global Phase 3 Study

    Yoshiya Tanaka1, Daniel Aletaha2, Clifton Bingham III3, Prasheen Agarwal4, Regina Kurrasch5 and Sharon Popik4, 1University of Occupational and Environmental Health, Kitakyushu, Japan, 2Division of Rheumatology, Medical University of Vienna, Vienna, Austria, 3Division of Rheumatology, Johns Hopkins University School of Medicine, Baltimore, MD, 4Janssen Research & Development, LLC, Spring House, PA, 5GlaxoSmithKline, King of Prussia, PA

    Background/Purpose: A global, phase 3 study (SIRROUND-T) evaluating the efficacy and safety of sirukumab, a selective, high-affinity human monoclonal antibody to IL-6, has recently been…
  • Abstract Number: 3225 • 2016 ACR/ARHP Annual Meeting

    Dual Cytokine Inhibition with ABT-122, a Tnf– and IL-17–Targeted Dual Variable Domain Immunoglobulin (DVD-Ig™): Results from a 24-Week Open-Label Extension Study in Patients with Rheumatoid Arthritis

    Mark C. Genovese1, Michael Weinblatt2, Heikki T. Mansikka3, Paul M. Peloso3, Kun Chen3, Yihan Li3, John Liu3 and Robert J. Padley3, 1Stanford University Medical Center, Palo Alto, CA, 2Brigham and Women’s Hospital, Boston, MA, 3AbbVie Inc., North Chicago, IL

    Background/Purpose: ABT-122 is a dual variable domain immunoglobulin (DVD-Ig™) that targets human tumor necrosis factor-α (TNF-α) and interleukin-17A (IL-17A). The object was to investigate the…
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