ACR Meeting Abstracts

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  • Abstract Number: 427 • 2015 ACR/ARHP Annual Meeting

    The Impact of Biologic Agent Initiation after 1 Versus 2 Prior Csdmards in Patients with Rheumatoid Arthritis

    Dimitrios A. Pappas1,2, Jenny Griffith3, Chitra Karki2, Mei Liu4, Joel M. Kremer5, Arijit Ganguli3 and Jeffrey D. Greenberg2,6, 1Columbia University, New York, NY, 2Corrona, LLC, Southborough, MA, 3AbbVie Inc., North Chicago, IL, 4352 Turnpike Rd, Corrona, LLC, Southborough, MA, 5Albany Medical College and The Center for Rheumatology, Albany, NY, 6NYU School of Medicine, New York, NY

    Background/Purpose: Patients with Rheumatoid Arthritis (RA) who don’t respond to conventional synthetic disease modifying anti-rheumatic drugs (csDMARDs) should be treated with biologic agents(1). The objective…
  • Abstract Number: 428 • 2015 ACR/ARHP Annual Meeting

    Use of Rituximab Compared to Anti-TNF Agents As Second and Third Line Therapy in Patients with Rheumatoid Arthritis: 6-Year Follow-up Report from the Rhumadata® Clinical Database and Registry

    Denis Choquette1, Louis Bessette2, Boulos Haraoui1, Frédéric Massicotte1, Jean-Pierre Pelletier1, Jean-Pierre Raynauld1, Marie-Anaïs Rémillard3, Diane Sauvageau1, Édith Villeneuve1, Louis Coupal1, Jacques Brown4 and Angèle Turcotte4, 1Rheumatology, Institut de recherche en rhumatologie de Montréal (IRRM), Montréal, QC, Canada, 2Centre d’Ostéoporose et de Rhumatologie de Québec (CORQ), Québec, QC, Canada, 3Rhumatology, Institut de recherche en rhumatologie de Montréal (IRRM), Montréal, QC, Canada, 4Rheumatology, Centre d’ostéoporose et de rhumatologie de Québec (CORQ), Québec, QC, Canada

    Background/Purpose: The order of use of biologic agents after failing a TNF inhibitor is still a question for debate. Phase III trial data in TNF-IR…
  • Abstract Number: 429 • 2015 ACR/ARHP Annual Meeting

    Treatment Preferences of Patients with Early Rheumatoid Arthritis: A Discrete-Choice Experiment

    Glen S. Hazlewood1,2, Claire Bombardier3, George A. Tomlinson4, Carter Thorne5, VP Bykerk6, Andrew Thompson7, Diane Tin8 and Deborah Marshall9, 1Medicine, University of Calgary, Calgary, AB, Canada, 2Institute of Health, Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada, 3Division of Rheumatology and Institute of Health Policy, Management, and Evaluation, University of Toronto, Toronto, ON, Canada, 4Institute for Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada, 5Southlake Regional Health Centre, Newmarket, ON, Canada, 6Rheumatology, Hospital for Special Surgery, New York, NY, 7Rheumatology, St Joseph's Hlth Ctr, London, ON, Canada, 8The Arthritis Program, Southlake Regional Health Centre, Newmarket, ON, Canada, 9University of Calgary, Calgary, AB, Canada

    Background/Purpose: Treatment choices in early rheumatoid arthritis need to balance benefits, risks, and other considerations such as dosing and monitoring. The objective of this study…
  • Abstract Number: 430 • 2015 ACR/ARHP Annual Meeting

    Adoption of Treat to Target Management in the Context of Achievable Goals and Satisfaction in RA

    Peter C. Taylor1, Juan J Gomez-Reino2, Rieke Alten3, Philippe Bertin4, Roberto Caporali5, Emma Sullivan6, Robert Wood7, James Piercy7, Radu Vasilescu8, Dean Spurden9 and Jose Alvir10, 1Kennedy Institute of Rheumatology, Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford Botnar Research Centre, Oxford, United Kingdom, 2Desarmen of Rheumatology, Unit Hospital Clinico Universitario, Santiago, Spain, 3Internal Medicine, Rheumatology & Clinical Immunology, Schlosspark-Klinik, University Medicine Berlin, Berlin, Germany, 4Rheumatology, CHU Dupuytren, Limoges, France, 5University of Pavia and IRCCS Policlinico S. Matteo Foundation, Pavia, Italy, 6Adelphi Real World, Manchester, United Kingdom, 7Adelphi Real World, Macclesfield, United Kingdom, 8Medical Affairs, Pfizer Inc, Brussels, Belgium, 9Pfizer Inc, Tadworth, United Kingdom, 10Global Health and Value, Pfizer Inc, New York, NY

    Background/Purpose: The approach of setting disease activity targets and adjusting therapy appropriately to achieve the target has been proven to optimize outcomes in Rheumatoid Arthritis…
  • Abstract Number: 431 • 2015 ACR/ARHP Annual Meeting

    Treatment Target in a Disease Activity Score Steered Treatment Protocol in Early Arthritis Patients: Low Disease Activity or Remission

    Gülsah Akdemir1, Iris M. Markusse2, Johannes H.L.M. van Groenendael3, André J. Peeters4, Esmeralda T. Molenaar5, Pit J.S.M. Kerstens6, Willem F. Lems7, T. W. J. Huizinga1 and Cornelia F. Allaart1, 1Rheumatology, LUMC, Leiden, Netherlands, 2LUMC, Leiden, Netherlands, 3Rheumatology, Franciscus Hospital, Roosendaal, Netherlands, 4Rheumatology, RDGG, Delft, Netherlands, 5Rheumatology, Groene Hart Hospital, Gouda, Netherlands, 6Rheumatology, Reade, Amsterdam, Netherlands, 7Rheumatology, VU Medical Center, Amsterdam, Netherlands

    Background/Purpose: To compare physicians' opinion on and adherence to treatment study protocols targeted at either Disease Activity Score (DAS) ≤2.4 or <1.6. Methods: The BeSt…
  • Abstract Number: 432 • 2015 ACR/ARHP Annual Meeting

    Additional Intensive Treatment for Rheumatoid Arthritis Patients with Positive Power Doppler Signals Reduce the Radiological Joint Damage Even after Achieving Clinical Remission -SCRUM Study-

    Tadashi Okano1, Kentaro Inui2, Masahiro Tada3, Yuko Sugioka4, Kenji Mamoto1, Tatsuya Koike4 and Hiroaki Nakamura1, 1Orthopedic Surgery, Osaka City University Graduate School of Medicine, Osaka, Japan, 2Orhtopedic Surgery, Osaka City University Graduate School of Medicine, Osaka, Japan, 3Orthopedic surgery, Osaka City General Hospital, Osaka, Japan, 4Center for Senile Degenerative Disorders (CSDD), Osaka City University Graduate School of Medicine, Osaka, Japan

    Background/Purpose: The latest recommendations for the treatment of rheumatoid arthritis (RA) focus on the achievement of clinical remission. However, joints with subclinical positive power Doppler…
  • Abstract Number: 433 • 2015 ACR/ARHP Annual Meeting

    Rheumatoid Arthritis (RA) Biologic Switching and Cycling in a Large US Managed Care Population

    Machaon Bonafede1, Jeffrey R. Curtis2, Donna McMorrow1, Chieh-I Chen3 and George J. Joseph4, 1Truven Health Analytics, Cambridge, MA, 2Immunology & Rheumatology, University of Alabama at Birmingham, Birmingham, AL, 3Regeneron Pharmaceuticals, Inc., Tarrytown, NY, 4Global Health Economics & Outcomes Research (HEOR), Sanofi, Bridgewater, NJ

    Background/Purpose: A majority of RA patients who switch from a tumor necrosis factor inhibitor (TNFi) to another biologic disease-modifying anti-rheumatic drug (DMARD) are TNFi cyclers…
  • Abstract Number: 434 • 2015 ACR/ARHP Annual Meeting

    Duration of Remission By Currently Available Criteria Can Predict Physical Functioning, but Not Radiological Progression in Early Rheumatoid Arthritis Patients

    Nicole P.C. Konijn1, Lilian H.D. van Tuyl1, Maarten Boers1,2, D den Uyl1, M.M. ter Wee1, P.J.S.M. Kerstens3,4, Alexandre E. Voskuyl5, Michael T. Nurmohamed1,3, Dirkjan van Schaardenburg3,6 and Willem F. Lems1,3, 1Rheumatology, Amsterdam Rheumatology and immunology Center, VU University medical center, Amsterdam, Netherlands, 2Epidemiology & Biostatistics, VU University medical center, Amsterdam, Netherlands, 3Rheumatology, Amsterdam Rheumatology and immunology Center, Reade, Amsterdam, Netherlands, 4Rheumatology, Westfriesgasthuis, Hoorn, Netherlands, 5Rheumatology, Amsterdam Rheumatology and immunology Center, location VU University medical center, Amsterdam, Netherlands, 6Rheumatology, Amsterdam Rheumatology and immunology Center, Academic Medical Center, Amsterdam, Netherlands

    Background/Purpose: Several sets of remission criteria have been developed. The ACR/EULAR criteria were validated against their potential to predict prognosis of rheumatoid arthritis (RA) [1].…
  • Abstract Number: 435 • 2015 ACR/ARHP Annual Meeting

    Impact of Sarilumab on Fatigue, Pain, Morning Stiffness, Productivity, and Health Related Quality of Life (HRQoL) in Patients with Active Rheumatoid Arthritis Who Were Inadequate Responders or Intolerant of Anti-TNF-α Therapy: Results from a Phase 3 Study (RCT)

    Vibeke Strand1, Mark Kosinski2, Neil Graham3, Chieh-I Chen3, George J. Joseph4, Deborah Bauer5, Yong Lin5, Cesar Pacheco-Tena6 and Roy Fleischmann7, 1Biopharmaceutical Consultant, Portola Valley, CA, 2QualityMetric Inc, Lincoln, RI, 3Regeneron Pharmaceuticals, Inc., Tarrytown, NY, 4Global Health Economics & Outcomes Research (HEOR), Sanofi, Bridgewater, NJ, 5Sanofi, Bridgewater, NJ, 6Universidad Autónoma de Chihuahua, Chihuahua, Mexico, 7University of Texas Southwestern Medical Center, Dallas, TX

    Background/Purpose : Sarilumab, a human monoclonal antibody directed against the IL-6 receptor, in combination with non-biologic DMARDs, demonstrated efficacy in the TARGET RCT (NCT01709578). TEAEs…
  • Abstract Number: 436 • 2015 ACR/ARHP Annual Meeting

    Ultrasonographic Disease Activity in Rheumatoid Arthritis Patients Who Are in Clinical Remission According to Different Remission Criteria: Should We Insist on Achieving Boolean Remission?

    Gulsen Ozen1, Ali Ugur Unal1, Atakan Topcu2, Pamir Atagunduz1, Haner Direskeneli1 and Nevsun Inanc1, 1Department of Rheumatology, Marmara University Faculty of Medicine, Istanbul, Turkey, 2Department of Internal Medicine, Marmara University Faculty of Medicine, Istanbul, Turkey

    Background/Purpose: At the present time remission is the target for treatment of rheumatoid arthritis (RA).  Various composite indices are available that can be used to…
  • Abstract Number: 437 • 2015 ACR/ARHP Annual Meeting

    Is Mode of Action Important When Switching Biologic Monotherapy in Rheumatoid Arthritis? Drug Adherence Results from the Swedish Ssatg Registry

    Tanja Schjødt Jørgensen1, Carl Turesson2, Meliha C. Kapetanovic3, Martin Englund4,5, Aleksandra Turkiewicz4, Robin Christensen1, Henning Bliddal1, Pierre Geborek3 and Lars Erik Kristensen1, 1The Parker Institute, Department of Rheumatology, Copenhagen University Hospital, Bispebjerg and Frederiksberg, Copenhagen, Denmark, 2Lund University, Rheumatology, Dept. of Clinical Sciences,, Malmö, Sweden, 3Department of Clinical Sciences Lund, Section of Rheumatology Lund University and Skåne University Hospital, Lund, Sweden, 4Orthopedics, Department of Clinical Sciences Lund, Lund University, Lund, Sweden, 5Clinical Epidemiology Unit, Orthopedics, Dept of Clinical Sciences Lund, Lund University, Lund, Sweden

    Background/Purpose: About 30% of patients receiving biologic therapy do not have concomitant conventional synthetic DMARDs (csDMARDs). Little is known about the role of different mode…
  • Abstract Number: 438 • 2015 ACR/ARHP Annual Meeting

    Comparison of the Stanford and Indian Health Assessment Questionnaires for Disability Outcomes in a Phase 3, Randomized, Double-Blind, Active Comparator Study of Infliximab and Biosimilar Infliximab BOW15 in Rheumatoid Arthritis

    Arvind Chopra1, Manjit Saluja2, Alastair Knight3, Lucy Shneyer4, Cheryl Lassen5, Michael Wyand6 and Jonathan Kay7, 1Rheumatology, Centre for Rheumatic Diseases, Pune 411001, India, 2Centre for Rheumatic Diseases, Pune 411001, India, 3Data Management, Evicom Ltd, Twickenham, United Kingdom, 4Shneyer Statistics, Denville, NJ, 5Epirus Biopharmaceuticals, Zug, Switzerland, 6Epirus Biopharmaceuticals, Boston, MA, 7University of Massachussets Medical School, Worcester, MA

    Background/Purpose: The Stanford Health Assessment Questionnaire (HAQ) includes several questions that are more relevant to rheumatoid arthritis (RA) patients in Western countries than to those…
  • Abstract Number: 439 • 2015 ACR/ARHP Annual Meeting

    Progression of Radiographic Joint Destruction in Patients with Rheumatoid Arthritis Treated with a Biologic Agent in Combination with Methotrexate Versus a Biologic Alone: A Systematic Review and Meta-Analysis of Randomized Trials

    Tanja Schjødt Jørgensen1, Simon Tarp1, Daniel E. Furst2, Anna Døssing1, Peter C. Taylor3, Henning Bliddal1 and Robin Christensen1, 1Musculoskeletal Statistics Unit, The Parker Institute, Department of Rheumatology, Copenhagen University Hospital, Bispebjerg and Frederiksberg, Copenhagen, Denmark, 2Medicine, University of California, Los Angeles, David Geffen School of Medicine, Los Angeles, CA, 3Nuffield Dept. of Orthopaedics, Rheumatology and Musculoskeletal, Sciences, Kennedy Institute of Rheumatology, University of Oxford,, Oxford, United Kingdom

    Background/Purpose : One of the frequently claimed advantages of biologic agents is their potential to arrest radiographic progression. The ability of disease-modifying antirheumatic drugs (DMARDs;…
  • Abstract Number: 440 • 2015 ACR/ARHP Annual Meeting

    Clinical Characteristics of Rheumatoid Arthritis Patients Achieving HAQ Remission with 6 Months of Biologic Treatment

    Yusuke Miwa1, Ryo Takahashi1, Airi Maeoka1, Shinichiro Nishimi1, Nao Oguro1, Sho Ishii1, Mika Kobuna1, Takahiro Tokunaga1, Masayu Umemura1, Tsuyoshi Kasama1, Katsunori Inagaki2 and Yoichi Toyoshima3, 1Div of Rheumatology, Showa University School of Med, Shinagawa-ku Tokyo, Japan, 2Department of Orthopedics, Showa University School of Med, Tokyo, Japan, 3Showa University School of Med, Shinagawa-ku Tokyo, Japan

    Background/Purpose: Biologic agents are highly effective for rheumatoid arthritis (RA); however, not all cases achieve health assessment questionnaire (HAQ) remission. Although previous studies have reported…
  • Abstract Number: 441 • 2015 ACR/ARHP Annual Meeting

    Ultrasound Assessment of Early Response to Certolizumab Pegol Can Predict Future Response in Patients with Rheumatoid Arthritis

    Takanori Fujimura, Takashi Fujimoto, Ryota Hara, Naoki Shimmyo, Yasunori Kobata, Akira Kido, Yasuhiro Akai and Yasuhito Tanaka, The Center for Rheumatic Diseases, Nara Medical University, Kashihara, Japan

    Background/Purpose: Certolizumab pegol (CZP) is a PEGylated Fab’ fragment of a humanized anti-TNF antibody with high affinity to TNF. It brings rapid improvement of the…
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