ACR Meeting Abstracts

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  • Abstract Number: 592 • 2015 ACR/ARHP Annual Meeting

    The Impact of Tobacco Smoking on the Effectiveness of Abatacept in Rheumatoid Arthritis: Data from a Paneuropean Analysis of RA Registries

    Axel Finckh1,2, Jacques Gottenberg3, M. Victoria Hernández4, Florenzo Iannone5, Elisabeth Lie6, Helena Canhao7, Karel Pavelka8, Carl Turesson9, Merete Lund Hetland10 and Xavier Mariette11, 1Rheumatology Division, University Hospital of Geneva, Geneva, Switzerland, 2Div of Rheumatology, University of Geneva, Geneva, Switzerland, 3Hautepierre, Strasbourg, France, 4Arthritis Unit, Rheumatology, Hospital Clinic, Barcelona, Spain, 5Interdisciplinary Department of Medicine (DIM), Rheumatology Unit, University of Bari, Bari, Italy, 6Dept. of Rheumatology, Diakonhjemmet Hospital, Oslo, Norway, 7Rheumatology Research Unit, Instituto de Medicina Molecular, Lisbon, Portugal, 8Institute of Rheumatology, Department of Rheumatology, 1st Faculty of Medicine, Charles University, Prague, Czech Republic, 9Lund University, Rheumatology, Dept. of Clinical Sciences,, Malmö, Sweden, 10Copenhagen Center for Arthritis Research (COPECARE), Center for Rheumatology and Spine Diseases, Rigshospitalet - Glostrup, University of Copenhagen, Denmark, Glostrup, Denmark, 11Université Paris-Sud, AP-HP, Hôpitaux Universitaires Paris-Sud, Paris, France

    Background/Purpose: It has previously been shown that current smoking is a predictor of poor response to methotrexate or anti-TNF treatment in rheumatoid arthritis (RA). The…
  • Abstract Number: 593 • 2015 ACR/ARHP Annual Meeting

    Predicting the Need for Additional Treatment in Early Rheumatoid Arthritis Patients Treated to Target on Methotrexate Monotherapy

    Xavier Teitsma1, Johannes Jacobs2, Paco Welsing3, Thasia Woodworth4, Attila Pethö-Schramm5, Michelle Borm6, Corrado Bernasconi5, Floris Lafeber1 and Johannes W J Bijlsma7, 1Department of Rheumatology and Clinical Immunology, University Medical Center Utrecht, Utrecht, Netherlands, 2Rheumatology & Clinical Immunology, University Medical Center Utrecht, Utrecht, Netherlands, 3Department Rheumatology and clinical immunology, University Medical Center Utrecht, Utrecht, Netherlands, 4Medicine, Division of Rheumatology, David Geffen School of Medicine, Los Angeles, CA, 5F. Hoffmann-La Roche, Basel, Switzerland, 6Beneluxlaan 2a, Roche Nederland BV, Woerden, Netherlands, 7Rheumatology and Clinical Immunology, University Medical Center Utrecht, Utrecht, Netherlands

    Background/Purpose: Joint damage and functional disability can be reduced by intensive treatment of newly diagnosed rheumatoid arthritis (RA) patients during the "window of opportunity". Although…
  • Abstract Number: 595 • 2015 ACR/ARHP Annual Meeting

    Discovery of Serum Protein Biomarkers of Response to Adalimumab in Rheumatoid Arthritis and Their Relationship to Biomarkers of Response to Infliximab

    Ignacio Ortea1, Bernd Roschitzki2, Eva Tomero3, Juan G. Ovalles-Bonilla4, Javier Lopez-Longo5, Inmaculada de la Torre5, Isidoro Gonzalez-Alvaro6, Juan J Gomez-Reino7 and Antonio Gonzalez8, 1Maimónides Health Research Institute (IMIBIC), Cordoba, Spain, 2Functional Genomics Center Zurich, University and ETH Zurich, Zurich, Switzerland, 3Rheumatology, Hospital Universitario de La Princesa. IIS La Princesa, Madrid, Spain, 4Rheumatology, Hospital General Universitario Gregorio Marañón, Madrid, Spain, 5Gregorio Marañon Hospital, Madrid, Spain, 6Hospital Univ. de La Princesa, IIS Princesa, Madrid, Spain, 7Instituto Investigacion Sanitaria- Hospital Clinico Universitario de Santiago, Santiago de Compostela, Spain, 8Laboratorio Investigacion 10 and Rheumatology Unit, Instituto Investigacion Sanitaria- Hospital Clinico Universitario de Santiago, Santiago de Compostela, Spain

    Background/Purpose: Biomarkers of response to treatment in rheumatoid arthritis (RA) are sorely needed given the large inter-individual variability in efficacy of the available drugs. However,…
  • Abstract Number: 596 • 2015 ACR/ARHP Annual Meeting

    Long-Term High Remission Rates and Distinct Trajectories of Disease Activity Following the Implementation of Treat-to-Target in Early Rheumatoid Arthritis

    Letty G.A. Versteeg1, Laura M.M. Steunebrink1, Ina H. Kuper1, Peter M. ten Klooster2, Arie E. van der Bijl3, Harald E. Vonkeman4 and Mart A.F.J. van de Laar1, 1Rheumatology, Medisch Spectrum Twente - Arthritis Center Twente, Enschede, Netherlands, 2Pcgr, University of Twente, Enschede, Netherlands, 3Isala Klinieken, Zwolle, Netherlands, 4Ariensplein 1, Medisch Spectrum Twente - Arthritis Center Twente, Enschede, Netherlands

    Background/Purpose: Treat-to-target (T2T) in early Rheumatoid Arthritis (RA) has been successfully implemented in daily clinical practice. Patients achieve remission very early and during a follow-up…
  • Abstract Number: 597 • 2015 ACR/ARHP Annual Meeting

    JAK Inhibition Significantly Reduced Fibrogenesis in Rheumatoid Arthritis Patients

    Shintaro Hirata1, Natasja Stæhr Gudman2, Kentaro Hanami1, Satoshi Kubo1, Anne C. Bay-Jensen2, Morten Asser Karsdal3 and Yoshiya Tanaka1, 1The First Department of Internal Medicine, University of Occupational and Environmental Health, Japan, Kitakyushu, Japan, 2Nordic Bioscience, Biomarkers and Research, Herlev, Denmark, 3Biomarkers and Research, Nordic Bioscience, Herlev, Denmark

    Background/Purpose: Connective tissue degradation and formation is markedly increased in rheumatoid arthritis (RA). Increased tissue formation may result in fibrosis, whereas increased degradation may result…
  • Abstract Number: 598 • 2015 ACR/ARHP Annual Meeting

    Economic Impact of Decreasing Adalimumab and Etanercept Doses and Drug Monitoring in Patients with Rheumatoid Arthritis in Clinical Remission: Preliminary Study from a Local Biologics Unit

    José Rosas1, Francisca Llinares-Tello2, José Miguel Senabre1, Gregorio Santos-Soler1, Esteban Salas-Heredia1, Xabier Barber3, Ana Pons4, Catalina Cano4, Marisa Lorente5 and Juan Molina6, 1Rheumatology, Hospital Marina Baixa, Villajoyosa, Spain, 2Clinical Analysis, Hospital Marina Baixa, Clinical Analysis, Villajoyosa, Spain, 3Centro de Investigación Operativa, Miguel Hernández University, Elche, Spain, 4Hospital Marina Baixa, Nursing, Villajoyosa, Spain, 5Marina Baixa Hospital, Nursing, Villajoyosa, Spain, 6Hospital Marina Baixa, Clinical Analysis, Villajoyosa, Spain

    Background/Purpose: To evaluate the economic impact of adalimumab (ADL) and etanercept (ETN) dose reduction (by decreasing treatment frequency) and drug monitoring in patients with rheumatoid…
  • Abstract Number: 599 • 2015 ACR/ARHP Annual Meeting

    An Examination of Dose Escalation Among Remicade (infliximab) Users in a US RA Registry

    Jeffrey R. Curtis1, Ying Shan2, Joel M. Kremer3, Katherine Saunders4, Dennis Parenti5 and Shelly Kafka5, 1University of Alabama at Birmingham, Birmingham, AL, 2UMass Memorial Medical Center, Worcester, MA, 3Albany Medical College, Albany, NY, 4Corrona LLC, Atlanta, GA, 5Janssen Scientific Affairs, LLC, Horsham, PA

    Background/Purpose: Limited data are available about infliximab(IFX) dose escalation. This analysis examines the frequency of dose escalation among IFX patients using data from the US…
  • Abstract Number: 600 • 2015 ACR/ARHP Annual Meeting

    Tocilizumab Serum Trough Levels and Disease Activity in Rheumatoid Arthritis

    Virginia Ruiz-Esquide1, Pascal Zufferey2, Jose Inciarte-Mundo1, Jordi Yagüe3, M. Victoria Hernández4, Julio Ramirez1, Jeanne Berner2, Mariona Pascal3, Andrea Cuervo1, Juan D. Cañete5 and Raimon Sanmarti1,6, 1Arthritis Unit. Rheumatology, Hospital Clínic of Barcelona, Barcelona, Spain, 2Rheumatology, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland, 3Immunology, Hospital Clínic of Barcelona, Barcelona, Spain, 4Hospital Clínic i Provincial, Barcelona, Spain, 5Arthritis Unit, Rheumatology, Hospital Clínic of Barcelona, Barcelona, Spain, 6Arthritis Unit. Rheumatology Department, Hospital Clínic of Barcelona, Barcelona, Spain

    Background/Purpose: Tocilizumab (TCZ) is a humanized anti-IL-6R monoclonal antibody approved for the treatment of active rheumatoid arthritis (RA) (EMA: 8mg/kg q4w). Response to treatment may…
  • Abstract Number: 601 • 2015 ACR/ARHP Annual Meeting

    Step-Down Strategy of Spacing TNF-Blockers Injections for Established Rheumatoid Arthritis in Remission: A within Randomized Control Trial Based Cost-Utility Analysis

    Antoine Vanier1, Florence Tubach2, Toni Alfaiate3, Xavier Mariette4 and Bruno Fautrel5, 1Biostatistics, Public Health and Medical Informatics, AP-HP Pitié-Salpêtrière Hospital / Pierre and Marie Curie University Paris 6, Paris, France, 2Epidemiology and Clinical Research, AP-HP Bichat Hospital / University of Paris-Diderot / INSERM CIC-EC 1425, Paris, France, 3Epidemiology and Clinical Research, AP-HP Bichat Hospital / INSERM CIC-EC 1425, Paris, France, 4Université Paris-Sud, AP-HP, Hôpitaux Universitaires Paris-Sud, Paris, France, 5Rheumatology, AP-HP Pitié-Salpêtrière Hospital / Pierre and Marie Curie University Paris 6 GRC-08 (EEMOIS), Paris, France

    Background/Purpose: Once remission is achieved for patients with rheumatoid arthritis (RA), treatment down-titration should be attempted, for safety issues or economic reasons. One of the…
  • Abstract Number: 602 • 2015 ACR/ARHP Annual Meeting

    Efficacy of Very Low Dose (100mg) Rituximab in Active Rheumatoid Arthritis Despite Combination DMARD-Single Center, Prospective, Observational Study

    Padmanabha Shenoy1 and Manish Bavaliya2, 1Dept. of rheumatology and clinical immunology, Amrita Institute of medical science and research institute, Kochi, India, 2Department of rheumatology and clinical immunology, Amrita institute of medical sciences and research institute, Kochi, India

    Background/Purpose: Rituximab is an anti-CD20 antibody that represents a therapeutic alternative for the patients with rheumatoid arthritis. It has been proven that rituximab at a…
  • Abstract Number: 603 • 2015 ACR/ARHP Annual Meeting

    Which Seronegative RA Patients Respond to Rituximab? – Preliminary Analysis of a Merged Clinical Trials Dataset

    Elizabeth M.A. Hensor1,2, Edward M. Vital1,2 and Paul Emery1,2, 1Leeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds, Leeds, United Kingdom, 2NIHR Leeds Musculoskeletal Biomedical Research Unit, Leeds Teaching Hospitals NHS Trust, Leeds, United Kingdom

    Background/Purpose: Seronegative RA patients have inferior clinical response to rituximab [1].  However, there is significant heterogeneity in this group of patients for baseline clinical features…
  • Abstract Number: 604 • 2015 ACR/ARHP Annual Meeting

    Calprotectin and TNF Antagonist Serum Trough Levels Identify Active Ultrasound Synovitis in Rheumatoid Arhritis and Psoriatic Arthritis Patients in Remission or Low Disease Activity

    Jose Inciarte-Mundo1, Julio Ramírez1, Virginia Ruiz-Esquide1, M. Victoria Hernández1, Oscar Camacho1, Sonia Cabrera-Villalba1, Andrea Cuervo1, Mariona Pascal2, Jordi Yagüe2, Juan D. Cañete1 and Raimon Sanmarti1, 1Rheumatology Department, Hospital Clinic i Provincial, Barcelona, Spain, 2Immunology Department, Hospital Clinic i Provincial, Barcelona, Spain

    Background/Purpose: An accurate assessment of disease activity is needed in Rheumatoid arthritis (RA) and Psoriatic Arthritis (PsA) patients in remission or low disease activity for…
  • Abstract Number: 605 • 2015 ACR/ARHP Annual Meeting

    Monitoring of Epstein Barr Virus, Cytomegalovirus and Varicella Zooster Virus Load in Patients Receiving Tocilizumab for Rheumatoid Arthritis

    cindy mourgues1, cecile henquell2, Zuzana Tatar3, Bruno Pereira4, cynthia nourisson5, Anne Tournadre6, Martin Soubrier7 and Marion Couderc7, 1puy de dome, CHU gabriel montpied clermont ferrand, clermont ferrand, France, 2virology, CHU gabriel montpied virology, clermont ferrand, France, 3Rheumatology, CHU G.-Montpied, Clermont-Ferrand, France, 4Biostatistics unit (DRCI), CHU Clermont-Ferrand, Clermont-Ferrand, France, 5rheumatology, chu gabriel montpied, clermont ferrand, France, 6Rheumatology, UNH-UMR 1019 INRA University of Auvergne and Rheumatology department CHU Clermont-Ferrand, Clermont-Ferrand, France, 7Rheumatology department CHU Clermont-Ferrand, Clermont-Ferrand, France

    Background/Purpose: Tocilizumab (TCZ) is an interleukin 6 (IL-6) inhibitor that is used in Rheumatoid Arthritis (RA) treatment (1). Due to the role played by IL-6…
  • Abstract Number: 606 • 2015 ACR/ARHP Annual Meeting

    Impaired Kidney Function Improves Treatment Response after 6 Months of Methotrexat Treatment in Rheumatoid Arthritis Patients

    Paul Studenic1, Farideh Alasti1, Josef S. Smolen2,3, Helmuth Haslacher4 and Daniel Aletaha5, 1Department of Internal Medicine 3, Division of Rheumatology, Medical University Vienna, Vienna, Austria, 2Department of Medicine 3, Division of Rheumatology, Medical University Vienna, Vienna, Austria, 32nd Department of Medicine, Hietzing Hospital, Vienna, Austria, 4Laboratory Medicine, Medical University Vienna, Vienna, Austria, 5Department of Internal Medicine III; Division of Rheumatology, Medical University Vienna, Vienna, Austria

    Background/Purpose: Methotrexate (MTX) and leflunomide are categorized as DMARDs of first choice in treating rheumatoid arthritis patients. MTX should be used cautiously in patients with…
  • Abstract Number: 607 • 2015 ACR/ARHP Annual Meeting

    Serum Progranulin (PRGN) Level Is Not a Biomarker for Responsiveness to Tumor Necrosis Factor (TNF)-Antagonist Therapy in Rheumatoid Arthritis (RA) Patients

    Rosy Rajbhandary1, Rebekah Neal2, Jennifer Johnson3, Qingyun Tian4, Jinlong Jian5, Chuanju Liu6 and William Stohl2, 1Medicine/Rheumatology, LAC+ USC Medical Center, Los Angeles, CA, 2Div of Rheumatology, USC, Los Angeles, CA, 3Medicine, Keck School of Medicine of USC, Los Angeles,, CA, 4Nyu,Hid,301 E 17th St, New York University Medical Center, New York, NY, 5301 E. 17th St., Rm 1600, New York, NY, 6NYU Hospital for joint Diseases, New York, NY

    Background/Purpose: PRGN is a growth factor that binds TNF receptors without triggering TNF-like activity, thereby serving as a naturally-occurring antagonist of TNF -mediated inflammatory signaling.…
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