ACR Meeting Abstracts

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  • Abstract Number: 1634 • 2015 ACR/ARHP Annual Meeting

    The Effects of Glucocorticoids on the Efficacy of Tofacitinib As Monotherapy and in Combination Therapy with Nonbiologic Dmards: An Analysis of Data from Six Phase 3 Studies

    Roy Fleischmann1, Christina Charles-Schoeman2, Gerd Burmester3, Cristiano Zerbini4, Peter Nash5, Kenneth Kwok6, Koshika Soma7, Alan Mendelsohn8 and Eustratios Bananis8, 1Metroplex Clinical Research Center, Dallas, TX, 2University of California, Los Angeles, CA, 3Department of Rheumatology and Clinical Immunology, Charité - Universitätsmedizin Berlin, Berlin, Germany, 4Centro Paulista de Investigação Clinica, São Paulo, Brazil, 5Nambour Hospital, Sunshine Coast and Department of Medicine, University of Queensland, Queensland, Australia, 6Pfizer Inc, New York, NY, 7Pfizer Inc, Groton, CT, 8Pfizer Inc, Collegeville, PA

    Background/Purpose: Tofacitinib is an oral Janus kinase inhibitor for the treatment of RA. Patients with RA often receive concomitant treatment with glucocorticoids (GCs) to control…
  • Abstract Number: 1635 • 2015 ACR/ARHP Annual Meeting

    Development of New Bioassay System Measuring Inhibitory Strength of IL-6/STAT3 Signal Under Tocilizumab Treatment in Rheumatoid Arthritis Patients

    Shuntaro Saito1, Katsuya Suzuki1, Kunihiro Yamaoka1 and Tsutomu Takeuchi2, 1Division of Rheumatology, Department of Internal Medicine, Keio University School of Medicine, Tokyo, Japan, 2Keio University School of Medicine, Tokyo, Japan

    Background/Purpose: Tocilizumab (TCZ) is a IL-6 receptor blockade, administered intravenously every 4 weeks and efficiently inhibits IL-6/STAT3 signaling pathway. We have previously reported the usefulness…
  • Abstract Number: 1636 • 2015 ACR/ARHP Annual Meeting

    Clinical Benefit of 1-Year Certolizumab Pegol Treatment in MTX-Naïve, Early Rheumatoid Arthritis Patients Is Maintained after Discontinuation up to 1 Year

    Tatsuya Atsumi1, Kazuhiko Yamamoto2, Tsutomu Takeuchi3, Hisashi Yamanaka4, Naoki Ishiguro5, Yoshiya Tanaka6, Katsumi Eguchi7, Akira Watanabe8, Hideki Origasa9, Toshiharu Shoji10, Osamu Togo11, Toshiyuki Okada12, Désirée van der Heijde13, Nobuyuki Miyasaka14 and Takao Koike15, 1Division of Rheumatology, Endocrinology and Nephrology, Hokkaido University Graduate School of Medicine, Sapporo, Japan, 2Department of Allergy and Rheumatology, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan, 3Keio University School of Medicine, Tokyo, Japan, 4Tokyo Women's Medical University, Tokyo, Japan, 5Department of Orthopedic Suregery, Nagoya University Hospital, Nagoya, Japan, 6The First Department of Internal Medicine, University of Occupational and Environmental Health, Kitakyushu, Japan, 7Department of Immunology and Rheumatology, Nagasaki University, Nagasaki, Japan, 8Tohoku University, Sendai, Japan, 9Division of Biostatistics and Clinical Epidemiology, University of Toyama School of Medicine, Toyama, Toyama, Japan, 10Department of Clinical Research and Development, Otsuka Pharmaceutical Co., Ltd, Shinagawa-ku, Tokyo, Japan, 11Biometrics Group, UCB Pharma, Tokyo, Japan, 12Astellas Pharma Inc., Japan, Tokyo, Japan, 13University Hospital, Maastricht, Netherlands, 14Tokyo Medical and Dental University, Tokyo, Japan, 15Medicine II, Hokkaido University Graduate School of Medicine, Sapporo, Japan

    Background/Purpose: Efficacy and safety of certolizumab pegol (CZP) treatment in combination with optimized-dose MTX in Japanese MTX-naïve early rheumatoid arthritis (RA) patients (pts) with poor…
  • Abstract Number: 1637 • 2015 ACR/ARHP Annual Meeting

    TNFi Combination Therapy, Switching and Persistence Patterns By Longitudinal Disease Activity Strata in Patients with Rheumatoid Arthritis

    Leslie Harrold1,2, George W. Reed1,2, Natalie Boytsov3, Carol L. Gaich3, Marc Mason4, Xiang Zhang3, Cynthia J. Larmore3, Sabrina Deveikis4 and Andre B. Araujo3, 1University of Massachusetts Medical School, Worcester, MA, 2Corrona, LLC, Southborough, MA, 3Eli Lilly and Company, Indianapolis, IN, 4Corrona, LLC., Southborough, MA

     Background/Purpose: The purpose of this study was to describe the treatment patterns in biologic naïve initiators of TNF-inhibitors (TNFi) based on their disease activity over…
  • Abstract Number: 1638 • 2015 ACR/ARHP Annual Meeting

    Early Response As a Predictor of Long-Term Remission in DMARD-Naïve Patients with Severe, Active and Progressive Rheumatoid Arthritis Treated with Certolizumab Pegol in Combination with Methotrexate

    Michael Weinblatt1, Clifton Bingham2, Gerd Burmester3, VP Bykerk4, Daniel E. Furst5, Xavier Mariette6, Désirée van der Heijde7, Daljit Tatla8, Catherine Arendt9, Irina Mountian10, Brenda VanLunen11 and Paul Emery12, 1Rheumatology Immunology & Allergy, Brigham and Women's Hospital, Boston, MA, 2Johns Hopkins University, Baltimore, MD, 3Department of Rheumatology and Clinical Immunology, Charité - Universitätsmedizin Berlin, Berlin, Germany, 4Hospital for Special Surgery, New York, NY, 5Medicine, University of California, Los Angeles, David Geffen School of Medicine, Los Angeles, CA, 6Université Paris-Sud, AP-HP, Hôpitaux Universitaires Paris-Sud, Paris, France, 7University Hospital, Maastricht, Netherlands, 88010 Arco Corporate Dr, UCB Pharma, Raleigh, NC, 9Global Medical Affairs, UCB Pharma, Brussels, Belgium, 10UCB Pharma, Brussels, Belgium, 11UCB Pharma, Raleigh, NC, 12Leeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds, Leeds, United Kingdom

    Background/Purpose: In established rheumatoid arthritis (RA), a lack of response to treatment with certolizumab pegol (CZP) at early timepoints is associated with a low probability…
  • Abstract Number: 1639 • 2015 ACR/ARHP Annual Meeting

    Clinical Outcomes for Rheumatoid Arthritis Patients Receiving Tofacitinib Monotherapy in the Open-Label Long-Term Extension over 6 Years

    Roy Fleischmann1, Yusuf Yazici2, Jürgen Wollenhaupt3, Lisy Wang4, Anna Maniccia5, Kenneth Kwok4, Liza Takiya5 and Ronald van Vollenhoven6, 1Rheumatology, Metroplex Clinical Research Center, Dallas, TX, 2New York University Hospital for Joint Diseases, New York, NY, 3Teaching Hospital of the University of Hamburg, Schoen-Klinik Hamburg-Eilbek, Hamburg, Germany, 4Pfizer Inc, Groton, CT, 5Pfizer Inc, New York, NY, 6The Karolinska Institute, Stockholm, Sweden

    Background/Purpose: Treatment options delivering sustained efficacy when given as monotherapy in RA are limited.1 Tofacitinib is an oral Janus kinase inhibitor for the treatment of…
  • Abstract Number: 1640 • 2015 ACR/ARHP Annual Meeting

    Effect of Methotrexate Dose on the Efficacy of Tofacitinib: Treatment Outcomes from a Phase 3 Clinical Trial of Patients with Rheumatoid Arthritis

    Roy Fleischmann1, Philip J. Mease2, Sergio Schwartzman3, Lie-Ju Hwang4, Aditya Patel5, Koshika Soma4, Carol A. Connell6, Liza Takiya4 and Eustratios Bananis7, 1Rheumatology, Metroplex Clinical Research Center, Dallas, TX, 2Rheumatology Research, Swedish Medical Center, Seattle, WA, 3Hospital for Special Surgery, New York, NY, 4Pfizer Inc, New York, NY, 5Inventiv Health Inc, South Plainfield, NJ, 6Pfizer Inc, Groton, CT, 7Pfizer Inc, Collegeville, PA

    Background/Purpose: Tofacitinib is an oral Janus kinase inhibitor for the treatment of rheumatoid arthritis (RA). ORAL Scan was a 2-year, randomized, Phase 3, clinical trial…
  • Abstract Number: 1641 • 2015 ACR/ARHP Annual Meeting

    B Cell Depletion with Rituximab in Patients with Rheumatoid Arthritis: Multiplex Bead Array Reveals Kinetics of IgG and IgA Autoantibodies to Citrullinated Antigens

    Geraldine Cambridge1, Lauren J. Lahey2, Maria J. Leandro1, William H. Robinson3 and Jeremy Sokolove4, 1Rheumatology, University College London, London, United Kingdom, 2Medicine, VA Palo Alto HealthCare System and Stanford University, Palo Alto, CA, 3VA Palo Alto Health Care System and Stanford University, Palo Alto, CA, 4Medicine, VA Palo Alto Health Care System and Stanford University, Palo Alto, CA

    Background/Purpose: Seropositivity for rheumatoid factors and anti-citrullinated (Cit) protein antibodies (ACPA) are the strongest predictor for clinical response to rituximab (RTX) in rheumatoid arthritis (RA).…
  • Abstract Number: 1642 • 2015 ACR/ARHP Annual Meeting

    A Systematic Review and Network Meta-Analysis on the Efficacy of Tumor Necrosis Factor Inhibitor-Methotrexate Combination Therapy Versus Triple Therapy in Methotrexate Inadequate Responders with Rheumatoid Arthritis

    Roy Fleischmann1, Janet E. Pope2, Vanita Tongbram3, Derek Tang4, James Chung5, David Collier5, Shilpa Urs3, Kerigo Ndirangu3, George A. Wells6 and Ronald F. van Vollenhoven7, 1Rheumatology, Metroplex Clinical Research Center, Dallas, TX, 2University of Western Ontario, London, ON, Canada, 3ICON Plc., Morristown, NJ, 4Amgen, Inc., Thousand Oaks, CA, 5Amgen Inc., Thousand Oaks, CA, 6Cardiovascular Research Reference Centre, University of Ottawa Heart Institute, Ottawa, ON, Canada, 7Department of Medicine, Unit for Clinical Therapy Research, Inflammatory Diseases (ClinTRID), The Karolinska Institute, Stockholm, Sweden

    Background/Purpose: Previously published rheumatoid arthritis (RA) trials in which TNFi-MTX and triple therapy (MTX + hydroxychloroquine + sulfasalazine) were included as treatment arms in MTX…
  • Abstract Number: 1643 • 2015 ACR/ARHP Annual Meeting

    Modified-Release Formulation of Tofacitinib: Evaluation of Pharmacokinetics Compared with Immediate-Release Tofacitinib and Impact of Food

    Manisha Lamba1, Rong Wang1, Tracey Fletcher2, Christine Alvey1, Joseph Kushner1 and Thomas Stock2, 1Pfizer Inc, Groton, CT, 2Pfizer Inc, Collegeville, PA

    Background/Purpose: Tofacitinib is an oral Janus kinase inhibitor for the treatment of RA. A modified-release (MR) formulation has been designed to enable once daily (QD)…
  • Abstract Number: 1644 • 2015 ACR/ARHP Annual Meeting

    Routine Assessment of Patient Index Data 3 (RAPID3)-Defined Remission Is As Stringent As ACR/EULAR Boolean-Defined Remission in a Clinical Trial of Patients with Early Rheumatoid Arthritis Treated with Abatacept

    Yusuf Yazici1, KK Gandhi2, E Alemao2 and Daniel E. Furst3, 1NYU Hospital for Joint Diseases, New York, NY, 2Bristol-Myers Squibb, Princeton, NJ, 3Medicine, University of California, Los Angeles, David Geffen School of Medicine, Los Angeles, CA

    Background/Purpose: Routine Assessment of Patient Index Data 3 (RAPID3) comprises the three patient-reported ACR RA Core Data Set measures: function (HAQ-DI), pain and patient global…
  • Abstract Number: 1645 • 2015 ACR/ARHP Annual Meeting

    Tofacitinib, an Oral Janus Kinase Inhibitor, in the Treatment of Rheumatoid Arthritis: Safety and Clinical and Radiographic Efficacy in Open-Label, Long-Term Extension Studies over 7 Years

    Jürgen Wollenhaupt1, Joel Silverfield2, Eun Bong Lee3, Ketti Terry4, Kenneth Kwok5, Irina Lazariciu6, Chudy Nduaka7, Carol A. Connell4, Ryan DeMasi5 and Lisy Wang4, 1Schoen-Klinik Hamburg-Eilbek Teaching Hospital of the University of Hamburg, Hamburg, Germany, 2Healthpoint Medical Group, Tampa, FL, 3Seoul National University, Seoul, South Korea, 4Pfizer Inc, Groton, CT, 5Pfizer Inc, New York, NY, 6Quintiles, Saint-Laurent, QC, Canada, 7Pfizer Inc, Collegeville, PA

    Background/Purpose: Tofacitinib is an oral Janus kinase inhibitor for the treatment of rheumatoid arthritis (RA). We report tofacitinib safety, tolerability, and clinical response over 84 months…
  • Abstract Number: 1646 • 2015 ACR/ARHP Annual Meeting

    Which Factors Influence the Prescription of Tocilizumab Alone or in Combination with Dmards in Rheumatoid Arthritis Patients in a Real Life Setting? the ACT-Solo Study: An Analysis of Efficacy and Safety at 12 Months

    Jacques Tebib1, Isabelle Idier2, Mathieu Coudert3, David Pau4, Jean-Francis Maillefert5 and Rene-Marc Flipo6, 1Rheumatology, Hospices Civils de Lyon, Centre Hospitalier Lyon-Sud, Pierre-Bénite, France, 2Chugai Pharma, La Defense, France, 3Statistics, Experis IT, Nanterre, France, 4Statistics, Roche, Boulogne-Billancourt, France, 5Rheumatology, University Hospital, Dijon, France, 6Rheumatology, University Hospital, Lille, France

    Background/Purpose: Baseline factors influencing the use of tocilizumab (TCZ) in monotherapy (Mono) instead of combination with DMARDs (Combo) in real-life practice in RA patients (pts)…
  • Abstract Number: 1647 • 2015 ACR/ARHP Annual Meeting

    A Randomized, Clinical Trial to Assess the Relative Efficacy and Tolerability of Two Doses of Etoricoxib in Patients with Rheumatoid Arthritis

    Kara Bickham1, Désirée van der Heijde2, Narinder Rawal3, Joachim Sieper4, Boyd Scott5, Nancy Frontera1, Sandhya Shah1, Paul Stryszak1, Dimitris Papanicolaou1, Zoran Popmihajlov1 and Paul Peloso1, 1Merck & Co., Inc., Kenilworth, NJ, 2University Hospital, Maastricht, Netherlands, 3Orebro University Hospital, Orebro, Sweden, 4Rheumatology, Charite - Campus Benjamin Franklin, Berlin, Germany, 5Merck Sharp & Dohme Corp., Whitehouse Station, NJ

    Background/Purpose: Etoricoxib, a selective cyclooxygenase-2 (COX-2) inhibitor, provides symptom modification in RA patients. Previous dose-ranging studies in RA demonstrated the clinical efficacy of etoricoxib 90…
  • Abstract Number: 1648 • 2015 ACR/ARHP Annual Meeting

    The Balance of Foxp3/Ror-Gammat Expression Is Altered By Tocilizumab and By Abatacept in Patients with Rheumatoid Arthritis

    Yoshifumi Tada1, Syuichi Koarada2, Nobuyuki Ono2, Akihito Maruyama2, Satoko Tashiro2, Yukiko Tokuda2, Yukihide Ono2, Yoshinobu Nakao2 and Akihide Ohta3, 1Department of Internal Medicine, Division of Rheumatology, Saga University, Saga, Japan, 2Rheumatology, Saga University, Saga, Japan, 3Department of Adult and Gerontological Nursing, Saga University School of Medicine, Saga, Japan

    Background/Purpose: It has been shown that the balance between Th17 cells and regulatory T (Treg) cells plays an important role for the development of autoimmune…
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