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  • Abstract Number: 2420 • 2015 ACR/ARHP Annual Meeting

    Azathioprine for Glucocorticoid Resistant Non-Renal Henoch-Schönlein Purpura

    Paul Tuttle IV1, Peri Pepmueller2 and Terry Moore3, 1IM-Rheumatology, Saint Louis University, St. Louis, MO, 2Rheumatology, Saint Louis University, St. Louis, MO, 3Division of Rheumatology and Pediatric Rheumatology, Saint Louis University School of Medicine, St Louis, MO

    Background/Purpose: Henoch-Schönlein purpura is the most common small vessel vasculitis in childhood and has a classic presentation of palpable purpura. The disease is typically benign…
  • Abstract Number: 2421 • 2015 ACR/ARHP Annual Meeting

    Experience with Adalimumab for Treatment of 568 Juvenile Idiopathic Arthritis Patients in the German JIA Biologics Register

    Gerd Horneff1, Gerd Ganser2, Ivan Foeldvari3, Johannes Peter Haas4, Toni Hospach5, Ralf Trauzeddel6, Frank Weller-Heinemann7, J B. Kuemmerle-Deschner8, Angelika Thon9 and BIKER study group, 1Asklepios Clinic Sankt Augustin, Sankt Augustin, Germany, 2Pediatric Rheumatology, Sankt Josef Stift, Sendenhorst, Germany, 3Rheumatology, Scleroderma, Hamburg, Germany, 4German Centre for Rheumatology in Children and Young People, Garmisch-Partenkirchen, Germany, 5Pediatrics, Olgahospital, Klinikum Stuttgart, Stuttgard, Germany, 6HELIOS Klinikum Berlin-Buch Klinik fuer Kinder- und Jugendmedizin, Berlin, Germany, 7PRINTO, Genoa, Italy, 8Pediatrics, University Hospital Tuebingen, Tuebingen, Germany, 9Kinderklinik der Medizinischen Hochschule Hannover, Hannover, Germany

    Background/Purpose: Adalimumab (ADA) has become a valuable option for treatment of juvenile idiopathic arthritis (JIA), which significantly improves the outcome of patients. The aim of…
  • Abstract Number: 2422 • 2015 ACR/ARHP Annual Meeting

    Efficacy and Safety of Canakinumab in Children with Systemic Juvenile Idiopathic Arthritis: Results from the Phase 3 Extension Study

    Hermine I. Brunner1, Nicolino Ruperto2, Pierre Quartier3, Tamas Constantin2, Ekaterina Alexeeva2, Isabelle Koné-Paut2, Katherine Marzan1, Nico Wulffraat2, Rayfel Schneider1, Shai Padeh2, Vyacheslav Chasnyk2, Carine Wouters2, Jasmin B. Kuemmerle-Deschner2, Tilmann Kallinich2, Bernard Lauwerys4, Elie Haddad1, Evgeny Nasonov2, Maria Trachana2, Olga Vougiouka2, Karolynn Leon5, Antonio Speziale6, Karine Lheritier6, Alberto Martini2, Daniel Lovell1,7 and on behalf of PRINTO/PRCSG, 1PRCSG, Cincinnati, OH, 2PRINTO-Istituto Gaslini, Genova, Italy, 3Necker-Enfants Malades Hospital, Paris, France, 4Cliniques Universitaires Saint-Luc and Université Catholique de Louvain, Brussels, Belgium, 5Novartis Pharmaceuticals Corporation, East Hanover, NJ, 6Novartis Pharma AG, Basel, Switzerland, 7Rheumatology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH

    Background/Purpose: Systemic juvenile idiopathic arthritis (SJIA) is a debilitating form of arthritis associated with systemic symptoms such as anemia, rash, leukocytosis, elevated erythrocyte sedimentation rate…
  • Abstract Number: 2423 • 2015 ACR/ARHP Annual Meeting

    An Open-Label Extension Study to Assess the Long-Term Safety and Clinical Benefit of Etanercept on Children and Adolescents with Extended Oligoarticular Juvenile Idiopathic Arthritis, Enthesitis-Related Arthritis, or Psoriatic Arthritis: A 4-Year Update

    Nicolino Ruperto1, Tamas Constantin2, Ivan Foeldvari3, Jelena Vojinovic4, Gerd Horneff5, Rubén Burgos-Vargas6, Irina Nikishina7, Jonathan Akikusa8, Tadej Avcin9, Jeffrey Chaitow10, Elena Koskova11, Bernard R. Lauwerys12, Inmaculada Calvo-Penedes13, Berit Flato14, Maria Luz Gamir Gamir15, Hans-Iko Huppertz16, Juan Jose Jaller Raad17, Katerina Jarosova18, Jordi Anton19, Marie Macku20, William Jose Otero Escalante21, Lidia Rutkowska-Sak22, Ralf Trauzeddel23, Carine Wouters24, Ronald Pedersen25, Sameer Kotak26, Jack F Bukowski27, Tina Hinnershitz28, Bonnie Vlahos29 and Alberto Martini30, 1Pediatria II, PRINTO, Istituto G. Gaslini, Universita' di Genova, Genova, Italy, 2Semmelweis University, Budapest, Hungary, 3Hamburg Centre for Child and Adolescent Rheumatology, Hamburg, Germany, 4Faculty of Medicine, University of Nis, Nis, Serbia, 5Asklepios Clinic Sankt Augustin, Sankt Augustin, Germany, 6Rheumatology, Hospital General de Mexico, Mexico city, Mexico, 7V.A. Nasonova Research Institute of Rheumatology, Moscow, Russia, 8Rheumatology, Royal Children's Hospital, Melbourne, Australia, 9Allergology, Rheumatology and Clinical Immunology, University Medical Center Ljubljana, Ljubljana, Slovenia, 10The Sydney Children's Hospital Network, Sydney, Australia, 11National Institute of Rheumatic Diseases, Piestany, Slovakia, 12Cliniques Universitaires Saint-Luc, Brussels, Belgium, 13Hospital Universitario y Piltecnico La Fe, Valencia, Spain, 14Oslo University Hospital, Oslo, Norway, 15Rheumatology, Hospital Ramon y Cajal Unidad de Reumatologia Pediatrica, Madrid, Spain, 16Klinikum Bremen-Mitte, Prof.-Hess-Kinderklinik, Bremen, Germany, 17Centro de Reumatologia y Ortopedia, Barranquilla, Colombia, 18Revmatologicky ustav, Prague, Czech Republic, 19Unitat de Reumatologia Pediàtrica, Hospital Sant Joan de Déu, Barcelona, Spain, 201, Facutly Children's Hospital Brno, Brno, Czech Republic, 21Servimed S.A.S, Santander, Colombia, 22Instytut Reumatologii, Klinika i Poliklinika Reumatologii Wieku Rozwojowego, Warszawa, Poland, 23HELIOS Klinikum Berlin-Buch Klinik fuer Kinder- und Jugendmedizin, Berlin, Germany, 24UZ Leuven, Leuven, Belgium, 25Department of Biostatistics, Pfizer, Collegeville, PA, 26Global Health and Value, Pfizer, New York, NY, 27Pfizer, Collegeville, PA, 28Specialty Care MDG, Pfizer, Collegeville, PA, 29GIPB - Clinical Sciences, Pfizer, Collegeville, PA, 30Istituto G. Gaslini, Universita' di Genova, Genova, Italy

    Background/Purpose: A Phase 3b, open-label, multicenter study (CLIPPER; NCT00962741) demonstrated the efficacy of etanercept (ETN) in subjects with the extended oligoarticular (eo), enthesitis-related (ERA), and…
  • Abstract Number: 2424 • 2015 ACR/ARHP Annual Meeting

    Macrophage Activation Syndrome in Systemic Juvenile Idiopathic Arthritis Patients Treated with Canakinumab: Results from Phase 3 Trial Program

    Alexei A. Grom1, Hermine I. Brunner1, Nicolino Ruperto2, Alberto Martini2, Daniel Lovell1,3, Virginia Pascual4, Karine Lheritier5, Karolynn Leon6, Ken Abrams6 and Norman Ilowite7, 1PRCSG, Cincinnati, OH, 2PRINTO-Istituto Gaslini, Genova, Italy, 3Rheumatology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, 4Baylor Institute for Immunology Research, Dallas, TX, 5Novartis Pharma AG, Basel, Switzerland, 6Novartis Pharmaceuticals Corporation, East Hanover, NJ, 7Pediatrics, Albert Einstein College of Medicine, Bronx, NY

    Background/Purpose: Macrophage activation syndrome (MAS), a potentially fatal complication of systemic juvenile idiopathic arthritis (SJIA), was reported as an adverse event in both canakinumab and…
  • Abstract Number: 2425 • 2015 ACR/ARHP Annual Meeting

    Safety of Tocilizumab in Young Adults with Juvenile Idiopathic Arthritis (JIA)

    Jens Klotsche1, Martina Niewerth2, Johannes Peter Haas3, Angela Zink4, Gerd Horneff5 and Kirsten Minden6, 1Programme Area Epidemiology, German Rheumatism Research Center, a Leibniz institute, Berlin, Germany, 2Epidemiology, German Rheumatism Research Centre, Berlin, Germany, 3German Centre for Rheumatology in Children and Young People, Garmisch-Partenkirchen, Germany, 4Epidemiologie, Deutsches Rheuma-Forschungszentrum, Berlin, Germany, 5Asklepios Clinic Sankt Augustin, Sankt Augustin, Germany, 6Children’s University Hospital Charite/German Rheumatism Research Centre Berlin, Berlin, Germany

    Background/Purpose: Tocilizumab was recently approved for the treatment of systemic JIA (sJIA) and polyarticular JIA (pJIA). Published data on the tolerability of tocilizumab in patients…
  • Abstract Number: 2426 • 2015 ACR/ARHP Annual Meeting

    Medication Taper and Risk of Relapse in Pediatric Uveitis

    Sheila T. Angeles-Han1,2,3, Courtney McCracken3, Steven Yeh2, Daneka Stryker4, Kirsten Jenkins1, Steven Tommasello5, Scott R. Lambert2, Carolyn Drews-Botsch6 and Sampath Prahalad7, 1Children's Healthcare of Atlanta, Atlanta, GA, 2Ophthalmology, Emory University School of Medicine, Atlanta, GA, 3Pediatrics, Emory University School of Medicine, Atlanta, GA, 4Pediatrics, Emory University School of Medicine and Children's Healthcare of Atlanta, Atlanta, GA, 5University of Alabama, Birmingham, AL, 6Epidemiology, Emory University School of Public Health, Atlanta, GA, 7Emory University School of Medicine and Children's Healthcare of Atlanta, Atlanta, GA

    Background/Purpose: Pediatric uveitis can be vision-threatening.  Treatment typically consists of ocular steroids, methotrexate, and anti-tumor necrosis factor (TNF) agents.  Optimal duration of treatment and risk…
  • Abstract Number: 2427 • 2015 ACR/ARHP Annual Meeting

    Long-Term Efficacy and Safety of Mycophenolate Mofetil in Childhood Primary Central Nervous System Vasculitis

    Alice Brambilla1, Alessandra Cosi2, Anna Rosati2, Renzo Guerrini2, Rolando Cimaz1 and Gabriele Simonini1, 1Pediatric Rheumatology, Pediatric Rheumatology Unit, Anna Meyer Children's Hospital-University of Florence, Firenze, Italy, 2Neurology Unit, Neurology Unit, Anna Meyer Children's Hospital-University of Florence, Firenze, Italy

    Background/Purpose: Childhood primary central nervous system vasculitis (cPANCS) is an inflammatory brain disease targeting either small (angiography-negative) or medium-large (angiography-positive) central nervous system vessels. Vascular…
  • Abstract Number: 2428 • 2015 ACR/ARHP Annual Meeting

    Efficacy and Safety of Adalimumab in Adult Patients with Polyarticular Juvenille Idiopathic Arthritis

    Daniel Lovell1,2, Nicolino Ruperto3, Andreas Reiff4, Lawrence Jung5, Katerina Jarosova6, Pierre Quartier7, Christy Sandborg8, John F. Bohnsack9, Dirk Elewaut10, Ivan Foeldvari11, Joseph Rovensky12, Edward H. Giannini2, Nupun A. Varothai13, Jasmina Kalabic13 and Alberto Martini14,15,16, 1PRCSG, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, 2PRCSG, Cincinnati, OH, 3Paediatric Rheumatology International Trials Organization (PRINTO), Istituto Giannina Gaslini, Genova, Italy, 4Children's Hospital, Los Angeles, CA, 5Pediatric Rheumatology, Children's National Med Ctr, Washington, DC, 6Revmatologicky ustav, Prague, Czech Republic, 7Hospital Necker Enfants Malades, Paris, France, 8Stanford University Medical Center, Standford, CA, 9Pediatrics, University of Utah Health Sciences Center, Salt Lake City, UT, 10Laboratory for Molecular Immunology and Inflammation, Department of Rheumatology, VIB, Ghent University and Ghent University Hospital, Ghent, Belgium, 11Hamburger Zentrum für Kinder-und Jugendrheumatologie, Hamburg, Germany, 12The National Institute of Rheumatic Diseases, Piestany, Slovakia, 13AbbVie, North Chicago, IL, 14University of Genova, Genova, Italy, 15Department of Pediatrics, University of Genova, Genova, Italy, 16Istituto Gaslini-PRINTO, Genova, Italy

    Background/Purpose: The diagnosis of polyarticular JIA (pJIA) is made in childhood but the disease and the diagnosis are carried into adulthood. Adults with pJIA have…
  • Abstract Number: 2429 • 2015 ACR/ARHP Annual Meeting

    Varicella Vaccination in Patients with Pediatric Rheumatic Diseases Receiving Immunosuppression: Proposal of a Pre-Vaccination Checklist to Ensure Safety

    Fabian Speth1, Johannes Peter Haas1, Susanne Loeber1 and Claas Hinze2, 1German Center for Pediatric and Adolescent Rheumatology, Garmisch-Partenkirchen, Germany, 2Department of Pediatric Rheumatology and Immunology, University Hospital Münster, Münster, Germany

    Background/Purpose: Varicella zoster virus (VZV) infection is a serious preventable infection in patients (pts) receiving immunosuppression (IS). The purpose of this study was to determine…
  • Abstract Number: 2430 • 2015 ACR/ARHP Annual Meeting

    Immunological Risk Factors after Rituximab Therapy in Patients with Pediatric Rheumatic Diseases – a Prospective Single-Center Study

    Fabian Speth1, Johannes Peter Haas1 and Claas Hinze2, 1German Center for Pediatric and Adolescent Rheumatology, Garmisch-Partenkirchen, Germany, 2Department of Pediatric Rheumatology and Immunology, University Hospital Münster, Münster, Germany

    Background/Purpose: Rituximab (RTX) is used in refractory pediatric rheumatic diseases (PRD). Data regarding the effects of RTX on the immune system in children and safety…
  • Abstract Number: 2431 • 2015 ACR/ARHP Annual Meeting

    Long-Term Safety of Adalimumab Treatment in Pediatric Patients with Polyarticular Juvenile Idiopathic Arthritis and Enthesitis-Related Arthritis

    Daniel Lovell1, Nicolino Ruperto2, Daniel J. Kingsbury1, Rubén Burgos-Vargas2, Tomoyuki Imagawa3, G Horneff2, Pierre Quartier4, Steven Goodman1, Andreas Reiff1, Edward H. Giannini1, Anabela Cardoso5, Jaclyn K. Anderson6, Nupun A. Varothai6, Jasmina Kalabic6 and Alberto Martini2, 1PRCSG, Cincinnati, OH, 2PRINTO, IRCCS G. Gaslini, Genova, Italy, 3Kanagawa Children’s Medical Center, Yokohama City, Japan, 4Hopital Necker-Enfants Malades, Paris, France, 5AbbVie, Amadora, Portugal, 6AbbVie, North Chicago, IL

    Background/Purpose: The long-term safety of anti-tumor necrosis factor (TNF) drugs is particularly important in pediatric patients (pts) who may require prolonged treatment of their inflammatory…
  • Abstract Number: 2432 • 2015 ACR/ARHP Annual Meeting

    The Preventive Effect of Methotrexate on Uveitis Onset in JIA Depends on Uveitis Risk Factors

    Mikhail Kostik1, Ekaterina Gaidar1, Margarita Dubko1, Ludmila Snegireva2, Vera Masalova2, Irina Chikova1, Eugenia Isupova3, Tatiana Nikitina4, Elena Serogodskaya1, Olga Kalashnikova1, Angelo Ravelli5 and Vyacheslav Chasnyk3, 1State Pediatric Medical University, Saint-Petersburg, Russia, 2Hospital Pediatrics, State Pediatric Medical University, Saint-Petersburg, Russia, 3Hospital Pediatry, State Pediatric Medical University, Saint-Petersburg, Russia, 4State Pediatric Medical University, St. Petersburg, Russia, 5Pediatria-II, IRCCS G. Gaslini and University of Genova, Genova, Italy

    Background/Purpose: Uveitis is the most common extra-articular manifestation of juvenile idiopathic arthritis (JIA), often entirely asymptomatic but could be sight-threatening. The main predictors of uveitis…
  • Abstract Number: 2433 • 2015 ACR/ARHP Annual Meeting

    Anti Interferon-Gamma (IFNg) Monoclonal Antibody Treatment in a Child with NLRC4-Related Disease and Severe Hemophagocytic Lymphohistiocytosis (HLH)

    Claudia Bracaglia1, Giusi Prencipe1, Antonio Gatto2, Manuela Pardeo1, Geneviève Lapeyre3, Luigi Raganelli1, Emiliano Marasco2, Antonella Insalaco2, Walter Ferlin3, Robert Nelson3, Cristina de Min3 and Fabrizio De Benedetti1, 1Department of Pediatric Medicine, Division of Rheumatology, Ospedale Pediatrico Bambino Gesù, IRCCS, Rome, Italy, 2Pediatric Medicine, Division of Rheumatology, Ospedale Pediatrico Bambino Gesù, IRCCS, Rome, Italy, 3NovImmune S.A., Geneva, Switzerland

    Background/Purpose: Animal and humans data suggest that IFNγ plays a pathogenic role in HLH. A pilot trial in primary HLH with NI-0501, an anti-IFNγ monoclonal…
  • Abstract Number: 2434 • 2015 ACR/ARHP Annual Meeting

    Promis Tools for Measurement of Patient-Reported Outcomes in Children with Juvenile Arthritis

    Timothy Brandon1, Brandon Becker1, Katherine Bevans1 and Pamela F. Weiss2, 1Pediatrics, Children's Hospital of Philadelphia, Philadelphia, PA, 2Rheumatology, Children's Hospital of Philadelphia, Philadelphia, PA

    Background/Purpose:  Child/parent perspectives on their own/their child's health are highly pertinent to disease management. PROMIS is a collection of patient-reported outcome measures that were developed…
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