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  • Abstract Number: 2817 • 2014 ACR/ARHP Annual Meeting

    Histone Deacetylase One Contributes to the Auto-Aggressive Phenotype of Rheumatoid Arthritis

    Sarah Hawtree1, Munitta Muthana1, J. Mark Wilkinson2, Anthony G. Wilson1 and Mohammed Akil3, 1Infection and Immunity, University of Sheffield, Sheffield, United Kingdom, 2Academic Unit of Bone Metabolism, University of Sheffield, Sheffield, United Kingdom, 3Rheumatology Department, Sheffield South Yorkshire, United Kingdom

    Background/Purpose Rheumatoid arthritis (RA) is a chronic, autoimmune, inflammatory disease that affects synovial joints. A key characteristic of RA is hyperplasia of fibroblast-like synoviocytes (FLS)…
  • Abstract Number: 2818 • 2014 ACR/ARHP Annual Meeting

    SH2 Domain-Containing Phosphatase 2 Promotes Aggressiveness of Rheumatoid Fibroblast-like Synoviocytes

    Stephanie M. Stanford1, German R. Aleman Muench1, Cristiano Sacchetti1, Lifan Zeng2, David L. Boyle3, Gen-Sheng Feng4, Zhong-Yin Zhang2, Maripat Corr3, Gary S. Firestein3 and Nunzio Bottini1, 1Cellular Biology, La Jolla Institute for Allergy and Immunology, La Jolla, CA, 2Biochemistry and Molecular Biology, Indiana University School of Medicine, Indianapolis, IN, 3Division of Rheumatology, Allergy and Immunology, University of California at San Diego School of Medicine, La Jolla, CA, 4Pathology, University of California at San Diego Division of Biological Sciences, La Jolla, CA

    Background/Purpose In rheumatoid arthritis (RA), fibroblast-like synoviocytes (FLS) that line joint synovial membranes aggressively invade the extracellular matrix, destroying cartilage and bone. Although this cell…
  • Abstract Number: 2819 • 2014 ACR/ARHP Annual Meeting

    The YAP Pathway Regulates Fibroblast-like Synoviocyte Invasion

    Beatrix Bartok, Division of Rheumatology, allergy and immunology, University of California, San Diego, La Jolla, CA

    Background/Purpose: Fibroblast like synoviocytes (FLS) in RA possesses unique transformed phenotype, such as cartilage invasion that is maintained independent of cytokines and other inflammatory cells.…
  • Abstract Number: 2820 • 2014 ACR/ARHP Annual Meeting

    Dual Role for B Cells in Promoting Bone Erosion in Rheumatoid Arthritis Via Effects on Osteoclast and Osteoblast Differentiation

    Nida Meednu1, Hengwei Zhang2, Teresa Owen3, Lianping Xing4 and Jennifer H. Anolik5, 1Allergy, Immunology and Rheumatology, University of Rochester, Rochester, NY, 2Pathology and Laboratory Medicine, University of Rochester, Rochester, NY, 3Rheumatology, University of Rochester, Rochester, NY, 4Pathology & Lab Medicine, University of Rochester, Rochester, NY, 5Medicine- Allergy, Immunology and Rheumatology, University of Rochester, Rochester, NY

    Background/Purpose Rheumatoid arthritis (RA) is a systemic autoimmune disease that often leads to joint damage, a process mediated by an imbalance between bone resorption and…
  • Abstract Number: 2821 • 2014 ACR/ARHP Annual Meeting

    Efficacy and Safety/Tolerability of Mavrilimumab, a Human GM-CSFRá Monoclonal Antibody in Patients with Rheumatoid Arthritis

    Gerd Burmester1, Iain B. McInnes2, Joel M. Kremer3, Pedro Miranda4, Mariusz Korkosz5, Jiri Vencovsky6, Andrea Rubbert-Roth7, Eduardo Mysler8, Sara Sandbach9, Matthew A. Sleeman10, Alex Godwood11, David Close12 and Michael Weinblatt13, 1Department of Rheumatology and Clinical Immunology, Charité - University Medicine Berlin, Berlin, Germany, 2University of Glasgow, Glasgow, United Kingdom, 3Medicine, Albany Medical College and the Center for Rheumatology, Albany, NY, 4Centro de Estudios Reumatologicos, Santiago, Chile, 5Inernal Medicine and Gerontology, Malopolskie Centrum Medyczne, Krakow, Poland, 6Rheumatology, Charles University Institute of Rheumatology, Praha, Czech Republic, 7Med Clinic I, University of Cologne, Koln, Germany, 8Rheumatology, OMI, Buenos Aires, Argentina, 9Clinical biologics, MedImmune Ltd, Cambridge, United Kingdom, 10Respiratory, Inflammation and Autoimmunity, MedImmune Ltd, Cambridge, United Kingdom, 11Clinical Biostatics and Data Management, MedImmune Ltd, Cambridge, United Kingdom, 12Clinical Development, MedImmune Ltd, Cambridge, United Kingdom, 13Rheumatology, Brigham & Women's Hospital, Harvard Medical School, Boston, MA

    Background/Purpose Granulocyte-macrophage colony-stimulating factor (GM-CSF) is implicated in RA pathogenesis via myeloid and granulocyte cell lineage activation. In a prior Phase 2a study (NCT01050998), mavrilimumab,…
  • Abstract Number: 2822 • 2014 ACR/ARHP Annual Meeting

    Safety and Efficacy of Baricitinib through 128 Weeks in an Open-Label, Long-Term Extension Study in Patients with Rheumatoid Arthritis

    Edward C. Keystone1, Peter C. Taylor2, Mark C Genovese3, Douglas E. Schlichting4, Inmaculada De La Torre5, Scott D. Beattie4 and Terence Rooney4, 1University of Toronto, Mount Sinai Hospital, Toronto, ON, Canada, 2NDORMS, Botnar Research Centre, University of Oxford, Oxford, United Kingdom, 3Division of Immunology and Rheumatology, Stanford University Medical Center, Palo Alto, CA, 4Eli Lilly and Company, Indianapolis, IN, 5AVDA. DE LA INDUSTRIA 30, Eli Lilly and Company, Alcobendas, Spain

    Background/Purpose: Baricitinib is an oral inhibitor of JAK1/JAK2 being investigated as a treatment for rheumatoid arthritis (RA).  In a phase 2b study, baricitinib treatment resulted…
  • Abstract Number: 2823 • 2014 ACR/ARHP Annual Meeting

    Comparable Efficacy with Sarilumab Plus Methotrexate in Biologic-Experienced and Biologic-Naïve  Patients with Moderate-to-Severe Rheumatoid Arthritis from a Phase 3, Randomized, Double-Blind, Placebo-Controlled, International Study

    Roy Fleischmann1,2, Dennis L. Decktor3, Chunpeng Fan4, Hubert Van Hoogstraten5 and Mark C Genovese6, 1Metroplax Clinical Research Center and University of Texas Southwestern Medical Center, Dallas, TX, 2University of Texas Southwestern Medical Center, Dallas, TX, 3Regeneron Pharmaceuticals, Inc., Tarrytown, NY, 4Biostatistics, Sanofi, Bridgewater, NJ, 5Sanofi, Bridgewater, NJ, 6Division of Immunology and Rheumatology, Stanford University Medical Center, Palo Alto, CA

    Background/Purpose For patients with prior exposure to tumor necrosis factor-α inhibitor (TNF-I), the likelihood of response to subsequent treatment with a TNF-I declines with the…
  • Abstract Number: 2824 • 2014 ACR/ARHP Annual Meeting

    A Profile of the Efficacy of Sarilumab Plus Methotrexate in Rheumatoid Arthritis Patients: Results of a 52-Week, Phase 3, Randomized, Double-Blind, Placebo-Controlled, International Study

    Arthur Kavanaugh1, Dennis L. Decktor2, Chunpeng Fan3, Janet van Adelsberg2, Renata Martincova4 and Mark C. Genovese5, 1University of California San Diego, La Jolla, CA, 2Regeneron Pharmaceuticals, Inc., Tarrytown, NY, 3Biostatistics, Sanofi, Bridgewater, NJ, 4Sanofi Czech Republic, Prague, Czech Republic, 5Stanford University Medical Center, Palo Alto, CA

    Background/Purpose Interleukin-6 (IL-6) regulates a diverse array of activities that may underlie systemic and local symptoms of rheumatoid arthritis (RA). The efficacy of sarilumab, a…
  • Abstract Number: 2825 • 2014 ACR/ARHP Annual Meeting

    A Randomized, Double-Blind, Phase 3 Equivalence Trial Comparing the Etanercept Biosimilar, HD203, with Etanercept (Enbrel®), in Combination with Methotrexate (MTX) in Patients with Rheumatoid Arthritis (RA)

    Sang-Cheol Bae1, Jinseok Kim2, Jung-Yoon Choe3, Won Park4, So-Ra Lee5, Yongho Ahn6 and Yunjeong Seo7, 1Department of Rheumatology, Hanyang University Hospital for Rheumatic Diseases, Seoul, South Korea, 2Division of Rheumatology, Internal Medicine, Jeju National University, Jeju, Korea, South Korea, 3Division of Rheumatology, Catholic University of Daegu School of Medicine, Daegu, South Korea, 4Medicine/Rheumatology, Inha University Hospital, Incheon, South Korea, 5Clinical Development/Regulatory Affairs, Hanwha Chemical, Seoul, South Korea, 6R&D Center, Hanwha Chemical, Daejeon, South Korea, 7Clinical Development, Hanwha Chemical, Seoul, South Korea

    Background/Purpose Etanercept is a recombinant fusion protein that blocks TNF activity. HD203 is a biosimilar of etanercept. In a double-blind, randomized study in healthy volunteers,…
  • Abstract Number: 2826 • 2014 ACR/ARHP Annual Meeting

    A Phase 2b, Randomized, Double-Blind, Parallel-Group, Placebo-Controlled, Dose-Finding, Multi-Center Study to Evaluate the Safety and Efficacy of ASP015K in Moderate to Severe Rheumatoid Arthritis Subjects Not on Concomitant Methotrexate

    Mark C. Genovese1, Maria Greenwald2, Christine Codding3, Mario H. Cardiel4, Anna Zubrzycka-Sienkiewicz5, Alan J. Kivitz6, Steve Wisseh7, Kathyjo Shay8 and Jay P. Garg8, 1Division of Immunology and Rheumatology, Stanford University Medical Center, Palo Alto, CA, 2Desert Medical Advances, PALM DESERT, CA, 3Health Research of Oklahoma, Oklahoma City, OK, 4Centro de Investigacion Clinica de Morelia, Morelia, Mexico, 5ARS Rheumatica sp. Zo.o, Reumatika, Warszawa, Poland, 6Altoona Center for Clinical Research, Duncansville, PA, 7Biocis, Chicago, IL, 8Astellas Pharma Global Development, Northbrook, IL

    Background/Purpose ASP015K is a novel oral Janus kinase (JAK) inhibitor in development for the treatment of rheumatoid arthritis (RA). ASP015K inhibits JAK 1/3 with relative…
  • Abstract Number: 2827 • 2014 ACR/ARHP Annual Meeting

    Cervical Spine Fracture and Mortality in Ankylosing Spondylitis

    Katherine D. Wysham1, Sara G. Murray2, Nancy K. Hills3, Edward H. Yelin4 and Lianne S. Gensler5, 1Internal Medicine, University of California, San Francisco, San Francisco, CA, 2Medicine, University of California, San Francisco, San Francisco, CA, 3Department of Epidemiology and Biostatistics, University of California, San Francisco, San Francisco, CA, 4Arthritis Research Group, University of California, San Francisco, San Francisco, CA, 5Medicine/Rheumatology, University of California, San Francisco, San Francisco, CA

    Background/Purpose: Little data exist regarding mortality in Ankylosing Spondylitis (AS) patients. We performed a population-based study of diagnoses associated with hospital mortality in AS.  Methods:…
  • Abstract Number: 2828 • 2014 ACR/ARHP Annual Meeting

    A Physically Demanding Job May Amplify the Effect of Disease Activity on the Development of Syndesmophytes in Patients with Ankylosing Spondylitis

    Sofia Ramiro1,2, A.M. van Tubergen3, Robert Landewé4,5, Annelies Boonen6, Carmen Stolwijk7, Maxime Dougados8, Filip van Den Bosch9 and Desiree van der Heijde10, 1Clinical Immunology and Rheumatology, Amsterdam Rheumatology Center/University of Amsterdam, Amsterdam, Netherlands, 2Rheumatology, Hospital Garcia de Orta, Almada, Portugal, 3Department of Internal Medicine, Rheumatology, Maastricht University Medical Center, Maastricht, Netherlands, 4Academic Medical Center, University of Amsterdam, Amsterdam, Netherlands, 5Atrium Medical Center, Heerlen, Netherlands, 6Department of Internal Medicine, Division of Rheumatology, Maastricht University Medical Center, Maastricht, Netherlands, 7Rheumatology, Maastricht University Medical Center, Maastricht, Netherlands, 8Université Paris René Descartes and Hôpital Cochin, Paris, France, 9Ghent University Hospital, Ghent, Belgium, 10Department of Rheumatology, Leiden University Medical Center, Leiden, Netherlands

    Background/Purpose:  We have recently shown that disease activity is longitudinally associated with radiographic progression in AS. In animal models, it has recently been shown that…
  • Abstract Number: 2829 • 2014 ACR/ARHP Annual Meeting

    Spondyloarthritis Is Associated with Increased Cardiovascular and Cerebrovascular Mortality

    Nigil Haroon1, Nisha Nigil Haroon2, Ping Li3, Michael Paterson3 and Robert D. Inman4, 1Toronto Western Research Institute, Toronto, ON, Canada, 2Medicine, University of Toronto, Toronto, ON, Canada, 3Institute of Clinical Evaluative Sciences, Toronto, ON, Canada, 4Immunlogy and Institute of Medical Science, University of Toronto and Toronto Western Hospital, Toronto, ON, Canada

    Background/Purpose OnSpA is a population-based study of spondyloarthritis (SpA) based on a provincial population of over 13 million. Patients with SpA are thought to be…
  • Abstract Number: 2830 • 2014 ACR/ARHP Annual Meeting

    Progression to and Type of Orthopaedic Surgery in Juvenile Vs. Adult-Onset Ankylosing Spondylitis

    Deepak R. Jadon1, Gavin Shaddick2, Amelia Jobling3, Athimalaipet V Ramanan4 and Raj Sengupta1, 1Rheumatology, Royal National Hospital for Rheumatic Diseases, Bath, United Kingdom, 2Department of Mathematics, University of Bath, Bath, United Kingdom, 3Department of Mathematical Sciences, University of Bath, Bath, United Kingdom, 4Paediatric Rheumatology, University of Bristol Hospital Trust, Bristol, United Kingdom

    Background/Purpose: Juvenile-onset ankylosing spondylitis (JoAS) and adult-onset ankylosing spondylitis (AoAS) are subtypes of ankylosing spondylitis (AS) that may have different clinical outcome. We compared cohorts…
  • Abstract Number: 2831 • 2014 ACR/ARHP Annual Meeting

    Development of New Radiographic Vertebral Fractures in Patients with Ankylosing Spondylitis during 4 Years of TNF-α Blocking Therapy: Results from the Glas Cohort

    Fiona Maas1, Anneke Spoorenberg1,2, Elisabeth Brouwer3, Reinhard Bos2, Rizwana N. Chaudhry1, Freke Wink2, Hendrika Bootsma4, Eveline van der Veer5 and Suzanne Arends2,4, 1Rheumatology and Clinical Immunology, University Medical Center Groningen, Groningen, Netherlands, 2Rheumatology, Medical Center Leeuwarden, Leeuwarden, Netherlands, 3Dept. of Rheumatology and Clinical Immunology, University of Groningen, University Medical Center Groningen, Groningen, Netherlands, 4Rheumatology and Clinical Immunology, University Medical Center Groningen, University of Groningen, Groningen, Netherlands, 5Laboratory Medicine, University Medical Center Groningen, Groningen, Netherlands

    Background/Purpose: Previous studies have shown that the risk of vertebral fractures is increased in patients with ankylosing spondylitis (AS). Prospective longitudinal data about radiographic vertebral…
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