ACR Meeting Abstracts

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  • Abstract Number: 690 • 2014 ACR/ARHP Annual Meeting

    Lupus Patients Requiring First Corticosteroid Intervention Late in Disease Course – a Phenotypic Description

    Barry J. Sheane1, Dominique Ibanez2, Dafna D. Gladman3 and Murray B. Urowitz3, 1Division of Rheumatology, University of Toronto, Toronto Western Hospital, Toronto, ON, Canada, 2Rheumatology, University of Toronto, Toronto Western Hospital, Toronto, ON, Canada, 3University of Toronto, Toronto Western Hospital, Toronto, ON, Canada

    Background/Purpose The University of Toronto Lupus Clinic (UTLC) recently described the phenotype of a group of inception patients with SLE who remained naïve of corticosteroid…
  • Abstract Number: 688 • 2014 ACR/ARHP Annual Meeting

    Corticosteroids in Early Treatment Pathways in SLE

    John G. Hanly1, Amyn Sayani2, Steve Doucette3, Sandra Iczkovitz2 and Jorge Alfonso Ross2, 1Division of Rheumatology, Dalhousie University and Capital Health, Halifax, NS, Canada, 2Medical Affairs, GlaxoSmithKline, Mississauga, ON, Canada, 3Dalhousie University and Capital Health, Halifax, NS, Canada

    Background/Purpose: The treatment algorithm for patients with new onset systemic lupus erythematosus (SLE) is more variable than that for other rheumatic diseases (e.g. rheumatoid arthritis).…
  • Abstract Number: 687 • 2014 ACR/ARHP Annual Meeting

    Effect of Corticosteroid Use By Dose on the Risk of Developing Organ Damage over Time in Systemic Lupus Erythematosus—the Hopkins Lupus Cohort

    Sarah Al Sawah1, Xiang Zhang1, Baojin Zhu1, Laurence S. Magder2, Shonda A Foster1, Noriko Iikuni1 and Michelle Petri3, 1Eli Lilly and Company, Indianapolis, IN, 2Department of Epidemiology and Public Health, University of Maryland, Baltimore, MD, 3Johns Hopkins University School of Medicine, Baltimore, MD

    Background/Purpose:  Reduction of corticosteroid dose remains an important goal in the management of systemic lupus erythematosus (SLE). Current standard of care in SLE relies heavily…
  • Abstract Number: 685 • 2014 ACR/ARHP Annual Meeting

    Successful Withdrawal and Discontinuation of Immunosuppressants in Lupus Patients: Outcomes and Predictors

    Zahi Touma1, Murray B. Urowitz2, Dominique Ibanez1 and Dafna D. Gladman2, 1Rheumatology, University of Toronto, Toronto Western Hospital, Toronto, ON, Canada, 2University of Toronto, Toronto Western Hospital, Toronto, ON, Canada

    Background/Purpose:   Physicians and patients (Pts) are hesitant to withdraw immunosuppressant (IS) in Pts in clinical remission as the consequences of this approach are unknown.…
  • Abstract Number: 686 • 2014 ACR/ARHP Annual Meeting

    Clinicians Approaches to the Management of Background Therapy in SLE Patients in Clinical Remission: Results of an International Survey

    Pintip Ngamjanyaporn1,2, Ian Bruce3, Ben Parker4 and Jamie Sergeant1, 1Institute of Inflammation and Repair School of translation Medicine The University of Manchester, Arthritis Research UK Epidemiology Unit, University of Manchester, Manchester Academic Health Sciences Centre, Manchester, United Kingdom, 2Internal Medicine, Mahidol University, Bangkok, Thailand, 3Kellgren Centre for Rheum, Arthritis Research UK Epidemiology Unit, Institution of Inflammation and Repair, University of Manchester, NIHR Manchester Musculoskeletal Biomedical Research Unit, Central Manchester University Hospitals, Manchester Academic Health Sciences Centre, Manchester, United Kingdom, 4Institute of Inflammation and Repair School of Translation Medicine The University of Manchester, Arthritis Research UK Epidemiology Unit, University of Manchester, Manchester Academic Health Sciences Centre, Manchester, United Kingdom

    Background/Purpose: At present there is no consensus on what constitutes a remission in SLE. In particular it is not clear how background therapy should be…
  • Abstract Number: 684 • 2014 ACR/ARHP Annual Meeting

    Effects of Current Therapies for Lupus on Disease Activity and Renal Flares

    Kenneth C. Kalunian1, Jill P. Buyon2, Cynthia Aranow3, Mary Anne Dooley4, Richard A. Furie5, Ellen M. Ginzler6, R. John Looney7, Joan T. Merrill8, Jerry McGwin9 and Bevra H. Hahn10, 1UCSD School of Medicine, La Jolla, CA, 2Department of Medicine, Division of Rheumatology, New York University School of Medicine, New York, NY, 3The Feinstein Institute for Medical Research, Manhasset, NY, 4University of North Carolina at Chapel Hill, Chapel Hill, NC, 5Division of Rheumatology and Allergy-Clinical Immunology, North Shore - Long Island Jewish Health System, Great Neck, NY, 6Rheumatology, SUNY-Downstate Medical Center, Brooklyn, NY, 7Allergy, Immunology and Rheumatology, University of Rochester, Rochester, NY, 8Department of Clinical Pharmacology, Oklahoma Medical Research Foundation, Oklahoma City, OK, 9Biostats, UAB, Birmingham, AL, 10Division of Rheumatology, Department of Medicine,, UCLA David Geffen School of Medicine, Los Angeles, CA

    Background/Purpose: A paucity of data exists that delineates the effect of current medications for lupus on disease activity and the propensity for renal flares in…
  • Abstract Number: 683 • 2014 ACR/ARHP Annual Meeting

    Impact of Lupus on Work Productivity in Patients and Caregivers: Findings from a Cross-Sectional Online Survey in the United States

    Sarah Al Sawah1, R Paola Daly2, Shonda Foster1, April Naegeli1, Katy Benjamin3, Helen Doll3, Greg Bond3, Olga Moshkovich3 and Graciela Alarcón4, 1Eli Lilly and Company, Indianapolis, IN, 2Lupus Foundation of America, Inc., Washington, DC, 3ICON PRO, Bethesda, MD, 4University of Alabama Birmingham, Birmingham, AL

    Background/Purpose Lupus imposes a substantial burden on patients’ work productivity1; however, little is known about its impact on the work productivity of those caring for…
  • Abstract Number: 682 • 2014 ACR/ARHP Annual Meeting

    Impact of Patient’s Priorities on the Management of Systemic Lupus Erythematosus

    Valérie Leclair1, Holly O. Witteman2, Carolyn Neville3, Isabelle Fortin4 and Paul R. Fortin5, 1Internal Medicine, Laval University, Department of Internal Medicine, Quebec City, QC, Canada, 2Medicine, Laval University, Family and Emergency Medicine, Quebec City, QC, Canada, 3Epidemiology, Division of Clinical Epidemiology, Department of Medicine, McGill University Health Centre, Canada, Montreal, QC, Canada, 4Centre de Rhumatologie de l'Est du Québec, Rimouski, QC, Canada, 5Rheumatology, Laval University, Division of Rheumatology, Centre de Recherche du CHU de Québec and Department of Medicine, Quebec City, QC, Canada

    Background/Purpose: Systemic Lupus Erythematosus (SLE) greatly reduces the quality of life (QoL) and satisfaction with life of affected patients. SLE patients can have numerous unmet…
  • Abstract Number: 679 • 2014 ACR/ARHP Annual Meeting

    Hydroxychloroquine Dosing and Disease Activity in a Large Multi-Racial Lupus Cohort

    Jennifer M. Grossman1, Megan E. B. Clowse2, Peter M. Izmirly3, Diane L. Kamen4, Alana B. Levine5, Meggan Mackey6, W. Joseph McCune7, Jerry McGwin8, David S. Pisetsky9, Tammy Utset10 and Jinoos Yazdany11, 1Division of Rheumatology, Department of Medicine, UCLA David Geffen School of Medicine, Los Angeles, CA, 2Rheumatology, Duke University Medical Center, Durham, NC, 3Medicine, Division of Rheumatology, New York University School of Medicine, New York, NY, 4Department of Medicine, Division of Rheumatology, Medical University of South Carolina, Charleston, SC, 5Rheumatology, Hospital for Special Surgery, New York, NY, 6Autoimmune & Musculoskeletal Disease, The Feinstein Institute, Mahasset, NY, 7Int Med/ Rheum, University of Michigan, Ann Arbor, MI, 8Biostats, UAB, Birmingham, AL, 9Duke University Medical Center, Durham, NC, 10Internal Medicine/Rheumatology, UC Pritzker Schl of Medicine, Chicago, IL, 11Medicine, University of California, San Francisco, San Francisco, CA

    Background/Purpose:   Treatment with hydroxychloroquine (HCQ) is recommended for all patients with lupus nephritis to prevent further damage and reduce disease manifestations. Some studies suggest…
  • Abstract Number: 678 • 2014 ACR/ARHP Annual Meeting

    The Effectiveness of Tacrolimus for Minor Flares of the Patients with Systemic Lupus Erythematosus

    Haruki Watanabe1, Ryutaro Yamanaka2, Ken-ei Sada3, Eri Katsuyama1, Takayuki Katsuyama3, Mariko Narazaki3, Noriko Tatebe1, Koichi Sugiyama1, Katsue S. Watanabe3, Hiroshi Wakabayashi1, Tomoko Kawabata1, Jun Wada3 and Hirofumi Makino3, 1Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan, 2Internal Medicine, Himeji Red Cross Hospital, Himeji, Japan, 3Department of Medicine and Clinical Science, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan

    Background/Purpose Although effectiveness of tacrolimus (TAC) for remission induction or maintenance treatment of patients with lupus nephritis has been reported, there are few reports about…
  • Abstract Number: 677 • 2014 ACR/ARHP Annual Meeting

    Pharmacokinetics, Safety, and Biological Activity of Intravenously or Subcutaneously Administered Tabalumab in Subjects with Rheumatoid Arthritis or Systemic Lupus Erythematosus

    Jennifer Witcher1, Ryan Hansen1, Leijun Hu1, David Radtke1, James Voelker1 and Juliet McColm2, 1Eli Lilly and Company, Indianapolis, IN, 2Eli Lilly and Company, Windlesham, United Kingdom

    Background/Purpose : B-cell activating factor (BAFF) promotes B-cell survival and maturation, and increased serum levels are associated with autoimmune disease and disease activity in systemic…
  • Abstract Number: 676 • 2014 ACR/ARHP Annual Meeting

    Response to Rituximab in Patients with Refractory Systemic Lupus Erythematosus (SLE): Results from a National Multicentre Register

    Emily Sutton1, Kath D. Watson2, David A. Isenberg3, Anisur Rahman4, David Jayne5, Caroline Gordon6, Ben Parker7, David P. D'Cruz8, Munther A. Khamashta9, Pamela Lutalo10, Peter Lanyon11, Benjamin Rhodes12, Bridget Griffiths13, Edward M. Vital14, Chee-Seng Yee15, Christopher Edwards16, Mohammed Akil17, Nicola Erb18, Athiveer Prabu19, Asad A. Zoma20, Neil McHugh21, Hazem Youssef22, Lee-Suan Teh23, Michael W. Beresford24 and Ian N. Bruce25, 1University of Manchester, Manchester Academic Health Science Centre, Arthritis Research UK Centre for Epidemiology, Manchester, United Kingdom, 2Arthritis Research UK Centre for Epidemiology, University of Manchester, Manchester, United Kingdom, 3Centre for Rheumatology Research, Rayne Building, 4th Floor, Centre for Rheumatology, Department of Medicine, University College London, London, United Kingdom, 4Centre for Rheumatology Research, University College London, London, United Kingdom, 5Vasculitis and Lupus Clinic, Addenbrookes Hospital University of Cambridge, Cambridge, United Kingdom, 6Rheumatology Research Group, School of Immunity and Infection, College of Medical and Dental Sciences, University of Birmingham, Birmingham, United Kingdom, 7Institute of Inflammation and Repair School of Translation Medicine The University of Manchester, Arthritis Research UK Epidemiology Unit, University of Manchester, Manchester Academic Health Sciences Centre, Manchester, United Kingdom, 8Louise Coote Lupus Unit, Guy's and St Thomas' Hospital, London, United Kingdom, 9Lupus Research Unit, The Rayne Institute, St Thomas Hospital, Kings College London School of Medicine, London, United Kingdom, 10Peter Gorer Department of Immunobiology, King's College London School of Medicine, London, United Kingdom, 11Nottingham University Hospitals NHS Trust, Nottingham, United Kingdom, 12Rheumatology, Queen Elizabeth Hospital, Birmingham, United Kingdom, 13Rheumatology, Freeman Hospital, Newcastle Upon Tyne, United Kingdom, 14NIHR-Leeds Musculoskeletal Biomedical Research Unit and Leeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds., United Kingdom, Leeds, United Kingdom, 15Department of Rheumatology, Doncaster and Bassetlaw Hospitals NHS Foundation Trust, Doncaster, United Kingdom, 16Tremona Road, NIHR Wellcome Trust Clinical Research Facility, University Hospital Southampton NHS Foundation Trust, Southampton, United Kingdom, 17Rheumatology Department, Sheffield South Yorkshire, United Kingdom, 18Rheumatology, Russells Hall Hospital, Dudley, United Kingdom, 19Department of Rheumatology, Worcester Acute Hospitals NHS Trust, Worcester, United Kingdom, 20Rheumatology, Hairmyres Hospital, East Kilbride, United Kingdom, 21Rheumatology, Royal National Hospital, Bath, United Kingdom, 22Department of Rheumatology, NHS Grampian, Aberdeen, United Kingdom, 23Department of Rhuematology, Royal Blackburn Hospital, Blackburn, United Kingdom, 24Alder Hey Children's NHS Foundation Trust Hospital, Institute of Translational Medicine (Child Health), University of Liverpool, Liverpool, United Kingdom, 25Arthritis Research UK Centre for Epidemiology, Centre for Musculoskeletal Research, Institute of Inflammation and repair, Manchester Academic Health Science Centre, The University of Manchester, Manchester, United Kingdom

    Background/Purpose: Published efficacy data for rituximab in SLE are complex with positive single-centre case series and negative randomised controlled trials.  This may be due to…
  • Abstract Number: 675 • 2014 ACR/ARHP Annual Meeting

    Use of Rituximab in Systemic Lupus Erythematosus: A Single Center Experience

    Renata Aguiar1, Ana Carolina Araújo2, Ana Luisa Papoila3, Marta Alves4 and David Isenberg5, 1Serviço de Reumatologia, Centro Hospitalar do Baixo Vouga, E.P.E., Aveiro, Portugal, 2Serviço de Medicina 2, Hospital de Curry Cabral, Centro Hospitalar Lisboa Central, Lisbon, Portugal, 3Epidemiology and Statistics Unit, Research Center of Centro Hospitalar de Lisboa Central, Centro Hospitalar Lisboa Central, Lisbon, Portugal, 4Epidemiology and Statistics Unit, Research Center of Centro Hospitalar de Lisboa Central, Centro Hospitalar Lisboa Central, Lisboa, Portugal, 5Centre for Rheumatology Research, University College Hospital London, London, United Kingdom

    Background/Purpose Rituximab (RTX), an anti-CD20 chimerical monoclonal antibody, has been used as an off-label in patients with systemic lupus erythematosus (SLE) refractory to standard treatment.…
  • Abstract Number: 674 • 2014 ACR/ARHP Annual Meeting

    A Novel Strategy to  Identify and Evaluate Approved Drugs and Treatments for Repositioning As Therapies for Systemic Lupus Erythematosus (SLE)

    Peter E. Lipsky, Matthew Ryals, Jacob Smearman, Victoria Soler and Amrie Grammer, AMPEL BioSolutions, Charlottesville, VA

    Background/Purpose: Development of new SLE treatments has been slow with only one new treatment approved in the past half century. One way to increase the…
  • Abstract Number: 673 • 2014 ACR/ARHP Annual Meeting

    A Comparison of Rheumatoid Arthritis and Systemic Lupus Erythematosus Trial Design: Ways to Improve Positive Trials in Systemic Lupus Erythematosus

    Amy Miles1 and Janet E. Pope2, 1Medicine, University of Western Ontario and U of Toronto, London, ON, Canada, 2St Joseph Health Care, London, ON, Canada

    Background/Purpose: Recent SLE RCTs were examined and compared to rheumatoid arthritis (RA) RCT to suggest modifications to SLE RCTs that could improve the future success…
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