ACR Meeting Abstracts

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  • Abstract Number: 498 • 2014 ACR/ARHP Annual Meeting

    Patient Experience with Initiation of SQ and Oral MTX

    Jeffrey R. Curtis1, David Mackey2, Noam Gerber3, Aseem Bharat1, Lang Chen4, Fenglong Xie5, Ben Nowell3, Kenneth G. Saag6 and Seth Ginsberg7, 1University of Alabama at Birmingham, Birmingham, AL, 2Clinical Immunology/Rheumatology, University of Alabama at Birmingham, Birmingham, AL, 3Creaky Joints/Global Healthy Living Foundation, Upper Nyack, NY, 4Medicine, University of Alabama at Birmingham, Birmingham, AL, 5Rheumatology & Immunology, University of Alabama at Birmingham, Birmingham, AL, 6Immunology & Rheumatology, The University of Alabama at Birmingham, Birmingham, AL, 7CreakyJoints/Global Healthy Living Foundation, Upper Nyack, NY

    Background/Purpose Methotrexate is the anchor drug used for the treatment of rheumatoid arthritis (RA). Despite its prominent position in RA therapeutics, its real-world effectiveness may…
  • Abstract Number: 497 • 2014 ACR/ARHP Annual Meeting

    Efficacy and Safety Study of a Sequential Therapy of Tocilizumab and, If Initially Inadequately Responded to Tocilizumab, Followed By Rituximab in Patients with Rheumatoid Arthritis and Inadequate Response to Traditional Disease Modifying Anti-Rheumatic Drugs

    Thomas Dörner1, Hans-Peter Tony2, Gerd Burmester1, Hendrik Schulze-Koops3, Jörg Kaufmann4, Peter Kästner5, Herbert Kellner6, Reiner Kurthen7, Sylke Wagner8, Marvin A. Peters9 and Christoph Iking-Konert10, 1Charité - Universitätsmedizin Berlin, Berlin, Germany, 2University Clinic Wuerzburg, Wuerzburg, Germany, 3University Clinic Munich, Munich, Germany, 4Rheumatology Practice, Ludwigsfelde, Germany, 5MVZ Out-patient Rheumatogy Unit Erfurt, Erfurt, Germany, 6Specialist Practice for Rheumatology and Gastroenterology, Munich, Germany, 7Rheumatology Practice, Aachen, Germany, 8Practice for Internal Medicine specialized in Rheumatology, Halle, Germany, 9Roche Pharma AG, Grenzach-Wyhlen, Germany, 10University Clinic Hamburg-Eppendorf, Hamburg, Germany

    Background/Purpose: The MIRAI study evaluated a sequential exposure to 2 defined biologics under rigorous study conditions within a homogeneous population of biological naïve patients (pts)…
  • Abstract Number: 496 • 2014 ACR/ARHP Annual Meeting

    Efficacy and Safety of Induction Therapy for Rheumatoid Arthritis with Simultaneous Administration of Methotrexate and Low-Dose Tacrolimus: A Retrospective Study

    Takashi Nakanishi1, Hideyuki Horikoshi1, Reiko Takahashi1, Kanami Tongu2, Junko Nishioka2, Fumihiko Kimura3, Yuichi Nishioka2 and Kenji Itoh1, 1Division of Rheumatology, Department of Internal Medicine, National Defense Medical College, Tokorozawa, Japan, 2Nishioka Clinic for Rheumatic Diseases and Allergic Diseases, Kofu, Japan, 3National Defense Medical College, Tokorozawa, Japan

    Background/Purpose Additional administration of low-dose tacrolimus (LD-TAC) at 0.5–1.0 mg daily was reported to be quite effective for rheumatoid arthritis (RA) patients with inadequate response…
  • Abstract Number: 495 • 2014 ACR/ARHP Annual Meeting

    Discontinuation of Biologics in Patients with Rheumatoid Arthritis after Achieving Low-Activity Disease Status

    Moeko Ochiai1, Eri Sato1, Eiichi Tanaka1, Eisuke Inoue1, Ayako Nakajima1, Shigeki Momohara2, Atsuo Taniguchi2 and Hisashi Yamanaka2, 1Rheumatology, Institute of Rheumatology, Tokyo Women’s Medical University, Tokyo, Japan, 2Institute of Rheumatology, Tokyo Women’s Medical University, Tokyo, Japan

    Background/Purpose: Several clinical trials have reported bio-free remission or discontinuation of biologic DMARDs; however, these findings have not been confirmed in a real-world setting. The…
  • Abstract Number: 494 • 2014 ACR/ARHP Annual Meeting

    Estimation of Cost per Effectively Treated Patients with Biologic Disease Modifying Anti-Rheumatic Drugs in US Veterans with Rheumatoid Arthritis

    Grant W. Cannon1, Chia-Chen Teng2, Tao He2, Jianwei Leng3, Chao-Chin Lu2, Derek Tang4, Neel Shah5, David J. Harrison4 and Brian Sauer2, 1Division of Rheumatology, Salt Lake City VA and University of Utah, Salt Lake City, UT, 2Salt Lake City VA and University of Utah, Salt Lake City, UT, 3Salt Lake City VA and University of Utah, Salt Lake Citty, UT, 4Amgen Inc., Thousand Oaks, CA, 51 Amgen Center Dr, Amgen Inc., Thousand Oaks, CA

    Background/Purpose:  An algorithm based on administrative claims data (in lieu of clinical measures) was validated using data from the Veteran’s Affairs (VA) Rheumatoid Arthritis (RA)…
  • Abstract Number: 493 • 2014 ACR/ARHP Annual Meeting

    Efficacy and Safety of Tofacitinib Following Inadequate Response to Nonbiologic DMARD or Biologic DMARD

    C. Charles-Schoeman1, Gerd Burmester2, P. Nash3, C.a.F. Zerbini4, S. Anway5, K. Kwok6, T. Hendrikx7, E. Bananis8 and Roy Fleischmann9, 1University of California, Los Angeles, CA, 2Charité – University Medicine Berlin, Berlin, Germany, 3Rheumatology Research Unit, Nambour Hospital, Sunshine Coast and Department of Medicine, University of Queensland, Queensland, Australia, 4Centro Paulista de Investigação Clinica, Sao Paulo, Brazil, 5Pfizer Inc, Groton, CT, 6Pfizer Inc, New York, NY, 7Pfizer BV, Capelle aan den IJssel, Netherlands, 8Pfizer Inc, Collegeville, PA, 9Metroplex Clinical Research Center, University of Texas Southwestern Medical Center, Department of Medicine, Dallas, TX

    Background/Purpose: Tofacitinib is an oral Janus kinase inhibitor for the treatment of rheumatoid arthritis (RA). Here we compare the efficacy and safety of tofacitinib 5…
  • Abstract Number: 492 • 2014 ACR/ARHP Annual Meeting

    Patient-Reported Outcomes from a Canadian Study of Patients Taking Methotrexate and Etanercept

    J. Carter Thorne1, Edward C. Keystone2, Janet E. Pope3, Melanie Poulin-Costello4, Krystene Phan-Chronis5 and Boulos Haraoui6, 1Southlake Regional Health Centre, Newmarket, ON, Canada, 2Medicine, University of Toronto, Toronto, ON, Canada, 3St Joseph Health Care, London, ON, Canada, 4Biostatistics, Amgen Canada Inc., Mississauga, ON, Canada, 5Amgen Canada Inc., Mississauga, ON, Canada, 6Rheumatology, Institut de rhumatologie de Montréal (IRM), Montréal, QC, Canada

    Background/Purpose:   The Canadian Methotrexate and Etanercept Outcome Study (CAMEO) evaluated etanercept (ETN) monotherapy vs ETN plus methotrexate (MTX) in biologic-naïve patients with rheumatoid arthritis…
  • Abstract Number: 491 • 2014 ACR/ARHP Annual Meeting

    Do Patients with Congestive Heart Failure Treated with Biologics for RA Have a Lower Risk of Fatal Outcome of Serious Infections?

    Anja Strangfeld1, Adrian Richter1, Yvette Meissner1, Matthias Schneider2, Michael Zaenker3, Wolfgang Ochs4, Thomas Klopsch5, Angela Zink6 and Joachim Listing1, 1German Rheumatism Research Center, Berlin, Germany, 2Rheumatology, Heinrich-Heine-University, Düsseldorf, Germany, 3Immanuel Klinikum Bernau, Rheumatology Center Northern Brandenburg, Bernau, Germany, 4Rheumatologist in private practice, Bayreuth, Germany, 5Rheumatologist in private practice, Neubrandenburg, Germany, 6German Rheumatism Research Centre and Charité University Medicine, Berlin, Germany

    Background/Purpose: Patients with multimorbid conditions are at high risk of developing serious infections (SI) and of premature mortality. TNF inhibitors increase the infection risk (1)…
  • Abstract Number: 490 • 2014 ACR/ARHP Annual Meeting

    A Randomised Controlled Trial Evaluating the Effect of Humira upon Endothelial Function in ACPA Positive Rheumatoid Arthritis – an Interim Analysis

    Stephen Oakley1,2,3, Niloofar Esmaili4, Gabor Major4, David Mathers4,5, Siva Ratnarajah6, John van der Kallen5, Mark Collins6, Marc Toh6 and John Glass4, 1Dept of Rheumatology, Newcastle Bone & Joint Institute, Newcastle, Australia, 2School of Medicine & Public Health, University of Newcastle, Newcastle, Australia, 3Clinical Trials Unit, Hunter Medical Research Institute, Newcastle, Australia, 4Rheumatology, Newcastle Bone & Joint Institute, Newcastle, Australia, 5Rheumatology, Georgetown Arthritis Centre, Newcastle, Australia, 6Rheumatology, Private Practice, Newcastle, Australia

    Background/Purpose Rheumatoid arthritis (RA) is associated with elevated cardiovascular (CV) risk not explained by traditional risk factors. Increased CV risk may develop prior to the…
  • Abstract Number: 488 • 2014 ACR/ARHP Annual Meeting

    Increases in Serum Cholesterol with Baricitinib Treatment Are Associated with Favorable Changes in Apolipoprotein Content and with Improvement in DAS28-CRP in Patients with Rheumatoid Arthritis

    Joel M. Kremer1, Mark C Genovese2, Edward C. Keystone3, Peter C. Taylor4, Steven H. Zuckerman5, Douglas E. Schlichting5, Eric P. Nantz5, Scott D. Beattie5 and William L. Macias6, 1Medicine, Albany Medical College and the Center for Rheumatology, Albany, NY, 2Division of Immunology and Rheumatology, Stanford University Medical Center, Palo Alto, CA, 3University of Toronto, Toronto, ON, Canada, 4NDORMS, Botnar Research Centre, University of Oxford, Oxford, United Kingdom, 5Eli Lilly and Company, Indianapolis, IN, 6Lilly Corporate Center, Eli Lilly and Company, Indianapolis, IN

    Background/Purpose: Treatment with baricitinib (bari), an oral inhibitor of JAK1/JAK2, demonstrated improvements in signs and symptoms of RA through 52 wks in a Phase 2b…
  • Abstract Number: 489 • 2014 ACR/ARHP Annual Meeting

    Rosuvastatin Improves Arterial Stiffness in Patients with Inflammatory Joint Diseases

    Eirik Ikdahl1, Silvia Rollefstad1, Jonny Hisdal2, Inge C. Olsen3, Ingar Holme4, Terje R. Pedersen5, Tore Kvien6 and Anne Grete Semb1, 1Preventive Cardio-Rheuma clinic, Department of Rheumatology, Diakonhjemmet Hospital, Oslo, Norway, 2Section of Vascular Investigations, Oslo University Hospital Aker, Oslo, Norway, 3Department of Rheumatology, Diakonhjemmet Hospital, Oslo, Norway, 4Department of biostatistics, epidemiology and health economics, Oslo University Hospital, Oslo, Norway, 5Faculty of Medicine, University of Oslo, Oslo, Norway, 6Dept of Rheumatology, Diakonhjemmet Hospital, Oslo, Norway

    Background/Purpose Arterial stiffness, as pulse wave velocity (PWV) and augmentation index (AIx) has emerged as early risk markers of cardiovascular disease (CVD) in patients with…
  • Abstract Number: 487 • 2014 ACR/ARHP Annual Meeting

    Assessment of Lipid Changes in Patients with Early Rheumatoid Arthritis Treated with Tofacitinib or Methotrexate over 24 Months

    C. Charles-Schoeman1, A. Dikranian2, J. Taylor3, B. Wilkinson4, T. Jones5, K. Kwok6 and C. Nduaka4, 1University of California, Los Angeles, CA, 2San Diego Arthritis Medical Clinic, San Diego, CA, 3Anderson Arthritis and Rheumatology Center, Meridian, MS, 4Pfizer Inc, Groton, CT, 5Pfizer Inc, Collegeville, PA, 6Pfizer Inc, New York, NY

    Background/Purpose: Tofacitinib is an oral Janus kinase inhibitor for the treatment of rheumatoid arthritis (RA). Post-baseline (BL) increases in mean low-density lipoprotein cholesterol (LDL-C) and…
  • Abstract Number: 486 • 2014 ACR/ARHP Annual Meeting

    Tofacitinib Improves Arterial Stiffness Despite up-Regulating Serum Cholesterol with Chronic Cardiovascular Disease in Methotrexate-Resistant Active Rheumatoid Arthritis Patients. a Cohort Study

    Kensuke Kume1, Kanzo Amano2, Susumu Yamada2, Toshikatsu Kanazawa3, Hiroshi Komori4, Kazuhiko Hatta5, Kuniki Amano6 and Noriko Kuwaba7, 120-16 Higashi Kannon, Nishi Ward, hiroshima clinic, Hiroshima, Japan, 2Rheumatology, Hiroshima Clinic, Hiroshima, Japan, 3rheumatology, hiroshima clinic, hiroshima, Japan, 4internal medicine, hiroshima clinic, hiroshima, Japan, 5Rheumatology, Hatta Clinic, Kure, Japan, 6Rheumatology, Sky Clinic, Hiroshima, Japan, 7Medical Research, Sanki Clinical Link, Hiroshima, Japan

    Background/Purpose: Patients with rheumatoid arthritis (RA) have an increased cardiovascular (CV) risk. We should have strategies for primary cardiovascularprevention in RA. Tofacitinib (Tofa) could possibly…
  • Abstract Number: 462 • 2014 ACR/ARHP Annual Meeting

    Infections and Gastrointestinal Side Effects in a Comparison of Rheumatoid Arthritis Therapies

    Bei-Hung Chang1,2, Lien Quach1, Mary Brophy3, Keri Hannagan4, Edward C. Keystone5, Ted R. Mikuls6 and James R. O'Dell7, 1VA Boston Healthcare System, Boston, MA, 2Qualitative Health Sciences, University of Massachusetts Medical School, Worcester, MA, 3VA Boston Heathcare System, Boston, MA, 4MAVERIC, VA Boston Heathcare System, Boston, MA, 5Medicine, University of Toronto, Toronto, ON, Canada, 6Omaha VA Medical Center and University of Nebraska Medical Center, Omaha, NE, 7Veteran Affairs Nebraska Western Iowa Health Care System and University of Nebraska Medical Center, Omaha, NE

    Background/Purpose TNF inhibitors and combinations of conventional disease-modifying antirheumatic drugs are commonly added to treat methotrexate non-responsive rheumatoid arthritis patients. In the 48-week double blind,…
  • Abstract Number: 461 • 2014 ACR/ARHP Annual Meeting

    Comprehensive Summary of the Efficacy and Safety of Tofacitinib 5mg Twice Daily in Patients with Rheumatoid Arthritis and an Inadequate Response to Disease-Modifying Antirheumatic Drugs

    P. Bird1, W. Bensen2, B. El-Zorkany3, J. Kaine4, B.H. Manapat-Reyes5, V. Pascual-Ramos6, D. Witcombe7, A. Anisfeld8, K. Soma9, R. Zhang9 and K. Thirunavukkarasu7, 1Combined Rheumatology Practice, Sydney, Australia, 2St. Joseph's Healthcare, McMaster University, Hamilton, ON, Canada, 3Department of Rheumatology, Cairo University, Cairo, Egypt, 4Sarasota Arthritis Research Center, Sarasota, FL, 5Section of Rheumatology, Department of Medicine, University of the Philippines - Philippine General Hospital, Manila, Philippines, 6Department of Immunology and Rheumatology, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico, 7Pfizer Australia, Sydney, Australia, 8Pfizer Inc, New York, NY, 9Pfizer Inc, Groton, CT

    Background/Purpose: Tofacitinib has been approved in the US and other countries at the recommended dose 5 mg BID in patients (pts) with rheumatoid arthritis (RA) and…
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