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  • Abstract Number: 2347 • 2015 ACR/ARHP Annual Meeting

    Can We Predict the Dose of Allopurinol to Achieve Target Urate?

    Dan Wright1, Stephen Duffull1, Tony R. Merriman2, Nicola Dalbeth3, Murray Barclay4 and Lisa K. Stamp4, 1School of Pharmacy, University of Otago, Dunedin, New Zealand, 2Biochemistry Dept, PO Box 56, University of Otago, Dunedin, New Zealand, 3Department of Medicine, University of Auckland, Auckland, New Zealand, 4Medicine, University of Otago, Christchurch, Christchurch, New Zealand

    Background/Purpose: Allopurinol is a first line urate lowering therapy in the management of gout. The observation that allopurinol hypersensitivity was associated with allopurinol dose, renal…
  • Abstract Number: 2349 • 2015 ACR/ARHP Annual Meeting

    The Efficacy and Tolerability of Febuxostat in Hyperuricemic Patients with Severe Renal Impairment

    Ji Seon Oh and Seungwon Choi, Division of Rheumatology, Department of Internal Medicine, University of Ulsan College of Medicine, Ulsan University Hospital, Ulsan, South Korea

    Background/Purpose:  Febuxostat has shown to be effective and safe in the treatment of hyperuricemia in patients with mild-to-moderate renal impairment without dose adjustment. However, there…
  • Abstract Number: 2350 • 2015 ACR/ARHP Annual Meeting

    Efficacy and Safety of Febuxostat in 55 Gouty Patients with Stage 4/5 Chronic Kidney Disease: Results from a Retrospective Multicenter Study

    Pierre-Antoine Juge1, Marie-Elise Truchetet2, Sébastien Ottaviani3, Cécile Vigneau4, Clotilde Loustau5, Divi Cornec6, Tristan Pascart7, Emilie Cornec-Legall8, Marine Florien9, Florian Bailly10, Thierry Schaeverbeke5, Alain Saraux11, Philippe Dieude12, Rene-Marc Flipo13, Georges Jean-Baptiste14, Pascal Richette15, Frederic Lioté16, Thomas Bardin17,18, Gerard H. Chales19 and Hang-Korng Ea20, 1Rheumatology Department, Centre de Viggo Petersen, Lariboisère Hospital, Paris, France, 2Rheumatology, Pellegrin Hospital, Bordeaux, France, 3Hopital Lariboisière, Paris, France, 4Nephrology, Rennes University Hospital, Rennes, France, 5Rheumatology Department, Bordeaux Hospital, Bordeaux, France, 6Department of rheumatology, Brest Occidentale University, Brest, France, 7Rheumatology, Saint-Philibert Hospital, Lille, France, 8Nephrology Departement, Brest Hospital, Brest, France, 9Rheumatology Department, Pierre-Zobda-Quitman La Meynard, Fort-de-France, France, 10Rheumatology Department, La Pitié-Salpétrière Hospital, Paris, France, 11Rheumatology Department, CHU de la Cavale Blanche, Brest Cedex, France, 12Rheumatology, Bichat Claude-bernard, Universitary Hospital, APHP, Paris, France, 13Rheumatology, University Hospital, Lille, France, 14Rheumatology and Internal Medicine, Zobda Quitman Hospital, Fort-de-France, Martinique, 15Université Paris Diderot, UFR médicale, Paris, France; APHP Hôpital Lariboisière, Fédération de Rhumatologie and Inserm U1132, Hôpital Lariboisière, Paris, France, 16Rheumatology Department; Inserm UMR-S606; Paris-Diderot University, hôpital Lariboisiere, Paris, France, 17Service de Rhumatologie, Hôpital Lariboisière, Paris, France, 18Rhumatology Departement, Hôpital Lariboisière, Paris, France, 19CHU RENNES, Rennes, France, 20INSERM UMR1132, Paris Diderot University, Paris, France

    Background/Purpose: Although allopurinol is the first urate lowering therapy (ULT), its limited dosage in gouty patients with stage 4 or 5 chronic kidney disease (CKD…
  • Abstract Number: 2351 • 2015 ACR/ARHP Annual Meeting

    A Study to Evaluate the Pharmacodynamics, Pharmacokinetics and Safety of Arhalofenate in Combination with Febuxostat When Treating Hyperuricemia Associated with Gout

    Alexandra Steinberg, Yun-Jung Choi, Robert Martin, Charles McWherter and Pol Boudes, Cymabay Therapeutics, Newark, CA

    Background/Purpose: Arhalofenate is a novel Urate-Lowering Anti-Flare Therapy (ULAFT) for the treatment of gout.  It lowers serum uric acid (sUA) by blocking URAT1, a tubular…
  • Abstract Number: 2352 • 2015 ACR/ARHP Annual Meeting

    Efficacy and Safety in Patients with Tophaceous Gout Receiving Lesinurad and Febuxostat Combination Therapy: Interim Analysis of an Extension Study

    Nicola Dalbeth1, Graeme Jones2, Robert Terkeltaub3, Dinesh Khanna4, Jeff Kopicko5, Scott Adler6, Nihar Bhakta5, Maple Fung5, Chris Storgard5, Scott Baumgartner5 and Fernando Perez-Ruiz7, 1Department of Medicine, University of Auckland, Auckland, New Zealand, 2Musculoskeletal Unit, Menzies Institute for Medical Research, University of Tasmania, Hobart, Australia, 3Medicine-Rheumatology, University of California, San Diego, La Jolla, CA, 4Div of Rheumatology, University of Michigan, Ann Arbor, MI, 5Ardea Biosciences, Inc., San Diego, CA, 6AstraZeneca Pharmaceuticals, Wilmington, DE, 7Servicio de Reumatologia, Hospital Universitario Cruces, Baracaldo, Spain

    Background/Purpose: In the randomized, double-blind, placebo-controlled, Phase III CRYSTAL trial, more patients taking lesinurad 200 mg (LESU200) or 400 mg (LESU400), in combination with febuxostat…
  • Abstract Number: 2353 • 2015 ACR/ARHP Annual Meeting

    Lesinurad and Febuxostat Combination Therapy: Analysis of Treatment Based on Patient Baseline Renal Function

    Nicola Dalbeth1, Graeme Jones2, Robert Terkeltaub3, Dinesh Khanna4, Jeff Kopicko5, Scott Adler6, Nihar Bhakta5, Maple Fung5, Chris Storgard5, Scott Baumgartner5 and Fernando Perez-Ruiz7, 1Department of Medicine, University of Auckland, Auckland, New Zealand, 2Musculoskeletal Unit, Menzies Institute for Medical Research, University of Tasmania, Hobart, Australia, 3Medicine-Rheumatology, University of California, San Diego, La Jolla, CA, 4Div of Rheumatology, University of Michigan, Ann Arbor, MI, 5Ardea Biosciences, Inc., San Diego, CA, 6AstraZeneca Pharmaceuticals, Wilmington, DE, 7Servicio de Reumatologia, Hospital Universitario Cruces, Baracaldo, Spain

    Background/Purpose: A randomized, double-blind, placebo-controlled, Phase III clinical trial showed that lesinurad, a selective uric acid reabsorption inhibitor (SURI), in combination with febuxostat 80 mg…
  • Abstract Number: 2354 • 2015 ACR/ARHP Annual Meeting

    The Safety and Efficacy of Lower Serum Urate Levels: A Pooled Analysis of Gout Subjects Receiving Lesinurad and Xanthine Oxidase Inhibitors

    Robert Terkeltaub1, Fernando Perez-Ruiz2,3,4, Jeff Kopicko5, Maple Fung5, Scott Adler6, Chris Storgard7, Scott Baumgartner5 and Nicola Dalbeth8, 1Medicine-Rheumatology, University of California, San Diego, La Jolla, CA, 2Rheumatology Division, Hospital Universitario Cruces, Barakaldo, Spain, 3BioCruces Health Research Institute, Baracaldo, Spain, 4Servicio de Reumatologia, Hospital De Cruces, Baracaldo, Spain, 5Ardea Biosciences, Inc., San Diego, CA, 6AstraZeneca Pharmaceuticals, Wilmington, DE, 74939 Directors Place, Ardea Biosciences, Inc., San Diego, CA, 8Department of Medicine, University of Auckland, Auckland, New Zealand

    Background/Purpose: Previous studies have shown that long-term urate-lowering therapy (ULT) is required for improvements in gout flare frequency and tophi reduction, and that lower serum…
  • Abstract Number: 2355 • 2015 ACR/ARHP Annual Meeting

    Effects of the Dietary Approaches to Stop Hypertension (DASH) Diet on Serum Uric Acid Levels: A Randomized Controlled Trial

    Na Lu1, Yuqing Zhang2, Sharan K. Rai3, Gary C. Curhan4 and Hyon K. Choi5, 1Division of Rheumatology, Allergy and Immunology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, 2BUSM, Boston, MA, 3Experimental Medicine, University of British Columbia, Vancouver, BC, Canada, 4Renal Division, Brigham and Women's Hospital, Boston, MA, 5Rheumatology, Allergy and Immunology, Massachusetts General Hospital, Harvard Medical School, Boston, MA

    Background/Purpose: There is a remarkable, increasing disease burden of gout and its associated cardiovascular-metabolic comorbidities (e.g., hypertension in 74% of cases in the US), underscoring…
  • Abstract Number: 2356 • 2015 ACR/ARHP Annual Meeting

    Major Cardiovascular Events in Gout Patients with Cardiovascular Disease or Heart Failure and Chronic Kidney Disease Initiating on Allopurinol or Febuxostat (Uloric)

    JoAnne Foody1, Robin Turpin2, Beni Tidwell3 and Kathy Schulman4, 1Brigham and Women's Hospital, Harvard Medical School, Boston, MA, 2Medical Affairs, Takeda Pharmaceuticals International, Deerfield, IL, 3ORS, Shrewsbury, MA, 4Outcomes Research Solutions, Inc., Waltham, MA

    Background/Purpose: Xanthine oxidase inhibitors (XOI) reduce both urate levels and oxidative stress in the vasculature, both of which are cardiovascular disease (CVD) risk factors. However,…
  • Abstract Number: 2357 • 2015 ACR/ARHP Annual Meeting

    Xanthine Oxidase Inhibitors for the Prevention of Cardiovascular Events: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

    Markus Bredemeier1, Matheus Augusto Eisenreich1, Lediane Moreira Lopes1, André Luis Bittencourt Morsch2, Fernando da Silva Stein2, Rui d'Avila2 and Guilherme Gomes Dias Campos1, 1Rheumatology, Hospital Nossa Senhora da Conceição - Grupo Hospital Conceição, Porto Alegre, Brazil, 2Internal Medicine, Hospital Nossa Senhora da Conceição - Grupo Hospital Conceição, Porto Alegre, Brazil

    Background/Purpose: There is evidence suggesting that high levels of uric acid represent an independent cardiovascular risk factor and that the use of xanthine oxidase inhibitors…
  • Abstract Number: 2359 • 2015 ACR/ARHP Annual Meeting

    Atorvastatin-Induced Autoimmune Myopathy: An Emerging Dominant Entity in Patients with Autoimmune Myopathy Presenting with a Pure Polymyositis Phenotype

    Océane Landon-Cardinal1, Yves Troyanov2, Marvin J. Fritzler3, José Ferreira1, Ira Targoff4, Eric Rich2, Michelle Goulet1, Jean-Richard Goulet1, Josiane Bourré-Tessier2, Yves Robitaille1, Alexandra Albert5 and Jean-Luc Senécal2, 1Université de Montréal, Montréal, QC, Canada, 2Université de Montréal, Montreal, QC, Canada, 3Division of Rheumatology, University of Calgary, Calgary, AB, Canada, 4University of Oklahoma, Oklahoma City, OK, 5Université Laval, Québec, QC, Canada

    Background/Purpose: The classification of autoimmune myopathies (AIM) is evolving. Pure dermatomyositis (DM) and overlap myositis are dominant AIM subsets, while pure polymyositis (pPM) is uncommon…
  • Abstract Number: 2360 • 2015 ACR/ARHP Annual Meeting

    The Effectiveness of Tacrolimus in Patients with Interstitial Lung Disease Secondary to Autoimmune Disease

    Hina Chaudhry1, Rochella A. Ostrowski2 and Rodney Tehrani3, 1Rheumatolgoy, Loyola University Medical Center, Maywood, IL, 2Rheumatology, Loyola University Medical Center, Maywood, IL, 3Rheum & Immun, Loyola Univ Medical Center, Maywood, IL

    Background/Purpose: Interstitial lung disease (ILD) secondary to connective tissue disease (CTD) is most commonly seen in systemic sclerosis followed by polymyositis and dermatomyositis.  Anti-synthetase syndrome…
  • Abstract Number: 2361 • 2015 ACR/ARHP Annual Meeting

    Abatacept in the Treatment of Adult Dermatomyositis and Polymyositis: a Randomized, Treatment Delayed-Start Trial  

    Ingrid E. Lundberg1, Anna Tjärnlund2, Quan Tang3, Cecilia Wick2, Maryam Dastmalchi4, Herman F Mann5, Jana Tomasová Studýnková5, Radka Chura6, Nicola J. Gullick7, Rosaria Salerno7, Eva Lindroos3,8, Patrick Gordon6 and Jiri Vencovsky5, 1Rheumatology Unit, Department of Medicine, Karolinska University Hospital, Solna, Karolinska Institutet, Stockholm, Sweden, 2Rheumatology Unit, Department of Medicine, Solna, Karolinska Institutet, Stockholm, Sweden, 3Department of Medicine, Rheumatology Unit, Department of Medicine, Karolinska University Hospital, Solna, Karolinska Institutet, Stockholm, Sweden, 4Department of Medicine, Solna, Rheumatology Unit, Department of Medicine, Karolinska University Hospital, Solna, Karolinska Institutet, Stockholm, Sweden, 5Institute of Rheumatology, Prague, Czech Republic, 6Department of Rheumatology, King`s College Hospital NHS Foundation Trust, London, United Kingdom, 7Rheumatology, Department of Rheumatology, King`s College Hospital NHS Foundation Trust, London, United Kingdom, 8Department of Medicine, Rheumatology Unit, Karolinska University Hospital in Solna, Karolinska Institutet, Stockholm, Sweden., Stockholm, Sweden

    Background/Purpose: The aim of the study was to assess the effects of abatacept, a T cell blocking agent, on disease activity and on muscle biopsy…
  • Abstract Number: 2362 • 2015 ACR/ARHP Annual Meeting

    Rituximab in the Treatment of Jo-1 Antibody-Associated Antisynthetase Syndrome: Anti-Ro52 Positivity As a Marker for Severity and Treatment Response

    Jutta Bauhammer1, Norbert Blank2, Hanns-Martin Lorenz3, Regina Max4, Dietmar Krause5 and Christoph Fiehn1, 1ACURA Centre for Rheumatic Diseases, Baden-Baden, Germany, 2Dept. of Internal Medicine 5, Division of Rheumatology, University of Heidelberg, Heidelberg, Germany, 3Department of Internal Medicine 5, Division of Rheumatology, University of Heidelberg, Heidelberg, Germany, 4Dept. of Internal Medicine 5, Division of Rheumatology, University of Heidelberg, Heidelberg, Germany, 5Dept. of Medical Informatics, Biometry and Epidemiology, Ruhr University Bochum, Bochum, Germany

    Background/Purpose: Rituximab (RIX) has successfully been used for the treatment of severe Jo-1 antibody-associated antisynthetase syndrome (Jo-1 ASS). The aim of this retrospective study was…
  • Abstract Number: 2363 • 2015 ACR/ARHP Annual Meeting

    Efficacy and Safety of Adrenocorticotropic Hormone Gel (Acthar Gel ®) in Refractory Dermatomyositis or Polymyositis

    Rohit Aggarwal1, Galina Marder2, Priyadarshini Loganathan3, Diane Koontz4, Preeya Nandkumar5, Zengbiao Qi6 and Chester V. Oddis7, 1Rheumtology, University of Pittsburgh Medical Center, Pittsburgh, PA, 2Medicine, North Shore Long Island Health System, Great Neck, NY, 3University of Pittsburgh Medical Center, Pittsburgh, PA, 4University of Pittsburgh, Pittsburgh, PA, 5North Shore Long Island Health System, Great Neck, NY, 6Division of Rheumatology, University of Pittsburgh, Pittsburgh, PA, 7Rheum/Clinical Immunology, University of Pittsburgh, Pittsburgh, PA

    Background/Purpose: Adrenocorticotropic hormone (ACTH) gel (repository corticotropin injection) is a long-acting full sequence ACTH that may include other pro-opiomelanocortin peptides thought to have anti-inflammatory and…
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