ACR Meeting Abstracts

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  • Abstract Number: L17 • 2014 ACR/ARHP Annual Meeting

    Bariatric Surgery Improves Rheumatoid Arthritis Disease Activity, Reduces Inflammatory Markers, and Decreases Medication Usage

    Jeffrey A. Sparks1, Florencia Halperin2, Jonathan C. Karlson3, Elizabeth W. Karlson1 and Bonnie L. Bermas1, 1Division of Rheumatology, Immunology and Allergy, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, 2Division of Endocrinology, Diabetes and Hypertension, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, 3Division of Rheumatology, Immunology and Allergy, Brigham and Women's Hospital, Boston, MA

    Background/Purpose: Obesity causes a chronic inflammatory state. Increased body mass index (BMI) is associated with incident rheumatoid arthritis (RA) and may impact RA disease activity.…
  • Abstract Number: L1 • 2014 ACR/ARHP Annual Meeting

    Secukinumab, a Human Anti-Interleukin-17A Monoclonal Antibody, Improves Active Psoriatic Arthritis: 24-Week Efficacy and Safety Data from a Phase 3 Randomized, Multicenter, Double-Blind, Placebo-Controlled Study Using Subcutaneous Dosing

    Iain B. McInnes1,2, Philip J. Mease3, Bruce Kirkham4, Arthur Kavanaugh5, Christopher T. Ritchlin6, Proton Rahman7, Désirée van der Heijde8, Robert B. M. Landewé9, Philip G. Conaghan10, Hanno Richards11, Gregory Ligozio12, Luminita Pricop13 and Shephard Mpofu14, 1University of Glasgow, Glasgow, Scotland, 2University of Glasgow, Glasgow, United Kingdom, 3Swedish Medical Center and University of Washington, Seattle, WA, 4Guy’s and St Thomas’ NHS Foundation Trust, London, United Kingdom, 5UC San Diego School of Medicine, La Jolla, CA, 6Allergy Immunology & Rheumatology, University of Rochester Medical Center, Rochester, NY, 7Memorial University, St John's, NF, Canada, 8Leiden University Medical Center, Leiden, Netherlands, 9University of Amsterdam and Atrium Medical Center, Amsterdam, Netherlands, 10University of Leeds, Leeds, United Kingdom, 11Clinical Immunology / Dermatology, Novartis Pharma AG, Basel, Switzerland, 12Novartis Pharmaceuticals Corporation, East Hanover, NJ, 13Integrated Hospital Care (IHC) Franchise, Novartis Pharmaceuticals Corporation, East Hanover, NJ, 14Novartis Pharma AG, Basel, Switzerland

    Background/Purpose: Secukinumab, a human anti–IL-17A monoclonal antibody, has shown efficacy in the treatment of psoriasis in phase 3 studies with subcutaneous (s.c.) dosing as well…
  • Abstract Number: L6 • 2014 ACR/ARHP Annual Meeting

    A PHASE 2, Randomized, Double-Blind Comparison of the Efficacy and Safety of PF-04171327 (1, 5, 10, 15 mg QD) Vs 5 and 10 Mg Prednisone QD or Placebo in Subjects with Rheumatoid Arthritis (RA) over 8 Weeks Followed By a 4-Week Taper of Study Drug

    Vibeke Strand1, Frank Buttgereit2, Dorothy McCabe3, Sheela Kolluri3, Brinda Tammara3, Ricardo Rojo3 and Judith Hey-Hadavi3,4, 1Biopharmaceutical Consultant, Portola Valley, CA, 2Charité University Hospital, Berlin, Germany, 3Pfizer Inc, New York, NY, 4Pfizer Inc, NewYork, NY

    Background/Purpose: PF-04171327 is a dissociated agonist of the glucocorticoid receptor (DAGR), a selective high-affinity partial agonist of the GR with potent anti-inflammatory activity at exposures…
  • Abstract Number: L5 • 2014 ACR/ARHP Annual Meeting

    Improvement of Disease Activity and Reduction of Severe Flares Following Subcutaneous Administration of an IL-6 Monoclonal Antibody (mAb) in Subjects with Active Generalized Systemic Lupus Erythematosus (SLE)

    Daniel J Wallace1, Serghei Popa2, Alberto J. Spindler3, Alicia Eimon4, Tania González-Rivera5, Tammy O. Utset6, Michelle Petri7, Peter E. Lipsky8, Joan T. Merrill9, Vibeke Strand10, Joseph Wajdula11, Jared Christensen12, Cheryl Li13, Annette Diehl11, Michael Vincent14, Jean Beebe12 and Sudhakar Sridharan11, 1Cedars-Sinai Medical Center, Los Angeles, CA, 2Arensia Exploratory Medicine, Chisinau, Moldova, 3Centro Medico Privado de Reumatologia, Tucuman, Argentina, 4CEMIC, Buenos Aires, Argentina, 5Department of Medicine, Division of Rheumatology, University of Michigan School of Medicine, Ann Arbor, MI, 6University of Chicago, Chicago, IL, 7Johns Hopkins Lupus Center, Johns Hopkins University School of Medicine, Baltimore, MD, 8AMPEL BioSolutions, Charlottesville, VA, 9Department of Clinical Pharmacology, Oklahoma Medical Research Foundation, Oklahoma City, OK, 10Stanford University, Palo Alto, CA, 11Global Innovative Pharma Business, Pfizer Inc, Collegeville, PA, 12BioTherapeutics Clinical R&D, Pfizer Inc, Cambridge, MA, 13Pfizer Inc, Cambridge, MA, 14BioTx Clinical R&D, Pfizer Inc, Cambridge, MA

    Background/Purpose:   PF-04236921 is a fully human mAb that binds to circulating IL-6 and neutralizes its activity. This may be beneficial in reducing the disease…
  • Abstract Number: L4 • 2014 ACR/ARHP Annual Meeting

    Safety and Efficacy of Sifalimumab, an Anti IFN-Alpha Monoclonal Antibody, in a Phase 2b Study of Moderate to Severe Systemic Lupus Erythematosus (SLE)

    Munther Khamashta1,2, Joan T. Merrill3, Victoria P. Werth4,5, Richard Furie6, Kenneth Kalunian7, Gabor G. Illei8, Jorn Drappa8, Liangwei Wang8 and Warren Greth8, 1Division of Women's Health, Graham Hughes Lupus Research Laboratory, King's College London, London, United Kingdom, 2Lambeth Wing, The Rayne Institute, St Thomas' Hospital London, London, United Kingdom, 3Clinical Pharmacology Research Program, Oklahoma Medical Research Foundation, Oklahoma City, OK, 4Philadelphia VA Medical Center, Philadelphia, PA, 5University of Pennsylvania, Philadelphia, PA, 6North Shore-LIJ Health System, Lake Success, NY, 7UCSD School of Medicine, La Jolla, CA, 8MedImmune, LLC, Gaithersburg, MD

    Background/Purpose: Efficacy and safety of sifalimumab were assessed in a Phase 2b, randomized, double-blind, placebo (PBO)-controlled study in subjects with SLE (NCT01283139). Methods: Adults (n=431)…
  • Abstract Number: L2 • 2014 ACR/ARHP Annual Meeting

    A Comparison of Three Treatment Strategies in Recent Onset DMARD Naïve Juvenile Idiopathic Arthritis: 3-Months Results of the BeSt for Kids-Study

    Petra C.E. Hissink Muller1,2, D.M.C. Brinkman1,3, Dieneke Schonenberg4, Yvonne Koopman-Keemink5, J. Merlijn Van den Berg6, W.P. Bekkering7, Marion van Rossum8,9, Lisette WA van Suijlekom-Smit10, Cornelia F. Allaart11 and Rebecca ten Cate1, 1Pediatric Rheumatology, Leiden University Medical Center, Leiden, Netherlands, 2Pediatric Rheumatology, Reade, Amsterdam, Netherlands, 3Pediatric Rheumatology, Rijnland Hospital, Leiderdorp, Netherlands, 4Department of Pediatric Rheumatology and Immunology, Emma Children's Hospital, Academic Medical Center, Amsterdam, Netherlands, 5Pediatrics, Haga ziekenhuis, The Hague, Netherlands, 6Pediatric Hematology, Immunology and Infectious diseases, Emma Children's Hospital, Academic Medical Center, Amsterdam, Netherlands, 7Pediatric Physiotherapy, Leiden University Medical Center, Leiden, Netherlands, 8Pediatric Rheumatology Immunology, Emma Children's Hospital, Academic Medical Center, Amsterdam, Netherlands, 9Reade, Amsterdam, Netherlands, 10Pediatric Rheumatology, Sophia Children's Hospital Erasmus Medical Center, Rotterdam, Netherlands, 11Rheumatology, Leiden University Medical Center, Leiden, Netherlands

    Background/Purpose: BeSt for Kids compares 3 Disease Modifying Anti Rheumatic Drug (DMARD) strategies in juvenile idiopathic arthritis (JIA) patients, for time to inactive disease, time…
  • Abstract Number: L13 • 2014 ACR/ARHP Annual Meeting

    Monthly Ibandronate Reduces Bone Loss in Osteopenic Women with Rheumatoid Arthritis Receiving Long-Term Glucocorticoids: A 48-Week Double-Blinded Randomized Placebo-Controlled Investigator-Initiated Trial

    Kichul Shin1, Sung-Hwan Park2, Won Park3, Han Joo Baek4, Yun Jong Lee5, Seong-Wook Kang6, Jung-Yoon Choe7, Wan-Hee Yoo8, Yong-Beom Park9, Jung-Soo Song10, Bin Yoo11, Dae-Hyun Yoo12 and Yeong Wook Song13, 1Rheumatology, SMG-SNU Boramae Medical Center, Seoul, South Korea, 2Division of Rheumatology, Department of Internal Medicine, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, South Korea, 3Medicine/Rheumatology, Inha University Hospital, Incheon, South Korea, 4Division of Rheumatology, Department of Internal Medicine, Gachon University Gil Medical Center, Incheon, South Korea, 5Division of Rheumatology, Department of Internal Medicine, Seoul National University College of Medicine, Seoul, South Korea, 6Department of Internal Medicine, Chungnam National University School of Medicine, Daejeon, South Korea, 7Division of Rheumatology, Catholic University of Daegu School of Medicine, Daegu, South Korea, 8Department of Internal Medicine, Chonbuk National University Medical School and Research Institute of Clinical Medicine, Jeonju, South Korea, 9Division of Rheumatology, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, South Korea, 10Rheumatology, Chung-Ang Univ Hospital, Seoul, South Korea, 11Division of Rheumatology, Department of Internal Medicine, University of Ulsan College of Medicine, Asan Medical Center, Seoul, South Korea, 12Department of Rheumatology, Hanyang University Hospital for Rheumatic Diseases, Seoul, South Korea, 13Department of Molecular Medicine and Biopharmaceutical Sciences, BK 21 plus Graduate School of Convergence Science and Technology, and College of Medicine, Seoul National University, Seoul, South Korea

    Background/Purpose: Long-term use of glucocorticoids (GC) is problematic for patients with increased risk for vertebral fractures, especially those with rheumatoid arthritis (RA). Thus, prevention of…
  • Abstract Number: L11 • 2014 ACR/ARHP Annual Meeting

    Raman Spectroscopy: Point of Service Diagnosis Is Sensitive and Specific-a Tool for Improving Accuracy and Reducing Future Hospital Admission

    Nora Singer1, Bolan Li2, Yener Yeni3, Emma Barnboym4, Steven Lewis5, Daniel Oravec6, Donald Haggins7 and Ozan Akkus2, 1Rheumatology, MetroHealth Medical Center and CWRU, Cleveland, OH, 2Mechanical and Aerospace Engineering, Case Western Reserve University, Cleveland, OH, 3Section of Biomechanics, Bone and Joint Cetner, Henry Ford Hospital, Detroit, MI, 4Rheumatology, MetroHealth Medical Center, Cleveland, OH, 5Medicine, MetroHealth Medical Center, Cleveland, OH, 6Bone and Joint Center, Henry Ford Hospital, Detroit, MI, 7Rheumatology, Henry Ford Hospital, Detroit, MI

    Background/Purpose: The diagnosis of gout or pseudogout hinges upon identification of monosodium urate (MSU) crystals and calcium pyrophosphate (CPPD) crystals in synovial fluid (SF) aspirates…
  • Abstract Number: L9 • 2014 ACR/ARHP Annual Meeting

    Contrast Enhanced Ultrasonography in Patients Diagnosed with Early Arthritis: A Preliminary Experience

    Maria-Magdalena Tamas1, Nicolae Rednic2, Ana Petcu1, Cosmina Ioana Bondor3, Horatiu Popoviciu4, Eugenia Mociran5 and Simona Rednic1, 1Department of Rheumatology, "Iuliu Hatieganu" University of Medicine and Pharmacy Cluj-Napoca, Cluj-Napoca, Romania, 24th Medical Clinic Cluj-Napoca, Cluj-Napoca, Romania, 3Department of Medical Informatics and Biostatistics, "Iuliu Hatieganu" University of Medicine and Pharmacy Cluj-Napoca, Cluj-Napoca, Romania, 4Rheumatology, University of Medicine and Pharmacy Targu Mures, Tg Mures, Romania, 5Rheumatology, Policlinica "Sf. Ioan" Baia Mare, Baia Mare, Romania

    Background/Purpose: The role of ultrasonography (US) in early rheumatoid arthritis (ERA) for detecting synovial hypertrophy and its vascularity has already been demonstrated. Contrast enhanced ultrasonography…
  • Abstract Number: L18 • 2014 ACR/ARHP Annual Meeting

    14-3-3eta Informs Joint Pathological Mechanisms of Treatment Response to Assist with T2T Strategies

    Shintaro Hirata1, Kentaro Hanami2, Anthony Marotta3 and Yoshiya Tanaka4, 1The First Department of Internal Medicine, University of Occupational and Environmental Health, Japan, Kitakyushu, Japan, 2The first department of Internal Medicine, University of Occupational and Environmental Health, Japan, Kitakyushu, Japan, 31423 Dempsey Road, Augurex Life Sciences Corp., North Vancouver, BC, Canada, 4University of Occupational and Environmental Health, Japan, Kitakyushu, Japan

    Background/Purpose: A primary clinical goal of RA in treating to target (T2T) is to improve long term outcomes including the control of symptoms and prevention…
  • Abstract Number: L19 • 2014 ACR/ARHP Annual Meeting

    Randomized Trial of Stopping TNF-Inhibitors in Rheumatoid Arthritis Patients with Stable Low Disease Activity in the Netherlands

    Harald E. Vonkeman1, Marjan Ghiti Moghadam2, Mart A.F.J. van De Laar3, Peter M. ten Klooster4, Tim Jansen5 and Piet van Riel6, 1Rheumatology, Medisch Spectrum Twente, Enschede, Netherlands, 2rheumatology, Enschede, Netherlands, 3Rheumatology, Medisch Spectrum Twente & University of Twente, Enschede, Netherlands, 4Psychology, Health & Technology, University of Twente, Enschede, Netherlands, 5Rheumatology, Radboud University Medical Center, Nijmegen, Netherlands, 6Rheumatology, Nijmegen, Netherlands

    Background/Purpose: The effectiveness of TNF-inhibitors (TNFi) in the treatment of rheumatoid arthritis has already been demonstrated in many studies. However, little is known on stopping…
  • Abstract Number: L10 • 2014 ACR/ARHP Annual Meeting

    Lesinurad, a Novel Selective Uric Acid Reabsorption Inhibitor, in Two Phase III Clinical Trials: Combination Study of Lesinurad in Allopurinol Standard of Care Inadequate Responders (CLEAR 1 and 2)

    Kenneth G. Saag1, Scott Adler2, Nihar Bhakta3, Maple Fung3, Jeff Kopicko3, Chris Storgard3 and Thomas Bardin4, 1Immunology & Rheumatology, The University of Alabama at Birmingham, Birmingham, AL, 2AstraZeneca Pharmaceuticals, Wilmington, DE, 3Ardea Biosciences, Inc., San Diego, CA, 4Clinique de Rhumatologie. Service de Rhumatologie. Centre Viggo Petersen., Hôpital Lariboisière, Paris, France

    Background/Purpose: Inadequate response to allopurinol monotherapy is common. Lesinurad (RDEA594) is a selective uric acid reabsorption inhibitor (SURI) under investigation for treatment of gout in…
  • Abstract Number: L24 • 2014 ACR/ARHP Annual Meeting

    A Progressive Increase in T Follicular Helper Cells Marks the Transition from Benign to Symptomatic Autoimmunity

    Sina Rusta-Sallehy1, Babak Noamani2, Dennisse Bonilla3, Nan-Hua Chang4, Larissa Lisnevskaia5, Sindhu R. Johnson6, Earl Silverman7, Arthur A. M. Bookman8, Joan E. Wither9 and Carolina Landolt-Marticorena3, 1Medicine, University of Toronto, Toronto, ON, Canada, 2Genetics and developmental biology, Toronto Western Research Institute, Toronto, ON, Canada, 3Rheumatology, Toronto Western Hospital, Toronto, ON, Canada, 4Genetics and Development, Toronto Western Research Institute, Toronto Western Hospital, Toronto, ON, Canada, 5Rheumatology, Lakeridge Health Center, Toronto, ON, Canada, 6Medicine, Toronto Scleroderma Program, Toronto Western Hospital, Toronto General Hospital, Mount Sinai Hospital, and University of Toronto, Toronto, ON, Canada, 7Division of Rheumatology, Hosp for Sick Children, Toronto, ON, Canada, 8Division of Rheumatology, Toronto Western Hospital (UHN), Toronto, ON, Canada, 9Toronto Western Research Institute, Toronto Western Hospital, Toronto, ON, Canada

    Background/Purpose: The systemic autoimmune rheumatic diseases (SARD; Systemic Lupus Erythematosus (SLE), Rheumatoid Arthritis (RA), Sjogren’s Disease (SjD), Systemic Sclerosis (SSc)) are proposed to have a…
  • Abstract Number: L22 • 2014 ACR/ARHP Annual Meeting

    Long-Term (104-Week) Safety and Efficacy of Monotherapy with Apremilast in DMARD-Naïve Patients with Psoriatic Arthritis: A Phase 3, Randomized, Controlled Trial and Open-Label Extension (PALACE 4)

    Alvin Wells1, Christopher Edwards2, Adewale O. Adebajo3, Alan J. Kivitz4, Paul Bird5, Kamal Shah6, ChiaChi Hu6, Randall M. Stevens6 and Jacob A. Aelion7, 1Rheumatology & Immunotherapy Center, Franklin, WI, 2University Hospital Southampton, Southampton, United Kingdom, 3University of Sheffield, Sheffield, United Kingdom, 4Altoona Center for Clinical Research, Duncansville, PA, 5Combined Rheumatology Practice, Sydney, Australia, 6Celgene Corporation, Warren, NJ, 7West Tennessee Research Institute, Jackson, TN

    Background/Purpose: Apremilast (APR) is an oral phosphodiesterase 4 inhibitor that helps regulate the immune response that causes joint inflammation and other manifestations of psoriatic arthritis…
  • Abstract Number: L3 • 2014 ACR/ARHP Annual Meeting

    Low Protein A20 Expression in Minor Salivary Glands Is Associated with Lymphoma Development in Primary Sjögren’s Syndrome

    Svein Joar A. Johnsen1, Einar Gudlaugsson2, Ivar Skaland2, Emiel Janssen2, Malin V. Jonsson3, Lars Helgeland4, Ellen Berget5, Roland Jonsson6 and Roald Omdal1, 1Clinical Immunology Unit, Department of Internal Medicine, Stavanger University Hospital, Stavanger, Norway, 2Stavanger University Hospital, Stavanger, Norway, 3Department of Clinical Dentistry - Section for Oral and Maxillofacial Radiology, University of Bergen, Bergen, Norway, 4Haukeland University Hospital, Bergen, Norway, 5University of Bergen, Bergen, Norway, 6Broegelmann Research Laboratory, Department of Clinical Science, University of Bergen, Bergen, Norway

    Background/Purpose: Patients with primary Sjogrens syndrome (pSS) have an increased risk of developing lymphomas, especially of the subtype mucosa-associated lymphoid tissue (MALT) lymphoma. Chronic antigen…
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