ACR Meeting Abstracts

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  • Abstract Number: 2355 • 2013 ACR/ARHP Annual Meeting

    Sarilumab, a Subcutaneously-Administered, Fully-Human Monoclonal Antibody Against The IL-6 Receptor Alpha: Using Acute Phase Reactants, Efficacy and Safety Parameters To Inform Phase 3 Dose Selection

    Janet van Adelsberg1, Steven P. Weinstein2, Neil Graham3, Tanya Momtahen4, Chunpeng Fan5 and Stefano Fiore6, 1Clinical Science, Regeneron Pharmaceutials, Inc., Tarrytown, NY, 2Clinical Development, Regeneron Pharmaceuticals Inc, Tarrytown, NY, 3Program Direction, Regeneron Pharmaceuticals, Inc., Tarrytown, NY, 4Program Direction, Sanofi, Bridgewater, NJ, 5Biostatistics, Sanofi, Bridgewater, NJ, 6Clinical Science, Sanofi, Bridgewater, NJ

    Background/Purpose: Sarilumab (SAR) is a fully human mAb directed against IL-6Rα. In phase 2 MOBILITY Part A (NCT01061736), SAR administered SC plus MTX (methotrexate 10-25…
  • Abstract Number: 2356 • 2013 ACR/ARHP Annual Meeting

    Soluble Interleukin-2 Receptor Levels and The CD4/CD8 Ratio As Predictors Of The Efficacy Of Abatacept In Biologics-naïve Rheumatoid Arthritis Patients

    Hajime Sano1, Masahiro Sekiguchi1, Masayasu Kitano1, Naoto Azuma1, Shinichiro Tsunoda1, Kiyoshi Matsui1 and Tsuyoshi Iwasaki2, 1Division of Rheumatology, Department of Internal Medicine, Hyogo College of Medicine, Nishinomiya-city, Japan, 2Department of Pharmacy, Hyogo University of Health Sciences, Kobe, Japan

    Background/Purpose: Abatacept (ABT) is a recombinant fusion protein consisting of the extracellular domain of human CTLA-4, binding to CD80/86 on antigen presenting cells and thereby…
  • Abstract Number: 2357 • 2013 ACR/ARHP Annual Meeting

    Confounding By Indication Distorts The Relationship Between Steroid Use and Cardiovascular Disease In Rheumatoid Arthritis

    Alper M. van Sijl1, Maarten Boers2, Alexandre E. Voskuyl1 and Mike T. Nurmohamed1, 1Rheumatology, VU University Medical Center, Amsterdam, Netherlands, 2Epidemiology & Biostatistics, VU University Medical Center, Amsterdam, Netherlands

    Background/Purpose: Glucocorticoids (GC) are among the most effective drugs in rheumatoid arthritis (RA), but concerns over long-term side effects have not been resolved. Recent studies…
  • Abstract Number: 2358 • 2013 ACR/ARHP Annual Meeting

    Sarilumab, a Subcutaneously Administered, Fully Human Monoclonal Antibody Inhibitor Of The IL-6 Receptor Alpha: 12 Week Infection Rates By Level Of Circulating Neutrophils In Rheumatoid Arthritis and Ankylosing Spondylitis

    Kevin L. Winthrop1, Tanya Momtahen2, Stefano Fiore3, Steven P. Weinstein4, Janet van Adelsberg5, Richard Wu6 and Neil Graham7, 1Dept of Infectious Disease, Oregon Health & Science University, Portland, OR, 2Program Direction, Sanofi, Bridgewater, NJ, 3Clinical Science, Sanofi, Bridgewater, NJ, 4Clinical Development, Regeneron Pharmaceuticals Inc, Tarrytown, NY, 5Clinical Science, Regeneron Pharmaceutials, Inc., Tarrytown, NY, 6BioStatistics, Regeneron Pharmaceuticals, Inc., Tarrytown, NY, 7Program Direction, Regeneron Pharmaceuticals, Inc., Tarrytown, NY

    Background/Purpose: Sarilumab is a human monoclonal antibody directed against the alpha subunit of the IL-6 receptor (IL-6Rα). IL-6 blockade is associated with a reduction in…
  • Abstract Number: 2359 • 2013 ACR/ARHP Annual Meeting

    Impact Of Etanercept-Methotrexate Treatment Withdrawal On Patient-Reported Outcomes In Patients With Early Rheumatoid Arthritis (PRIZE Trial)

    Piotr Wiland1, B Combe2, Oliver FitzGerald3, Hasan Tahir4, Stefanie Gaylord5, Theresa Williams5, Ronald Pedersen6, Jack Bukowski7, Bonnie Vlahos5 and Sameer Kotak8, 1Department of Rheumatology, Medical University of Wroclaw, Wroclaw, Poland, 2Hôpital Lapeyronie, Montpellier, France, 3Department of Rheumatology, St.Vincent's University Hospital, Dublin, Ireland, 4Barts Health NHS Trust, London, United Kingdom, 5Department of Specialty Care, Pfizer Inc., Collegeville, PA, 6Specialty Care, Pfizer Inc, Collegeville, PA, 7Department of Specialty Care, Pfizer Inc, Collegeville, PA, 8Specialty Care, Pfizer Inc., New York, NY

    Background/Purpose:  Active rheumatoid arthritis (RA) is commonly associated with impairment of physical function and health-related quality of life (QoL), as well as work disability. The…
  • Abstract Number: 2360 • 2013 ACR/ARHP Annual Meeting

    Incidence Of Diabetes and Effect Of Etanercept and Adalimumab On HbA1c Over 1 Year: Data From a Randomised Trial In Patients With Rheumatoid Arthritis

    Paola de Pablo1, Fiona M. Maggs2, David Carruthers3, Abdul A. Faizal4, Mark T. Pugh5 and Paresh Jobanputra6, 1Rheumatology, University of Birmingham Research Laboratories, Queen Elizabeth Hospital, University of Birmingham, College of Medical & Dental Sciences, Queen Elizabeth Hospital Birmingham, UK, Birmingham, United Kingdom, 2Department of Rheumatology, Queen Elizabeth Hospital Birmingham, UK, Birmingham, United Kingdom, 3Department of Rheumatology, Sandwell and West Birmingham Hospitals NHS Trust, UK, Birmingham, United Kingdom, 4Department of Rheumatology, Solihull Hospital, Heart of England NHS Foundation Trust, UK, Solihull, United Kingdom, 5Department of Rheumatology, Saint Mary's Hospital, UK, Isle of Wight, United Kingdom, 6Department of Rheumatology, Queen Elizabeth Hospital Birmingham, UK., Birmingham, United Kingdom

    Background/Purpose:  Inflammation such as that which occurs in rheumatoid arthritis (RA) is associated with insulin resistance and risk of diabetes mellitus (DM). Some DMARDs including…
  • Abstract Number: 2361 • 2013 ACR/ARHP Annual Meeting

    Pharmacokinetic and Pharmacodynamic Characterization Of  a Dissociated Agonist Of Glucocorticoid Receptor, Following Multiple Dose Administration In Healthy Japanese Adult Subjects

    Brinda Tammara1, Sou Miyoshi2 and Judith Hey-Hadavi3, 1Pfizer, Collegeville, PA, 2Pfizer, Tokyo, Japan, 3Pfizer, NewYork, NY

    Background/Purpose: PF-04171327 is a prodrug of PF-00251802, a dissociated agonist of the glucocorticoid receptor (DAGR) and being developed as treatment for Rheumatoid Arthritis. The objective…
  • Abstract Number: 2362 • 2013 ACR/ARHP Annual Meeting

    Incidence Of Adverse Events In Patients With Rheumatoid Arthritis and Spondyloarthritis Exposed To Anti-TNF Therapy. Data From The Brazilian Registry For Monitoring Of Biologic Therapies In Rheumatic Diseases (BiobadaBrasil)

    Roberto Ranza1, David C Titton2, Valeria Vallim3, Ines Silveira4, Aline Ranzolin5, Andre Hayata6, Mirhelen M. Abreu7, Paulo Louzada-Jr8, Angela LBP Duarte5, Claiton Brenol9, Geraldo C Pinheiro10, Glaucio R Castro11, Hellen M Carvalho12, Isaias Costa13, Jose C Macieira14, Jose R Miranda15, Julio CM Bertacini16, Luis SG Barbosa17, Manoel B Bertolo18, Marcelo M. Pinheiro12, Maria F Sauma19, Marilia B Silva20, Marlene Freire21, Roberto A Toledo22 and Vander Fernandes23, 1Universidade Federal de Uberlandia, Uberlandia MG, Brazil, 2Hospital de Clínicas da UFPR, Curitiba PR, Brazil, 3Universidade Federal do Espirito Santo, Vitoria ES, Brazil, 4PUCRS, Porto Alegre RS, Brazil, 5Universidade Federal de Pernambuco, Recife PE, Brazil, 6CRO Osasco, Osasco SP, Brazil, 7Universidade Federal de São Carlos, São Carlos SP, Brazil, 8USP RP, Ribeirão Preto SP, Brazil, 9Universidade Federal do Rio Grande do Sul, Porto Alegre RS, Brazil, 10UERJ, Rio de Janeiro RJ, Brazil, 11Hospital Governador Celso Ramos, Florianopolis SC, Brazil, 12Brazilian Registry of Spondyloarthritis, São Paulo, Brazil, 13Universidade Federal MS, Campo Grande MS, Brazil, 14UFS Aracaju, Aracaju SE, Brazil, 15Artrocenter Clinica Medica, Taubate SP, Brazil, 16USP SP CDMAC, São Paulo SP, Brazil, 17Universidade Federal Mato Grosso, Cuiabá MT, Brazil, 18UNICAMP, Campinas SP, Brazil, 19UFPA, Belem PA, Brazil, 20Hospital Universitario Evangelico, Curitiba PR, Brazil, 21UFTM, Uberaba MG, Brazil, 22FUNFARP, São José do Rio Preto SP, Brazil, 23Universidade de Cuiabá, Cuiaba MT, Brazil

    Background/Purpose: The safety profile of a-TNF biologic drugs might have substantial regional differences due to geographic and socio economic factors and to epidemiology of infectious…
  • Abstract Number: 2363 • 2013 ACR/ARHP Annual Meeting

    Positivity Of Rheumatoid Factor and Anti-Cyclic Citrullinated Peptide Is Associated With The Response Rate Of Infliximab, But Not Tocilizumab, In Treatment Of Rheumatoid Arthritis

    Masao Sato1, Masao Takemura2, Ryuki Shinohe1, Yasuko Yamamoto3 and Kuniaki Saito3, 1Orthopaedic Surgery, Gifu University, Gifu, Japan, 2Informative Clinical Medicine, Gifu University, Gifu, Japan, 3Human Health Science, Kyoto University, Kyoto, Japan

    Background/Purpose: Recent reports have shown that positivity for rheumatoid factor (RF) and anti-citrullinated protein antibodies (ACPA) can influence the efficacy of rheumatoid arthritis (RA) treatment.…
  • Abstract Number: 2364 • 2013 ACR/ARHP Annual Meeting

    Baseline Procalcitonin Levels Are Predictive Marker Of Remission In Biologic naïve Patients With Rheumatoid Arthritis Treated With Tocilizumab: Result From 24 Weeks Of Follow-Up

    Soichiro Tsuji1, Akiko Yura2, Michihito Katayama1, Satoru Teshigawara1, Maiko Yoshimura1, Eriko Tanaka1, Yoshinori Harada2, Yoshinori Katada2, Masato Matsushita3, Shiro Ohshima4, Jun Hashimoto1 and Yukihiko Saeki4, 1Dept of Rheumatology, Rheumatology,Osaka-Minami Medical Center, Kawachinagano City, Japan, 2Dept of Allergology, Allergology,Osaka-Minami Medical Center, Kawachinagano City, Japan, 3Rheumatology, Rheumatology,Osaka-Minami Medical Center, Kawachinagano City, Japan, 4Dept of Clinical Research, Clinical Research,Osaka-Minami Medical Center, Kawachinagano City, Japan

    Background/Purpose: , :Procalcitonin(PCT) is a useful marker of infection. PCT-mRNA increases expression from peripheral blood mononuclear cells by stimulation of a pro inflammatory cytokine, IL-6…
  • Abstract Number: 2365 • 2013 ACR/ARHP Annual Meeting

    Concomitant Methotrexate Did Not Affect Discontinuation Rate Of Etanercept Due To Ineffectiveness: Six-Year Results From Japanese Multicenter Registry System

    Nobunori Takahashi1, Toshihisa Kojima2, Atsushi Kaneko3, Yuji Hirano4 and Naoki Ishiguro1, 1Orthopaedic Surgery and Rheumatology, Nagoya University Graduate School of Medicine, Nagoya, Japan, 2Orthopedic Surgery and Rheumatology, Nagoya University Hospital, Nagoya, Japan, 3Orthopedic Surgery, Nagoya Medical Center, Nagoya, Japan, 4Rheumatology, Toyohashi Municipal Hospital, Toyohashi, Japan

    Background/Purpose: In the last decade, treatment with tumor necrosis factor (TNF) inhibitors has significantly improved the outcome in patients with rheumatoid arthritis (RA). Recent studies…
  • Abstract Number: 2366 • 2013 ACR/ARHP Annual Meeting

    Economic Impact Of Adalimumab Treatment In Japanese Patients With Rheumatoid Arthritis: Analysis Of 24 Weeks Data From The Anouveau Study

    Yoshiya Tanaka1, Yasuhiko Shinmura2, Ryo Nakajima2, Takahiro Muramatsu2, Shuichi Komatsu3, Tadamichi Kubo2, Aki Kuroki4, Ataru Igarashi5, Toshiro Tango6 and Tsutomu Takeuchi7, 1The First Department of Internal Medicine, University of Occupational and Environmental Health, Japan, Kitakyushu, Japan, 2Post Marketing Study Group, Medical, AbbVie GK, Tokyo, Japan, 3Scientific Project Manager Group, Medical, AbbVie GK, Tokyo, Japan, 4Medical Affairs, AbbVie GK, Tokyo, Japan, 5Department of Drug Policy & Management, Graduate School of Pharmaceutical Sciences, The University of Tokyo, Tokyo, Japan, 6Center for Medical Statistics, Tokyo, Japan, 7Division of Rheumatology, Department of Internal Medicine, Keio University School of Medicine, Tokyo, Japan

    Background/Purpose: Patients with rheumatoid arthritis (RA) incur higher costs owing to missed work days and short-time disability. Although methotrexate combined with adalimumab (ADA) provides comprehensive…
  • Abstract Number: 2367 • 2013 ACR/ARHP Annual Meeting

    Discontinuation Of Biological Therapy Due To Adverse Drug Reactions In Rheumatoid Arthritis Patients: 12 Years Follow-Up

    Luis Rodriguez-Rodriguez1, Leticia Leon2, Zulema Rosales2, Cristina Lajas2, Lucía Arietti2, Ana B. Rodríguez-Cambrón2, Cristina Martínez-Prada2, Jose María Leal2, Pilar Macarrón2, Gloria Candelas2, Juan A. Jover2 and Lydia Abásolo2, 1Hospital Clínico San Carlos, Department of Rheumatology, Madrid, Spain, 2Rheumatology, Hospital Clínico San Carlos, Madrid, Spain

    Background/Purpose: To describe in a cohort of rheumatoid arthritis (RA) patients followed up to 12 years, in standard clinical practice, the rate of biological agents…
  • Abstract Number: 2368 • 2013 ACR/ARHP Annual Meeting

    Tocilizumab Efficiently Halts Radiographic Progression In Patients With Rheumatoid Arthritis and Swollen Joint Counts Within a Year Predict Long-Term Radiographic Outcomes: Three Year Results From Michinoku Tocilizumab Study Group

    Ryu Watanabe1, Hiroshi Okuno2, Tomonori Ishii1, Yasuhiko Hirabayashi3 and Hideo Harigae1, 1Department of Hematology and Rheumatology, Tohoku University, Sendai, Japan, 2Orthopaedic Surgery, Tohoku University Graduate School of Medicine, Sendai, Japan, 3Rheumatology, Hikarigaoka Spellman Hospital, Sendai, Japan

    Background/Purpose: One of the important therapeutic goals in patients with rheumatoid arthritis (RA) is to halt radiographic progression. Tocilizumab (TCZ), an IL-6 receptor antibody, has…
  • Abstract Number: 2369 • 2013 ACR/ARHP Annual Meeting

    Long-Term Outcome Of Infliximab Therapy In Rheumatoid Arthritis Patients: Results From Japanese Multicenter Registry System

    Nobunori Takahashi1, Toshihisa Kojima2, Atsushi Kaneko3, Yuji Hirano4 and Naoki Ishiguro1, 1Orthopaedic Surgery and Rheumatology, Nagoya University Graduate School of Medicine, Nagoya, Japan, 2Orthopedic Surgery and Rheumatology, Nagoya University Hospital, Nagoya, Japan, 3Orthopedic Surgery, Nagoya Medical Center, Nagoya, Japan, 4Rheumatology, Toyohashi Municipal Hospital, Toyohashi, Japan

    Background/Purpose: After demonstration of effectiveness of anti-tumor necrosis factor (TNF) agents in patients with rheumatoid arthritis (RA), their use has become common practice in treating…
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