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  • Abstract Number: 2257 • 2013 ACR/ARHP Annual Meeting

    Symptom Complexes At The Beginning Of Rheumatoid Arthritis: A Qualitative Exploration In At Risk Individuals and In New Patients Prior To Diagnosis

    Rebecca J Stack1, Lilian H.D. van Tuyl2, Maurits Sloots3, Lotte A. van de Stadt3, Wijnanda Hoogland3, Bertha Matt3, Christian D Mallen4, Rumandeep Tiwana1, Karim Raza1 and Dirkjan van Schaardenburg3, 1Centre for Translational Inflammation Research, University of Birmingham, Birmingham, United Kingdom, 2Rheumatology, VU University Medical Center, Amsterdam, Netherlands, 3Jan van Breemen Research Institute | Reade, Amsterdam, Netherlands, 4Arthritis Research UK Primary Care Centre, University of Keele, Keele, United Kingdom

    Background/Purpose: To achieve better prediction of the development of rheumatoid arthritis (RA) a EULAR study group recommended identification and assessment of symptoms in those with…
  • Abstract Number: 2258 • 2013 ACR/ARHP Annual Meeting

    Less Than 5% Of Ethnic Minority Rheumatoid Arthritis Patients Meet Inclusion Criteria For Randomized Controlled Clinical Trials

    Gail S. Kerr1, Yusuf Yazici2, Christopher Swearingen3, Chunqiao Luo4, Yvonne R. S. Sherrer5, Edward L. Treadwell6, Angelia D. Mosley-Williams7, Luis R. Espinoza8, Rodolfo Perez Alamino9, Sharon Dowell10, Ignacio Garcia-Vallardes11, Theresa Lawrence-Ford12, Adrian Godoy10, Akgun Ince13 and Cindy Flower14, 1Rheumatology, Washington DC VAMC, Georgetown and Howard University, Washington, DC, 2New York University Hospital for Joint Diseases, New York, NY, 3Pediatrics and Biostatistics, University of Arkansas for Medical Sciences, Little Rock, AR, 4Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, AR, 5Rheum/Immunology, Centre Rheum Immunol Arthritis, Fort Lauderdale, FL, 6Dept Medicine Div of Rheum, East Carolina University, Greenville, NC, 7John Dingell VAMC, Detroit, MI, 8Medicine-Section of Rheum, LSU Medical Center, New Orleans, LA, 9Rheumatology, Lousiana State University and LSU Medical Center, New Orleans, LA, 10Division of Rheumatology, Howard University, Washington, DC, 11Rheumatology Clinical Practice, Guadalajara, Gaudalajara, Mexico, 12North Georgia Rheumatology Group, PC, Lawrenceville, GA, 13Arthitis Consultants Inc, Saint Louis University, St. Louis, MO, 14Medicine, University of the West Indies, Bridgetown, Barbados

    Background/Purpose:  RCT are the gold standard for therapeutic efficacy, yet many studies indicate most patients seen in routine clinical care do not meet inclusion criteria.…
  • Abstract Number: 2259 • 2013 ACR/ARHP Annual Meeting

    Does a Ratingen Score Of ≥ 3 At Disease Onset Define RA In ACR/EULAR 2010 Criteria Negative Patients?

    Ruediger Mueller1, Toni Kaegi1, Sarah Haile2 and Johannes von Kempis1, 1Rheumatology, Kantonsspital St. Gallen, St. Gallen, Switzerland, 2Clinical Trials Unit, Kantonsspital St. Gallen, St. Gallen, Switzerland

    Background/Purpose: A EULAR task force has recently selected an evidence and consensus based definition of erosive disease defining rheumatoid arthritis (RA) in patients who do…
  • Abstract Number: 2260 • 2013 ACR/ARHP Annual Meeting

    Smoking and Antibodies To Cyclic Citrullinated Peptides Predict Persistently High Levels Of Survivin In Early Rheumatoid Arthritis

    Bjorn Svensson1, Ingiäld Hafström2, Malin Erlandsson3, Kristina Forslind4 and Maria Bokarewa3, 1Section of Rheumatology, Institution of Clinical Science, Lund University, Lund, Sweden, 2Unit of Rheumatology, Department of Medicine, Karolinska University Hospital, Stockholm, Sweden, 3Rheumatology and Inflammation Research, University of Gothenburg, Gothenburg, Sweden, 4Department of Medicine, Karolinska Institute, Stockholm, Department of Medicine, Karolinska Institute,, Stockholm, Sweden

    Background/Purpose: High levels of the oncoprotein survivin may be detected in the majority of patients with early rheumatoid arthritis (RA). Survivin is a sensitive predictor…
  • Abstract Number: 2262 • 2013 ACR/ARHP Annual Meeting

    Antibody To Malondialdehyde-Acetaldehyde Adducts (MAA) Is a Biomarker Of Inflammation and Is Correlated With The Disease Activity In Rheumatoid Arthritis

    Kathleen Young1, Dathe Benissan-Messan2, Michael J. Duryee3, Daniel Anderson4, Liron Caplan5,6, Lisa A. Davis7,8,9, Harlan Sayles4, Carlos D. Hunter3, Lynell W. Klassen10, James R. O'Dell11, Ted R. Mikuls4 and Geoffrey M Thiele12, 1Int Med/Sec of Rheum/Immun, University of Nebraska Medical Center, Omaha, NE, 2Internal Medicine, University of Nebraska Medical Center, Omaha, NE, 3Internal Medicine Division of Rheumatology, University of Nebraska Medical Center, Omaha, NE, 4Omaha VA Medical Center and University of Nebraska Medical Center, Omaha, NE, 5Department of Medicine, Denver Veterans Affairs Medical Center, Denver, CO, 6Department of Medicine, University of Colorado School of Medicine, Aurora, CO, 7Division of Rheumatology, Univ. of Colorado Sch. of Medicine, Aurora, CO, 8Division of Rheumatology, Denver Health and Hospital Authority, Denver, CO, 9Denver Veterans Affairs Medical Center, Denver, CO, 10Dept of Internal Medicine, Omaha VA Medical Center and University of Nebraska Medical Center, Omaha, NE, 11Dept of Internal Medicine, University of Nebraska Medical Center, Omaha, NE, 12Internal Medicine, Omaha VA Medical Center and University of Nebraska Medical Center, Omaha, NE

    Background/Purpose:   Cardiovascular disease (CVD) is a major cause of morbidity and mortality in patients with rheumatoid arthritis (RA).  While there are many markers used…
  • Abstract Number: 2264 • 2013 ACR/ARHP Annual Meeting

    An Assay Panel Combining Anticitrullinated Peptide Autoantibodies and Rheumatoid Factor Isotypes Has High Yield In The Diagnosis Of Rheumatoid Arthritis

    Nirupa J. Patel1, Ignacio Garcia-Valladares2, Derren Barken3, Luis R. Espinoza4, Heena Sheth5 and Thierry Dervieux6, 1Rheumatology, LSU Health Sciences Ctr, New Orleans, LA, 2Rheumatology, Guadalajara, Guadalajara, Mexico, 3Exagen Diagnostics, Vista, CA, 4Medicine-Section of Rheum, LSU Medical Center, New Orleans, LA, 5Medicine, University of Pittsburgh, Pittsburgh, PA, 6Research and Development, Exagen Diagnostics, Vista, CA

    Background/Purpose: We sought to establish the diagnostic performances of rheumatoid factor isotypes (IgM and IgA) and anti-citrullinated peptide antibodies (ACPAs: anti-mutated citrullinated vimentin [anti-MCV] and…
  • Abstract Number: 2265 • 2013 ACR/ARHP Annual Meeting

    Switching From Immediate Release (IR) Prednisone To Delayed Release (DR) Prednisone Improves Patient Reported Outcomes In Rheumatoid Arthritis (RA) Patients On Conventional Disease-Modifying Antirheumatic Drugs (DMARDs)

    Rieke Alten1, Robert Holt2, Amy Grahn3, Patricia Rice4, Jeffery Kent2, Frank Buttgereit5 and Allan Gibofsky6, 1Teaching Hospital of the Charité, University of Berlin, Berlin, Germany, 2Medical Affairs, Horizon Pharma, Inc, Deerfield, IL, 3Clinical Development, Horizon Pharma, Inc, Deerfield, IL, 4Statistics, CliniRx Research, Naperville, IL, 5Charité - Universitätsmedizin Berlin, Berlin, Germany, 6Medicine and Public Health, Hospital for Special Surgery, New York, NY

    Background/Purpose:    A surge in nocturnal inflammatory cytokines causing morning stiffness (MS) is recognized as a therapeutic target in RA. MS has been underappreciated in…
  • Abstract Number: 2266 • 2013 ACR/ARHP Annual Meeting

    Research On Factors Influenced For Bone Metabolic Markers In Rheumatoid Arthritis Patients From Prospective Cohort Study

    Masahiro Tada1, Tatsuya Koike2, Tadashi Okano1, Yuko Sugioka1, Kenji Mamoto1, Kentaro Inui3 and Hiroaki Nakamura1, 1Orthopedic Surgery, Osaka City University Graduate School of Medicine, Osaka, Japan, 2Rheumatosurgery, Osaka City University Graduate School of Medicine, Osaka, Japan, 3Orhtopedic Surgery, Osaka City University Graduate School of Medicine, Osaka, Japan

    Background/Purpose: Patients with rheumatoid arthritis (RA) develop osteoporosis more frequently than healthy individuals. Bone resorption and formation are respectively increased and inhibited in patients with…
  • Abstract Number: 2267 • 2013 ACR/ARHP Annual Meeting

    The Diagnostic Accuracy Of Rheumatoid Factor Testing In Primary Care

    Anne Miller1, Alison L Nightingale2, Cormac J Sammon3, Tim Holt4, Kamal R Mahtani5, Neil McHugh6, Corinne S de Vries3 and Raashid A. Luqmani1,7, 1Rheumatology, Nuffield Orthopaedic Centre, Oxford, United Kingdom, 2Pharmacy and Pharmacology, University of Bath, Bath, United Kingdom, 3Pharmacy & Pharmacology, University of Bath, Bath, United Kingdom, 4Primary Health Care Sciences, University of Oxford, Oxford, United Kingdom, 5Primary Care Health Sciences, University of Oxford, Oxford, United Kingdom, 6Department of Rheumatology, Royal National Hospital for Rheumatic Diseases, Bath, United Kingdom, 7Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Science, University of Oxford, Oxford, United Kingdom

    Background/Purpose: Studies of the diagnostic utility of rheumatoid factor (RF) testing for rheumatoid arthritis (RA) conducted in early arthritis clinics in secondary care have reported…
  • Abstract Number: 2268 • 2013 ACR/ARHP Annual Meeting

    Patient-Reported Outcome Measures For Rheumatoid Arthritis: Minimal Important Differences Review

    Helen Kitchen1, Brian Bekker Hansen2, Linda Abetz1, Lise Højbjerre2 and Martin Strandberg-Larsen2, 1Endpoint Development & Outcomes Assessment, Adelphi Values Ltd, Cheshire, United Kingdom, 2Health Economics & HTA, Novo Nordisk A/S, Søborg, Denmark

    Background/Purpose: Rheumatoid Arthritis (RA) is a chronic autoimmune disease, affecting around 1.3 million people in the US. A patient-centred focus is increasingly advocated by healthcare…
  • Abstract Number: 2269 • 2013 ACR/ARHP Annual Meeting

    Patient Reported Pain: A Predictor Of Outcomes In Rheumatoid Arthritis From The Consortium Of Rheumatology Researchers Of North America Registry

    Dimitrios A. Pappas1, Chitra K. Karki2, Chin Lee3, George W. Reed4, Ping He5 and Sarah Al Sawah3, 1Columbia University, New York, NY, 2Corrona, LLC., Southborough, MA, 3Eli Lilly and Company, Indianapolis, IN, 4CORRONA, Inc., Southborough, MA, 5UMASS Medical School, Worcester, MA

    Background/Purpose:  Pain is a hallmark of rheumatoid arthritis (RA). The extent to which patient reported pain in RA is related to patterns of biologic treatment…
  • Abstract Number: 2230 • 2013 ACR/ARHP Annual Meeting

    Specific Angiotensin Type II Receptor Stimulation Attenuates Collagen-Induced Arthritis Via Enhancement Of FoxP3 Regulatory T Cells

    Bettina Sehnert1, Veronica Valero-Esquitino2, Georg Schett3, Ulrika Muscha Steckelings2 and Reinhard E. Voll4, 1Rheumatology and Clinical Immunology & Centre of Chronic Immunodeficiency,, University Hospital Freiburg, Freiburg, Germany, 2Center for Cardiovascular Research, Medical Faculty Berlin, Berlin, Germany, 3Dept of Medicine 3, Rheumatology and Clinical Immunology, University of Erlangen-Nuremberg, Erlangen, Germany, 4Rheumatology and Clinical Immunology & Centre of Chronic Immunodeficiency, University Hospital Freiburg, Freiburg, Germany

    Background/Purpose: The renin-angiotensin system (RAS) is known to play an important role in inflammation, fibrosis, and end-organ damage. Moreover, AT2R signalling exerts anti-inflammatory and anti-apoptotic…
  • Abstract Number: 2231 • 2013 ACR/ARHP Annual Meeting

    The Actin-Crosslinking Protein Lasp-1 Regulates Synovial Fibroblast Migration and Cartilage Destruction In Arthritis

    Denise Beckmann1, Jan Hillen2, Marianne Heitzmann2, Catherine S. Chew3, Stefan Butz4, Dietmar Vestweber5, Hermann Pavenstädt6, Thomas Pap7 and Adelheid Korb-Pap2, 11nstitute of Experimental Musculoskeletal Medicine, University Hospital Muenster, Muenster, Germany, 2Institute of Experimental Muskuloskeletal Medicine, University Hospital Muenster, Muenster, Germany, 3Institute of Molecular Medicine and Genetics, Medical College of Georgia, Augusta, GA, 4Max Planck Institute of Molecular Biomedicine, Max Planck Institute of Molecular Biomedicine, Muenster, Germany, 5Max Planck Institute of Molecular Biomedicine, Muenster, Germany, 6Internal Medicine D, Department of Nephrology and Rheumatology, University Hospital Muenster, Muenster, Germany, 7Institute of Experimental Muskuloskeletal Medicine, University Hospital Münster, Münster, Germany

    Background/Purpose: Lasp-1 localizes at focal adhesions along stress fibres and leading edges of migrating cells and regulates the metastatic dissemination of tumors. Although rheumatoid arthritis…
  • Abstract Number: 2232 • 2013 ACR/ARHP Annual Meeting

    Neutralization of Angiopoietin-2 Enhances the Efficacy of Anti-Tumor Necrosis Factor-Alpha Treatment in a Mouse Model of Rheumatoid Arthritis by Decreasing Cellular Infiltration into the Joint and Protecting Bone

    Brian Naiman, Sean Turman, William Iverson, Ronald Herbst, Tomas Mustelin and Jane Connor, Respiration, Inflammation and Autoimmunity, MedImmune, LLC, Gaithersburg, MD

    Background/Purpose:  It has recently been established that >75% of patients on methotrexate and a biologic do not achieve complete remission based on the new definition…
  • Abstract Number: 2233 • 2013 ACR/ARHP Annual Meeting

    Porphyromonas Gingivalis peptidylarginine Deiminase Exacerbates Collagen-Induced Arthritis In C57BL/6 mice 

    Saba Alzabin1,2, Anne-Marie Quirke2, Elena B. Lugli2, Muslima Choudhury2,3, Peter J. Charles4, Richard O. Williams5 and Patrick Venables6, 1Epistem Ltd., Manchester, United Kingdom, 2University of Oxford, Kennedy Institute of Rheumatology, Oxford, United Kingdom, 3Kennedy Institute of Rheumatology, London, United Kingdom, 4Oxford University, Kennedy Institute of Rheumatology, Oxford, United Kingdom, 5Kennedy Institute of Rheumatology, Oxford University, Oxford, United Kingdom, 6Kennedy Institute of Rheumatology, Oxford, United Kingdom

    Background/Purpose: There is increasing molecular and epidemiological evidence linking Porphyromonas gingivalis to RA. P. gingivalis is unique amongst periodontal pathogens in possessing a citrullinating enzyme…
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