ACR Meeting Abstracts

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  • Abstract Number: 518 • 2013 ACR/ARHP Annual Meeting

    Vitamin D In Sjogren’s Syndrome

    Suneet Grewal1, Judith A. James2, R. Hal Scofield3, Kathy L. Sivils4, Michael H. Weisman5 and Swamy Venuturupalli6, 1Division of Rheumatology, Department of Medicine, Cedars-Sinai Medical Center, Los Angeles, CA, 2Oklahoma Medical Research Foundation, Oklahoma City, OK, 3Arthritis and Clinical Immunology Program, Oklahoma Medical Research Foundation, Oklahoma City, OK, 4Arthritis and Clinical Immunology, Oklahoma Medical Research Foundation, Oklahoma City, OK, 5Rheumatology, Cedars-Sinai Medical Center, Los Angeles, CA, 6Cedars-Sinai Medical Center, West Hollywood, CA

    Background/Purpose: Unlike other autoimmune diseases in which an association with vitamin D deficiency has been established, the role of vitamin D in Sjogren’s syndrome has…
  • Abstract Number: 519 • 2013 ACR/ARHP Annual Meeting

    Identification Of IgG4-Related Disease and Analysis Of IgG4 Serum Levels In Different Subgroups Of Patients With Sjögren’s Syndrome

    Antónia Szántó1, Gábor Nagy2, Csaba Molnár3 and Margit Zeher1, 1Clinical Immunology, University of Debrecen, Medical and Health Science Center, Institute for Medicine, Debrecen, Hungary, 2Regional Immunological Laboratory, University of Debrecen, Medical and Health Science Center, Institute for Medicine, Debrecen, Hungary, 3University of Debrecen, Medical and Health Science Center, Institute for Pathology, Debrecen, Hungary

    Background/Purpose: In the clinical diagnostic criteria of IgG4-related disease (IgG4-RD), Sjögren’s syndrome (SS) appears as one of the exclusion criteria. However, in Europe, where Mikulicz’s…
  • Abstract Number: 520 • 2013 ACR/ARHP Annual Meeting

    Chronic Obstructive Pulmonary Disease Is Very Common in Primary Sjögren’s Syndrome

    Anna M. Nilsson1, Elke Theander2, Roger Hesselstrand3, Eeva Piitulainen4, Sandra Diaz5, Olle Ekberg5, Per Wollmer6 and Thomas Mandl7, 1Dept of Rheumatology, Skane University Hospital Malmo, Lund University, Malmo, Sweden, 2Section of Rheumatology, Department of Clinical Sciences, Malmö, Lund University, Malmö, Sweden, 3Rheumatology, Lund University, Lund, Sweden, 4Dept of Lung medicine, Lund University & Skåne University Hospital, Malmö, Sweden, 5Dept of Radiology, Skåne University Hospital Malmo, Lund University, Malmö, Sweden, 6Dept of Clinical Physiology, Skane University Hospital Malmo, Lund University, Malmö, Sweden, 7Dept of Rheumatology, Skåne University Hospital Malmo, Lund University, Sweden, Malmö, Sweden

    Background/Purpose: To study the prevalence of chronic obstructive pulmonary disease (COPD) in patients with primary Sjögren's syndrome (pSS) and its association with respiratory symptoms, pulmonary…
  • Abstract Number: 498 • 2013 ACR/ARHP Annual Meeting

    A Systematic Review and Meta-Analysis Comparing Low- Versus High-Dose Rituximab For Rheumatoid Arthritis

    Markus Bredemeier, Fernando K. de Oliveira and Claúdia M. Rocha, Rheumatology, Hospital Nossa Senhora da Conceição - Grupo Hospitalar Conceição, Porto Alegre, Brazil

    Background/Purpose: The approved dose of rituximab (RTX) for rheumatoid arthritis (RA) is 2x1000 mg infusions given 2 weeks apart. There is contradictory evidence regarding the…
  • Abstract Number: 480 • 2013 ACR/ARHP Annual Meeting

    Levels Of Circulating Mirnas Before and After 12 Months Therapy With Dmards In Patients With Early Rheumatoid Arthritis

    Mária Filková1, Borbala Aradi2, Ladislav Senolt3, Klara Prajzlerova4, Serena Vettori2, Herman F. Mann5, Jiri Vencovsky4, K. Pavelka6, Beat A. Michel7, Renate E Gay2, Steffen Gay2 and Astrid Jüngel2, 1Institute of Rheumatology and Department of Rheumatology, 1st Faculty of Medicine, Charles University in Prague, Prague, Czech Republic, 2Center of Experimental Rheumatology, University Hospital Zurich and Zurich Center of Integrative Human Physiology (ZIHP), Zurich, Switzerland, 3Institute of Rheumatology, Department of Rheumatology, 1st Faculty of Medicine, Charles University, Prague, Czech Republic, 4Institute of Rheumatology, Department of Clinical and Experimental Rheumatology, 1st Faculty of Medicine, Charles University, Prague, Czech Republic, 5Institute of Rheumatology and Department of Rheumatology, 1st Faculty of Medicine, Charles University, Prague, Prague, Czech Republic, 6Department of Clinical and Experimental Rheumatology, Charles University, Prague, Czech Republic, 7Department of Rheumatology, University Hospital Zurich, Zurich, Switzerland

    Background/Purpose: The altered expression of cellular miRNAs in the immune and resident cells involved in the pathogenesis of rheumatoid arthritis (RA) has been shown to…
  • Abstract Number: 481 • 2013 ACR/ARHP Annual Meeting

    Down-Titration of Biological Therapies In Rheumatoid Arthritis In Daily Clinical Practice

    Miguel Arredondo1, Iciar Cañamares2, Esther Ramírez-Herráiz2, Isidoro Gonzalez-Alvaro3, Alberto Garcia-Vadillo3, Alberto Morell1, Rosario Garcia-Vicuña4 and Jose María Alvaro-Gracia5, 1Unidad de Terapias Biológicas, Hospital Universitario de La Princesa. IIS La Princesa, Madrid, Spain, 2Servicio de Farmacia, Hospital Universitario de La Princesa, Madrid, Spain, 3Servicio de Reumatología, Hospital Universitario de La Princesa, Madrid, Spain, 4Rheumatology, Hospital Universitario de La Princesa. IIS La Princesa, Madrid, Spain, 5Unidad de Terapias Biológicas. Servicio de Reumatología, Hospital Universitario de La Princesa, Madrid, Spain

    Background/Purpose: One of the limiting factors for the use of biological therapies (BT) is cost. For this reason, the development of cost optimization strategies without…
  • Abstract Number: 482 • 2013 ACR/ARHP Annual Meeting

    Methotrexate Use At Infliximab Initiation and Impact On Treatment Outcomes: An Analysis From A Canadian Registry

    Denis Choquette1, J. Carter Thorne2, John T. Kelsall3, Michel Zummer4, Michael Starr5, Maqbool K. Sheriff6, William G. Bensen7, Andrew Chow8, Philip Baer9, Emmanouil Rampakakis10, John S. Sampalis10, Francois Nantel11, Allen J. Lehman12, Susan M. Otawa12 and May Shawi13, 1Rheumatology, Institut de rhumatologie de Montréal (IRM), Montréal, QC, Canada, 2Southlake Regional Health Centre, Newmarket, ON, Canada, 3Mary Pack Arthritis Centre, Vancouver, Vancouver, BC, Canada, 4Rheumatology, Ch Maisonneuve-Rosemont, Montreal, QC, Canada, 5Montreal General Hospital, Montreal, QC, Canada, 6Nanaimo Regional General Hospital, Nanaimo, BC, Canada, 7Department of Medicine, Division of Rheumatology, Clinical Professor, McMaster University, Hamilton, ON, Canada, 8University of Toronto, McMaster University, Credit Valley Rheumatology, Mississauga, ON, Canada, 9Private Practice, Scarborough, ON, Canada, 10JSS Medical Research, Montreal, QC, Canada, 11Janssen Inc., Toronto, ON, Canada, 12Medical Affairs, Janssen Inc., Toronto, ON, Canada, 13Medical Affairs, Janssen Canada Inc, Toronto, ON, Canada

    Background/Purpose: Clinical trials of anti-TNF therapies have shown that concurrent methotrexate (MTX) therapy enhances the efficacy of infliximab (IFX)1. Data on the benefits of combination…
  • Abstract Number: 483 • 2013 ACR/ARHP Annual Meeting

    Adalimumab and Methotrexate Pharmacokinetics Following Combination Therapy With Different Methotrexate Doses in Methotrexate and Biologic-Naïve Rheumatoid Arthritis Patients: Concerto Study

    Sandra L Goss1, Cheri E Klein1, Hartmut Kupper2, Gerd Burmester3 and Walid Awni1, 1AbbVie Inc., North Chicago, IL, 2AbbVie Deutschland GmBH & Co. KG, Ludwigshafen, Germany, 3Department of Rheumatology & Clinical Immunology, Charité-Universitätsmedizin Berlin, Free University and Humboldt University of Berlin, Berlin, Germany

    Background/Purpose: Higher exposure and lower immunogenicity rates have been observed for adalimumab when co-administered with methotrexate (MTX) compared to adalimumab monotherapy. The CONCERTO study was…
  • Abstract Number: 484 • 2013 ACR/ARHP Annual Meeting

    Response To Biologic Disease-Modifying Anti-Rheumatic Drugs After Discontinuation Of Anti-Tumor Necrosis Factor Alpha  Agents In Rheumatoid Arthritis Patients

    Eric Elkin1, Max I. Hamburger2, Tripthi Kamath3, Sarika Ogale3, Adam Turpcu3, Jae Oh4, Kristin King4, Monarch Shah1 and Martin J. Bergman5, 1ICON Clinical Research, San Francisco, CA, 2Rheumatology Associates, Melville, NY, 3Genentech, South San Francisco, CA, 4ICON Late Phase and Outcomes Research, San Francisco, CA, 5Taylor Hospital, Ridley Park, PA

    Background/Purpose: Rheumatoid arthritis (RA) patients who have failed an anti-TNF agent as their first biologic agent have the option of switching to a second aTNF…
  • Abstract Number: 486 • 2013 ACR/ARHP Annual Meeting

    Safety Of Biologic Therapy In Veterans With Rheumatoid Arthritis and Chronic Hepatitis B Infection

    Jeffrey R. Curtis1, Mary J. Burton2, Shuo Yang3, Lang Chen4, Ted R. Mikuls5, Kevin L. Winthrop6 and John Baddley7, 1University of Alabama at Birmingham, Division of Clinical Immunology and Rheumatology, Birmingham, AL, 2VA Hospital, Jackson, MS, 3Clinical Immunology/Rheumatology, University of Alabama at Birmingham, Birmingham, AL, 4Clinical Immunology and Rheumatology, University of Alabama at Birmingham, Birmingham, AL, 5Omaha VA Medical Center and University of Nebraska Medical Center, Omaha, NE, 6Dept of Infectious Disease, Oregon Health & Science University, Portland, OR, 7Medicine, University of Alabama at Birmingham, Birmingham, AL

    Background/Purpose: Among patients with rheumatoid arthritis and hepatitis B infection, the impact of biologic therapy on hepatotoxicity has received limited study. Methods: Using 1997-2011 national…
  • Abstract Number: 487 • 2013 ACR/ARHP Annual Meeting

    The Cost Savings Associated With a Departmental Etanercept Dose Reduction Pathway For Patients With Rheumatic Diseases and Maintained Low Disease Activity

    Richard CJ Campbell1, Emma Sanders1, Francesca Leone1, Emma Gilgeours1, Margaret Sibley1 and Patrick D. Kiely2, 1Rheumatology, St George's Hospital, London, United Kingdom, 2Rheumatology Dept, St George's Hospital, London, United Kingdom

    Background/Purpose: Clinical trials have previously demonstrated that it is safe and effective for some rheumatoid arthritis (RA) patients with low disease activity on full dose…
  • Abstract Number: 488 • 2013 ACR/ARHP Annual Meeting

    The Effect Of Methotrexate On Adalimumab Pharmacokinetics: Pooled Analysis Of Adalimumab Pharmacokinetics In Patients With Rheumatoid Arthritis After Subcutaneous Administration

    Walid Awni1, Sabine Pilari2, Ghada Ahmed3 and Peter Noertersheuser2, 1AbbVie Inc., North Chicago, IL, 2AbbVie Deutschland GmbH & Co KG, Ludwigshafen, Germany, 3AbbVie, North Chicago, IL

    Background/Purpose:  Co-administration of methotrexate (MTX) has a significant effect on the pharmacokinetics (PK) of adalimumab (ADAL). MTX may impact the PK of other drugs by…
  • Abstract Number: 489 • 2013 ACR/ARHP Annual Meeting

    Combining Methotrexate To Etanercept Does Not Improve Its Retention Rate In Rheumatoid Arthritis Patients When Compared To Etanercept Monotherapy. A Report From The Rhumadata® Clinical Data Base and Registry

    Denis Choquette1, Louis Bessette2, Boulos Haraoui1, Diane Sauvageau3, Jean Pierre Pelletier1, Jean-Pierre Raynauld3, Edith Villeneuve3 and Louis Coupal1, 1Rheumatology, Institut de rhumatologie de Montréal (IRM), Montréal, QC, Canada, 2Centre Hospitalier Universitaire de Québec, pavillon CHUL, Sainte-Foy, QC, Canada, 3Rheumatology, Institut de Rhumatologie de Montréal, Montreal, QC, Canada

    Background/Purpose: Etanercept (ETA) has demonstrated good retention in both mono and combination therapy in clinical trials of rheumatoid arthritis patients followed over short observation periods…
  • Abstract Number: 490 • 2013 ACR/ARHP Annual Meeting

    Does Low Disease Activity At Six Months Predict Remission At 12 Months In Rheumatoid Arthritis Patients Treated With Biologics In a Real–World Setting?

    Philip Baer1, William G. Bensen2, Andrew Chow3, Rafat Y. Faraawi4,5, Denis Choquette6, Isabelle Fortin7, John T. Kelsall8, Dalton E. Sholter9, Emmanouil Rampakakis10,11, John S. Sampalis10,11, Francois Nantel12, Allen J. Lehman13, May Shawi14 and Susan M. Otawa13, 1Private Practice, Scarborough, ON, Canada, 2Department of Medicine, Division of Rheumatology, Clinical Professor, McMaster University, Hamilton, ON, Canada, 3University of Toronto, McMaster University, Credit Valley Rheumatology, Mississauga, ON, Canada, 4Rheumatologist, KW Musculoskeletal Research Inc., Kitchener, ON, Canada, 5McMaster University, Hamilton, ON, Canada, 6Rheumatology, Institut de rhumatologie de Montréal (IRM), Montréal, QC, Canada, 7Centre de rhumatologie de l'est du Québec (CREQ), Rimouski, QC, Canada, 8Mary Pack Arthritis Centre, Vancouver, Vancouver, BC, Canada, 9Rheumatology Associates, Edmonton, AB, Canada, 10JSS Medical Research, Montreal, QC, Canada, 11Jewish General Hospital, McGill University, Montreal, QC, Canada, 12Janssen Inc., Toronto, ON, Canada, 13Medical Affairs, Janssen Inc., Toronto, ON, Canada, 14Medical Affairs, Janssen Canada Inc, Toronto, ON, Canada

    Background/Purpose: Remission is considered the treatment goal in the management of patients with rheumatoid arthritis (RA). The objective of this analysis was to determine if…
  • Abstract Number: 491 • 2013 ACR/ARHP Annual Meeting

    Infection Risk Among Patients Receiving Concurrent Denosumab and Biologic Or Non-Biologic DMARD Therapy: An Analysis Of The Consortium Of Rheumatology Researchers Of North America (CORRONA) Registry

    Vance J. Bray1, Adam W. Bagley2, Sterling G. West3, Carol J. Etzel4, Joel M. Kremer5 and Jason R. Kolfenbach6, 1Denver Arthritis Clinic, Denver, CO, 2Internal Medicine, University of Colorado School of Medicine, Aurora, CO, 3Rheumatology, University of Colorado School of Medicine, Aurora, CO, 4Department of Epidemiology, UT MD Anderson, Houston, TX, 5Medicine, Albany Medical College and the Center for Rheumatology, Albany, NY, 6Division of Rheumatology, University of Colorado School of Medicine, Aurora, CO

    Background/Purpose: RANKL is a cytokine member of the tumor necrosis family that mediates osteoclastic bone resorption.  Denosumab prevents RANKL from activating RANK on the cell…
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