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  • Abstract Number: 264 • 2013 ACR/ARHP Annual Meeting

    The Proportion Of Knee Osteoarthritis Patients In Southern Sweden That Seek Medical Car

    Aleksandra Turkiewicz1, Maria Gerhardsson de Verdier2, Gunnar Engström3, Stefan Lohmander1 and Martin Englund1, 1Department of Orthopedics, Clinical Sciences Lund, Lund University, Lund, Sweden, 2Astra Zeneca R&D Molndal, Molndal, Sweden, Molndal, Sweden, 3Dept of Cardiovascular epidemiology, Clinical Sciences, Lund University, Lund, Sweden

    Background/Purpose: To provide estimates of the proportion of subjects with knee osteoarthritis (OA) that seek healthcare for knee OA or joint pain within an 8-year…
  • Abstract Number: 265 • 2013 ACR/ARHP Annual Meeting

    All-Cause Mortality and Incident Cardiovascular Disease In Knee Osteoarthritis: The Framingham Study

    Devyani Misra1, David T. Felson2, Ida K. Haugen3, Martin Englund4 and Tuhina Neogi1, 1Clinical Epidemiology Research and Training Unit, Boston University School of Medicine, Boston, MA, 2Clinical Epidemiology Unit, Boston University School of Medicine, Boston, MA, 3Rheumatology, Diakonhjemmet Hospital, Oslo, Norway, 4Department of Orthopedics, Clinical Sciences Lund, Lund University, Lund, Sweden

    Background/Purpose: Studies examining the relation of osteoarthritis (OA) to mortality or cardiovascular disease (CVD) have reported conflicting results, raising the question of whether OA itself…
  • Abstract Number: 266 • 2013 ACR/ARHP Annual Meeting

    Cardiovascular Disease In Osteoarthritis: Hip Versus Knee and The Influence Of Multiple Symptomatic Joint Involvement

    Anthony V. Perruccio1, Rita A. Kandel2 and Aileen M. Davis3, 1Toronto Western Hospital, Toronto Western Research Institute, and University of Toronto, Toronto, ON, Canada, 2Mount Sinai Hospital and University of Toronto, Toronto, ON, Canada, 3Health Care and Outcomes Research, Toronto Western Research Institute; Departments of Rehabilitation Science and Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada

    Background/Purpose: The strength of association between obesity and osteoarthritis (OA) is reported to vary by joint (e.g. stronger association with knee than hip). As well,…
  • Abstract Number: 267 • 2013 ACR/ARHP Annual Meeting

    Risk Of Falls Increases With Additional Symptomatic Osteoarthritic Joints: The Johnston County Osteoarthritis Project

    Adam Dore1, Yvonne M. Golightly2, Vicki Mercer3, Jordan B. Renner4, Xiaoyan A. Shi5, Joanne M. Jordan6 and Amanda E. Nelson7, 1Rheumatology, Allergy and Immunology, University of North Carolina at Chapel Hill, Chapel Hill, NC, 2Gillings School of Global Public Health, Dept of Epidemiology, Thurston Arthritis Research Center, Injury Prevention Research Center, University of North Carolina Dept of Epidemiology, Chapel Hill, NC, 3Division of Physical Therapy, Dept of Allied Health Sciences, University of North Carolina at Chapel Hill, Chapel Hill, NC, 4University of North Carolina Department of Radiology, Chapel Hill, NC, 5SAS Institute, Inc, Cary, NC, 6Thurston Arthritis Research Center, University of North Carolina, Chapel Hill, NC, 7University of North Carolina Thurston Arthritis Research Center, Chapel Hill, NC

    Background/Purpose: Falls, a growing problem among older adults, often lead to hospitalizations, surgeries, and death. Knee and hip osteoarthritis (OA) are known risk factors for…
  • Abstract Number: 269 • 2013 ACR/ARHP Annual Meeting

    Marked Improvement In Patient Reported Outcomes Of Children With Active Systemic Juvenile Idiopathic Arthritis With Canakinumab Treatment – Results Of The Phase III Program

    Rayfel Schneider1, Hermine Brunner1, Nicolino Ruperto2, Nico Wulffraat2, Pierre Quartier3, Riva Brik2, Liza McCann2, Helen E. Foster2, Michael Frosch2, Valeria Gerloni2, Liora Harel2, Claudio Len2, Kristin Houghton1, Rik Joos2, Ken Abrams4, Karine Lheritier5, Sophia Kessabi5, Alberto Martini2 and Daniel J. Lovell1, 1Pediatric Rheumatology Collaborative Study Group (PRCSG), Cincinnati, OH, 2Pediatric Rheumatology International Trials Organization (PRINTO)-Istituto Gaslini, Genova, Italy, 3Necker-Enfants Malades Hospital, Paris, France, 4Novartis Pharmaceuticals Corporation, East Hanover, NJ, 5Novartis Pharma AG, Basel, Switzerland

    Background/Purpose: Efficacy and safety of canakinumab (CAN), a selective, fully human, anti-interleukin-1β monoclonal antibody, in systemic juvenile idiopathic arthritis (SJIA) patients has been demonstrated in…
  • Abstract Number: 270 • 2013 ACR/ARHP Annual Meeting

    Canakinumab In The Treatment Of Systemic Juvenile Idiopathic Arthritis: Results From a 12-Week Pooled Post-Hoc Analysis For Efficacy

    Hermine Brunner1, Pierre Quartier2, Tamas Constantin3, Shai Padeh4, Inmaculada Calvo3, Muferet Erguven3, Laurence Goffin3, Michael Hofer5, Tilmann Kallinich3, Sheila Oliveira3, Yosef Uziel6, Stefania Viola7, Kiran Nistala3, Carine Wouters8, Karine Lheritier9, Josef Hruska9, Ken Abrams10, Alberto Martini3, Nicolino Ruperto3 and Daniel J. Lovell1, 1Pediatric Rheumatology Collaborative Study Group (PRCSG), Cincinnati, OH, 2Necker-Enfants Malades Hospital, Paris, France, 3Paediatric Rheumatology International Trials Organization (PRINTO), Genova, Italy, 4Sheba Medical Center, Tel-Hashomer, Israel, 5Centre Multisite Romand de Rhumatologie Pediatrique, Lausanne, Switzerland, 6Pediatric Rheumatology Unit , Department of Pediatrics, Meir Medical Center, Kfar Saba, Israel, 7Istituto G. Gaslini, Istituto Giannina Gaslini, Genova, Italy, 8PRINTO, Genoa, Italy, 9Novartis Pharma AG, Basel, Switzerland, 10Novartis Pharmaceuticals Corporation, East Hanover, NJ

    Background/Purpose: Interleukin-1β (IL-1β) plays a key role in the pathogenesis of systemic juvenile idiopathic arthritis (SJIA), a severe disabling subtype of JIA characterized by arthritis…
  • Abstract Number: 271 • 2013 ACR/ARHP Annual Meeting

    Baseline Characteristics Of Patients With Active Systemic JIA On Canakinumab Therapy Successfully Discontinuing Corticosteroids: Secondary Analyses From A Pivotal PHASE 3 Study

    Hermine Brunner1, Nicolino Ruperto2, Tamás Constantin3, Nico Wulffraat2,4, Gerd Horneff4, Jordi Anton2, Reinhard Berner2, Fabrizia Corona5, Rubén J. Cuttica6, Marine Desjonqueres2, Michel Fischbach2, Maria Alessio2, Alice Chieng2, Wolfgang Emminger2, Elie Haddad7, Karine Lheritier8, Ken Abrams9, Josef Hruska8, Daniel J. Lovell7 and Alberto Martini2, 1Cincinnati Children's Hospital Medical Center, Cincinnati, OH, 2Pediatric Rheumatology International Trials Organization (PRINTO)-Istituto Gaslini, Genova, Italy, 3Pediatric Rheumatology, University Childrens Hospital, Budapest, Hungary, 4PRINTO, Genoa, Italy, 5PRINTO-Istituto Gaslini, Genova, Italy, 6Hospital de Niños Pedro de Elizalde - University of Buenos Aires, Buenes Aires, Argentina, 7Pediatric Rheumatology Collaborative Study Group (PRCSG), Cincinnati, OH, 8Novartis Pharma AG, Basel, Switzerland, 9Novartis Pharmaceuticals Corporation, East Hanover, NJ

    Background/Purpose: Interleukin-1β (IL-1β) is a key cytokine in the pathogenesis of systemic juvenile idiopathic arthritis (SJIA). Canakinumab (CAN), a selective fully human anti-IL-1β monoclonal antibody,…
  • Abstract Number: 272 • 2013 ACR/ARHP Annual Meeting

    Predictive Markers Of Joint Damages Of Children With Systemic-Onset Juvenile Idiopathic Arthritis In Long-Term Course Of Treatment With Tocilizumab

    Tomo Nozawa, Taichi Kanetaka, Kenichi Nishimura, Masako Kikuchi, Tomomi Sato, Nodoka Sakurai, Ryoki Hara, Kazuko Yamazaki and Shumpei Yokota, Department of Pediatrics, Yokohama City University School of Medicine, Yokohama, Japan

    Background/Purpose: Systemic-onset juvenile idiopathic arthritis (s-JIA) is a subtype of chronic childhood arthritis characterized by spiking fever, rash, and arthritis. Tocilizumab (TCZ), an anti-IL-6 receptor…
  • Abstract Number: 273 • 2013 ACR/ARHP Annual Meeting

    Neutropenia With Tocilizumab Treatment Is Not Associated With Increased Infection Risk In Patients With Systemic Juvenile Idiopathic Arthritis

    Fabrizio De Benedetti1, Hermine Brunner2, Eileen M. Baildam3, Ruben Burgos-Vargas3, Gerd Horneff3, Hans-Iko Huppertz3, Kirsten Minden4, Barry L. Myones2, Karen Onel5, Jianmei Wang6, Kamal N. Bharucha7, Daniel J. Lovell2, Alberto Martini8 and Nicolino Ruperto3, 1IRCCS Ospedale Pediatrico Bambino Gesú, Rome, Italy, 2PRCSG, Cincinnati, OH, 3PRINTO, Genoa, Italy, 4Children’s University Hospital Charite/German Rheumatism Research Centre Berlin, Berlin, Germany, 5Pediatric Rheumatology, University of Chicago Hospitals, Chicago, IL, 6Roche Products Ltd., Welwyn Garden City, United Kingdom, 7Genentech, South San Francisco, CA, 8Pediatria II, Istituto Giannina Gaslini, Genova, Italy

    Background/Purpose: In the phase 3 TENDER trial of tocilizumab (TCZ) in patients with systemic juvenile idiopathic arthritis (sJIA), decreases in neutrophil count were commonly observed.…
  • Abstract Number: 274 • 2013 ACR/ARHP Annual Meeting

    Reported Macrophage Activation Syndrome In Patients With Systemic-Onset Juvenile Idiopathic Arthritis Treated With Tocilizumab

    Shumpei Yokota1,2, Yasuhiko Itoh2,3, Tomohiro Morio2,4, Naokata Sumitomo2,5 and Seiji Minota2,6, 1Department of Pediatrics, Yokohama City University School of Medicine, Yokohama, Japan, 2The Safety Evaluation Committee of Actemra® for JIA, Tokyo, Japan, 3pediatrics, Nippon Medical School, Tokyo, Japan, 4Department of Pediatrics and Developmental Biology, Tokyo Medical and Dental University, Tokyo, Japan, 5pediatrics, Nihon University School of Medicine, tokyo, Japan, 6Division of Rheumatology and Clinical Immunology, Jichi Medical University, Shimotsuke,Tochigi, Japan

    Background/Purpose: Systemic-onset juvenile idiopathic arthritis (s-JIA) is a subtype of chronic childhood arthritis that is characterized by a spiking fever, rash, and arthritis. About 7%…
  • Abstract Number: 275 • 2013 ACR/ARHP Annual Meeting

    Changes In Serum IL-18 Level In Systemic Juvenile Idiopathic Arthritis Patients Who Attained Drug-Free Remission By Tocilizumab

    Tomohiro Kubota1, Syuji Takei2, Yuichi Yamasaki1, Junko Yasumura3, Naomi Kuwada4, Yukiko Nonaka5, Tomoko Takezaki5, Tsuyoshi Yamatou5, Tomokazu Nagakura6, Yasuhito Nerome5, Hiroyuki Imanaka5 and Harumi Akaike5, 1Dept of Pediatrics, Faculty of Medicine, Kagoshima University, Kagoshima, Japan, 2School of Health Sciences, Faculty of Medicine, Kagoshima University, Kagoshima, Japan, 3Dept of Pediatrics, Graduate School of Biomedical Sciences, Faculty of Medicine, Hiroshima University, Hiroshima City, Japan, 4Dept of Pediatrics, Faculuty of Medicine, Kumamoto University, Kumamoto City, Japan, 5Department of Pediatrics, Kagoshima University Hospital, Kagoshima, Japan, 6Department of Pediatrics, House of Meguminoseibo, Usuki, Japan

    Background/Purpose: Tocilizumab (TCZ), anti-human interleukin-6 receptor monoclonal antibody, was the first biologic agent used in the treatment of systemic juvenile idiopathic arthritis (sJIA) in Japan.…
  • Abstract Number: 276 • 2013 ACR/ARHP Annual Meeting

    Assessment Of Radiographic Progression In Patients With Systemic Juvenile Idiopathic Arthritis Treated With Tocilizumab: 2-Year Results From The Tender Trial

    Clara Malattia1, Nicolino Ruperto1, Elena Palmisani1, Silvia Pederzoli1, Angela Pistorio1, Hermine Brunner2, Rubén J. Cuttica3, Inmaculada Calvo1, Stella Maris Garay1, Despina Eleftheriou1, Carine Wouters1, Jianmei Wang4, Clare Devlin4, Daniel J. Lovell2, Alberto Martini5, Fabrizio De Benedetti6 and Angelo Ravelli5, 1PRINTO, Genoa, Italy, 2PRCSG, Cincinnati, OH, 3Hospital de Niños Pedro de Elizalde - University of Buenos Aires, Buenes Aires, Argentina, 4Roche Products Ltd., Welwyn Garden City, United Kingdom, 5Pediatria II, Istituto Giannina Gaslini, Genova, Italy, 6IRCCS Ospedale Pediatrico Bambino Gesú, Rome, Italy

    Background/Purpose: A phase 3 trial (TENDER) demonstrated the efficacy of the interleukin-6 receptor inhibitor tocilizumab (TCZ) in patients with systemic juvenile idiopathic arthritis (sJIA).1,2 The…
  • Abstract Number: 277 • 2013 ACR/ARHP Annual Meeting

    Childhood Arthritis and Rheumatology Research Alliance (CARRA) Standardized Consensus Treatment Plans for New Onset Polyarticular Juvenile Idiopathic Arthritis

    Sarah Ringold1, Pamela F. Weiss2, Robert A. Colbert3, Esi Morgan DeWitt4, Tzielan C. Lee5, Karen Onel6, Sampath Prahalad7, Rayfel Schneider8, Susan Shenoi9, Richard K. Vehe10 and Yukiko Kimura11, 1Pediatrics, Seattle Children's Hospital/Univ of Washington, Seattle, WA, 2Rheumatology, The Children's Hospital of Philadelphia, Philadelphia, PA, 3NIAMS NIH, Bethesda, MD, 4Department of Pediatrics, Division of Rheumatology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, 5Pediatric Rheumatology, Stanford University School of Medicine, Stanford, CA, 6Pediatric Rheumatology, University of Chicago Hospitals, Chicago, IL, 7Pediatrics, Emory Children's Center, Atlanta, GA, 8Pediatric Rheumatology Collaborative Study Group (PRCSG), Cincinnati, OH, Canada, 9Pediatric Rheumatology, Seattle Children's Hospital, University of Washington, Seattle, WA, 10Department of Pediatrics, University of Minnesota, Minneapolis, MN, 11Pediatric Rheumatology, Joseph M Sanzari Children’s Hospital, Hackensack University Medical Center, Hackensack, NJ

    Background/Purpose:   There is no standardized approach to the initial treatment of polyarticular juvenile idiopathic arthritis (pJIA) among North American pediatric rheumatologists. Understanding the comparative…
  • Abstract Number: 278 • 2013 ACR/ARHP Annual Meeting

    Results Of a 24 Month Extension Study In Patients Who Participated In The Trial Of Early Aggressive Therapy In Polyarticular Juvenile Idiopathic Arthritis

    Carol A. Wallace1, John Bonsack2, Steven J. Spalding3, Hermine Brunner4, Kathleen M. O'Neil5, Diana Milojevic6, Sarah Ringold7, Laura E. Schanberg8, Gloria C. Higgins9, Beth S. Gottlieb10, Joyce J. Hsu11, Marilynn G. Punaro12, Yukiko Kimura13 and Audrey F. Hendrickson14, 1University of Washington School of Medicine and Seattle Children's Hospital, Seattle, WA, 2Pediatrics, University of Utah Health Sciences Center, Salt Lake City, UT, 3Pediatric Institute, Department of Pediatric Rheumatology, The Cleveland Clinic, Cleveland, OH, 4Division of Rheumatology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, 5Pediatric Rheumatology, Riley Hospital for Children, Indianapolis, IN, 6Dept of Pediatric Rheumatology, University of California, San Francisco, San Francisco, CA, 7Pediatrics, Seattle Children's Hospital/Univ of Washington, Seattle, WA, 8Pediatrics, Duke University Medical Center, Durham, NC, 9Pediatric Rheumatology Ohio State University, Nationwide Childrens Hosp, Columbus, OH, 10Pediatric Rheumatology, Cohen Children's Medical Center of New York, New Hyde Park, NY, 11Pediatric Rheumatology, Stanford University, Palo Alto, CA, 12Pediatric Rheumatology, Texas Scottish Rite Hospital, Dallas, TX, 13Pediatric Rheumatology, Joseph M Sanzari Children’s Hospital, Hackensack University Medical Center, Hackensack, NJ, 14Rheumatology, Seattle Children's Research Institute, Seattle, WA

    Background/Purpose: The Trial of Early Aggressive Therapy in Polyarticular Juvenile Idiopathic Arthritis (TREAT-JIA) was a double-blind, randomized, placebo-controlled trial in 85 patients with onset of…
  • Abstract Number: 279 • 2013 ACR/ARHP Annual Meeting

    Safety and Effectiveness Of Adalimumab In Children With Polyarticular Juvenile Idiopathic Arthritis Aged 2 To <4 Years Or ≥4 Years Weighing <15 Kg

    Daniel J. Kingsbury1, Pierre Quartier2, Vipin Arora3, Jasmina Kalabic4, Hartmut Kupper4 and Neelufar Mozaffarian3, 1Randall Children's Hospital at Legacy Emanuel, Portland, OR, 2Pediatria II, Istituto Giannina Gaslini, Genoa, Italy, 3AbbVie, North Chicago, IL, 4AbbVie Deutschland GmbH & Co. KG, Ludwigshafen, Germany

    Background/Purpose: Adalimumab (ADA) is approved for use in moderate to severe juvenile idiopathic arthritis (JIA) in patients (pts) ≥4 years (yrs) old in the US,…
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