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  • Abstract Number: 1641 • 2012 ACR/ARHP Annual Meeting

    When Can Biological Therapy Be Resumed in Patients with Rheumatic Conditions Who Develop Tuberculosis Infection During Tumour Necrosis Factors Antagonists Therapy? Study Based On the Biobadaser Data Registry

    Maria Victoria Hernández1, Miguel A. Descalzo2, Juan D. Cañete1, Raimon Sanmarti3 and BIOBADASER Study Group4, 1Rheumatology, Hospital Clínic of Barcelona. IDIBAPS. University of Barcelona, Barcelona, Spain, 2Research Unit, Spanish Society of Rheumatology, Madrid, Spain, 3Arthritis Unit. Rheumatology Department, Hospital Clínic of Barcelona, Barcelona, Spain, 4Research Unit. Spanish Society of Rheumatology, Madrid, Spain

    Background/Purpose: Tuberculosis infection (TI) is one of the most serious adverse events related to tumour necrosis factor (TNF) antagonists. According to the current treatment guidelines…
  • Abstract Number: 1642 • 2012 ACR/ARHP Annual Meeting

    Biologics and Mortality Risk in Rheumatoid Arthritis – Results of a Population Based Study

    Diane Lacaille1, Michal Abrahamowicz2, Eric C. Sayre3 and John Esdaile4, 1Rheumatology, Arthritis Research Centre of Canada, University of British Columbia, Richmond, BC, Canada, 2Clinical Epidemiology, McGill University, Montreal, QC, Canada, 3Arthritis Research Centre of Canada, Vancouver, BC, Canada, 4Rheumatology, Arthritis Research Centre of Canada, University of British Columbia, Vancouver, BC, Canada

    Background/Purpose: Biologic agents, due to their effect on disease activity, may reduce the risk of premature mortality in rheumatoid arthritis (RA). We evaluated the association…
  • Abstract Number: 1643 • 2012 ACR/ARHP Annual Meeting

    Outcomes of Pregnancy in Subjects Exposed to Certolizumab Pegol

    Megan E. B. Clowse1, Douglas C. Wolf2, Christian Stach3, Gordana Kosutic4, Susan Williams4, Ido Terpstra5 and Uma Mahadevan6, 1Rheumatology, Duke University Medical Center, Durham, NC, 2Atlanta Gastroenterology Associates, Atlanta, GA, 3UCB Pharma, Monheim, Germany, 4UCB Pharma, Raleigh, NC, 5UCB Pharma, Brussels, Belgium, 6University of California, San Francisco, San Francisco, CA

    Background/Purpose: Certolizumab pegol (CZP) is an Fc-free, PEGylated, anti-TNF approved in the US for the treatment of Crohn's disease (CD) and rheumatoid arthritis (RA). Pre-clinical…
  • Abstract Number: 1644 • 2012 ACR/ARHP Annual Meeting

    Enhanced Pharmacovigilance Reporting of Malignancies in Children and Young Adults Taking Etanercept

    Michele Hooper1, Deborah Wenkert2, Bojena Bitman3, Virgil C. Dias4, Yessinia Bartley5, Julie Wang6 and Julia R. Gage7, 1Amgen Global Safety, Amgen Inc., Thousand Oaks, CA, 2Inflammation TA, Amgen Inc., Thousand Oaks, CA, 3Amgen, Inc., San Francisco, CA, 4Amgen Inc., Thousand Oaks, CA, 5Assent Consulting, Solana Beach, CA, 6Amgen Inc, One Amgen Center Drive, Thousand Oaks, CA, 7Gage Medical Writing, LLC, Oak Park, CA

    Background/Purpose: Recent reports suggest an increased rate of malignancy in children with juvenile idiopathic arthritis (JIA) (Simard, A&R 2010;62:3776; Beukelman A&R 2012;64:1263).  In 2011, the…
  • Abstract Number: 1645 • 2012 ACR/ARHP Annual Meeting

    Combination of Isoniazid for Latent Tuberculosis with Traditional and/or Biologic Disease Modifying Anti-Rheumatic Drugs Is Well Tolerated in Patients with Rheumatic Diseases

    Dilrukshie Cooray1, Saleem A. Waraich2, Andrew Phan1, Rosalinda C. Moran1 and George A. Karpouzas1, 1Rheumatology, Harbor-UCLA Medical Center, Torrance, CA, 2Placentia, CA

    Background/Purpose: Patients with rheumatic diseases (RD) are typically treated with conventional and /or biologic disease modifying anti-rheumatic drugs (DMARD's) including tumor necrosis factor inhibitors (TNFi). …
  • Abstract Number: 1646 • 2012 ACR/ARHP Annual Meeting

    The Mechanism of Umbilical Cord Mesenchymal Stem Cells in the Upregulation of Regulatory T Cells by TGF-β1 in Systemic Lupus Erythematosus

    Lingyun Sun1, Dandan Wang2, Lin Lu2 and Xia Li2, 1the Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, China, 2Department of Rheumatology and Immunology, the Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, China

    Background/Purpose: Umbilical cord (UC) derived mesenchymal stem cells (MSCs) have shown immunoregulation on various immune cells. The aim of this study is to investigate the…
  • Abstract Number: 1647 • 2012 ACR/ARHP Annual Meeting

    Critical Management Decisions in Cardiac Neonatal Lupus: The Role of Fluorinated Steroids

    Peter M. Izmirly1, Sara Sahl1, Amit Saxena2, Nathalie Costedoat-Chalumeau3, Jean-Charles Piette4, Munther A. Khamashta5, Cecilia Pisoni6, Deborah Friedman7 and Jill P. Buyon1, 1Medicine, Division of Rheumatology, New York University School of Medicine, New York, NY, 2Rheumatology, New York University School of Medicine, New York, NY, 3Internal Medicine, Assistance Publique-Hôpitaux de Paris, Hopital Pitié-Salpétrière, Paris, France, 4Department of Internal Medicine 1., CHU Pitié-Salpêtrière, Paris, France, 5Lupus Research Unit, The Rayne Institute, St Thomas Hospital, Kings College London School of Medicine, London, United Kingdom, 6Section of Rheumatology and Immunology, Centro de Educación, CEMIC, CABA, Argentina, 7Division of Pediatric Cardiology, New York Medical College, Valhalla, NY

    Background/Purpose: Life-threatening cardiac manifestations of neonatal lupus (cardiac-NL) include complete block, endocardial fibroelastosis (EFE) and dilated cardiomyopathy (DCM), all supportive of intense fibrosis at the…
  • Abstract Number: 1648 • 2012 ACR/ARHP Annual Meeting

    Lupus Anticoagulant At First Pregnancy Visit Is Predictive of Pregnancy Loss

    Michelle Petri1, Anil Mankee2, Ehtisham Akhter2, Hong Fang1 and Laurence S. Magder3, 1Johns Hopkins University School of Medicine, Baltimore, MD, 2Div of Rheumatology, Johns Hopkins University School of Medicine, Baltimore, MD, 3Department of Epidemiology and Public Health, University of Maryland, Baltimore, MD

    Background/Purpose: Multiple factors, including proteinuria, antiphospholipid syndrome, thrombocytopenia and hypertension, are predictive of pregnancy loss in SLE. In the PROMISSE study of mediators of pregnancy…
  • Abstract Number: 1649 • 2012 ACR/ARHP Annual Meeting

    French Cohort Study of 141 Cases of Autoimmune Congenital Heart Block

    Kateri Levesque1, Alice Maltret2, Mohamed Hamidou3, Moez Jallouli4, Jean Loup Pennaforte5, Pauline Orquevaux5, Jean-Charles Piette6, Zahir Amoura4, Francois Barriere7, Jérome Le Bidois2, Laurent Fermont2, Laurence Cohen8, Olivier Meyer9, Olivier Fain10, Arnaud Theulin11, Hugues Lucron12, Francois Sassolas13, Holly Bezanahary14, Gaëlle Guettrot-Imbert15, Pascal Seve16, Elizabeth Diot17, Nathalie Morel1, Christophe Deligny18, Elisabeth Villain2 and Nathalie Costedoat-Chalumeau19, 1Internal Medicine, Groupe Hospitalier Pitié-Salpétrière, Paris, France, 2Cardiology, Groupe Hospitalier Necker - Enfants Malades, Paris, France, 3Internal Medicine Department, Nantes University Hospital, Nantes, France, 4Department of Internal Medicine 2. Referal center for SLE/APS, CHU Pitié-Salpêtrière, Paris, France, 5Hu Robert Debre, CHU Reims, Reims, France, 6Hospital Pitie, Paris, 7Pediatry, CHU Nantes, Nantes, France, 8Cardiology, Institut Jacques Cartier, 9Rheumatology, Hopital Bichat, Paris, France, 10Internal Medicine, Service de médecine interne, Université Paris 13, AP-HP, Hôpital Jean Verdier, Bondy, France, 11Rheumatology, Strasbourg University Hospital, Strasbourg, France, 12Cardiology, CHU Fort-de-France, Fort de France, Martinique, 13Cardiology, CHU Lyon, Lyon, France, 14Internal Medicine, University Hospital of Limoges, Limoges, France, 15Internal Medicine, Hopital Gabriel Montpied, Clermont-Ferrand, France, 16Internal medicine, CHU Lyon, Lyon, France, 17Department of Internal Medicine, Hôpital Bretonneau, Centre Hospitalier Régional Universitaire de Tours, Tours, France, Tours, France, 18Rhumatologie Et Médecine Interne, Centre hospitalier Universitaire de Fort de France, Fort de France, Martinique, 19Internal Medicine, Assistance Publique-Hôpitaux de Paris, Hopital Pitié-Salpétrière, Paris, France

    Background/Purpose: Cardiac neonatal lupus manifestations mainly include congenital heart block (CHB), endocardial fibroelastosis and dilated cardiomyopathy.  We report the preliminary results of the French registry…
  • Abstract Number: 1650 • 2012 ACR/ARHP Annual Meeting

    Abnormal Serologies in the Absence of Clinical Activity Do Not Predict New or Recurrent Lupus Nephritis During Pregnancy

    Jill P. Buyon1, Aanam Aslam2, Marta M. Guerra2, Michael D. Lockshin3, Carl A. Laskin4, Ware Branch5, Lisa R. Sammaritano6, Michelle Petri7, Joan T. Merrill8, Allen D. Sawitzke9 and Jane E. Salmon6, 1Medicine, Division of Rheumatology, New York University School of Medicine, New York, NY, 2Rheumatology 3rd Fl Rsrch, Hospital for Special Surgery, New York, NY, 3Rheumatology, Hospital for Special Surgery, Weill Cornell Medical College, New York, NY, 4University of Toronto and LifeQuest Centre for Reproductive Medicine, Toronto, ON, Canada, 5Obsterics and Gynecology, Univ of Utah, Salt Lake City, UT, 6Rheumatology, Hospital for Special Surgery, New York, NY, 7Johns Hopkins University School of Medicine, Baltimore, MD, 8Clinical Pharmacology Research Program, Oklahoma Medical Research Foundation, Oklahoma City, OK, 9Rheumatology, University of Utah Medical Ctr, Salt Lake City, UT

    Background/Purpose: Renal disease is a critical concern of physicians counseling lupus patients regarding pregnancy. In patients without a history of kidney disease, does pregnancy increase…
  • Abstract Number: 1651 • 2012 ACR/ARHP Annual Meeting

    Higher Corticosteroid Doses Early in Disease Have A Long-Term Influence On Metabolic Syndrome in Systemic Lupus Erythematosus: Data from an International Inception Cohort

    Ben Parker1, Murray B. Urowitz2, Dafna D. Gladman3, Mark Lunt4, Ian N. Bruce5 and Systemic Lupus International Collaborating Clinic (SLICC)6, 1Arthritis Research UK Epidemiology Unit, University of Manchester, Manchester, United Kingdom, 2Division of Rheumatology, University of Toronto, Toronto Western Hospital, Toronto, ON, Canada, 3Rheumatology, University of Toronto, Toronto Western Hospital, Toronto, ON, Canada, 4Arthritis Research UK Epidemiology Unit, The University of Manchester, Manchester, United Kingdom, 5Manchester Academic Health Science Centre, Arthritis Research UK Epidemiology Unit and NIHR Manchester Musculoskeletal Biomedical Research Unit, The University of Manchester, Manchester, United Kingdom, 6Toronto

    Background/Purpose: The Metabolic Syndrome (MetS) is a clustering of metabolic abnormalities associated with an increased risk of developing diabetes and atherosclerosis, and may add to…
  • Abstract Number: 1652 • 2012 ACR/ARHP Annual Meeting

    Rituximab Versus Azathioprine for Maintenance in Antineutrophil Cytoplasmic Antibodies (ANCA)-Associated Vasculitis

    Loic Guillevin1, Christian Pagnoux2, Alexandre Karras3, Chahera Khoutra4, Olivier Aumaitre5, Pascal Cohen6, Francois Maurier7, Olivier Decaux8, Hélène Desmurs-Clavel9, Pierre Gobert10, Thomas Quemeneur11, Claire Blanchard-Delaunay12, Pascal Godmer13, Xavier Puechal14, Pierre-Louis Carron15, Pierre yves Hatron16, Nicolas Limal17, Mohamed Hamidou18, Maize Ducret19, Florence Vende20, Elisa Pasqualoni21, Bernard Bonnotte22, Philippe Ravaud23, Luc Mouthon24 and French Vasculitis Study Group (FVSG)25, 1Internal Medicine, Division of Internal Medicine, Hôpital Cochin, University Paris Descartes, Paris, France, 2Rheumatology, Mount Sinai Hospital, Toronto, Canada, Toronto, ON, Canada, 3Nephrology, Hôpital Européen Georges Pompidou, APHP, Paris, France, 4Pneumology, Hospices Civils de Lyon, Hôpital Louis Pradel, Lyon, France, 5Department of Internal Medicine, Centre Hospitalier de Clermont-Ferrand, Clermont-Ferrand, France, 6National Referral Center for Rare Systemic Autoimmune Diseases, Hôpital Cochin, AP–HP, Université Paris Descartes, Paris, Paris, France, 7HP Metz Belle Isle Hospital, Department of Internal Medicine, Metz, France, 8Department of Internal Medicine, Rennes University Hospital, Rennes, France, 9Internal Medicine, Hospices Civils de Lyon, Hôpital Louis Pradel, Lyon, France, 10Nephrology, Centre Hospitalier d'Avignon, Avignon, France, 11Internal medicine, CHR de Valenciennes, Valenciennes, France, 12Internal Medicine, Centre Hospitalier, Niort, France, 13Department of Internal Medicine, Centre Hospitalier Bretagne Atlantique de Vannes, Vannes, France, 14Internal Medicine, Hôpital Cochin, Paris, France, 15Internal Medicine, Centre Hospitalier de Grenoble, Grenoble, France, 16Department of Internal Medicine, Hôpital Claude Huriez, Université Lille II, Lille, France, Paris, France, 17Department of Internal Medicine, Hôpital Henri Mondor, APHP, Creteil, France, 18Internal Medicine Department, Nantes University Hospital, Nantes, France, 19Department of Internal Medicine, Centre Hospitalier d'Annecy, Annecy, France, 20Nephrology, Hôpital Bicbat, APHP, Paris, France, 21Department of Internal Medicine, Hôpital Bicbat, APHP, Paris, France, 22Department of Internal Medicine, Centre Hospitalier de Dijon, Dijon, France, 23Epidemiology, Hopital Hotel Dieu, Paris Descartes University, Paris, France, 24Internal Medicine, Hopital Cochin, Paris, France, 25Internal Medicine, Hôpital Cochin, Université Paris–Descartes, Paris, France

    Background/Purpose: Once ANCA-associated vasculitis (AAV) remission has been achieved with CS and cyclophosphamide (CYC), maintenance therapy usually relies on azathioprine (AZA) or methotrexate. However, 18-…
  • Abstract Number: 1653 • 2012 ACR/ARHP Annual Meeting

    Outcomes in Patients with Granulomatosis with Polyangiitis (Wegener’s) Treated with Short- Vs. Long-Term Maintenance Therapy

    Jason Springer1, Benjamin Nutter2, Carol A. Langford3, Gary S. Hoffman4 and Alexandra Villa-Forte5, 1Dept of Rheumatology, Cleveland Clinic Foundation, Cleveland, OH, 2Quantitative Health Sciences, Cleveland Clinic Foundation, Cleveland, OH, 3Center for Vasculitis Care and Research, Cleveland Clinic, Cleveland, OH, 4Center for Vasculitis Care and Research, Cleveland Clinic Foundation, Cleveland, OH, 5Rheumatology, Cleveland Clinic Foundation, Cleveland, OH

    Background/Purpose: Disease remission can be successfully achieved in the majority of patients (pts) with Granulomatosis with polyangiitis (Wegener’s) (GPA).  After remission (rem) is achieved continued…
  • Abstract Number: 1654 • 2012 ACR/ARHP Annual Meeting

    Primary Endpoint Failure in the Rituximab in ANCA-Associated Vasculitis Trial

    Eli Miloslavsky1, Ulrich Specks2, John H. Stone3 and RAVE/ITN Research Group4, 1Division of Rheumatology, Massachusetts General Hopsital, Boston, MA, 2Mayo Clinic, Rochester, MN, 3Rheumatology, Massachusetts General Hospital, Boston, MA, 4Bethesda, MD

    Primary Endpoint Failure in the Rituximab in ANCA-associated Vasculitis TrialBackground/Purpose: The RAVE trial demonstrated that rituximab (RTX) is non-inferior to cyclophosphamide (CYC) for remission induction…
  • Abstract Number: 1655 • 2012 ACR/ARHP Annual Meeting

    An Open-Label Trial of Abatacept in Mild Relapsing Granulomatosis with Polyangiitis (Wegener’s)

    Carol A. Langford1, David Cuthbertson2, Gary S. Hoffman3, Jeffrey Krischer4, Carol McAlear5, Paul A. Monach6, Philip Seo7, Ulrich Specks8, Steven R. Ytterberg9, Peter A. Merkel5 and for the Vasculitis Clinical Research Consortium5, 1Center for Vasculitis Care and Research, Cleveland Clinic, Cleveland, OH, 2Department of Biostatistics, University of South Florida, Tampa, FL, 3Rheumatic & Immunologic Dis, Cleveland Clinic, Cleveland, OH, 4University of South Florida, Tampa, FL, 5University of Pennsylvania, Philadelphia, PA, 6Rheumatology, Boston University, Boston, MA, 7Rheumatology Division, Johns Hopkins Vasculitis Center, Johns Hopkins University, Baltimore, MD, 8Mayo Clinic, Rochester, MN, 9Rheumatology Division, Mayo Clinic, Rochester, MN

    Background/Purpose: Granulomatosis with polyangiitis (Wegener's, GPA) is a primary systemic vasculitis that carries a high predilection for relapse. An area of unmet need has been…
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