ACR Meeting Abstracts

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  • Abstract Number: 1330 • 2012 ACR/ARHP Annual Meeting

    High Body Mass Index Is Associated with Decreased Response to Initial Combination Therapy in Recent Onset RA Patients

    Marianne van den Broek1, L. Heimans2, S. le Cessie3, B. Siegerink3, H.K Ronday4, K.H. Han5, P.J.S.M. Kerstens6, T.W.J. Huizinga2, W.F. Lems7 and C.F. Allaart2, 1Department of Rheumatology, Leiden University Medical Center, Leiden, Netherlands, 2Rheumatology, Leiden University Medical Center, Leiden, Netherlands, 3Medical statistics and Epidemiology, Leiden University Medical Center, Leiden, Netherlands, 4Rheumatology, Haga Hospital, The Hague, Netherlands, 5Rheumatology, MCRZ hospital, Rotterdam, Netherlands, 6Rheumatology, Jan van Breemen Research Institute | Reade, Amsterdam, Netherlands, 7Rheumatology, VU University medical center, Amsterdam, Netherlands

    High BMI is associated with decreased response to initial combination therapy in recent onset RA patients Background/Purpose: A diminished response to combination treatment with a fixed…
  • Abstract Number: 1331 • 2012 ACR/ARHP Annual Meeting

    Once Daily High Dose Regimens of GLPG0634 in Healthy Volunteers Are Safe and Provide Continuous Inhibition of JAK1 but Not JAK2

    Florence Namour1, René Galien1, Lien Gheyle2, Frédéric Vanhoutte3, Béatrice Vayssière1, Annegret Van der Aa3, Bart Smets3 and Gerben van 't Klooster3, 1Galapagos SASU, Romainville, France, 2SGS Clinical Pharmacology Unit, Antwerp, Belgium, 3Galapagos NV, Mechelen, Belgium

    Background/Purpose: GLPG0634 is an orally-available, selective inhibitor of Janus kinase 1 (JAK1) with an IC50 of 0.6 μM and a 30-fold selectivity over JAK2 in…
  • Abstract Number: 1332 • 2012 ACR/ARHP Annual Meeting

    The Incidence of Exacerbation of Pre-Existing Interstitial Lung Disease (ILD) Is Higher in TNF Blockers Than in Non-TNF Blockers in RA

    Tamao Nakashita1, Shinji Motojima2, Natsuki Fujio2 and Akira Jibatake3, 1Department of Rheumatology and Allergy, Kameda Medical Center, Kamogawa City, Japan, 2Department of Rheumatology and Allergy, Kameda Medical Center, Kamogawa city, Japan, 3Depertment of Rheumatology and Allergy, Kameda Medical Center, Kamogawa city, Japan

    Background/Purpose: Exacerbation of interstitial lung disease (ILD) is a problem when biologics are administrated in patients with RA, and not a few fatal cases have…
  • Abstract Number: 1333 • 2012 ACR/ARHP Annual Meeting

    The Predictive Value of CD64 Counts for Infectious Disease in Patients Treated with Tocilizumab On the Infectious Disease Risk Management Cohort (ACT4U-study)

    Atsushi Ihata1, Hiroyuki Hagiyama2, Shouhei Nagaoka3, Junichi Obata4, Kiyomitsu Miyachi5, Hidehiro Yamada6, Shunsei Hirohata7, Norihiko Koido8, Masaomi Yamasaki9, Kenichi Miyagi10, Shigeru Ohno11, Daiga Kishimoto1, Reikou Watanabe1, Takeaki Uehara12, Kaoru Takase1, Maasa Hama1, Ryusuke Yoshimi1, Atsuhisa Ueda1, Mitsuhiro Takeno1 and Yoshiaki Ishigatsubo1, 1Department of Internal Medicine and Clinical Immunology, Yokohama City University Graduate School of Medicine, Yokohama, Japan, 2Department of Rheumatology, Yokohama-city Bay Red Cross Hospital, Yokohama, Japan, 3Department of Rheumatology, Yokohama Minami Kyousai Hospital, Yokohama, Japan, 4Hikarichuo Clinic, Kawasaki, Japan, 5Keigu Clinic, Kawasaki, Japan, 6Internal Medicine, St. Marianna University, Kawasaki, Japan, 7Int Med/Rheumatol & Infec Dis, Kitasato University School of Medicine, Sagamihara, Japan, 8Kawasaki Rheumatism & Internal Medecine Clinic, Kawasaki, 9Internal Medicine, St Marianna University, Yokohama City Seibu Hospital, Yokohama, Japan, 10Miyagi Naika Clinic, Yokohama, 11Center for Rheumatic Diseases, Yokohama City University Medical Center, Yokohama, Japan, 12Department of Rheumatology, Chigasaki Municipal Hospital, Chigasaki, Japan

    Background/Purpose: An administration of tocilizumab (TCZ) rapidly suppresses inflammatory markers such as CRP and ESR, which makes the diagnosis of infection difficult. There is a…
  • Abstract Number: 1334 • 2012 ACR/ARHP Annual Meeting

    Intra-Articular Etanercept Treatment in Inflammatory Arthritis: A Randomized Double-Blind Placebo-Controlled Trial

    Caroline J. Aalbers1, Danielle M. Gerlag2, Koen Vos1, Gertjan Wolbink3, R. Landewe1 and Paul P. Tak4, 1Division of Clinical Immunology and Rheumatology, Academic Medical Center / University of Amsterdam, Amsterdam, Netherlands, 2Division of Clinical Immunology and Rheumatology, Academic Medical Center/University of Amsterdam, Amsterdam, Netherlands, 3Rheumatology, Jan van Breemen Research Institute | Reade, Amsterdam, Netherlands, 4Department of Experimental Immunology, Division of Clinical Immunology and Rheumatology, Academic Medical Center, University of Amsterdam and GlaxoSmithKline, Amsterdam, Netherlands

    Background/Purpose: The use of intra-articular (IA) corticosteroid injections has been widely accepted as a therapy to control local inflammation. Studies on the use of IA…
  • Abstract Number: 1335 • 2012 ACR/ARHP Annual Meeting

    Remission Induction in Early Active Rheumatoid Arthritis: Comparison of Tocilizumab Versus Methotrexate Monotherapy

    Patrick Durez1, Geneviève Depresseux2, Marie Avaux2, Adrien Nzeusseu Toukap3, Bernard Lauwerys3, Laurent Meric de Bellefon2, Maria S. Stoenoiu2 and Frédéric A. Houssiau4, 1Université Catholique de Louvain and Cliniques Universitaires Saint-Luc, Brussels, Belgium, 2Department of Rheumatology, Université catholique de Louvain, Brussels, Belgium, 3Pôle de Maladies Rhumatismales, Institut de Recherche Expérimentale et Clinique, Université catholique de Louvain, Brussels, Belgium, 4Institut de Recherche Expérimentale et Clinique, Pôle de Maladies Rhumatismales, Université catholique de Louvain, Brussels, Belgium

    Background/Purpose: Tocilizumab (TCZ), as monotherapy and in combination with methotrexate (MTX), has been shown to be efficacious for rheumatoid arthritis patients with insufficient response to…
  • Abstract Number: 1296 • 2012 ACR/ARHP Annual Meeting

    An Interim Analysis of the Efficacy of Abatacept in Japanese Biologics-naïve Rheumatoid Arthritis Patients (results from ABROAD study): Comparison of CRP and MMP-3 Level After Treatment with Abatacept Versus Anti-TNF Agents

    Masahiro Sekiguchi1, Kiyoshi Matsui1, Masayasu Kitano1, Mitsuo Namiki1, Koichiro Ohmura2, Takao Fujii3, Hideko Nakahara4, Keiji Maeda4, Hideo Hashimoto5, Takanori Kuroiwa6, Kenji Miki7, Masanori Funauchi8, Kazuhiro Hatta9, Kenshi Higami10, Shunzo Namiuchi11, Ichiro Yoshii12, Teruyuki Nakatani13, Takashi Ikawa14, Takaji Matsutani15, Kosaku Murakami16, Satoshi Morita17, Yutaka Kawahito18, Norihiro Nishimoto15, Tsuneyo Mimori19 and Hajime Sano1, 1Division of Rheumatology, Department of Internal Medicine, Hyogo College of Medicine, Nishinomiya, Japan, 2Department of Rheumatology & Clin Immunology, Kyoto University, Kyoto, Japan, 3Dept of Rheum/Clinical Immun, Graduate School of Medicine,, Kyoto University, Kyoto, Japan, 4Division of Allergy, Rheumatology and Connective Tissue Diseases, Department of Internal Medicine, NTT West Osaka Hospital, Osaka, Japan, 5Dept of Orthopedic Surgery, Rinku Hashimoto Rheumatology Orthopaedics, Osaka, Japan, 6Department of Rheumatology, Yukioka Hospital, Osaka, Japan, 7Department of Orthopaedic Surgery, Amagasaki Central Hospital, Amagasaki, Japan, 8Division of Hematology and Rheumatology, Department of Medicine, Kinki University Faculty of Medicine, Osaka, Japan, 9Department of Internal Medicine, Tenri Yorozu Sodansyo Hospital, Nara, 10Department of Rheumatology, Higami Hospital, Nara, Japan, 11Department of Rheumatology, Saiseikai Nakatsu Hospital, Osaka, Japan, 12Department of Orthopaedic Surgery, Yoshii Hospital, Shimanto, Japan, 13Department of Orthopaedic Surgery, Kishiwada City Hospital, Osaka, Japan, 14Osaka Rehabilitation Hospital, Hannan, Japan, 15Laboratory of Immune Regulation, Wakayama Medical University, Ibaraki, Japan, 16Rheumatology and Clinical Immunology, Osaka Red Cross Hospital, Osaka, Japan, 17Graduate School of Medicine & Medical Center, Department of Biostatistics and Epidemiology, Yokohama City University, Kanagawa, Japan, 18Department of Inflammation and Immunology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan, 19Dept of Rheum & Clinical Immun, Kyoto University, Kyoto, Japan

    Background/Purpose: Abatacept (ABA) is a recombinant fusion protein consisting of the extracellular domain of human CTLA-4, binding to CD80/86 on antigen presenting cells (APCs) and…
  • Abstract Number: 1297 • 2012 ACR/ARHP Annual Meeting

    Tofacitinib and Adalimumab Achieve Similar Rates of Low Disease Activity in Rheumatoid Arthritis — Lack of Improvement in Disease Activity Score by 3 Months Predicts Low Likelihood of Low Disease Activity At 1 Year

    Ronald F. van Vollenhoven1, Sriram Krishnaswami2, Birgitta Benda3, David Gruben4, Bethanie Wilkinson4, Charles A. Mebus4, Samuel H. Zwillich2 and John Bradley2, 1Karolinska Institute, Stockholm, Sweden, 2Pfizer Inc, Groton, CT, 3Pfizer Inc., Collegeville, PA, 4Pfizer Inc., Groton, CT

    Background/Purpose: Tofacitinib is a novel oral Janus kinase inhibitor being investigated as a targeted immunomodulator and disease-modifying therapy for RA. This post-hoc analysis of the…
  • Abstract Number: 1298 • 2012 ACR/ARHP Annual Meeting

    Improvement of Treatment Outcome of Rheumatoid Arthritis with Salazosulfapyridine by Pharmacogenetic Approach

    Shunichi Kumagai1, Yoshiaki Hagiwara2, Yoshihide Ichise1, Sho Sendo3, Nobuhiko Okada1, Jun Saegusa4 and Goh Tsuji5, 1Center of rheumatic diseases, Shinko hospital, Kobe, Japan, 2Department of Evidence-Based Laboratory Medicine, Kobe University Graduate School of Medicine, Kobe, Japan, 3Center of rheumatic diseases, Shinko Hospital, Kobe, Japan, 4Rheumatology and Clinical Immunology, Kobe University Graduate School of Medicine, Kobe, Japan, 5Center for Rheumatic Diseases, Shinko Hospital, Kobe, Japan

    Background/Purpose: Salazosulfapyridine (SASP) is acetylated in liver by N-acetyltransferase2 (NAT2) in the track of metabolism. Previous studies have shown that genotyping of NAT2 is adequate…
  • Abstract Number: 1299 • 2012 ACR/ARHP Annual Meeting

    Rituximab Versus Abatacept in Rheumatoid Arthritis Patients with an Inadequate Response to Prior Biologic Therapy: A Retrospective, Single-Center Study

    Edward Keystone1, Juan Xiong2, Deborah Weber3 and Ye Sun4, 1The Rebecca MacDonald Centre for Arthritis and Autoimmunity, Mount Sinai Hospital, Toronto, ON, Canada, 2Mount Sinai Hospital, University of Toronto, Toronto, ON, Canada, 3Mount Sinai Hospital, Toronto, ON, Canada, 4Rheumatology, Mount Sinai Hospital, Toronto, ON, Canada

    Background/Purpose: Patients with RA who experience an inadequate response to TNF inhibitor (TNFi) therapy (TNF-IR) may be successfully treated using an alternative TNFi or a…
  • Abstract Number: 1300 • 2012 ACR/ARHP Annual Meeting

    Characteristics Associated with Biologic Initiation As Monotherapy Versus Combination Therapy in Patients with Rheumatoid Arthritis (RA) in a US Registry Population

    Dimitrios A. Pappas1, George W. Reed2, Katherine C. Saunders3, Ani John4, Ashwini Shewede4, Jenny Devenport5, Jeffrey D. Greenberg6 and Joel M. Kremer7, 1Columbia University, New York, NY, 2University of Massachusetts Medical School, Worcester, MA, 3Corrona, LLC., Southborough, MA, 4Genentech Inc., South San Francisco, CA, 5Genentech, South San Francisco, CA, 6Rheumatology, NYU Hospital for Joint Diseases, New York, NY, 7Albany Medical College and The Center for Rheumatology, Albany, NY

    Background/Purpose: Approximately one-third of RA patients were prescribed biologic (Bio) monotherapy (MT) i.e. without concomitant disease-modifying anti-rheumatic drugs (DMARD) (Yazici et al., 2008). The purpose…
  • Abstract Number: 1301 • 2012 ACR/ARHP Annual Meeting

    Predictors of Significant Disease Activity Score-28 (Using C-reactive protein) Remission Achieved with Intravenous Golimumab in Patients with Active Rheumatoid Arthritis Despite Methotrexate Therapy:  Results of the Phase 3, Multicenter, Double-Blind, Placebo-Controlled Trial

    Clifton O. Bingham III1, Michael Weinblatt2, Alan Mendelsohn3, Lilianne Kim4, Michael Mack5, Jiandong Lu5, Daniel Baker3 and Rene Westhovens6, 1Department of Medicine, Johns Hopkins University, Baltimore, MD, 2Rheumatology & Immunology, Brigham & Women's Hospital, Boston, MA, 3Immunology, Janssen Research & Development, LLC, Spring House, PA, 4Janssen Research & Development, LLC., Spring House, PA, 5Biostatistics, Janssen Research & Development, LLC., Spring House, PA, 6Rheumatology, University Hospital KU Leuven, Leuven, Belgium

    Predictors of Significant Disease Activity Score-28 (Using C-reactive protein) Remission Achieved with Intravenous Golimumab in Patients with Active Rheumatoid Arthritis Despite Methotrexate Therapy:  Results of…
  • Abstract Number: 1302 • 2012 ACR/ARHP Annual Meeting

    Early Neutropenia Is Associated with Clinical Response in Patients Receiving Tocilizumab in Rheumatoid Arthritis

    Marie Kostine1, Thomas Barnetche2, Elodie Ardouin3, Marlene Joly4, Emilie Rabois5, Baptiste Glace Sr.6, Delphine Nigon7, Thierry Schaeverbeke8 and Christophe Richez9, 1Rheumatology, CHU Pellegrin, Bordeaux, France, 2Rheumatology, CHU Bordeaux Pellegrin, Bordeaux, France, 3Rheumatology, Limoges University Hospital, Limoges, France, 4Rheumatology, Montpellier University Hospital, Montpellier, France, 5Rheumatology, CHU Gabriel Montpied, Clermont-Ferrand, France, 6Rheumatology, Rheumatology CHU Gabriel Montpied, Clermont-Ferrand, France, 7CHU Purpan, Toulouse, France, 8Service de Rhumatologie, Groupe Hospitalier Pellegrin, Bordeaux, France, 9Hôpital Pellegrin and Université Victor Segalen Bordeaux, France

    Background/Purpose: A reduction in peripheral blood neutrophils count is usually observed with the anti-interleukin (IL) 6 receptor antibody tocilizumab. This often appears few days after…
  • Abstract Number: 1303 • 2012 ACR/ARHP Annual Meeting

    Achieving Comprehensive Disease Control in Long-Standing or Early Rheumatoid Arthritis Patients Treated with Adalimumab Plus Methotrexate Versus Methotrexate Alone

    Edward Keystone1, Ferdinand C. Breedveld2, Désirée van der Heijde3, Ronald F. van Vollenhoven4, Stefan Florentinus5, Freddy Faccin6, Shufang Liu7, Hartmut Kupper8 and Arthur Kavanaugh9, 1University of Toronto, Professor of Medicine, Toronto, ON, Canada, 2Dept of Rheumatology C1R, Leiden University Medical Center, Leiden, Netherlands, 3Rheumatology, Leiden University Medical Center, Leiden, Netherlands, 4Karolinska Institute, Stockholm, Sweden, 5AbbVie, Rungis, France, 6Abbott, Abbott Park, IL, 7Immunology Development, Abbott, Abbott Park, IL, 8Immunology Development, Abbott GmbH and Co. KG, Ludwigshafen, Germany, 9UCSD School of Medicine, La Jolla, CA

    Background/Purpose: Effective treatment of rheumatoid arthritis (RA) patients (pts) aims to suppress inflammation, preserve physical function, and prevent structural damage, which together represent the hallmarks…
  • Abstract Number: 1304 • 2012 ACR/ARHP Annual Meeting

    Long-Term Use of Adalimumab As Monotherapy Following Attainment of Low Disease Activity with Adalimumab Plus Methotrexate

    Edward Keystone1, Ferdinand C. Breedveld2, Hartmut Kupper3, Shufang Liu4 and Stefan Florentinus5, 1University of Toronto, Professor of Medicine, Toronto, ON, Canada, 2Leiden University Medical Center, Leiden, Netherlands, 3Immunology Development, Abbott GmbH and Co. KG, Ludwigshafen, Germany, 4Immunology Development, Abbott, Abbott Park, IL, 5AbbVie, Rungis, France

    Background/Purpose: There has been increased interest in understanding whether biologics can be safely withdrawn from patients (pts) receiving combination therapy with MTX once a clinical…
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