ACR Meeting Abstracts

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  • Abstract Number: 812 • 2012 ACR/ARHP Annual Meeting

    Intravenous Golimumab Inhibits Radiographic Progression and Maintains Clinical Efficacy and Safety in Patients with Active Rheumatoid Arthritis Despite Methotrexate Therapy: 1-Year Results of a Phase 3 Trial

    Michael Weinblatt1, Clifton O. Bingham III2, Alan Mendelsohn3, Lenore Noonan4, Shihong Sheng5, Lilianne Kim6, Kim Hung6, Jiandong Lu6, Daniel Baker6 and Rene Westhovens7, 1Rheumatology & Immunology, Brigham & Women's Hospital, Boston, MA, 2Department of Medicine, Johns Hopkins University, Baltimore, MD, 3Immunology, Janssen Research & Development, LLC, Spring House, PA, 4Immunology, Janssen Research & Development, LLC., Spring House, PA, 5Biostatistics, Janssen Research & Development, LLC, Spring House, PA, 6Janssen Research & Development, LLC, Spring House, PA, 7Rheumatology, University Hospital KU Leuven, Leuven, Belgium

    Intravenous Golimumab Inhibits Radiographic Progression and Maintains Clinical Efficacy and Safety in Patients with Active Rheumatoid Arthritis Despite Methotrexate Therapy: 1-Year Results of a Phase…
  • Abstract Number: 773 • 2012 ACR/ARHP Annual Meeting

    Remission Rates with Tofacitinib Treatment in Rheumatoid Arthritis: A Comparison of Various Remission Criteria

    Josef S. Smolen1, D. Aletaha2, D. Gruben3, J. D. Bradley4, S. H. Zwillich3, S. Krishnaswami3, B. Benda5 and C. Mebus6, 1Division of Rheumatology, Department of Internal Medicine III,, Medical University of Vienna, Vienna, Austria, 2Department of Internal Medicine 3, Division of Rheumatology, Medical University of Vienna, Vienna, Austria, 3Pfizer Inc., Groton, CT, 4Worldwide Pharmaceutical Development, Pfizer Inc., Groton, CT, 5Clinical Development & Medical Affairs, Pfizer Inc., Collegeville, PA, 6Pfizer 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 analysis evaluated the rates…
  • Abstract Number: 774 • 2012 ACR/ARHP Annual Meeting

    A CD4+ T-Cell Gene Expression Signature Predicts Drug Survival On Methotrexate Monotherapy in Early Rheumatoid Arthritis

    Arthur G. Pratt1, Philip M. Brown2, Simon J. Cockell3, Gillian Wilson4 and John D. Isaacs1, 1Institute of Cellular Medicine, Newcastle University, Newcastle upon Tyne, United Kingdom, 2Institute of Cellular Medicine, Newcastle University, Newcastle Upon Tyne, United Kingdom, 3Bioinformatics Unit, Newcastle University, Newcastle-upon-Tyne, United Kingdom, 4Directorate of Musculoskeletal Medicine, Freeman Hospital, Newcastle-upon-Tyne, United Kingdom

    Background/Purpose: The mechanism of action of methotrexate (MTX) in the management of rheumatoid arthritis (RA) remains incompletely understood. It is nonetheless capable of inducing clinical…
  • Abstract Number: 775 • 2012 ACR/ARHP Annual Meeting

    Long-Term Outcomes of Early Rheumatoid Arthritis Patients Initiated with Adalimumab Plus Methotrexate Compared with Methotrexate Alone Following a Targeted Treatment Approach

    Roy Fleischmann1, Ronald F. van Vollenhoven2, Josef S. Smolen3, Paul Emery4, Stefan Florentinus5, Suchitrita S. Rathmann6, Hartmut Kupper7 and Arthur Kavanaugh8, 1Southwestern Medical Center at Dallas, University of Texas, Dallas, TX, 2Karolinska Institute, Stockholm, Sweden, 3Department of Rheumatology, Medical University of Vienna and Hietzing Hospital, Vienna, Austria, 4Medicine, Leeds Musculoskeletal Biomedical Research Unit, Leeds, United Kingdom, 5AbbVie, Rungis, France, 6Abbott, Abbott Park, IL, 7Immunology Development, Abbott GmbH and Co. KG, Ludwigshafen, Germany, 8UCSD School of Medicine, La Jolla, CA

    Background/Purpose: In rheumatoid arthritis (RA), anti-TNF therapy is considered following 3-6 months of failed methotrexate (MTX) treatment. Some patients (pts), particularly those with many risk…
  • Abstract Number: 776 • 2012 ACR/ARHP Annual Meeting

    A Multicenter, Randomized, Controlled, Open-Label Pilot Study of the Feasibility of Discontinuation of Adalimumab in Rheumatoid Arthritis Patients in Stable Clinical Remission

    Katerina Chatzidionysiou1, Carl Turesson2, Annika Teleman3, Ann Knight4, Elisabet Lindqvist5, Per Larsson6, Lars Cöster7, Barbro Rydberg8, Ronald F. van Vollenhoven9 and Mikael Heimbürger10, 1Dept of Medicine, Unit for Clinical Research Therapy. Inflammatory Diseases (ClinTrid), Karolinska Institute, Stockholm, Sweden, 2Section of Rheumatology, Department of Clinical Sciences, Malmö, Lund University, Malmö, Sweden, 3Department of Rheumatology, Spenshult Hospital, Oskarstrom, Sweden, 4Dept of Rheumatology, Institution for Medical Sciences, Uppsala University, Uppsala, Sweden, 5Department of Clinical Sciences, Section for Rheumatology Lund University, Lund, Sweden, 6Dept of Rheumatology, Karolinska University Hospital, Stockholm, Sweden, 7Department of Rheumatology, University Hospital, Linköping, Sweden, 8Department of Rheumatology, Kärnsjukhuset, Skövde, Sweden, 9Unit for Clinical Trial Therapy research, The Karolinska Institute, Stockholm, Sweden, 10Medical department, Abbott Scandinavia, Stockholm, Sweden

    Background/Purpose: Treatment with TNF blockers, once started as therapy for RA, is usually continued indefinitely. Information about the possibility to discontinue anti-TNF therapy in RA…
  • Abstract Number: 777 • 2012 ACR/ARHP Annual Meeting

    Effect of Certolizumab Pegol On Signs and Symptoms of Ankylosing Spondylitis and Non-Radiographic Axial Spondyloarthritis: 24 Week Results of a Double Blind Randomized Placebo-Controlled Phase 3 Axial Spondyloarthritis Study

    Robert B. M. Landewé1, Martin Rudwaleit2, Désirée van der Heijde3, Maxime Dougados4, Walter P. Maksymowych5, Jürgen Braun6, Atul A. Deodhar7, Christian Stach8, Bengt Hoepken8, Geoffroy Coteur9, Danuta Kielar9, Andreas Fichtner8, Terri Arledge10 and Joachim Sieper11, 1Academic Medical Center/University of Amsterdam & Atrium Medical Center, Amsterdam, Netherlands, 2Endokrinologikum Berlin, Berlin, Germany, 3Department of Rheumatology, Leiden University Medical Center, Leiden, Netherlands, 4Rheumatology B Department, Paris-Descartes University, APHP, Cochin Hospital, Paris, France, 5Department of Medicine, University of Alberta, Edmonton, AB, Canada, 6Rheumazentrum Ruhrgebiet, Herne, Germany, 7Oregon Health & Science University, Portland, OR, 8UCB Pharma, Monheim am Rheim, Germany, 9UCB Pharma, Brussels, Belgium, 10UCB Pharma, Rtp, NC, 11Medical Department I, Rheumatology, Charité Universitätesmedizin Berlin, Berlin, Germany

    Background/Purpose: Axial spondyloarthritis (axSpA ) includes both ankylosing spondylitis (AS) and non-radiographic axSpA (nr-axSpA), as defined by the ASAS criteria.1 RAPID-axSpA (NCT01087762) is the first…
  • Abstract Number: 778 • 2012 ACR/ARHP Annual Meeting

    Spinal MRI Has Little Incremental Diagnostic Value Compared with MRI of the Sacroiliac Joints Alone in Early Spondyloarthritis

    Ulrich Weber1, Veronika Zubler2, Zheng Zhao3, Robert GW Lambert4, Stanley Chan5, Susanne Juhl Pedersen6, Mikkel Ostergaard7 and Walter P. Maksymowych8, 1Rheumatology, Balgrist University Hospital, Zurich, Switzerland, 2Radiology, Balgrist University Hospital, Zurich, Switzerland, 3Department of Rheumatology, University of Alberta and PLA General Hospital, Beijing, PR China, Beijing, AB, China, 4Radiology, University of Alberta, Edmonton, AB, Canada, 5Division of Ophthalmology, University of Alberta, Edmonton, AB, Canada, 6Copenhagen Center for Arthritis Research, Copenhagen University Hospital at Glostrup, Copenhagen, Denmark, 7Dept of Rheumatology RM, Copenhagen University Hospital, Glostrup, Denmark, 8Department of Medicine, University of Alberta, Edmonton, AB, Canada

    Background/Purpose: The definition of a positive MRI as major criterion in the Assessment of SpondyloArthritis classification criteria for axial spondyloarthritis (SpA) is based on MRI…
  • Abstract Number: 779 • 2012 ACR/ARHP Annual Meeting

    Changes in Active Inflammatory Lesions Assessed by Magnetic Resonance Imaging: Results of the Infliximab As First Line Therapy in Patients with Early Active Axial Spondyloarthritis Trial

    Joachim Sieper1, Jan Lenaerts2, Jürgen Wollenhaupt3, Vadim Mazurov4, L. Myasoutova5, Sung-Hwan Park6, Yeong W. Song7, Ruji Yao8, Denesh Chitkara9 and Nathan Vastesaeger10, 1Charité, University Medicine Berlin, Berlin, Germany, 2Reuma-instituut, Hasselt, Belgium, 3Schön-Klinik, Hamburg, Germany, 4St. Petersburg Medical Academy, St. Petersburg, Russia, 5Kazan State Medical University, Kazan, Russia, 6Catholic University of Korea, Seoul, South Korea, 7Seoul National University, Seoul, South Korea, 8Merck Sharp & Dohme, Kenilworth, NJ, 9Merck Sharp and Dohme, Kenilworth, NJ, 10Merck Sharp & Dohme, Brussels, Belgium

    Background/Purpose: Few studies have evaluated changes in active inflammation of spine and sacroiliac (SI) joints by MRI during long-term treatment for axial SpA, and no…
  • Abstract Number: 780 • 2012 ACR/ARHP Annual Meeting

    The Relationship of Inflammation, Fatty Degeneration and the Effect of Long-Term TNF-Blocker Treatment On the Development of New Bone Formation in Patients with Ankylosing Spondylitis

    Xenofon Baraliakos1, Frank Heldmann2, Joachim Listing3, Johanna Callhoff3, Jürgen Braun2 and EASIC4, 1Rheumatology, Rheumazentrum Ruhrgebiet, Herne, Germany, 2Rheumazentrum Ruhrgebiet, Herne, Germany, 3German Rheumatism Research Center, Berlin, Germany, 4Herne, Germany

    Background/Purpose: Clinical trial results suggest that new bone formation is neither inhibited nor augmented by anti-TNF agents in ankylosing spondylitis (AS). Recently, a potential role…
  • Abstract Number: 781 • 2012 ACR/ARHP Annual Meeting

    Ankylosing Spondylitis Is Associated with an Increased Risk of Osteoporotic Fractures: A Population-Based Cohort Study

    Juan Muñoz-Ortego1, Peter Vestergaard2, Josep Blanch3, Paul Wordsworth4, Andrew Judge5, M. Kassim Javaid6, Nigel K. Arden7, Cyrus Cooper8, Adolfo Díez-Pérez9 and Daniel Prieto-Alhambra10, 1Rheumatology, Hospital Sagrat Cor, Barcelona (Spain), Barcelona, Spain, 2Endocrinology and Internal Medicine (MEA), Aarhus University Hospital THG, Aarhus (Denmark), Aarhus, Denmark, 3Rheumatology, Hospital del Mar, Parc de Salut Mar, Barcelona, Spain, 4Ndorms, Nuffield Orthopaedic Centre, Oxford, United Kingdom, 5Musculoskeletal Biomedical Research Unit, University of Oxford, Oxford, United Kingdom, 6Rheumatology, Oxford NIHR Musculoskeletal Biomedical Research Unit, University of Oxford, Oxford, UK, Oxford, United Kingdom, 7NDORMS; MRC Lifecourse Epidemiology Unit, Oxford NIHR Musculoskeletal Biomedical Research Unit, University of Oxford, Oxford, United Kingdom, 8NDORMS; MRC Lifecourse Epidemiology Unit, University of Oxford; Southampton General Hospital, Southampton, United Kingdom, 9Internal Medicine, Hospital del Mar-IMIM, Universitat Autònoma de Barcelona, Barcelona; and RETICEF, ISCIII Madrid; Spain, Barcelona, Spain, 10Internal Medicine; Primary Care; NDORMS Dept; MRC Lifecourse Epidemiology Unit, URFOA-IMIM, Parc de Salut Mar; Idiap Jordi Gol; University of Oxford; University of Southampton, Barcelona, Spain

    TITLE: "Ankylosing Spondylitis is associated with an increased risk of osteoporotic fractures: a population-based cohort study."Background/Purpose: Patients with Ankylosing Spondylitis (AS) have reduced bone mass,…
  • Abstract Number: 782 • 2012 ACR/ARHP Annual Meeting

    Anti-TNF Therapy Slows Radiographic Progression of Ankylosing Spondylitis

    Nigil Haroon1, Robert D. Inman2, Thomas J. Learch3, Michael H. Weisman4, Michael M. Ward5, John D. Reveille6 and Lianne S. Gensler7, 1Medicine/Rheumatology, University Health Network, Toronto Western Research Institute, University of Toronto, Toronto, ON, Canada, 2Dept of Medicine/Rheumatology, Toronto Western Research Institute, University Health Network and University of Toronto, Toronto, ON, Canada, 3Cedars-Sinai, Los Angeles, CA, 4Rheumatology, Cedars-Sinai Medical Center, Los Angeles, CA, 5Bldg 10 CRC Rm 4-1339, NIAMS/NIH, Bethesda, MD, 6Internal Medicine/Rheumatology, Univ of Texas Health Science Center at Houston, Houston, TX, 7Medicine/Rheumatology, University of California, San Francisco, San Francisco, CA

    Background/Purpose: The influence of anti-TNF therapy on radiographic progression in ankylosing spondylitis (AS) is not well established. We studied this effect on radiographic progression in…
  • Abstract Number: 783 • 2012 ACR/ARHP Annual Meeting

    The Wnt Inhibitors DKK1 and SFRP1 Are Downregulated by Promoter Hypermethylation in Systemic Sclerosis

    Clara Dees1, Inga Schlottmann1, Robin Funke1, Alfiya Distler2, Katrin Palumbo-Zerr2, Pawel Zerr2, Oliver Distler3, Georg A. Schett4 and Joerg HW Distler2, 1Department of Internal Medicine 3 and Institute for Clinical Immunology, University of Erlangen-Nuremberg, Erlangen, Germany, 2Department of Internal Medicine III and Institute for Clinical Immunology, University of Erlangen-Nuremberg, Erlangen, Germany, 3Division of Rheumatology, University Hospital Zurich, Zurich, Switzerland, 4Dept of Medicine 3, Rheumatology and Clinical Immunology, University of Erlangen-Nuremberg, Erlangen, Germany

    Background/Purpose: Tissue fibrosis caused by pathological activation of fibroblasts is a major hallmark of systemic sclerosis (SSc). Epigenetic gene silencing of anti-fibrotic genes such as…
  • Abstract Number: 784 • 2012 ACR/ARHP Annual Meeting

    Neutralization of Plasminogen Activator Inhibitor-1 Resolves Skin Fibrosis and Vascular Injury in a Murine Model of Human Scleroderma

    Raphael Lemaire1, Tim Burwell1, Tracy Delaney1, Cindy Chen2, Julie Bakken1, Lily Cheng1, Philip Brohawn1, Isabelle de Mendez3, Dominic Corkill3, Anthony Coyle4, Ronald Herbst2 and Jane Connor1, 1Research, MedImmune LLC, Gaithersburg, MD, 2Respiration, Inflammation and Autoimmunity, MedImmune LLC, Gaithersburg, MD, 3Research, Medimmune, LLC, Cambridge, England, 4Centers for Therapeutic Innovation, Pfizer, Inc., Cambridge (formerly at MedImmune LLC, Gaithersburg, MD, USA), MA

    Background/Purpose: Scleroderma is a systemic autoimmune disease in which thrombosis and fibrosis contribute to skin pathology. Plasminogen activator inhibitor-1 (PAI-1) is the major inhibitor of…
  • Abstract Number: 785 • 2012 ACR/ARHP Annual Meeting

    Resident Lung Fibroblast Gene Expression Signatures Predict Susceptibility or Resistance to Experimental Lung Fibrosis

    Emma Derrett-Smith1, Rachel Hoyles1, Korsa Khan2, David J. Abraham3 and Christopher P. Denton2, 1Centre for Rheumatology and Connective Tissue Diseases,, UCL Medical School, London, United Kingdom, 2Centre for Rheumatology and Connective Tissue Diseases, UCL Medical School, London, United Kingdom, 3UCL Medical School, London, United Kingdom

    Background/Purpose:    In scleroderma (SSc), lung fibrosis is linked to epithelial damage and dysregulated repair mechanisms. Resident lung fibroblasts may affect multiple cell types including…
  • Abstract Number: 786 • 2012 ACR/ARHP Annual Meeting

    Crosstalk Between Integrins and TGFβ in the Pathogenesis and Treatment of Multiple Presentations of Scleroderma

    Elizabeth E. Gerber1, Fredrick M. Wigley2, Elaine C. Davis3, David L. Huso4 and Harry C. Dietz1, 1Institute of Genetic Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, 2Division of Rheumatology, Johns Hopkins University School of Medicine, Baltimore, MD, 3Department of Anatomy and Cell Biology, McGill University, Montreal, QC, Canada, 4Comparative Pathology, Johns Hopkins University School of Medicine, Baltimore, MD

    Background/Purpose: Scleroderma, defined as pathologic fibrosis of the skin, has many clinical presentations. In the most commonly recognized form, systemic sclerosis (SSc), previously healthy individuals…
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