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  • Abstract Number: 814 • 2013 ACR/ARHP Annual Meeting

    Results Of a Randomised Controlled Trial Comparing Tight Control Of Early Psoriatic Arthritis (TICOPA) With Standard Care: Tight Control Improves Outcome

    Laura C. Coates1,2, Anna R. Moverley1,2, Lucy McParland3, Sarah Brown3, Howard Collier3, Jennifer Law3, Sarah R. Brown3, Neil Corrigan3, Nuria Navarro-Coy3,4, Paul Emery2,5, Philip G. Conaghan1,2 and Philip S. Helliwell1,6, 1Leeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds, Leeds, United Kingdom, 2NIHR Leeds Musculoskeletal Biomedical Research Unit, Leeds, United Kingdom, 3Clinical Trials Research Unit, Leeds Institute of Clinical Trials Research, University of Leeds, Leeds, United Kingdom, 4Leeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds and NIHR Leeds Musculoskeletal Biomedical Research Unit, Leeds Teaching Hospitals NHS Trust, Leeds, United Kingdom, 5Leeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds, Leeds, United Kingdom, 6PsAID taskforce, EULAR, Zurich, Switzerland

    Background/Purpose: The aim of this study was to assess the impact of tight control of early psoriatic arthritis (PsA) in a randomised-controlled trial (RCT) using…
  • Abstract Number: 815 • 2013 ACR/ARHP Annual Meeting

    Long-Term (52-Week) Results Of a Phase 3, Randomized, Controlled Trial Of Apremilast, An Oral Phosphodiesterase 4 Inhibitor, In Patients With Psoriatic Arthritis (PALACE 2)

    Maurizio Cutolo1, Gary E. Myerson2, Roy Fleischmann3, Frédéric Lioté4, Federico Díaz-González5, Filip Van den Bosch6, Helena Marzo-Ortega7, Eugen Feist8, Kamal Shah9, ChiaChi Hu9, Randall M. Stevens9 and Airi Poder10, 1University of Genova, Genova, Italy, 2Arthritis and Rheumatology of Georgia, Atlanta, GA, 3Metroplex Clinical Research Center, University of Texas Southwestern Medical Center, Dallas, TX, 4Hôpital Universitaire Lariboisière, Paris, France, 5Hospital Universitario de Canarias, La Laguna. Tenerife, Spain, 6Ghent University Hospital, Ghent, Belgium, 7Leeds Musculoskeletal Biomedical Research Unit and University of Leeds, Leeds, United Kingdom, 8Department of Rheumatology and Clinical Immunology, Charité University Medicine, Berlin, Germany, 9Celgene Corporation, Warren, NJ, 10Clinical Research Centre Ltd, Tartu, Estonia

    Background/Purpose: Apremilast (APR), an oral phosphodiesterase 4 inhibitor, works intracellularly to modulate pro- and anti-inflammatory mediators. PALACE 2 compared the efficacy and safety of APR…
  • Abstract Number: 816 • 2013 ACR/ARHP Annual Meeting

    Apremilast, An Oral Phosphodiesterase 4 Inhibitor, Is Associated With Long-Term (52-Week) Improvements In Enthesitis and Dactylitis In Patients With Psoriatic Arthritis: Pooled Results From Three Phase 3, Randomized, Controlled Trials

    Dafna D. Gladman1, Philip J. Mease2, Arthur Kavanaugh3, Adewale O. Adebajo4, Juan J. Gomez-Reino5, Jürgen Wollenhaupt6, Maurizio Cutolo7, Georg Schett8, Eric Lespessailles9, Kamal Shah10, ChiaChi Hu10, Randall M. Stevens10, Christopher J. Edwards11 and Charles A. Birbara12, 1University of Toronto, Toronto Western Hospital, Toronto, ON, Canada, 2Swedish Medical Center and University of Washington School of Medicine, Seattle, WA, 3University of California San Diego, San Diego, CA, 4Faculty of Medicine, Dentistry and Health, University of Sheffield, Sheffield, United Kingdom, 5Hospital Clinico Universitario, Santiago, Spain, 6Schön Klinik Hamburg-Eilbek, Hamburg, Germany, 7University of Genova, Genova, Italy, 8Dept of Medicine 3, Rheumatology and Clinical Immunology, University of Erlangen-Nuremberg, Erlangen, Germany, 9University of Orléans, Orléans, France, 10Celgene Corporation, Warren, NJ, 11University of Southampton, Southampton, United Kingdom, 12University of Massachusetts Medical School, Worcester, MA

    Background/Purpose: Apremilast (APR), an oral phosphodiesterase 4 inhibitor, works intracellularly to modulate pro- and anti-inflammatory mediators. The PALACE 1, 2, and 3 trials compared the…
  • Abstract Number: 817 • 2013 ACR/ARHP Annual Meeting

    Clinical Response To Brodalumab, An Anti-Interleukin-17 Receptor Antibody, In Subjects With Psoriatic Arthritis

    MC Genovese1, Philip J. Mease2, Maria W. Greenwald3, Christopher T. Ritchlin4, André Beaulieu5, Atul A. Deodhar6, Richard Newmark7, JingYuan Feng8, Ngozi Erondu8 and Ajay Nirula8, 1Division of Rheumatology, Stanford University, Palo Alto, CA, 2Swedish Medical Center and University of Washington School of Medicine, Seattle, WA, 3Desert Medical Advances, Palm Desert, CA, 4Allergy, Immunology and Rheumatology, University of Rochester, Rochester, NY, 5Faculty of Medicine, Laval University, Quebec, QC, Canada, 6Oregon Health and Science University, Portland, OR, 7Clinical Development, Amgen Inc, Thousand Oaks, CA, 8Amgen Inc, Thousand Oaks, CA

    Background/Purpose: Psoriasis-associated skin and joint disorders are characterized by ongoing inflammation mediated by similar molecular pathways. IL-17 plays a potential role in the pathogenesis and…
  • Abstract Number: 818 • 2013 ACR/ARHP Annual Meeting

    HLA-B*0801 Is Strongly Associated With Asymmetrical Sacroiliitis and HLA-B*27 With Symmetrical Involvement In Psoriatic Arthritis: Results Of a Long-Term Follow-Up Study Examining Clinical and Genetic Predictors Of Radiographic Sacroiliitis

    Muhammad Haroon1, Agnes Szentpetery2, Phil Gallagher3, Robert Winchester4 and Oliver FitzGerald1, 1Department of Rheumatology, Dublin Academic Medical Centre, St. Vincent's University Hospital, Dublin, Ireland, 2Rheumatology, Dublin Academic Medical Centre, St. Vincent's University Hospital, Dublin, Ireland, 3Rheumatology, St. Vincent's University Hospital, Dublin, Ireland, 4Dept of Medicine & Pathology, Columbia University, New York, NY

    Background/Purpose: Psoriatic arthritis (PsA) is characterised by involvement of both the appendicular and axial skeleton.  Little is known about the clinical predictors of sacroiliitis (SI),…
  • Abstract Number: 819 • 2013 ACR/ARHP Annual Meeting

    Low Diagnostic Utility Of Candidate Definitions For a Positive MRI Of The Spine In Axial Spondyloarthritis

    Ulrich Weber1, Veronika Zubler2, Zheng Zhao3, Robert GW Lambert4, Kaspar Rufibach5, Stanley Chan6, Susanne Juhl Pedersen7, Mikkel Ostergaard8 and Walter P. Maksymowych9, 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, 5rePROstat, Basel, Switzerland, 6Division of Ophthalmology, University of Alberta, Edmonton, AB, Canada, 7Copenhagen Center for Arthritis Research, Copenhagen University Hospital at Glostrup, Copenhagen, Denmark, 8Copenhagen Center for Arthritis Research, Glostrup, Denmark, 9Medicine, University of Alberta, Edmonton, AB, Canada

    Background/Purpose: A recent consensus statement based on a systematic literature review by the Assessment of SpondyloArthritis International Society suggested the presence of ≥3 corner inflammatory…
  • Abstract Number: 820 • 2013 ACR/ARHP Annual Meeting

    CC-220: A Clinical Stage Immunomodulatory, Antifibrotic Drug For Systemic Sclerosis

    Jörg HW Distler1, Yongqing Wang2, Pawel Zerr3, Katrin Palumbo4, Gerald Horan5, Peter Schafer5 and Bashar Kahaleh6, 1Department of Internal Medicine, Institute for Clinical Immunology, University of Erlangen-Nuremberg, Erlangen, Germany, 2Medicine, University of Toledo, Toledo, OH, 3Department of Internal Medicine III and Institute for Clinical Immunology, University of Erlangen-Nuremberg, Erlangen, Germany, 4Department of Internal Medicine 3 and Institute for Clinical Immunology, University of Erlangen-Nuremberg, Erlangen, Germany, 5Department of Translational Development, Celgene Corporation, Summit, NJ, 6Medicine/Rheumatology, University of Toledo, Toledo, OH

    Background/Purpose: Systemic Sclerosis (SSc) is an autoimmune fibrotic disease in which B cells may play a crucial role in pathogenesis. CC-220 is an immunomodulatory drug…
  • Abstract Number: 821 • 2013 ACR/ARHP Annual Meeting

    Activation Of The Signal Transducer and Activator Of Transcription 3 By Transforming Growth Factor-Beta Promotes Fibroblast Activation and Tissue Fibrosis

    Barbora Sumova1,2, Katrin Palumbo-Zerr3, Clara Dees3, Pawel Zerr3, Oliver Distler4, Georg Schett5, Ladislav Senolt6 and Joerg H. W. Distler3, 1Department of Internal Medicine III and Institute for Clinical Immunology, University of Erlangen-Nuremberg, Germany, Erlangen, Germany, 2Department of Rheumatology of the First Faculty of Medicine, Institute of Rheumatology and Connective Tissue Research Laboratory, Prague, Czech Republic, 3Department of Internal Medicine III and Institute for Clinical Immunology, University of Erlangen-Nuremberg, Erlangen, Germany, 4Division of Rheumatology, University Hospital Zurich, Zurich, Switzerland, 5Dept of Medicine 3, Rheumatology and Clinical Immunology, University of Erlangen-Nuremberg, Erlangen, Germany, 6Institute of Rheumatology, Department of Rheumatology, 1st Faculty of Medicine, Charles University, Prague, Czech Republic

    Background/Purpose: Systemic sclerosis (SSc) is characterized by uncontrolled activation of fibroblasts resulting in tissue fibrosis in which the TGFβ signaling plays a main role. Signal…
  • Abstract Number: 822 • 2013 ACR/ARHP Annual Meeting

    Inhibition Of Casein Kinase II Reduces TGFβ Induced Fibroblast Activation and Ameliorates Experimental Fibrosis

    Yun Zhang, Internal Medicine 3, University of Erlangen-Nuremberg, Erlangen, Germany, Erlangen, Germany

    Background/Purpose: Casein kinase-2 (CK2) is a highly conserved serine/threonine kinase. CK2 is a tetramer composed of 2 catalytic subunits (α or α’) and 2 β…
  • Abstract Number: 823 • 2013 ACR/ARHP Annual Meeting

    Activation Of Liver X Receptors Inhibits Experimental Fibrosis By Interfering With Interleukin-6 Release From Macrophages

    Christian Beyer1, Jürgen Beer1, Katrin Palumbo-Zerr1, Pawel Zerr1, Alfiya Distler1, Clara Dees1, Louis E. Munoz1, Gerhard Krönke1, Oliver Distler2, Steve Anderson3, Georg A. Schett4 and Joerg H. W. Distler1, 1Department of Internal Medicine III and Institute for Clinical Immunology, University of Erlangen-Nuremberg, Erlangen, Germany, 2Department of Rheumatology and Center of Experimental Rheumatology, University Hospital Zurich, Zurich, Switzerland, 3Lexicon Pharmaceuticals Inc., The Woodlands, TX, 4Dept of Medicine 3, Rheumatology and Clinical Immunology, University of Erlangen-Nuremberg, Erlangen, Germany

    Background/Purpose: Liver X receptors (LXRs) are orphan nuclear receptors with emerging roles in metabolic and autoimmune diseases. Here, we investigated the role of LXRs in…
  • Abstract Number: 824 • 2013 ACR/ARHP Annual Meeting

    Bosentan Improves Vascular Abnormalities In Endothelial Cell-Specific Fli1 Knockout Mice By Increasing The DNA Binding Ability Of Fli1 – a Possible Mechanism Explaining The Effect Of Bosentan On Scleroderma Vasculopathy

    Kaname Akamata1, Yoshihide Asano1, Takashi Taniguchi1, Takehiro Takahashi1, Yohei Ichimura1, Tetsuo Toyama1, Maria Trojanowska2 and Shinichi Sato1, 1Dermatology, University of Tokyo Graduate School of Medicine, Tokyo, Japan, 2Arthritis Center, Boston University, Boston, MA

    Background/Purpose: Systemic sclerosis (SSc) is a multisystem autoimmune disease characterized by initial vascular injuries and resultant fibrosis of skin and certain internal organs. Although there…
  • Abstract Number: 825 • 2013 ACR/ARHP Annual Meeting

    Activating Transcription Factor 3 Regulates Canonical Transforming Growth Factor Beta Signaling In Experimental Fibrosis

    Tatjana Mallano1, Katrin Palumbo-Zerr1, Christian Beyer1, Clara Dees1, Jingang Huang1, Tsonwin Hai2, Georg A. Schett3 and Joerg H. W. Distler1, 1Department of Internal Medicine III and Institute for Clinical Immunology, University of Erlangen-Nuremberg, Erlangen, Germany, 2The Ohio State Biochemistry Program, The Ohio State University, Columbus, USA, Colombus, OH, 3Dept of Medicine 3, Rheumatology and Clinical Immunology, University of Erlangen-Nuremberg, Erlangen, Germany

    Background/Purpose: Activating transcription factor 3 (ATF3), a member of the activating transcription factor/cAMP-responsive element binding protein (ATF/CREB) family of transcription factors is induced by various…
  • Abstract Number: 826 • 2013 ACR/ARHP Annual Meeting

    The Value Of History and Physical Examination Findings In The Diagnosis Of Symptomatic Meniscal Tear Among Middle-Age Subjects With Knee Pain

    Jeffrey N. Katz1, Yan Dong2, John Wright3, Stephanie Chen4, Scott Martin5, Laurel Donnell-Fink5, Benjamin N. Rome2 and Elena Losina2, 1Rheumatology and Orthopedics, Brigham and Women's Hospital, Boston, MA, 2Orthopaedic and Arthritis Center for Outcomes Research, Brigham and Women's Hospital, Boston, MA, 3Orthopedic Surgery, Brigham and Women's Hospital, Boston, MA, 4Orthopedics and Arthritis Center for Outcomes Research, Brigham and Women's Hospital, Boston, MA, 5Brigham and Women's Hospital, Boston, MA

    Background/Purpose: Clinicians often rely on mechanical symptoms (e.g. clicking, catching, popping, giving way) and tests such as the McMurray sign in the diagnosis of symptomatic…
  • Abstract Number: 827 • 2013 ACR/ARHP Annual Meeting

    Cost-Effectiveness and Cost-Utility Of a One-Year Coaching Program For Healthy Physical Activity In Rheumatoid Arthritis

    Nina Brodin1,2, Malin Lohela Karlsson3, Emma Swärdh2 and Christina H. Opava4, 1Department of Orthopaedics, Division of Physiotherapy, Dandeyd Hospital, Stockholm, Sweden, 2Department of Neurobiology, Care Sciences and Society, Division of Physiotherapy, Karolinska Institutet, SE 14183 Huddinge, Sweden, 3Institute of Environmental Medicine (IMM), Intervention and Implementation Research Unit, Karolinska Institutet, Stockholm, Sweden, 4Neurobiology, Care Sciences and Society, Division of Physical Therapy, Karolinska Institutet, Huddinge, Sweden

    Background/Purpose: Economic evaluations of interventions, as a complement to the effect evaluation, intend to inform decision makers about whether an intervention provides good value for…
  • Abstract Number: 788 • 2013 ACR/ARHP Annual Meeting

    Efficacy Of Tocilizumab In Refractory Adult-Onset Still’s Disease: Multicenter Study Of 32 Patients

    Francisco Ortiz-Sanjuan1, Ricardo Blanco2, Javier Narvaez3, Esteban Rubio Romero4, Alejandro Olivé5, Santos Castañeda6, Adela Gallego Flores7, M. Victoria Hernández8, Cristina Mata1, Inmaculada Ros Vilamajo9, Alberto Sifuentes Giraldo10, M Caracuel11, Mercedes Freire12, Catalina Gómez Arango13, José Llobet14, Sara Manrique Arija15, Carlos Marras16, Concepcion Moll Tuduri17, Chamaida Plasencia Rodriguez18, Rosa Roselló19, Ana Urruticoechea20, Maria Luisa Velloso Feijoo21, Javier Loricera1, Vanesa Calvo-Rio1 and Miguel A González-Gay22, 1Rheumatology, Hospital Universitario Marqués de Valdecilla. IFIMAV. Santander. Spain, Santander, Spain, 2Hospital Marques de Valdecilla, Santander, Spain, 3Rheumatology, Hospital Universitario de Bellvitge, Barcelona, Spain, 4Rheumatology, Hospital Universitario Virgen del Rocío. Sevilla. Spain, Sevilla, Spain, 5Rheumatology, Hospital Universitario Germans Trias i Pujol, Badalona, Spain, 6Rheumatology, Hospital Universitario de La Princesa, IIS Princesa, Madrid, Spain, 7Rheumatology, Hospital de Mérida, Mérida, Spain, 8Arthritis Unit, Department of Rheumatology, Hospital Clinic, Barcelona, Barcelona, Spain, 9Hospital Son Llàtzer, Palma de Mallorca, Spain, 10Rheumatology, H Ramón y Cajal, Madrid, Spain, 11Rheumatology., Hospital de Córdoba., Córdoba, Spain, 12Rheumatology, Hospital Universitario Juan Canalejo, La Coruña, Spain, 13HU Basurto, Bilbao, Spain, 14H Sant Pau, Barcelona, Spain, 15HRU Carlos Haya, Málaga, Spain, 16Rheumatology, Hospital Universitario Virgen de la Arrixaca, Murcia, Spain, 17Hospital Mateu Orfila. Menorca. Spain, Mahón (Menorca), Spain, 18HU La Paz, Madrid, Spain, 19H San Jorge, Huesca, Spain, 20Hospital Can Misses, Ibiza, Spain, 21H Valme, Sevilla, Spain, 22Rheumatology, Hospital Universitario Marqués de Valdecilla. IDIVAL. Santander. Spain, Santander, Spain

    Background/Purpose: Adult-onset Still's disease (AOSD) is frequently refractory to standard immunosuppressive drugs and it may require biological therapy. Tocilizumab (TCZ) has demonstrated efficacy in clinical…
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