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  • Abstract Number: 509 • 2012 ACR/ARHP Annual Meeting

    IL-7 and Toll-Like Receptor 7 Synergistically Increase Th1/Th17/Th22 Cytokine Secretion and Activity of B Cells

    A. Bikker1, A.a. Kruize1, F. Redegeld2, W. de Jager3, F.P.J.G. Lafeber4 and J.A.G. van Roon5, 1Rheumatology and Clinical Immunology, University Medical Center Utrecht, Utrecht, Netherlands, 2Dept Pharmacology UU, Utrecht, Netherlands, 3Dept Immunology, UMC Utrecht, Utrecht, Netherlands, 4Rheumatology & Clinical Immunology, University Medical Center Utrecht, Utrecht, Netherlands, 5Rheumatology & Clinical Immunology/Lab Translational Immunology, University Medical Center Utrecht, Utrecht, Netherlands

    Background/Purpose:  IL-7 is a potent T cell activating cytokine that has been shown to cause proliferation, survival and differentiation of T cells as well as…
  • Abstract Number: 470 • 2012 ACR/ARHP Annual Meeting

    Concomitant Assessment of Clinical and Ultrasound Efficacy and Safety of Tocilizumab in Patients with Moderate to Severe Rheumatoid Arthritis: The Torpedo Study

    Thierry Schaeverbeke1, Philippe Gaudin2, Aleth Perdriger3, Christian Roux4, Muriel Vray5, Stephanie Rouanet6, Ghislaine Steinberg7 and Fabien Etchepare8, 1Service de Rhumatologie, Groupe Hospitalier Pellegrin, Bordeaux, France, 2Rheumatology Department, CHU Hôpital Sud, Grenoble Teaching Hospital, Echirolles, France, 3Rheumatology, Hôpital Sud, Rennes, France, 4Rheumatology, Paris Descartes University, Paris, France, 5Institut Pasteur, Paris, France, 6Medical Department, Roche, Boulogne, France, 7Medical department, Roche, Boulogne, France, 8G.H. Pitié-Salpêtrière, Paris, France

    Background/Purpose: The anti-IL6-R tocilizumab (TCZ), indicated for the treatment of moderate to severe rheumatoid arthritis (RA), has demonstrated its clinical and structural efficacy in phase…
  • Abstract Number: 471 • 2012 ACR/ARHP Annual Meeting

    Efficacy and Safety of Golimumab As Add-On Therapy to Disease-Modifying Antirheumatic Drugs

    Bernard Combe1, Bhaskar Dasgupta2, Ingrid Louw3, Sarvajeet Pal4, Jürgen Wollenhaupt5, Cristiano Zerbini6, Andre D. Beaulieu7, Hendrik Schulze-Koops8, Patrick Durez9, Ruji Yao10, Nathan Vastesaeger11 and Holly Weng10, 1Hôpital Lapeyronie-Service d'Immuno-rhumatologie, Montpellier, France, 2Rheumatology, Southend University Hospital, Westcliff-on-Sea, United Kingdom, 3Panorama Medical Centre, Cape Town, South Africa, 4Advance Rheumatology Clinic, Hyderabad, India, 5Schön-Klinik, Hamburg, Germany, 6Centro Paulista de Investigações, Sao Paulo, Brazil, 7Bureau 140, Centre de Rhumatologie, St. Louis, QC, Canada, 8University of Munich, Munich, Germany, 9UCL Saint-Luc, Brussels, Belgium, 10Merck Sharp & Dohme, Kenilworth, NJ, 11Merck Sharp & Dohme, Brussels, Belgium

    Background/Purpose: This study evaluated golimumab (GLM) as add-on therapy in patients with active RA despite treatment with non-biologic DMARDs. Two GLM treatment strategies (subcutaneous [SC]…
  • Abstract Number: 472 • 2012 ACR/ARHP Annual Meeting

    More Positive Expectations of Treatment with Golimumab for Rheumatoid Arthritis Are Associated with Greater Improvement in Clinical Outcomes

    Bhaskar Dasgupta1, Bernard Combe2, Ingrid Louw3, Sarvajeet Pal4, Jürgen Wollenhaupt5, Cristiano Zerbini6, Andre D. Beaulieu7, Hendrik Schulze-Koops8, Patrick Durez9, W. Bensen10, V. Wolff11, Ruji Yao12, Holly Weng12 and Nathan Vastesaeger13, 1Southend University Hospital, Westcliff-on-Sea, United Kingdom, 2Hôpital Lapeyronie-Service d'Immuno-rhumatologie, Montpellier, France, 3Panorama Medical Centre, Cape Town, South Africa, 4Advance Rheumatology Clinic, Hyderabad, India, 5Schön-Klinik, Hamburg, Germany, 6Centro Paulista de Investigações, Sao Paulo, Brazil, 7Bureau 140, Centre de Rhumatologie, St. Louis, QC, Canada, 8University of Munich, Munich, Germany, 9UCL Saint-Luc, Brussels, Belgium, 10St. Joseph's Hospital and McMaster University, Hamilton, ON, Canada, 11Hospital del Salvador, Santiago, Chile, 12Merck Sharp & Dohme, Kenilworth, NJ, 13Merck Sharp & Dohme, Brussels, Belgium

    Background/Purpose: Little is known about how patient and physician expectations relate to clinical outcomes. This study investigated the expectations that patients and physicians have at…
  • Abstract Number: 473 • 2012 ACR/ARHP Annual Meeting

    The Addition of Another Disease-Modifying Anti-Rheumatic Drug to Methotrexate in Place of Infliximab Reduces the Flare Rate During 2 Years After Infliximab Discontinuation in Patients with Rheumatoid Arthritis

    Hideto Kameda1, Takahiko Kurasawa1, Hayato Nagasawa2, Koichi Amano3 and Tsutomu Takeuchi4, 1Division of Rheumatology, Department of Internal Medicine, Keio University School of Medicine, Tokyo, Japan, 2Division of Rheumatology and Clinical Immunology, Department of Internal Medicine, Saitama Medical Ctr, Kawagoe, Japan, 3Department of Rheumatology and Clinical Immunology, Saitama Medical Center, Saitama Medical University, Saitama, Japan, 4Rheumatology, Keio University School of Medicine, Tokyo, Japan

    Background/Purpose: The treatment strategy for rheumatoid arthritis (RA) should be divided into remission-induction phase and its maintenance phase. To date, the usefulness of the combination…
  • Abstract Number: 474 • 2012 ACR/ARHP Annual Meeting

    Dose Reduction in Rituximab Retreatment May Delay Achievement of Optimal Responses

    Mohammed I. Sharif1, Sudipto Das2, Paul Emery3, Helen MacIver1, Wendy Shingler1, Philip S. Helliwell4, Katharina Sokoll1 and Edward M. Vital5, 1Rheumatology, Bradford Teaching Hospitals NHS Foundation Trust, Bradford, United Kingdom, 2Leeds Institute of Rheumatic & Musculoskeletal Medicine, University of Leeds, Leeds, United Kingdom, 3Medicine, Leeds Musculoskeletal Biomedical Research Unit, Leeds, United Kingdom, 4PsAID taskforce, EULAR, Zurich, Switzerland, 5Section of Musculoskeletal Disease, NIHR Leeds Biomedical Research Unit, University of Leeds and Leeds Teaching Hospitals NHS Trust, Leeds, United Kingdom

    Background/Purpose: The best long-term treatment strategy for rituximab has not been established.  Retreatment at a fixed interval of 6 months maintains stable disease activity1 and…
  • Abstract Number: 475 • 2012 ACR/ARHP Annual Meeting

    Immunologic Responsiveness in Patients with Juvenile Idiopathic Arthritis On Methotrexate and Etanercept: 23 Valent Pneumococcal Vaccination

    Ankur A. Kamdar1, Patricia C. Giclas2 and Barry L. Myones3, 1Rheumatology, University of Texas Medical School at Houston, Houston, TX, 2Pediatric Allergy and Immunology, National Jewish Health, Denver, CO, 3Pediatrics, Baylor College of Medicine, Houston, TX

    Background/Purpose: There is a paucity of data regarding response to vaccinations in patients with juvenile idiopathic arthritis (JIA) treated with methotrexate (MTX). It is also…
  • Abstract Number: 476 • 2012 ACR/ARHP Annual Meeting

    Effects of Vitamin D Repletion and Maintenance Therapy On Clinical Indicators of Disease Activity in Rheumatoid Arthritis

    Uzma J. Haque1, Clifton O. Bingham III2 and Susan J. Bartlett3, 1Rheumatology, Johns Hopkins Hospital, Baltimore, MD, 2Department of Medicine, Johns Hopkins University, Baltimore, MD, 3Clinical Epidemiology, McGill University, Montreal, QC, Canada

    Background/Purpose:   Low Vitamin D levels are prevalent in Rheumatoid Arthritis (RA). We have previously reported that low vitamin D levels are associated with higher…
  • Abstract Number: 477 • 2012 ACR/ARHP Annual Meeting

    Impact of Etanercept On Incident Cancer in Taiwanese Patients with Rheumatoid Arthritis

    Jiunn Horng Chen1 and Wen-Miin Liang2, 1Internal Medicine, China Medical University Hospital, Taichung City, Taiwan, 2Biostatistics Center, China Medical University, Taichung, Taiwan

    Background/Purpose: The recent Taiwanese report has indicated an elevated risk of malignancy in RA patients1. Etanercept, one of the tumor necrotic factor inhibitors (TNF-I) to…
  • Abstract Number: 478 • 2012 ACR/ARHP Annual Meeting

    Body Mass Index Negatively Influences the Response to Infliximab in Rheumatoid Arthritis

    Sébastien Ottaviani1, Anais Gardette2, Emilie Quintin2, Karen Dawidowicz2, Ghislaine Gill2, Elisabeth Palazzo3, Olivier Meyer4 and Philippe Dieude5, 1Service de Rhumatologie, Hôpital Bichat, APHP, APHP, Paris, France, 2Rheumatology, APHP, Hopital Bichat, Paris, France, 3Hopital Bichat, Paris, France, 4Rheumatology, Hopital Bichat, Paris, France, 5Rheumatology, Rheumatology departement & INSERM U699, Paris Diderot university, APHP, Bichat hospital, Paris, France

    Background/Purpose: The excess of adipose tissue in obese individuals may have immunomodulating properties and pharmacokinetics consequences. Adipose tissue is potentially involved in the regulation of…
  • Abstract Number: 479 • 2012 ACR/ARHP Annual Meeting

    Active Immunization with TNF-Kinoid in Rheumatoid Arthritis Patients with Secondary Resistance to Tumor Necrosis Factor-Alpha Antagonists Is Safe and Immunogenic

    Patrick Durez1, Pedro Miranda2, Antoaneta Toncheva3, Alberto Berman Sr.4, Oscar L. Rillo5, Yves Boutsen6, Tatjana Kehler7, Eugenia Mociran8, LiAn Soto Saez9, Bruno Fautrel10, Xavier Mariette11, Panayot Solakov12, Eleonora Lucero13, Tonko Vlak14, Simeon Grazio15, Ksenija Mastrovic16, Rodica Chiriac17, Géraldine Grouard-Vogel18, Olivier Dhellin18, Stéphane Ouary18, Pierre Vandepapeliere18 and Marie-Christophe Boissier19, 1Department of Rheumatology, Université Catholique de Louvain, Brussels, Belgium, 2Universidad de Chile and Centro de Estudios Reumatologicos, Santiago de Chile, Chile, 3National Multiprofile Transport Hospital, Sofia, Bulgaria, 4Internal Medicine, Hospital Padilla, Tucuman, Argentina, 5Rheumatology, Hospital General de Agudos "Dr. E. Tornú", Buenos Aires, Argentina, 6UCL Mont-Godinne, Godinne, Belgium, 7Thalassotherapia Opatija, Opatija, Croatia, 8Emergency County Hospital Dr Constantin Opis, Maramures, Romania, 9Sociedad Medica del Aparato Locomotor SA, Santiago de Chile, Chile, 10Rheumatology / GRC08-EEMOIS, APHP-Pitie Salpetriere Hospital / UPMC, Paris, France, 11Rheumatology, Université Paris-Sud, Le Kremlin Bicetre, France, 12Plovdiv, Diagnostic and Consulting Center, Plovdiv, Bulgaria, 13Rheumatology Unit, Padilla Hospital, Tucumán, Argentina, 14University Hospital Split, Split, Croatia, 15Clinical Hospital Center Sestre Milosrdnice, Zagreb, Croatia, 16Clinical Hospital Sveti Duh, Zagreb, Croatia, 17Rehabilitation clinical Hospital Iasi, Iasi, Romania, 18NEOVACS SA, Paris, France, 19Dept of Rheumatology, Hopital Avicenne, Bobigny, France

    Background/Purpose: Blocking TNF alpha (TNFα) with monoclonal antibodies (mAbs) has been successful in the treatment of rheumatoid arthritis. However secondary resistances are frequent and impose…
  • Abstract Number: 480 • 2012 ACR/ARHP Annual Meeting

    Etanercept Induces A Significant Decrease of Oxidative Stress and Osteoprotegerin Compared with Sdmard in Patients with Rheumatoid Arthritis

    Claire I. Daien1, Anne-Marie Dupuy Gorce2, Edith Pinot2, Thibault Mura3, Jean-Paul Cristol2, Bernard Combe4 and Jacques Morel5, 1Department of Rheumatology, Lapeyronie Hospital, Montpellier, France, 2Biochemistry, Hopital Lapeyronie, Montpellier, France, 3CIC, Hopital Gui De Chauliac, Montpellier, France, 4Rheumatology, Hopital Lapeyronie, Montpellier, France, 5Dpartment of Rheumatology, Lapeyronie Hospital, Montpellier, France

    Background/Purpose: TNF-inhibitors are known to decrease cardiovascular events in rheumatoid arthritis (RA) as compared with synthetic disease modifying anti-rheumatic drugs (sDMARD). However, mechanisms involved remain…
  • Abstract Number: 481 • 2012 ACR/ARHP Annual Meeting

    Duration of Sustained Remission and Differences in Responce Between Medications, in Tumor Necrosis factor inhibitor Treated Rheumatoid Arthritis Patients

    Jon T. Einarsson1, Pierre Geborek2, Tore Saxne3 and Meliha C. Kapetanovic4, 1Dept of Clinical Sciences, Section of Rheumatology, Lund University, Lund, Sweden, 2Dept of Clinical Sciences Lund, Section of Rheumatology, Lund University, Lund, Sweden, 3Section of Rheumatology, Deparment of Clinical Sciences, Lund, Lund University, Lund, Sweden, 4Section of Rheumatology, Dept of Clinical Sciences Lund, Lund, Sweden

    Background/Purpose: Remission is increasingly becoming a treatment goal in rheumatoid arthritis (RA) patients and DAS28 remission criteria are widely used, despite their limitations. The purpose…
  • Abstract Number: 482 • 2012 ACR/ARHP Annual Meeting

    B-Lymphocyte Count Is Not Associated with an Increased Risk of Infection in Patients Treated with Rituximab for Auto-Immune Diseases

    Ilias Lazarou1, Axel Finckh2, Lara Fischer3, Camillo Ribi3, Joerg Seebach3 and Pierre A. Guerne2, 1University Hospitals of Geneva, Geneva, Switzerland, 2Rheumatology, University Hospitals of Geneva, Geneva, Switzerland, 3Immunology, University Hospitals of Geneva, Geneva, Switzerland

    Background/Purpose: B-Lymphocyte (B-Ly) depletion therapy with the monoclonal anti-CD20 antibody rituximab (RTX) is widely used in a variety of autoimmune (AI) diseases. The risk of…
  • Abstract Number: 483 • 2012 ACR/ARHP Annual Meeting

    An Evaluation of Literature On Discontinuation Rates of Biologics in Rheumatoid Arthritis

    Setareh A. Williams1, Victoria Porter2, Victoria Zarotsky3, Sujatha Sundaram4, Elisabeth Nyman5, Cassie K. Gregson6 and Paul S. J. Miller6, 1AstraZeneca LP, Wilmington, DE, 2OptumInsight, Mastic Beach, NY, 3OptumInsight, Calabasas, CA, 4OptumInsight, Hanover, NH, 5AstraZeneca, Mölndal, Sweden, 6AstraZeneca, Macclesfield, United Kingdom

    Background/Purpose: To assess reasons for biologic discontinuation or switching in the treatment of rheumatoid arthritis (RA). Methods: A text mining strategy was developed to identify, from the biomedical…
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