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  • Abstract Number: 389 • 2012 ACR/ARHP Annual Meeting

    Oral Glucocorticoid Sparing Effects of Rituximab in Rheumatoid Arthritis Patients Who Have Switched from an Anti-TNF Therapy – an Administrative Claims Database Analysis

    Stephen Johnston1, Tripthi Kamath2, Nianwen Shi3, Robert Fowler3, Bong-Chul Chu3 and William Reiss4, 1Truven Health Analytics, Bethesda, MD, 2Genentech, South San Francisco, CA, 3Truven Health Analytics, Washington, DC, 4Genentech Inc., South San Francisco, CA

    Background/Purpose: The current treatment paradigm in RA is to attempt to decrease concomitant use of oral glucocorticoids (OGC). This study examined the OGC-sparing effects of…
  • Abstract Number: 350 • 2012 ACR/ARHP Annual Meeting

    Reduction of Inflammation with Abatacept and Tocilizumab Results in Lower N-Terminal Pro Brain Natriuretic Peptide Levels in Patients with Rheumatoid Arthritis: Results From Prospective Cohort Studies

    Inge A.M. van den Oever and Mike T. Nurmohamed, Rheumatology, Jan van Breemen Research Institute | Reade, Amsterdam, Netherlands

    Background/Purpose: Rheumatoid arthritis (RA) patients are at increased risk of heart failure (HF). The chronic inflammatory state in RA is associated with increased levels of…
  • Abstract Number: 351 • 2012 ACR/ARHP Annual Meeting

    Prospective Follow-up of Tocilizumab Treatment in 764 Patients with Refractory Rheumatoid Arthritis: Tolerance and Efficacy Data From the French Registry Regate (REGistry –RoAcTEmra)

    Jacques Morel1, Marie-Odile Duzanski2, Thomas Bardin3, Alain G. Cantagrel4, Bernard Combe5, Maxime Dougados6, Rene-Marc Flipo7, Jacques-Eric Gottenberg8, Xavier Mariette9, Martin Soubrier10, Olivier Vittecoq11, Alain Saraux12, Thierry Schaeverbeke13 and Jean Sibilia14, 1Dpartment of Rheumatology, Lapeyronie Hospital, Montpellier, France, 2Service Pharmacie - Hôpital de Hautepierre, Hôpitaux Universitaires de Strasbourg, Strasbourg, France, 3Rheumatology, Hôpital Lariboisière, Paris, France, 4Dept of Rheumatology, Centre Hospitalier Universitaire de Toulouse, Toulouse, France, 5Rheumatology, Hopital Lapeyronie, Montpellier, France, 6Rheumatology B Department, Paris-Descartes University, APHP, Cochin Hospital, Paris, France, 7Rheumatology, Hopital R Salengro CHRU, Lille, France, 8Rheumatology, Strasbourg University Hospital, Strasbourg, France, 9Rheumatology, Université Paris-Sud, Le Kremlin Bicetre, France, 10Rheumatology, CHU CLERMONT-FERRAND, Clermont-Ferrand, France, 11Rheumatology, Rouen University Hospital & Inserm905, University of Rouen, Rouen Cedex, France, 12Rhumatologie, CHU de la Cavale Blanche, Brest Cedex, France, 13Service de Rhumatologie, Groupe Hospitalier Pellegrin, Bordeaux, France, 14Rhumatologie, CHU Hautepierre, Strasbourg, France

    Background/Purpose: To assess tolerance and safety of rheumatoid arthritis (RA) treatment by tocilizumab (TCZ) in real life  Methods: The French Society of Rheumatology and the…
  • Abstract Number: 352 • 2012 ACR/ARHP Annual Meeting

    Meta-Analysis: Influence of Methotrexate, Anti-TNF and Rituximab On the Immune Response to Influenza and Pneumococcal Vaccines in Patients with Rheumatoïd Arthritis

    Charlotte Hua1, Thomas Barnetche2, Bernard Combe3 and Jacques Morel4, 1Immuno-Rhumatologie, Hôpital Lapeyronie, Montpellier, France, 2Rheumatology, CHU Bordeaux Pellegrin, Bordeaux, France, 3Rheumatology, Hopital Lapeyronie, Montpellier, France, 4Dpartment of Rheumatology, Lapeyronie Hospital, Montpellier, France

    Background/Purpose: Vaccines against influenza and streptococcus pneumonia are currently recommended for patients with rheumatoid arthritis (RA). This meta-analysis assesses current literature data on the impact…
  • Abstract Number: 353 • 2012 ACR/ARHP Annual Meeting

    The Effect of Combination Therapy and Prednisolone On Haemostatic Markers in Rheumatoid Arthritis

    Inge A.M. van den Oever1, Danka J.F. Stuijver2, Debby den Uyl3, Bregje van Zaane4, Marieke M. ter Wee5, Willem F. Lems5, Dirkjan van Schaardenburg1, Joost C.M. Meijers4, Victor E.A. Gerdes4 and M. T. Nurmohamed6, 1Rheumatology, Jan van Breemen Research Institute | Reade, Amsterdam, Netherlands, 2Vascular Medicine, Academic Medical Center, Amsterdam, Netherlands, 3Rheumatology, VU University medical centre, Amsterdam, Netherlands, 4Internal Medicine, Slotervaart Hospital, Amsterdam, Netherlands, 5Rheumatology, VU University Medical Center, Amsterdam, Netherlands, 6VU University Medical Center/Jan van Bremen Research Institute, Amsterdam, Netherlands

    Background/Purpose: There is accumulating evidence that rheumatoid arthritis (RA) should be considered as prothrombotic state, explaining the increased risk of thromboembolic events. Suppressing inflammation could…
  • Abstract Number: 354 • 2012 ACR/ARHP Annual Meeting

    Delayed Onset of Hepatitis and/or Neutropenia in Patients with Rheumatoid Arthritis Treated with Combination Therapy of Methotrexate and Leflunomide

    Seung Won Choi1, Ji Seon Oh1, You Jae Kim2, Bon San Koo2, Min Wook So2, Yong-Gil Kim2, Chang-Keun Lee2 and Bin Yoo2, 1Division of Rheumatology, Department of Internal Medicine, University of Ulsan College of Medicine, Ulsan University Hospital, Ulsan, South Korea, 2Division of Rheumatology, Department of Internal Medicine, University of Ulsan College of Medicine, Asan Medical Center, Seoul, South Korea

    Background/Purpose: The adverse effects of combination therapy of methotrexate (MTX) and leflunomide (LEF) have been reported in many studies. Because combination of various doses of…
  • Abstract Number: 355 • 2012 ACR/ARHP Annual Meeting

    Metaanalysis of 5-Aminoimidazole-4-Carboxamide Ribonucleotide Transformylase (ATIC) 347C>G Polymorphism Affecting Methotrexate Efficacy and Toxicity in Rheumatoid Arthritis Patients

    Fardina Malik1 and Prabha Ranganathan2, 1Internal Medicine, Alton Memorial Hospital, Alton, IL, 2Div of Rheumatology, Washington Univ School of Med, St. Louis, MO

    Background/Purpose: Methotrexate (MTX) exerts its effect in part by inhibiting 5-aminoimidazole-4-carboxamide ribonucleotide transformylase (ATIC), a key enzyme in the purine biosynthetic pathway. Published data  suggests…
  • Abstract Number: 356 • 2012 ACR/ARHP Annual Meeting

    Safety of Abatacept in Rheumatoid Arthritis with Chronic Hepatitis B VIRUS Infection

    Melissa Padovan1, Elisabetta Lanciano2, Oscar Epis3, Alessandro Mathieu4, Giulia Erba5, Leopoldo Ciani6, Sarah Giacuzzo1 and Marcello Govoni7, 1Department if Clinical and Experimental Medicine, University of Ferrara, Section of Rheumatology, Ferrara, Italy, 2Section of Internal Medicine, Policlinico Universitario di Bari, Rheumatology Unit, Bari, Italy, 3Ospedale Niguarda Cà Granda, Rheumatology Unit, Milano, Italy, 4Medical Sciences, University of Cagliari, Rheumatology Unit, Cagliari, Italy, 5AO San Gerardo, Medical Clinics, Monza, Italy, 6Ospedale Civile di Legnano, Unit of Internal Medicine, Legnano, Italy, 7Department of Clinical and Experimental Medicine, Section of Rheumatology, Ferrara, Italy

    Background/Purpose: In patients with rheumatoid arthritis (RA) concomitant hepatitis B (HBV) represents a therapeutic challenge limiting, DMARD treatment options (conventional and biologics, especially anti-TNFa and…
  • Abstract Number: 357 • 2012 ACR/ARHP Annual Meeting

    Is the Impact of Methotrexate On Mortality in Rheumatoid Arthritis Independent of Its Effect On Disease Activity?

    Dietmar MJ Krause1, Bernadette Gabriel2, Gertraud Herborn3 and Rolf Rau4, 1Internistische und rheumatologische Gemeinschaftspraxis, Gladbeck, Germany, 2Private Practice, Gladbeck, Germany, 3Rheumatology, Evangelisches Fachkrankenhaus, Ratingen, Germany, 4Evangelisches Fachkrankenhaus, Ratingen, Germany

    Background/Purpose: Methotrexate (MTX) is the anchor drug in the treatment of rheumatoid arthritis (RA). MTX shows effects on disease activity, radiologic progression and mortality. These…
  • Abstract Number: 358 • 2012 ACR/ARHP Annual Meeting

    Six Months of an Attenuated Cobra Regimen (‘COBRA-light’) Is Clinically Noninferior to the Original Cobra Regimen: An Open-Label Randomized Trial in Early Rheumatoid Arthritis

    Debby den Uyl1, Marieke M. ter Wee1, Maarten Boers2, Alexandre Voskuyl3, P.J.S.M. Kerstens4, Mike T. Nurmohamed5, Hennie G. Raterman1, Dirkjan van Schaardenburg5, N. van Dillen4, B.a.C Dijkmans1 and W.F. Lems1, 1Rheumatology, VU University Medical Center, Amsterdam, Netherlands, 2Epidemiology & Biostatistics, VU University Medical Center, Amsterdam, Netherlands, 3Department of Rheumatology, VU University Medical Center, Amsterdam, Netherlands, 4Rheumatology, Reade | Jan van Breemen Research Institute, Amsterdam, Netherlands, 5Rheumatology, Jan van Breemen Research Institute | Reade, Amsterdam, Netherlands

    Background/Purpose: Early, intensive treatment of rheumatoid arthritis (RA) with combination therapy (COBRA therapy) considerably lowers disease activity and suppresses radiological progression. Although proven to be…
  • Abstract Number: 359 • 2012 ACR/ARHP Annual Meeting

    Improved Radiological Outcome of Rheumatoid Arthritis: Early Treatment with methotrexate might be a key Prognostic Factor

    Christoph Fiehn1, Elisabeth Belke-Voss1, Dietmar Krause2, Siegfried Wassenberg3 and Rolf Rau4, 1ACURA Centre for Rheumatic Diseases, Baden-Baden, Germany, 2Dept. for Medical Informatics, Biometry and Epidemiology, Ruhr University, Bochum, Germany, 3Rheumaklinik, Evangelisches Fachkrankenhaus Ratingen, Rheumazentrum, Ratingen, Germany, 4Düsseldorf, Germany

    Background/Purpose: To compare the rate of radiological progression in patients with rheumatoid arthritis (RA) diagnosed in the 1980s with those of the late 1990s until…
  • Abstract Number: 360 • 2012 ACR/ARHP Annual Meeting

    Initial Introduction of Treat-to-Target Strategy in Patients with Recent Onset Rheumatoid Arthritis Is More Effective Than Delayed Introduction of Strategy with More Clinical and Functional Remission Achieved for 2-Years: Results of the Treating to Twine Targets (T-4) Study

    Yukitomo Urata1, Yoshihide Nakamura2 and Ken-ichi Furukawa3, 1Rheumatology, Seihoku Central Hospital, United Municipalities of Tsugaru, Gosyogawara, Japan, 2Orthopaedic Surgery, Seihoku Central Hospital, United Municipalities of Tsugaru, Gosyogawara, Japan, 3Pharmacology, Hirosaki University Graduate School of Medicine, Hirosaki, Japan

    Background/Purpose: To compare the clinical, radiological and functional efficacy of initial versus delayed introduction of strategy which is treat-to-target to patients with recent onset rheumatoid…
  • Abstract Number: 361 • 2012 ACR/ARHP Annual Meeting

    Impact of Tumour Necrosis Factor Inhibitor Treatment On Hand Bone Loss in Rheumatoid Arthritis Patients Treated in Clinical Practice. Results From the Nationwide Danish Danbio Registry

    Lykke Midtbøll Ørnbjerg1, Mikkel Østergaard2, Pernille Bøyesen3, Trine David Jensen4, Anja Thormann2, Ulrik Tarp2, Wolfgang Bøhme2, Ditte Dencker2, Hanne M. Lindegaard5, Uta Engling Poulsen2, Annette Hansen6, Vibeke Stevenius Ringsdal2, Annette Schlemmer7, Niels Graudal2, Anne Rødgaard Andersen2, Jakob Espesen2, Gina Kollerup2, Torben Grube Christensen2, Randi Pelck2, Bente Glintborg2, Ole Rintek Madsen2, Dorte Vendelbo Jensen2, Ole Majgaard2 and Merete L. Hetland8, 1Copenhagen Center for Arthritis Reasearch, Center for Rheumatology and Spine diseases, Glostrup Hospital, Copenhagen, Denmark, 2DANBIO, On behalf of Depts of Rheumatology, North, South, Central, Zealand and Capital Region, Copenhagen, Denmark, 3Rheumatology, Diakonhjemmet Hospital, Olso, Norway, 4Dept. of Endocrinology, Hvidovre Hospital, Copenhagen, Denmark, 5Department of Rheumatology, Odense University Hospital, Odense, Denmark, 6Department of Rheumatology, Gentofte University Hospital, Copenhagen, Denmark, 7Department of Rheumatology, Aalborg University Hospital, Aalborg, Denmark, 8Copenhagen University Hospital Glostrup, Copenhagen, Denmark

    Background/Purpose: Rheumatoid arthritis (RA) is characterised by progressive joint destruction and periarticular bone loss. In RA patients with insufficient response to Disease-Modifying Anti-rheumatic drugs (DMARDs)…
  • Abstract Number: 362 • 2012 ACR/ARHP Annual Meeting

    Response to Etanercept, but Not Infliximab or Adalimumab, Is Inversely Associated with Body Mass Index

    James R. Maxwell1, Darren Plant2, Anne Barton2, Kimme L. Hyrich3, Ann W. Morgan4, John Isaacs5 and Anthony G. Wilson6, 1Infection & Immunity, University of Sheffield, Sheffield, United Kingdom, 2Arthritis Research UK Epidemiology Unit, University of Manchester, Manchester, United Kingdom, 3Centre for Musculoskeletal Research, University of Manchester, Manchester, United Kingdom, 4Section of Musculoskeletal Disease, NIHR-Leeds Musculoskeletal Biomedical Research Unit and Leeds Institute of Molecular Medicine, University of Leeds, Leeds, United Kingdom, 5Institute of Cellular Medicine, Newcastle University, Newcastle upon Tyne, United Kingdom, 6Infection and Immunity, University of Sheffield, Sheffield, United Kingdom

    Background/Purpose: Recent studies have demonstrated inverse association between BMI and radiographic severity in patients with Rheumatoid Arthritis (RA). There is also preliminary evidence that body…
  • Abstract Number: 363 • 2012 ACR/ARHP Annual Meeting

    Risk Factors for Radiographic Progression During TNF-Inhibitor Treatment in 932 Rheumatoid Arthritis Patients Treated in Clinical Practice: Results From the Nationwide Danish Danbio Registry

    Lykke Midtbøll Ørnbjerg1, Mikkel Østergaard1, Pernille Bøyesen2, Anja Thormann1, Ulrik Tarp1, Wolfgang Bøhme1, Ditte Dencker1, Hanne M. Lindegaard3, Uta Engling Poulsen1, Annette Hansen4, Vibeke Stevenius Ringsdal1, Annette Schlemmer5, Niels Graudal1, Anne Rødgaard Andersen1, Jakob Espesen1, Gina Kollerup1, Torben Grube Christensen1, Randi Pelck1, Bente Glintborg1, Ole Rintek Madsen1, Dorte Vendelbo Jensen1, Ole Majgaard1 and Merete L. Hetland6, 1DANBIO, On behalf of Depts of Rheumatology, North, South, Central, Zealand and Capital Region, Copenhagen, Denmark, 2Rheumatology, Diakonhjemmet Hospital, Olso, Norway, 3Department of Rheumatology, Odense University Hospital, Odense, Denmark, 4Department of Rheumatology, Gentofte University Hospital, Copenhagen, Denmark, 5Department of Rheumatology, Aalborg University Hospital, Aalborg, Denmark, 6Copenhagen University Hospital Glostrup, Copenhagen, Denmark

    Background/Purpose: : Despite treatment with tumour necrosis factor inhibitors (TNFi) some rheumatoid arthritis (RA) patients progress radiographically in randomised controlled trials and observational cohorts (1).…
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