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  • Abstract Number: 488 • 2012 ACR/ARHP Annual Meeting

    Patient Preferences for Biologic Treatments in Rheumatoid Arthritis

    Beenish Nafees1, Andrew Lloyd1, Carol L. Gaich2, Julie Birt2 and Rodney A. Hughes3, 1Late Phase & Outcomes Research, Oxford Outcomes, Oxford, United Kingdom, 2Global Health Outcomes, Eli Lilly and Company, Indianapolis, IN, 3Rheumatology, St. Peters Hospital, Chertsey Surrey, United Kingdom

    Background/Purpose: Patients with rheumatoid arthritis (RA) and their physicians face a range of treatment choices.  The treatments that patients receive should be driven partly by…
  • Abstract Number: 489 • 2012 ACR/ARHP Annual Meeting

    The Comparative Effectiveness of Anti-TNF Medications Among Older and Disabled Rheumatoid Arthritis Patients in the U.S. Medicare Population

    Huifeng Yun1, Fenglong Xie2, Elizabeth S. Delzell3, Lang Chen4, Shuo Yang5, Kenneth G. Saag6 and Jeffrey R. Curtis7, 1Health Care Organization & Policy, University of Alabama-Birmingham, Birmingham, AL, 2Rheumatology & Immunology, University of Alabama at Birmingham, Birmingham, AL, 3Epidemiology, University of Alabama at Birmingham, Birmingham, AL, 4Clinical Immunology and Rheumatology, University of Alabama at Birmingham, Birmingham, AL, 5Clinical Immunology/Rheumatology, University of Alabama at Birmingham, Birmingham, AL, 6Div Clinical Immun & Rheum, Univ of Alabama-Birmingham, Birmingham, AL, 7Division of Clinical Immunology and Rheumatology, University of Alabama at Birmingham, Birmingham, AL

    Background/Purpose: Evaluating the real world effectiveness of biologic DMARDs in rheumatoid arthritis (RA) patients using administrative claims data has previously not been feasible due to…
  • Abstract Number: 450 • 2012 ACR/ARHP Annual Meeting

    Late Onset Neutropenia After Rituximab Treatment for Rheumatological Conditions

    Gabriel S. Breuer1, Michael Z. Ehrenfeld2, Itzhak Rosner3, Alexandra Balbir-Gurman4, Devy Zisman5 and Daphna Paran6, 1Rheumatology, Shaare Zedek Medical Center, Jerusalem, Israel, 2Dept of Med C & Rheum Dis Unit, Chaim Sheba Medical Center, Tel HaShomer, Israel, 3Rheumatology, Bnai Zion Medical Center / Technion Faculty of Medicine, Haifa, Israel, 4B. Shine Rheumatology Unit, Rambam Health Care Campus, Bruce, Haifa, Israel, 5Dept of Internal Medicine, Carmel Medical Center, Haifa, Israel, 6Rheumatology, Tel Aviv Sourasky Medical Ctr, Tel Aviv, Israel

    Background/Purpose: Rituximab is a monoclonal chimeric antibody targeting the CD20 on the surface of normal and abnormal maturing B cells. Late onset neutropenia (LON) is…
  • Abstract Number: 451 • 2012 ACR/ARHP Annual Meeting

    Pilot Study of Stimulation of the Cholinergic Anti-Inflammatory Pathway with an Implantable Vagus Nerve Stimulation Device in Patients with Rheumatoid Arthritis

    Frieda A. Koopman1, Sanda Miljko2, Simeon Grazio3, Sekib Sokolovic4, Kevin Tracey5, Yaakov Levine6, Ralph Zitnik6 and Paul-Peter Tak7, 1Division of Clinical Immunology and Rheumatology, Academic Medical Center/University of Amsterdam, Amsterdam, Netherlands, 2University Clinical Hospital, Mostar, Bosnia, 3Clinical Hospital Center Sestre Milosrdnice, Zagreb, Croatia, 4Rheumatology, University Clinical Center, Sarajevo, Bosnia, 5Feinstein Institute for Medical Research, Manhasset, NY, 6SetPoint Medical Corporation, Valencia, CA, 7Academic Medical Center / currently also GlaxoSmithKline, Amsterdam, Netherlands

    Background/Purpose: The inflammatory reflex regulates innate and adaptive immunity (Andersson O, Tracey K, Annu. Rev. Immunol. 2012; 30:313). Activation of its efferent arm (the Cholinergic…
  • Abstract Number: 452 • 2012 ACR/ARHP Annual Meeting

    Effectiveness and Tolerance Infiltration Intraarticular Corticosteroid According to Dose

    Daniele F. Pereira1, Rita N.V. Furtado2, Natalia P. Machado3 and Jamil Natour4, 1Disciplina de Reumatologia, Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil, 2Rheumatology, Universidade Federal de São Paulo, São Paulo, Brazil, 3Disciplina de Reumatologia, Universidade Federal de São Paulo, São Paulo, Brazil, 4Rheumatology Division, Universidade Federal de São Paulo, São Paulo, Brazil

    Background/Purpose: The optimal dose of corticosteroid to be used in intraarticular injection is not well established. The objective of this study is to compare the…
  • Abstract Number: 453 • 2012 ACR/ARHP Annual Meeting

    Fish Oil in Rheumatoid Arthritis: A Randomised, Double Blind Trial Comparing High Dose with Low Dose

    Susanna Proudman1, Llew Spargo1, Cindy Hall1, Leah McWilliams1, Anita Lee1, Maureen Rischmueller2, Robert Gibson3, Michael James1 and Leslie G. Cleland1, 1Rheumatology Unit, Royal Adelaide Hospital, Adelaide, Australia, 2Rheumatology Department, Queen Elizabeth Hospital, Adelaide, Australia, 3University of Adelaide, Adelaide, Australia

    Background/Purpose: The symptomatic benefit and NSAID-sparing effects of fish oil (FO) in RA are well known but effects on disease outcomes are less well established,…
  • Abstract Number: 454 • 2012 ACR/ARHP Annual Meeting

    Long-Term Efficacy of Tocilizumab Monotherapy in Patients with Rheumatoid Arthritis Previously Methotrexate Naive or Methotrexate Free for 6 Months

    Graeme Jones1, Anthony Sebba2, Denise Lepley3, Jenny Devenport4, Corrado Bernasconi5, Devi Smart6, Chiedzo Mpofu7 and Juan J. Gomez-Reino8, 1Musculoskeletal, Menzies Research Institute Tasmania, Hobart, Australia, 2University of South Florida, Tampa, FL, 3Medical Affairs Immunology, Genentech, South San Francisco, CA, 4Genentech, South San Francisco, CA, 5Consultant, Basel, Switzerland, 6Roche, Welwyn Garden City, United Kingdom, 7Roche, Basel, Switzerland, 8Rheumatology, Hospital Clinico Universitario, Santiago, Spain

    Background/Purpose: Treatment with tocilizumab (TCZ) monotherapy has been studied in 3 randomized clinical trials: AMBITION,1 ACT-RAY,2 and ADACTA.3 AMBITION1  was the first trial to demonstrate…
  • Abstract Number: 455 • 2012 ACR/ARHP Annual Meeting

    Lack of Additive Benefits of Concomitant Methotrexate Use to Tocilizumab Monotherapy for Rheumatoid Arthritis  in Daily Clinical Practice

    Keisuke Izumi1, Yuko Kaneko2, Hidekata Yasuoka3, Noriyuki Seta4, Hideto Kameda5, Masataka Kuwana5 and Tsutomu Takeuchi6, 1Division of Rheumatology, Keio University School of Medicine, Tokyo, Japan, 2Dept of Internal Medicine, Keio Univ School of Medicine, Shinjuku-ku, Japan, 3Division of Rheumatology, Department of Internal Medicine, Keio Univ School of Medicine, Tokyo, Japan, 4Department of Internal Medicine, Keio university, Tokyo, Japan, 5Division of Rheumatology, Department of Internal Medicine, Keio University School of Medicine, Tokyo, Japan, 6Keio University School of Medicine, Tokyo, Japan

    Background/Purpose: To explore the benefit of concomitant use of methotrexate (MTX) for the effectiveness of TCZ in rheumatoid arthritis (RA) patients in daily clinical practice.…
  • Abstract Number: 456 • 2012 ACR/ARHP Annual Meeting

    Factors Influencing Choice of Rituximab Versus an Alternative Tumor Necrosis Factor Inhibitor Following Tumor Necrosis Factor Inhibitor Failure in Patients with Rheumatoid Arthritis: Sub-Analysis of a Global, Observational Comparative Effectiveness Study

    Axel Finckh1, Jacques-Eric Gottenberg2, Chiedzo Mpofu3, William G. Bensen4, Andrea Rubbert-Roth5, Fedra Irazoque6, Victor Martínez Taboada7, Carol Chung8, Lykke Hinsch-Gylvin3, Clodoveo Ferri9 and Paul Emery10, 1Department of Internal Medicine, University Hospital of Geneva, Geneva, Switzerland, 2Strasbourg University Hospital, Strasbourg, France, 3F Hoffmann-La Roche Ltd, Basel, Switzerland, 4Department of Medicine, Division of Rheumatology, Clinical Professor, McMaster University, Hamilton, ON, Canada, 5Internal Medicine I, University of Cologne, Cologne, Germany, 6Servicio de Reumatología, Hospital Angeles Mocel, Mexico City, Mexico, 7Rheumatology Department, Hospital Universitario Marqués de Valdecilla, Santander, Spain, 8Genentech Inc., South San Francisco, CA, 9Department of Internal Medicine, University of Modena and Reggio Emilia, Modena, Italy, 10Division of Rheumatic & Musculoskeletal Disease, University of Leeds, Leeds, United Kingdom

    Background/Purpose: SWITCH-RA is a global, observational study evaluating the effectiveness of switching to an alternative TNFi or rituximab (RTX) following initial TNFi failure in patients…
  • Abstract Number: 457 • 2012 ACR/ARHP Annual Meeting

    Biologic Disease-Modifying Anti-Rheumatic Drugs and the Risk of Non-Vertebral Osteoporotic Fractures in Patients with Rheumatoid Arthritis Aged 50 Years and Over

    Jean-Pascal Roussy1, Louis Bessette2, Sasha Bernatsky3, Elham Rahme4 and Jean Lachaine1, 1Faculty of Pharmacy, University of Montreal, Montreal, QC, Canada, 2Centre Hospitalier Universitaire de Québec, pavillon CHUL, Sainte-Foy, QC, Canada, 3Clinical Epidemiology, Research Institute of the McGill University Health Centre, McGill University, Montreal, QC, Canada, 4Division of Clinical Epidemiology, Research Institute of the McGill University Health Centre, McGill University, Montreal, QC, Canada

    Background/Purpose: Chronic inflammation in rheumatoid arthritis (RA) may interfere with bone remodelling. Inflammation mediators such as TNF-α stimulate osteoclast formation which favors bone destruction. Small…
  • Abstract Number: 458 • 2012 ACR/ARHP Annual Meeting

    Better Retention RATE At 5 YEARS of ANTI-TNF Agents USED in Conjonction with Methotrexate Over Time in Patients with Rheumatoid Arthritis: REAL-Life DATA From Rhumadata Computarized Database

    Denis Choquette1, Diane Sauvageau2, Boulos Haraoui2 and Jean-Pierre Raynauld2, 1Rheumatology, Institut de Rhumatologie De Montréal, Montreal, QC, Canada, 2Rheumatology, Institut de Rhumatologie de Montréal, Montreal, QC, Canada

    Background/Purpose: Anti-TNF agents have been in used in Canada for the last ten years. Although a vast body of clinical experience has been accumulated since…
  • Abstract Number: 459 • 2012 ACR/ARHP Annual Meeting

    Long-Term Safety of Rituximab: 10-Year Follow-up in the Rheumatoid Arthritis Global Clinical Trial Program

    Ronald F. van Vollenhoven1, Paul Emery2, Clifton O. Bingham III3, Edward Keystone4, Roy Fleischmann5, Daniel Furst6, Nicola Tyson7, Abdul Mehbob8 and Patrica B. Lehane7, 1Karolinska University Hospital, Stockholm, Sweden, 2Division of Rheumatic & Musculoskeletal Disease, University of Leeds, Leeds, United Kingdom, 3Department of Medicine, Johns Hopkins University, Baltimore, MD, 4The Rebecca MacDonald Centre for Arthritis and Autoimmunity, Mount Sinai Hospital, Toronto, ON, Canada, 5Rheumatology, University of Texas Southwestern Medical Center and Metroplex Clinical Research Center, Dallas, TX, 6Div of Rheumatology, UCLA Medical School, Los Angeles, CA, 7Roche Products Limited, Welwyn Garden City, United Kingdom, 8Roche Products Ltd., Welwyn Garden City, United Kingdom

    Background/Purpose: This analysis evaluated the long-term safety of rituximab (RTX) in RA patients (pts) in a global clinical trial program. Methods: Pooled observed case analysis…
  • Abstract Number: 460 • 2012 ACR/ARHP Annual Meeting

    Real-World Efficacy and Safety of Abatacept Treatment for Rheumatoid Arthritis: 12-Month Interim Analysis of the Action Study

    H. Nüßlein1, R. Alten2, M. Galeazzi3, H. M. Lorenz4, Dimitrios Boumpas5, M. T. Nurmohamed6, W. Bensen7, Gerd Burmester8, H.-H. Peter9, F. Rainer10, Karel Pavelka11, M. Chartier12, C. Poncet13, C. Rauch14 and M. Le Bars15, 1University Erlangen, Nürnberg, Germany, 2Schlosspark-Klinik, University Medicine, Berlin, Germany, 3University of Siena, Siena, Italy, 4University Hospital Heidelberg, Heidelberg, Germany, 5Panepistimio Kritis, Rethymnon, Greece, 6VU University Medical Center/Jan van Bremen Research Institute, Amsterdam, Netherlands, 7St. Joseph's Hospital and McMaster University, Hamilton, ON, Canada, 8Charité-Universitätsmedizin, Berlin, Germany, 9University Medical Center Freiburg, Freiburg, Germany, 10Hospital Barmherzige Brueder, Graz, Austria, 11Institute of Rheumatology, Prague, Czech Republic, 12Chiltern International, Neuilly, France, 13Docs International, Sévres, France, 14Bristol-Myers Squibb, Munich, Germany, 15Bristol-Myers Squibb, Rueil Malmaison, France

    Background/Purpose: Randomized controlled trials (RCTs) of abatacept (ABA) in patients (pts) with RA have demonstrated sustained, long-term efficacy, high pt retention, and consistent safety.1 Data…
  • Abstract Number: 461 • 2012 ACR/ARHP Annual Meeting

    Patterns of Tocilizumab Use, and Dosing Among Patients with Rheumatoid Arthritis in the Clinical Practice. Preliminary Analyses of ACT-Life Study 

    J.V. Tovar Beltrán1, M.A. Guzmán Úbeda2, I. Mateo Bernardo3, Rosario García-Vicuña4, M. Rodríguez-Gómez5, M. Belmonte-Serrano6, C. Marras7, E. Loza Cortina8, E. Pérez Pampin9, V. Vila Fayos10, A.B. Romero Silva11 and A. Balsa12, 1Hospital General Universitario de Elche, Alicante, Spain, 2Hospital Universitario Virgen de las Nieves, Granada, Spain, 3Hospital Universitario 12 de Octubre, Madrid, Spain, 4Hospital Universitario La Princesa, Madrid, Spain, 5Complejo Hospitalario Universitario de Ourense, Ourense, Spain, 6Hospital General de Castellón, Castellón, Spain, 7Hospital Universitario Virgen de la Arrixaca, Murcia, Spain, 8Hospital de Navarra, Navarra, Spain, 9Complejo Hospitalario Universitario de Santiago, Santiago de Compostela, Spain, 10Hospital Comarcal de Vinaroz, Castellón, Spain, 11Roche Farma, Madrid, Spain, 12Rheumatology, Hospital La Paz, Madrid, Spain

    Background/Purpose: Currently, the available evidence about tocilizumab (TCZ) use for the treatment of rheumatoid arthritis (RA) in daily clinical practice is scarce. This study was…
  • Abstract Number: 462 • 2012 ACR/ARHP Annual Meeting

    Subcutaneous Abatacept: Long-Term Data From the Acquire Trial

    M. C. Genovese1, C. Pacheco-Tena2, A. Covarrubias3, Gustavo Leon4, E. Mysler5, M. Keiserman6, R. Valente7, P. Nash8, J. A. Simon-Campos9, J. Box10, C. Legerton III11, E. Nasonov12, P. Durez13, I. Delaet14 and R. Alten15, 1Stanford University, Palo Alto, CA, 2Universidad Autónoma de Chihuahua, Chihuahua, Mexico, 3Centro Medico De Las Americas, Merida, Mexico, 4Instituto De Ginecologia Y Reproduccion, Lima, Peru, 5Organización Médica de Investigación, Buenos Aires, Argentina, 6Pontificial Catholic University School of Medicine, Porto Alegre, Brazil, 7Arthritis Center of Nebraska, Lincoln, NE, 8Rheumatology Research Unit, Nambour Hospital, Sunshine Coast and Department of Medicine, University of Queensland, Queensland, Australia, 9Centro De Especialidades Médicas/Universidad Marista, Merida, Mexico, 10Carolina Bone and Joint, Charlotte, NC, 11Low Country Rheumatology, Charleston, SC, 12Institute of Rheumatology, Moscow, Russia, 13Université Catholique de Louvain, Brussels, Belgium, 14Bristol-Myers Squibb, Princeton, NJ, 15Schlosspark-Klinik, University Medicine, Berlin, Germany

    Background/Purpose: The Abatacept (ABA) Comparison of Sub[QU]cutaneous (SC) versus Intravenous (IV) in Inadequate Responders to MethotrexatE (MTX) (ACQUIRE) study showed comparable efficacy and safety of…
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