ACR Meeting Abstracts

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  • Abstract Number: 1616 • ACR Convergence 2023

    Geographic and Demographic Representation in Industry-sponsored, US-based Clinical Trials of Systemic Lupus Erythematosus Therapies

    Joshua Skydel1, Reshma Ramachandran2, Sakinah Suttiratana2, Joseph Ross2, Joshua Wallach3 and Christopher Burns4, 1Dartmouth-Hitchcock Medical Center, Lebanon, NH, 2Yale University, New Haven, CT, 3Emory University, Atlanta, GA, 4Dartmouth Hitchcock Medical Center, Lebanon, NH

    Background/Purpose: Clinical trials of systemic lupus erythematosus (SLE) therapies have increased over the last decade, driven by evolving knowledge of targetable pathways. However, these trials…
  • Abstract Number: 1604 • ACR Convergence 2023

    First and Recurrent Thrombosis Risk After 4,454 Patient-Years of Follow-Up: Prospective Results from the AntiPhospholipid Syndrome Alliance for Clinical Trials and InternatiOnal Networking (APS ACTION) Clinical Database and Repository (“Registry”)

    Jonathan Thaler1, Yasaman Ahmadzadeh2, Danieli Andrade3, leslie skeith4, Maria Tektonidou5, Savino Sciascia6, Vittorio Pengo7, Jose Pardos-Gea8, Guillermo Ruiz-Irastorza9, Chary Lopez-Pedrera10, H Michael Belmont11, Kello Nina12, Paul R. Fortin13, Denis WAHL14, Maria Gerosa15, Guilherme De Jesús16, Zhuoli Zhang17, Tatsuya Atsuma18, Maria Efthymiou19, D. Ware Branch20, Laura Andreoli21, Esther Rodriguez almaraz22, Michelle Petri23, Giulia Pazzola24, Ricard Cervera25, Bahar Artim Esen26, Hui Shi27, Jason Knight27, Guillermo Pons-Estel28, Rohan Willis29, Ali Duarte-Garcia30, Maria Laura Bertolaccini31, Hannah Cohen32, Doruk Erkan1 and On Behalf Of APS ACTION33, 1Hospital for Special Surgery, New York, NY, 2Roger Williams Medical Center, Providence, RI, 3University of São Paulo, São Paulo, Brazil, 4University of Calgary, Calgary, AB, Canada, 5Joint Academic Rheumatology Program, First Department of Propedeutic and Internal Medicine, National and Kapodistrian University of Athens, Athens, Greece, 6University of Turin, Torino, Italy, 7Department of Cardiac-Thoracic-Vascular Sciences and Public Health University of Padova, Padova, Italy, 8Vall d'Hebron University Hospital, Barcelona, Spain, 9Hospital Universitario Cruces, Barakaldo, Spain, 10IMIBIC - Reina Sofia Hospital, Córdoba, Spain, 11NYU School of Medicine, New York, NY, 12Northwell Health, Brooklyn, NY, 13Centre ARThrite - CHU de Québec - Université Laval, Quebec City, QC, Canada, 14University of Lorraine, Nancy, France, 15University of Milan, Milano, Italy, 16Universidade do Estado do Rio de Janeiro, Rio De Janeiro, Brazil, 17Peking University First Hospital, Rheumatology and Immunology Department, Beijing, China, 18Hokkaido University, Department of Rheumatology, Endocrinology and Nephrology, Sapporo, Japan, 19University College London, London, United Kingdom, 20University of Utah, Salt Lake City, UT, 21University of Brescia, Brescia, Italy, 22Hospital Universitario 12 de Octubre, Madrid, Spain, 23Department of Medicine, Division of Rheumatology, Johns Hopkins University School of Medicine, Timonium, MD, 24Azienda Ospedaliera Santa Maria Nuova di Reggio Emilia, Reggio Emilia, Italy, 25Hospital Clínic de Barcelona, Barcelona, Spain, 26Istanbul University, Istanbul Faculty of Medicine, Department of Internal Medicine, Division of Rheumatology, Istanbul, Turkey, 27University of Michigan, Ann Arbor, MI, 28CREAR, Rosario, Argentina, 29University of Texas Medical Branch, Galveston, TX, 30Mayo Clinic, Rochester, MN, 31King's College London, London, United Kingdom, 32University College London Hospitals NHS Foundation Trust, London, United Kingdom, 33on behalf of APS ACTION, New York, NY

    Background/Purpose: The APS ACTION Registry was created to study the natural course of disease over 10 years in persistently antiphospholipid antibody (aPL)-positive patients with or…
  • Abstract Number: 1615 • ACR Convergence 2023

    Therapeutic Hydroxychloroquine Blood Levels Are Cost Effective and May Reduce Health Disparities by Reducing Lupus Hospitalizations

    Shivani Garg1, Giancarlo Valiente2, Lexie Kolton3, Callie Saric3, Betty Chewning4 and Christie M. Bartels2, 1Department of Medicine, University of Wisconsin School of Medicine and Public Health, Madison, WI, 2University of Wisconsin, School of Medicine and Public Health, Madison, WI, 3University of Wisconsin, Madison, WI, 4University of Wisconsin, School of Pharmacy, Madison, WI

    Background/Purpose: Studies show factors including daily hydroxychloroquine (HCQ) dosing or nonadherence affect blood concentrations risking 6-fold higher lupus (or SLE) flares requiring hospitalization. Given disparities…
  • Abstract Number: 1594 • ACR Convergence 2023

    Oral Delivery of Δ9-Tetrahydrocannabinol Provides Symptom and Disease Modification in a Mouse Model of Knee Osteoarthritis

    Jason rockel1, Anca Maglaviceanu2, Helena Fetter Filippini3, Ewa Wasilewski4, Melissa M. Lewis-Bakker4, Sarah Gabrial1, Evgeny Rossomacha1, Johana Garcia1, Nizar Mahomed5, Timothy Leroux5, Hance Clarke6, Robert P. Bonin3, Lakshmi P. Kotra7 and Mohit Kapoor1, 1Division of Orthopaedics, Osteoarthritis Research Program, Schroeder Arthritis Institute, and Krembil Research Institute, University Health Network, Toronto, ON, Canada, 2Division of Orthopaedics, Osteoarthritis Research Program, Schroeder Arthritis Institute, and Krembil Research Institute, University Health Network; Department of Laboratory Medicine and Pathobiology, University of Toronto, Toronto, ON, Canada, 3Leslie Dan Faculty of Pharmacy, University of Toronto, Toronto, ON, Canada, 4Krembil Research Institute, and Toronto Western Hospital, University Health Network, Toronto, ON, Canada, 5Division of Orthopaedics, Osteoarthritis Research Program, Schroeder Arthritis Institute, Krembil Research Institute, and Toronto Western Hospital, University Health Network, Toronto, ON, Canada, 6Krembil Research Institute, and Department of Anesthesia and Pain Management, Toronto General Hospital, University Health Network, Toronto, ON, Canada, 7Krembil Research Institute, University Health Network; Leslie Dan Faculty of Pharmacy, University of Toronto, Toronto, ON, Canada

    Background/Purpose: Osteoarthritis (OA) results in joint pain, cartilage degeneration, and synovitis. Recent studies suggest that some OA patients are self-medicating with cannabis. Δ9-tetrahydrocannabinol (THC) is…
  • Abstract Number: 1617 • ACR Convergence 2023

    Comparing Uptake of Biosimilar Infliximab Among Patients with Medicare, Medicaid and Private Insurance in U.S. Rheumatology Practices 2016-2022

    Eric Roberts1, Jing Li1, Nick Bansback2, Chien-Wen Tseng3, Steve Shiboski1, Gabriela Schmajuk4 and Jinoos Yazdany1, 1University of California San Francisco, San Francisco, CA, 2University of British Columbia, Vancouver, BC, Canada, 3University of Hawai'i John A. Burns School of Medicine, Honolulu, HI, 4UCSF / SFVA, San Francisco, CA

    Background/Purpose: The first infliximab biosimilar (infliximab-dybb) entered the U.S. market in 2016, and two additional products have subsequently been introduced (infliximab-axxq (2017) and infliximab-abda (2020)).…
  • Abstract Number: 1614 • ACR Convergence 2023

    Therapy Combining Millimeter Wave-based Neuromodulation with Coaching for the Improvement in Quality of Life of Patients with Fibromyalgia: A Prospective, Multicenter, Randomized, Controlled Trial

    Caroline Maindet1, Anne Dumolard2, Mélanie Veloso2, Mario Barmaki3, Rodrigue Deleens4, Raphaël Gonon-Demoulian5, Alberta Lorenzi-Pernot6, Mireille Michel-Cherqui7, Alain Serrie8, Stanislas Velliet9 and Jean-Luc Bosson2, 1University Hospital Grenoble Alpes, Grenoble, France, 2Grenoble Alpes University Hospital, Grenoble, France, 3Médipôle Lyon Villeurbanne, Lyon, France, 4Rouen University Hospital, Rouen, France, 5Montpellier University Hospital, Montpellier, France, 6Neurology private practice, Mornant, France, 7Foch hospital, Suresnes, France, 8Paris University Hospital, Paris, Guinea, 9Valenciennes hospital, Valenciennes, France

    Background/Purpose: Fibromyalgia is a chronic syndrome with symptoms of moderate to severe intensity, including diffuse pain, fatigue, sleep disturbance, and cognitive impairment. While first-line recommendation…
  • Abstract Number: 1611 • ACR Convergence 2023

    Mitochondrial Structural Alterations in Fibromyalgia – A Pilot Electron Microscopy Study

    Linoy Israel1, Victoria Furer2, Atan Gross1 and Jacob Ablin2, 1Weizmann Institute of Science, Rehovot, Israel, 2Tel Aviv Sourasky Medical Center, Tel Aviv, Israel

    Background/Purpose: Fibromyalgia (FM) is among the most common chronic pain conditions, clinically characterized by widespread pain and fatigue. FM pathogenesis remains unknown, leading to challenges…
  • Abstract Number: 1619 • ACR Convergence 2023

    Receipt of Antimicrobial Prophylaxis in U.S. Medicare Beneficiaries Initiating Immunosuppressive Medications for ANCA Vasculitis

    Carolyn Thorpe, Ryan Hickson, Sherrie Aspinall, Vimal Derebail, Xinhua Zhao, Joshua Thorpe, Binxin Cao, Alexa Ehlert, Ronald Falk and Susan Hogan, University of North Carolina, Chapel Hill, NC

    Background/Purpose: Infections are the leading cause of hospitalization and mortality in patients with ANCA vasculitis (AV). Multiple AV treatment guidelines recommend antimicrobial prophylaxis during treatment…
  • Abstract Number: 1624 • ACR Convergence 2023

    Racial Disparities Impact Achieving LLDAS and Glucocorticoid Use in Pediatric Lupus: A CARRA Registry Study

    William Soulsby1, Rebecca Olveda1, Jie He2, Laura Berbert2, Edie Weller2, Kamil Barbour3, Kurt Greenlund3, Laura Schanberg4, Emily von scheven1, Aimee Hersh5, Mary Beth Son6, Joyce Chang2 and Andrea Knight7, 1University of California San Francisco, San Francisco, CA, 2Boston Children's Hospital, Boston, MA, 3Centers for Disease Control and Prevention, Atlanta, GA, 4Duke University School of Medicine, Durham, NC, 5University of Utah, Salt Lake City, UT, 6Division of Immunology, Boston Children's Hospital, Boston, MA, 7The Hospital for Sick Children, Toronto, ON, Canada

    Background/Purpose: Social determinants of health (SDoH) contribute to disparate outcomes in both adult and pediatric systemic lupus erythematosus (pSLE), including length of hospitalization, mortality, and…
  • Abstract Number: 1625 • ACR Convergence 2023

    Identifying Potential Neuroimaging Biomarkers of Neuropsychiatric Lupus in Children Using Deep Learning

    santiago arciniegas1, Matthias W. Wagner2, Logi Vidarsson2, Birgit Ertl-Wagner2, Tala El Tal3, Asha Jeyanathan2, Lawrence Ng2, Linda Hiraki2, Deborah Levy2, George M. Ibrahim2 and Andrea Knight2, 1University of Toronto, Toronto, ON, Canada, 2The Hospital for Sick Children, Toronto, ON, Canada, 3Children's Hospital of Eastern Ontario (CHEO), Ottawa, ON, Canada

    Background/Purpose: Systemic lupus erythematosus (SLE) is a chronic, multisystem, autoimmune disease. Childhood-onset SLE (cSLE) is characterised by a higher frequency of nervous system involvement, known…
  • Abstract Number: 1593 • ACR Convergence 2023

    Combining Single-cell RNA Sequencing and Population-based Studies Reveals Hand Osteoarthritis-associated Chondrocyte Subpopulations and Pathways

    Hui Li1, Xiaofeng Jiang1, Yongbing Xiao1, Yuqing Zhang2, Weiya Zhang3, Michael Doherty3, Jacquelyn Nestor4, Changjun Li5, Jing Ye1, Tingting Sha6, Houchen Lyu1, Jie Wei7, Chao Zeng1 and Guanghua Lei1, 1Department of Orthopaedics, Xiangya Hospital, Central South University, Changsha, China, 2Division of Rheumatology, Allergy, and Immunology, Department of Medicine, Massachusetts General Hospital, Boston, MA, 3Academic Rheumatology, Clinical Sciences Building, University of Nottingham, City Hospital, Nottingham, United Kingdom, 4Division of Rheumatology, Allergy, and Immunology, Department of Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA, 5National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, China, 6Hunan Key Laboratory of Joint Degeneration and Injury, Changsha, China, 7Health Management Center, Xiangya Hospital Central South University, Changsha, China

    Background/Purpose: Hand osteoarthritis (OA) is a common heterogeneous joint disorder with differences in etiology and pathophysiology from the large weight-bearing knee or hip OA. Its…
  • Abstract Number: 1612 • ACR Convergence 2023

    Design and Validation of a Comparator for Randomized Controlled Trials of a Digital Cognitive Behavioral Therapy

    Michael Gendreau1, Yifei Dai2, Michael Rosenbluth3, David Williams4 and Daniel Clauw5, 1Gendreau Consulting, LLC, Poway, CA, 2Swing Therapeutics, Gainesville, FL, 3Swing Therapeutics, San Francisco, CA, 4Chronic Pain and Fatigue Research Center, Department of Anesthesiology, University of Michigan, Ann Arbor, MI, 5Department of Anesthesiology, University of Michigan, Ann Arbor, MI

    Background/Purpose: The use of a control arm (comparator) in randomized controlled trials (RCTs) is considered the gold standard for trial conduct and interpretation. Choosing an…
  • Abstract Number: 1618 • ACR Convergence 2023

    Intervention to Improve Medication Adherence Among Patients with SLE

    Kai Sun1, Nneka Molokwu1, Emily Hanlen1, Amy Corneli2, Kathryn Pollak1, Jennifer Rogers1, Rebecca Sadun1, Lisa Criscione-Schreiber2, Jayanth Doss1, Hayden Bosworth1 and Megan Clowse3, 1Duke University, Durham, NC, 2Duke University School of Medicine, Durham, NC, 3Duke University, Chapel Hill, NC

    Background/Purpose: Medication nonadherence is common and is associated with increased disease activity, morbidity, and mortality in SLE. To optimize medication adherence and SLE outcomes, we…
  • Abstract Number: 1626 • ACR Convergence 2023

    Clinical Presentation, Disease Course and 12-month Outcomes in Childhood Polyarteritis Nodosa: A PedVas Study

    Shamma Alzaabi1, Else Bosman1, David Cabral2, Kimberly Morishita1 and PedVas Investigators Network3, 1Department of Pediatrics, University of British Columbia, BC Children's Hospital, Vancouver, BC, Canada, 2BC Children's Hospital and University of British Columbia, Vancouver, BC, Canada, 3Pediatric Rheumatology, British Columbia Children Hospital, Vancouver, Canada, Vancouver, BC, Canada

    Background/Purpose: Childhood polyarteritis nodosa (PAN) is a systemic vasculitis with necrotizing inflammation that typically affects small and medium-sized arteries. The clinical presentation is variable; it…
  • Abstract Number: 1632 • ACR Convergence 2023

    Incident Malignancies in Patients with Rheumatoid Arthritis in Daily Rheumatological Care

    Martin Schaefer1, Yvette Meissner1, Bernhard Manger2, Sylvia Berger3, Karin Rockwitz4, Anne Regierer5 and Anja Strangfeld1, 1German Rheumatism Research Center, Berlin, Germany, 2Department of Internal Medicine 3, Friedrich-Alexander University (FAU) Erlangen-Nuremberg and Universitätsklinikum Erlangen, Erlangen, Germany, 3Rheumatologist, Naunhof, Germany, 4Rheumatologist, Goslar, Germany, 5Deutsches Rheuma-Forschungszentrum Berlin, Berlin, Germany

    Background/Purpose: In 2021, the European and US-American regulatory agencies EMA and FDA issued warnings about malignancy risk associated with the Janus kinase inhibitor (JAKi) tofacitinib…
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All abstracts accepted to ACR Convergence are under media embargo once the ACR has notified presenters of their abstract’s acceptance. They may be presented at other meetings or published as manuscripts after this time but should not be discussed in non-scholarly venues or outlets. The following embargo policies are strictly enforced by the ACR.

Accepted abstracts are made available to the public online in advance of the meeting and are published in a special online supplement of our scientific journal, Arthritis & Rheumatology. Information contained in those abstracts may not be released until the abstracts appear online. In an exception to the media embargo, academic institutions, private organizations, and companies with products whose value may be influenced by information contained in an abstract may issue a press release to coincide with the availability of an ACR abstract on the ACR website. However, the ACR continues to require that information that goes beyond that contained in the abstract (e.g., discussion of the abstract done as part of editorial news coverage) is under media embargo until 10:00 AM CT on October 25. Journalists with access to embargoed information cannot release articles or editorial news coverage before this time. Editorial news coverage is considered original articles/videos developed by employed journalists to report facts, commentary, and subject matter expert quotes in a narrative form using a variety of sources (e.g., research, announcements, press releases, events, etc.).

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