ACR Meeting Abstracts

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  • Abstract Number: 0847 • ACR Convergence 2020

    Impact of Hydroxychloroquine Treatment on Immunologic Markers in SLE Depends on Ethnicity

    Laurence Magder1, Daniel Goldman2 and Michelle Petri2, 1University of Maryland, Baltimore, Baltimore, MD, 2Johns Hopkins University School of Medicine, Timonium, MD

    Background/Purpose: SLE patients with certain immunological markers (i.e., anti-DNA, low complement) are at higher risk of lupus nephritis and those with antiphospholipid antibodies are at…
  • Abstract Number: 0846 • ACR Convergence 2020

    MHC Class I Epitopes Derived from Autoantibody Variable Regions, Conjugated to Synthetic Oligodeoxynuleotides, Induce Cytotoxic T Cells That Deplete Autoreactive B Cells and Ameliorate Murine Lupus

    Ram Singh1, 1UCLA David Geffen School of Medicine, Los Angeles, CA

    Background/Purpose: B cell depletion or modulation is emerging as a major treatment modality for autoimmune diseases. However, the current treatments to accomplish this non-specifically target…
  • Abstract Number: 0852 • ACR Convergence 2020

    How Much Prednisone Is Enough for Remission Induction in Lupus Nephritis? A Propensity Score Matched Analysis

    Konstantinos Tselios1, Dafna Gladman2, Haifa Al-Sheikh3, Jiandong Su4 and Murray Urowitz1, 1University Health Network, University of Toronto, Toronto, ON, Canada, 2Krembil Research Institute, Toronto Western Hospital, Toronto, ON, Canada, 3King Faisal Specialist Hospital and Research Centre, Riyadh, Ar Riyad, Saudi Arabia, 4University of Toronto Lupus Clinic, Centre for Prognosis Studies in Rheumatic Diseases, Toronto Western Hospital, University Health Network, Toronto, ON, Canada

    Background/Purpose: The existing guidelines for remission induction in lupus nephritis (LN) from both the ACR and the EULAR recommend initial prednisone doses of 0.5-1mg/kg/day. However,…
  • Abstract Number: 0851 • ACR Convergence 2020

    Iberdomide Decreases B Cells and Plasmacytoid Dendritic Cells, Increases Regulatory T Cells and IL-2, and Has Enhanced Clinical Efficacy in Active Systemic Lupus Erythematosus Patients with High Aiolos or the IFN Gene Expression Signature

    Peter Lipsky1, Ronald van Vollenhoven2, Thomas Dörner3, Victoria Werth4, Joan Merrill5, Richard Furie6, Milan Petronijevic7, Benito Velasco Zamora8, Maria Majdan9, Fedra Irazoque-Palazuelos10, Robert Terbrueggen11, Nikolay Delev12, Michael Weiswasser12, Shimon Korish12, Nataliya Agafonova12, Mark Stern13, Sarah Hersey13, Ying Ye13, Allison Gaudy12, Zhaohui Liu12, Shaojun Tang13 and Peter Schafer12, 1RILITE Foundation, Charlottesville, VA, 2Amsterdam University Medical Centers, Amsterdam, Netherlands, 3DRFZ and Charité University Hospitals, Berlin, Germany, 4University of Pennsylvania and the Michael J. Crescenz VA Medical Center, Philadelphia, PA, 5Oklahoma Medical Research Foundation, Oklahoma City, OK, 6Zucker School of Medicine at Hofstra/Northwell, Great Neck, NY, 7Military Medical Academy, Belgrade, Serbia, 8Instituto CER S.A., Buenos Aires, Argentina, 9Medical University of Lublin and Samodzielny Publicnzy Szpital Kliniczny Nr 4 w Lublinie, Lublin, Poland, 10Centro de Investigación y Tratamiento Reumatológico S.C, Miguel Hidalgo, Mexico, 11DxTerity Diagnostics Inc, Rancho Dominguez, 12Bristol Myers Squibb, Princeton, 13Bristol-Myers Squibb, Princeton

    Background/Purpose: Iberdomide is a high-affinity cereblon ligand that promotes ubiquitination and proteasomal degradation of Ikaros (IKZF1) and Aiolos (IKZF3), transcription factors linked to the genetic…
  • Abstract Number: 0857 • ACR Convergence 2020

    Agreement of Hydroxychloroquine Blood Levels Between a University and Commercial Laboratory

    Michelle Petri1, Jessica Li2, Kelley Brady3, John Conklin4, Tyler O'Malley5 and Thierry Dervieux6, 1Johns Hopkins University School of Medicine, Timonium, MD, 2Johns Hopkins University, Baltimore, MD, 3Exagen Diagnostics, San Diego, CA, 4Exagen Inc., Vista, CA, 5Exagen, Inc, San Diego, CA, 6Prometheus Biosciences, Inc. (former employee of Exagen Diagnostics), Irvine, CA

    Background/Purpose: Therapeutic blood monitoring is not yet an accepted practice in rheumatology. Although hydroxychloroquine (HCQ) blood level monitoring has been utilized in limited pharmacokinetic studies…
  • Abstract Number: 0859 • ACR Convergence 2020

    Biomarkers of B-cell Depletion and Response in a Randomized, Controlled Trial of Obinutuzumab for Proliferative Lupus Nephritis

    Ed Vital1, Philippe Remy2, Luis Fernando Quintana Porras3, Laurent Chiche4, Dominique Chauveau5, Richard Furie6, Thomas Schindler7, Jay Garg8, Matthew Cascino8, Zahir Amoura9, Andrea Doria10, Cary Looney8 and Dario Roccatello11, 1University of Leeds; NIHR Leeds Biomedical Research Centre, Leeds Teaching Hospitals NHS Trust, Leeds, United Kingdom, 2APHP Groupe Hospitalier Henri-Mondor, Creteil, France, 3Hospital Clinic de Barcelona, Barcelona, Catalonia, Spain, 4Hôpital Européen, Marseille, France, 5Hôpital Rangueil, Centre Hospitalier Univ de Toulouse, Toulouse, France, 6Zucker School of Medicine at Hofstra/Northwell, Great Neck, NY, 7F. Hoffmann-La Roche Ltd., Basel, Switzerland, 8Genentech, Inc., South San Francisco, CA, 9Hôpital Pitié-Salpêtrière, Paris, 10University of Padua, Padua, Italy, 11S Giovanni Hospital, Univ of Turin, Turin, Italy

    Background/Purpose: Incomplete B-cell and plasmablast depletion, as measured using highly sensitive flow cytometry (HSFC), is associated with lower response rates following rituximab in SLE [1].…
  • Abstract Number: 0854 • ACR Convergence 2020

    Mortality and Adverse Events of Special Interest in Adult Patients with Systemic Lupus Erythematosus Receiving Intravenous Belimumab: A Post Hoc Descriptive Summary of Serious Psychiatric Events

    Saira Sheikh1, Ricardo Acayaba de Toledo2, Laura Geraldino-Pardilla3, Julia Harris4, Regina Kurrasch5, Andrew Liu4, Kathleen Maksimowicz-McKinnon6, Holly Quasny7, David Roth5, Lilian Soto8 and Rajesh Punwaney5, 1University of North Carolina Thurston Arthritis Research Center, Chapel Hill, 2Faculdade de Medicina de São José do Rio Preto, São Paulo, Brazil, 3Division of Rheumatology, Columbia University Vagelos College of Physicians and Surgeons, New York, 4GlaxoSmithKline, Uxbridge, United Kingdom, 5GlaxoSmithKline, Collegeville, 6Henry Ford Hospital, Detroit, 7GlaxoSmithKline, Research Triangle Park, 8Facultad de Medicina, Clinical Hospital of Universidad de Chile, Santiago, Chile

    Background/Purpose: Intravenous (IV) belimumab (BEL) is approved in patients ≥5 years of age with active systemic lupus erythematosus (SLE). Results of the BASE study (the…
  • Abstract Number: 0849 • ACR Convergence 2020

    Herpes Zoster Events with Anifrolumab in Patients with Active SLE: An Integrated Analysis of Phase 2 and Phase 3 Trials

    Joan Merrill1, Kenneth Kalunian2, Richard Furie3, Kevin Winthrop4, Patricia Primakov5, Lilia Pineda6, Gabriel Abreu7 and Raj Tummala6, 1Oklahoma Medical Research Foundation, Oklahoma City, 2School of Health Sciences, University of California, La Jolla, 3Zucker School of Medicine at Hofstra/Northwell, Great Neck, NY, 4Oregon Health & Science University, Portland, OR, 5BioPharmaceuticals R&D, AstraZeneca, Gaithersburg, MD, 6BioPharmaceuticals R&D, AstraZeneca, Gaithersburg, 7BioPharmaceuticals R&D, AstraZeneca, Gothenburg, Sweden

    Background/Purpose: In the phase 2 MUSE and phase 3 TULIP-1 and TULIP-2 trials, treatment with anifrolumab, a monoclonal antibody to the type I interferon receptor,…
  • Abstract Number: 0862 • ACR Convergence 2020

    Voclosporin Does Not Decrease Mycophenolic Acid Concentrations in Patients with SLE

    Teun van Gelder1, Robert Huizinga2, Neil Solomons2 and Laura Lisk3, 1Leiden University Medical Centre, Leiden, Zuid-Holland, Netherlands, 2Aurinia Pharmaceuticals, Victoria, BC, Canada, 3Aurinia Pharmaceuticals Inc., Victoria, BC, Canada

    Background/Purpose: Voclosporin (VCS) is a novel calcineurin inhibitor, structurally similar to cyclosporine A (CsA). In a Phase 3 clinical trial in patients with active lupus…
  • Abstract Number: 0865 • ACR Convergence 2020

    Efficacy and Safety of Evobrutinib (M2951) in Adult Patients with Systemic Lupus Erythematosus Who Received Standard of Care Therapy: A Phase II, Randomized, Double-blind, Placebo-controlled Dose Ranging Study

    Daniel J Wallace1, Thomas Dörner2, David Pisetsky3, F Jorge Sanchez-Guerrero4, Amy Kao5, Dana Parsons-Rich5, Anand Patel6, Yulia Zima5, Claire Le Bolay7, Karthinathan Thangavelu6 and Maria Dall'Era8, 1Cedars-Sinai Medical Center, Beverly Hills, CA, 2DRFZ and Charité University Hospitals, Berlin, Germany, 3Duke University Medical Center, Durham, NC, 4University Health Network/Sinai Health system, Toronto, ON, Canada, 5EMD Serono (a business of Merck KGaA, Darmstadt, Germany), Billerica, MA, 6EMD Serono (a business of Merck KGaA, Darmstadt, Germany), Billerica, 7Merck KGaA, Darmstadt, Germany, 8Division of Rheumatology, University of California, San Francisco, CA

    Background/Purpose: Bruton’s tyrosine kinase (BTK) is involved in signalling pathways known to be important to the pathogenesis of systemic lupus erythematosus (SLE). Evobrutinib is a…
  • Abstract Number: 0866 • ACR Convergence 2020

    Identifying an SLE Patient Cluster with Greater Treatment Effect: Immune Cell Deconvolution of Gene Expression in Two Atacicept Phase II Studies

    Joan Merrill1, Matthew Studham2, Eric Morand3, Aida Aydemir2, Cristina Vazquez Mateo2, Alex Rolfe2, Amy Kao2 and Robert Townsend2, 1Oklahoma Medical Research Foundation, Oklahoma City, OK, 2EMD Serono (a business of Merck KGaA, Darmstadt, Germany), Billerica, MA, 3Medicine, School of Clinical Sciences at Monash Health, Monash University, Melbourne, Australia

    Background/Purpose: Atacicept, a dual inhibitor of the B lymphocyte stimulator and a proliferation-inducing ligand (APRIL), has been associated with a reduction of flares in the…
  • Abstract Number: 0861 • ACR Convergence 2020

    Hydroxychloroquine Use Is Associated with Diminished Type I Interferon-related Pathways in Systemic Lupus Erythematosus Patients

    Samantha Slight-Webb1, Kevin Thomas1, Rufei Lu1, Susan Macwana1, Joan Merrill1, Cristina Arriens1, Eliza Chakravarty1, Teresa Aberle1, Holden Maecker2, Paul Utz3, Joel Guthridge1 and Judith James4, 1Oklahoma Medical Research Foundation, Oklahoma City, OK, 2Institute for Immunity, Transplantation and Infection, Stanford University School of Medicine, Stanford, CA, 3Stanford University School of Medicine, Stanford, CA, 4Arthritis and Clinical Immunology Research Program, Oklahoma Medical Research Foundation;Department of Pathology, University of Oklahoma Health Sciences Center;Department of Medicine, University of Oklahoma Health Sciences Center, Edmond, OK

    Background/Purpose: Hydroxychloroquine (HCQ) has been used for decades to treat systemic lupus erythematosus (SLE) and is associated with decreased lupus flares and damage. However, despite…
  • Abstract Number: 0869 • ACR Convergence 2020

    Retinal Toxicity in a Multinational Inception Cohort of Systemic Lupus Patients on Hydroxychloroquine

    Celline Almeida-Brasil1, John Hanly2, Murray Urowitz3, Ann Clarke4, Rosalind Ramsey-Goldman5, Caroline Gordon6, Michelle Petri7, Ellen M Ginzler8, Daniel J Wallace9, Sang-Cheol Bae10, Juanita Romero-Díaz11, Mary Ann Dooley12, Christine A. Peschken13, David Isenberg14, Anisur Rahman14, Susan Manzi15, Søren Jacobsen16, S. Sam Lim17, Ronald Van Vollenhoven18, Ola Nived19, Andreas Jönsen19, Diane Kamen20, Cynthia Aranow21, Guillermo Ruiz-Irastorza22, Jorge Sanchez-Guerrero23, Dafna Gladman24, Paul Fortin25, Graciela Alarcón26, Joan Merrill27, Kenneth Kalunian28, Manuel Ramos-Casals29, Kristjan Steinsson30, Asad Zoma31, Anca Askanase32, Munther Khamashta33, Ian Bruce34, Murat Inanc35 and Sasha Bernatsky36, 1McGill University, Montreal, Canada, 2QEII Health Sciences Centre, Halifax, Canada, 3University Health Network, University of Toronto, Toronto, ON, Canada, 4University of Calgary, Calgary, Canada, 5Division of Rheumatology, Northwestern University Feinberg School of Medicine, Chicago, IL, 6University of Birmingham, Birmingham, England, United Kingdom, 7Johns Hopkins University School of Medicine, Baltimore, 8SUNY Downstate Health Sciences University, Brooklyn, 9Cedars-Sinai Medical Center, Beverly Hills, CA, 10Department of Rheumatology, Hanyang University Hospital for Rheumatic Diseases, Seoul, Republic of Korea, 11Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran, Mexico City, Mexico, 12UNC Health, Chapel Hil, 13University of Manitoba, Winnipeg, Canada, 14University College London, London, United Kingdom, 15Temple University, Philadelphia, 16University of Copenhagen, Copenhagen, Denmark, 17Emory University, Atlanta, GA, 18University of Amsterdam, Amsterdam, Netherlands, 19Lund University, Lund, Sweden, 20Medical University of South Carolina, Charleston, SC, 21Feinstein Institutes for Medical Research, Manhasset, NY, 22Hospital Universitario Cruces, Barakaldo, Spain, 23University of Toronto, Toronto, Canada, 24Krembil Research Institute, Toronto Western Hospital, Toronto, ON, Canada, 25CHU de Quebec - Universite Laval, Quebec, Canada, 26Division of Clinical Immunology and Rheumatology, Department of Medicine, School of Medicine, The University of Alabama at Birmingham; Department of Medicine, School of Medicine; Universidad Peruana Cayetano, Heredia, Alabama, 27New York University, New York, 28University of California San Diego, La Jolla, CA, 29University of Barcelona, Barcelona, Spain, 30Reykjavik University, Reykjavik, Iceland, 31University of Glasgow, Glasgow, United Kingdom, 32Columbia University College of Physicians & Surgeons, New York, NY, 33King's College London, London, United Kingdom, 34The University of Manchester, Manchester, United Kingdom, 35Department of Rheumatology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey, 36The Research Institute of the McGill University Health Centre, Montreal, ON, Canada

    Background/Purpose: Despite the beneficial effects of hydroxychloroquine (HCQ) in systemic lupus erythematosus (SLE), retinal toxicity is a concern. Factors associated with retinal toxicity have been…
  • Abstract Number: 0864 • ACR Convergence 2020

    Effect of Cumulative Hydroxychloroquine Dose on Prevention of Damage Progression in Patients with Systemic Lupus Erythematosus

    Lisa Zhu1, Manpreet Singh2, Caroline Siegel3, Lori Sahakian2, Jennifer Grossman4 and Maureen McMahon5, 1University of California, Los Angeles, Van Nuys, CA, 2University of California, Los Angeles, Los Angeles, CA, 3Hospital for Special Surgery, New York, NY, 4University of California, Los Angeles, Sherman Oaks, CA, 5University of California Los Angeles, Los Angeles, CA

    Background/Purpose: Hydroxychloroquine (HCQ) has demonstrated a wide array of beneficial effects in patients with systemic lupus erythematosus (SLE), with regard to disease activity, flare rates,…
  • Abstract Number: 0756 • ACR Convergence 2020

    Increased Risk of Hospitalization in Patients with RA Who Are ACPA Positive and Shared Epitope Positive

    Joe Zhuo1, Manasi Suryavanshi1, Lawshia Priya2, Vadim Khaychuk1, John Vaile1, Jing Cui3, Nancy Shadick4 and Michael Weinblatt3, 1Bristol-Myers Squibb Company, Princeton, NJ, 2Mu-Sigma, Bangalore, India, 3Brigham and Women's Hospital, Boston, MA, 4Division of Rheumatology, Inflammation, and Immunity; Brigham and Women’s Hospital and Harvard Medical School, Boston, MA

    Background/Purpose: A strong genetic association between HLA-DRB1 alleles containing the shared epitope (SE) and RA has been described.1 The SE has been associated with ACPA…
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