ACR Meeting Abstracts

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  • Abstract Number: 849 • 2019 ACR/ARP Annual Meeting

    Risk of Malignancies Associated with Biologics in Rheumatoid Arthritis: Analysis of a National Claim Database

    Raphaèle Seror1, Alexandre Lafourcade 2, yann De Rycke 2, Bruno Fautrel 3, Xavier Mariette 4 and Florence Tubach 5, 1Université Paris Sud, Hôpitaux Universitaires Paris-Sud, AP-HP, INSERM UMR 1184, Le Kremlin-Bicêtre, France, 2Biostatistics, Public Health and Medical Information department, Pitié-Salpêtrière Hospital, AP-HP, Paris, France, Paris, France, 3Pitié-Salpêtrière Hospital, Department of Rheumatology, AP-HP, Sorbonne University, UPMC university, Paris, Ile-de-France, France, 4Center for Immunology of Viral Infections and Autoimmune Diseases, Assistance Publique – Hôpitaux de Paris, Hôpitaux Universitaires Paris-Sud, Le Kremlin-Bicêtre, Université Paris Sud, INSERM, Paris, France, 5Pitié Salpétrière University-Hospital, Paris, Ile-de-France, France

    Background/Purpose: Our objectives were to estimate and compare the incidence rate of malignancies between biologic and csDMARD-treated RA patients.Methods: We conducted an historical cohort study…
  • Abstract Number: 850 • 2019 ACR/ARP Annual Meeting

    Safety of Synthetic and Biological DMARDs: A Systematic Literature Review Informing the 2019 Update of the EULAR Recommendations for Management of Rheumatoid Arthritis

    Alexandre Sepriano1, Andreas Kerschbaumer 2, Josef Smolen 2, Désirée van der Heijde 1, Maxime Dougados 3, Ronald F Van Vollenhoven 4, Iain McInnes 5, Johannes Bijlsma 6, Gerd Burmester 7, Maarten de Wit 8, Louise Falzon 9 and Robert B.M. Landewé 10, 1Leiden University Medical Center, Leiden, Netherlands, 2Medical University of Vienna, Vienna, Austria, 3Cochin Hospital, Paris, France, 4Amsterdam Rheumatology & Immunology Center, Amsterdam, Netherlands, 5College of Medical Veterinary and Life Sciences, University of Glasgow, Glasgow, United Kingdom, 6UMC Utrecht, Department of Rheumatology & Clinical Immunology, Utrecht, The Netherlands, Utrecht, Netherlands, 7Charité—University Medicine Berlin, Berlin, Germany, 8Department of Medical Humanities, Amsterdam Public Health (APH), Amsterdam University Medical Centre, Amsterdam, Netherlands, 9Northwell Health, New York, 10Amsterdam University Medical Center, Amsterdam, Netherlands

    Background/Purpose: To assess the most recent safety-data of synthetic (s) and biological (b)DMARDs to inform the 2019 update of the EULAR recommendations for the management…
  • Abstract Number: 851 • 2019 ACR/ARP Annual Meeting

    Association Between Bone Marrow Edema and Structural Progression in the Same Quadrant in Axial Spondyloarthritis – 5-year Data from the DESIR Cohort

    Santiago Rodrigues-Manica1, Alexandre Sepriano 2, Sofia Ramiro 3, Robert B.M. Landewé 4, Pascal Claudepierre 5, Anna Molto 6, Maxime Dougados 7, Miranda van Lunteren 2 and Désirée van der Heijde 2, 1CEDOC, NOVA-Medical School | Hospital Egas Moniz, CHLO, Lisbon, Lisbon, Portugal, 2Leiden University Medical Center, Leiden, Netherlands, 3Leiden University Medical Center and Zuyderland Medical Centre, Leiden, Netherlands, 4Amsterdam University Medical Center, Amsterdam, Netherlands, 5Rheumatology, CHU Henri Mondor Créteil, Paris, France, 6Paris Descartes University, Medicine Faculty; APHP, Rheumatology, Hôpital Cochin, Hôpitaux de Paris, Paris, Paris, France, 7Cochin Hospital, Paris, France

    Background/Purpose: The overall presence of inflammation in the MRI-SIJ is associated with overall 5-year radiographic damage in patients with axSpA. But we do not know…
  • Abstract Number: 852 • 2019 ACR/ARP Annual Meeting

    Ileal but Not Colonic Inflammation Is Linked to Fatty Lesions on MRI of the Sacroiliac Joints in Spondyloarthritis Patients

    Ann-Sophie De Craemer1, Manouk de Hooge 1, Thomas Renson 1, Liselotte Deroo 1, Triana Lobaton Ortega 2, Anne Hoorens 3, Philippe Carron 1, Filip Van den Bosch 1 and Dirk Elewaut 1, 1Ghent University Hospital, Ghent, Belgium, 2Ghent University Hospital, Gent, Oost-Vlaanderen, Belgium, 3Ghent University Hospital, Gent

    Background/Purpose: Gut and joint inflammation in spondyloarthritis (SpA) are closely intertwined. About 50% of axial SpA patients display microscopic signs of inflammation in ileum and/or…
  • Abstract Number: 853 • 2019 ACR/ARP Annual Meeting

    Two-Year Progression of Facet Joint Ankylosis on Whole Spine Low-Dose CT in Patients with Radiographic Axial Spondyloarthritis

    Rosalinde Stal1, Floris van Gaalen 1, Alexandre Sepriano 1, Jürgen Braun 2, Monique Reijnierse 1, Désirée van der Heijde 1 and Xenofon Baraliakos 3, 1Leiden University Medical Center, Leiden, Netherlands, 2Rheumazentrum Ruhrgebiet/Ruhr University, Herne, Germany, 3Rheumazentrum Ruhrgebiet-Ruhr-University Bochum, Herne, Germany, Herne, Germany

    Background/Purpose: Inflammation and new bone formation in the axial skeleton are characteristic features of radiographic axial spondyloarthritis (r-axSpA). Facet joints are frequently involved in r-axSpA…
  • Abstract Number: 854 • 2019 ACR/ARP Annual Meeting

    Do Smoking and Socio-economic Factors Independently Influence Imaging Outcomes in Axial Spondyloarthritis? Five-year Data from the DESIR Cohort

    Elena Nikiphorou1, Sofia Ramiro 2, Alexandre Sepriano 3, Adeline Ruyssen Witrand 4, Robert B.M. Landewé 5 and Désirée van der Heijde 3, 1King's College London, London, United Kingdom, 2Leiden University Medical Center and Zuyderland Medical Centre, Leiden, Netherlands, 3Leiden University Medical Center, Leiden, Netherlands, 4Rheumatology center, Pierre Paul Riquet Hospital, CHU of Toulouse, Paul Sabatier University, UMR 1027, Inserm, France, Toulouse, France, 5Amsterdam University Medical Center, Amsterdam, Netherlands

    Background/Purpose: Smoking and systemic inflammation have been shown to independently associate with radiographic spinal progression in patients with axSpA. Evidence suggests that certain socioeconomic (SE)…
  • Abstract Number: 855 • 2019 ACR/ARP Annual Meeting

    Which Magnetic Resonance Imaging Lesions of the Sacroiliac Joints Are of Diagnostic Value for Axial Spondyloarthritis?

    Xenofon Baraliakos1, Anna Ghadir 2, Martin Fruth 2, Uta Kiltz 3 and Jürgen Braun 4, 1Rheumazentrum Ruhrgebiet-Ruhr-University Bochum, Herne, Germany, Herne, Germany, 2Radiology Herne, Herne, Germany, 3Rheumazentrum Ruhrgebiet/Ruhr University Bochum, Herne, Germany, Herne, Germany, 4Rheumazentrum Ruhrgebiet/Ruhr University, Herne, Germany

    Background/Purpose: Classification of patients as having axial spondyloarthritis (axSpA) by the imaging arm of the ASAS criteria relies partly on the detection of bone marrow…
  • Abstract Number: 856 • 2019 ACR/ARP Annual Meeting

    MRI of the Sacroiliac Joints in Athletes: Do Semi-axial Slices Added to Standard Semi-coronal Scans Facilitate Recognition of Non-specific Bone Marrow Edema?

    Ulrich Weber1, Anne Grethe Jurik 2, Anna Zejden 2, Ejnar Larsen 3, Steen Hylgaard Jørgensen 4, Kaspar Rufibach 5, Christian Schioldan 6 and Søren Schmidt-Olsen 7, 1Danish Hospital for Rheumatic Diseases, University Hospital of Southern Denmark, Sonderborg, Denmark, 2Department of Radiology, Aarhus University Hospital, Aarhus, Denmark, 3Department of Radiology, North Denmark Regional Hospital, Hjørring, Denmark, 4Center for Clinical Research, North Denmark Regional Hospital, Hjørring, Denmark, 5Division of Biostatistics, F. Hoffmann-La Roche, Basel, Switzerland, 6Department of Physiotherapy, Clinic Benefit, Frederikshavn, Denmark, 7Department of Rheumatology and Sports Medicine, North Denmark Regional Hospital, Hjørring, Denmark

    Background/Purpose: Low grade bone marrow edema (BME) on magnetic resonance imaging (MRI) of the sacroiliac joints (SIJ) is challenging the discrimination between patients with early…
  • Abstract Number: 857 • 2019 ACR/ARP Annual Meeting

    Mesenchymal Stem Cell Therapy Induces FLT3L and CD1c+ Dendritic Cells in Systemic Lupus Erythematosus Patients

    Xinran Yuan 1, Dandan Wang 1 and Lingyun Sun2, 1Department of Rheumatology and Immunology, The Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, Jiangsu, China (People's Republic), 2The Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, Jiangsu, China (People's Republic)

    Background/Purpose: Allogeneic mesenchymal stem cells (MSCs) exhibit immunoregulatory function in human autoimmune diseases such as systemic lupus erythematosus (SLE), but the underlying mechanisms remain incompletely…
  • Abstract Number: 858 • 2019 ACR/ARP Annual Meeting

    Adverse Events of Special Interest, SLE Medication Utilization, Hospitalizations, and Organ Damage: Results from a Phase 4, Randomized, Double-Blind, Placebo-Controlled, 52-week Study of Belimumab in Adults with Active, Autoantibody-Positive SLE

    Saira Sheikh1, Morton Scheinberg 2, Cheng-Chung Wei 3, Dana Tegzova 4, William Stohl 5, Ricardo Acayaba de Toledo 6, Tamara Mucenic 7, Mauricio Abello Banfi 8, Kathleen Maksimowicz-McKinnon 9, Carlos Abud-Mendoza 10, Sandra Navarra 11, Mercedes Garcia 12, Ignacio Garcia-De La Torre 13, Josep Ordi Ros 14, Roger Abramino Levy 15, Damon L Bass 15, Jorge Ross Terrés 16, Raj Punwaney 16, Julia Harris 17, Alireza Nami 18, Amy Pierce 19, Kevin Thorneloe 20, Beulah Ji 17 and David Roth 16, 1University of North Carolina, Chapel Hill, NC, 2Centro de Pesquisas Clinicas do Hospital Abreu Sodré, São Paulo, Brazil, 3Chung Shan Medical University, Taichung City, Taiwan (Republic of China), 4Institute of Rheumatology, Prague, Czech Republic, 5University of Southern California Keck School of Medicine, Los Angeles, CA, 6Faculdade de Medicina de São José do Rio Preto, São Paulo, Brazil, 7Hospital Moinhos Angeles de Vento, Porto Alegre, Brazil, 8Centro Integral de Reumatología del Caribe, Barranquilla, Colombia, 9Henry Ford Hospital, Wayne State University, Detroit, MI, 10Hospital Central “Dr Ignacio Morones Prieto”, Unidad Regional de Reumatologia y Osteoporosis, Hospital Central and Facultad de Medicina de la Universidad Autónoma de San Luis Potosí, San Luis Potosi, Mexico, 11University of Santo Tomas Hospital, Manila, Philippines, 12Hospital San Martín, La Plata, Argentina, 13Centro de Estudios de Investigación Básica y Clínica, S.C., Guadalajara, Jalisco, Mexico, 14Hospital Vall d'Hebron, Barcelona, Spain, 15GlaxoSmithKline, Collegeville, PA, 16GSK, Collegeville, PA, 17GSK, Uxbridge, Middlesex, United Kingdom, 18Joint Muscle Medical Care and Research Institute, Charlotte, NC, 19ViiV Healthcare, Research Triangle Park, NC, 20GSK, Collegeville, NC

    Background/Purpose: Belimumab (BEL), approved in active, autoantibody-positive SLE, has demonstrated a positive efficacy/safety profile while suggesting potential for steroid sparing and reduced organ damage accrual.…
  • Abstract Number: 859 • 2019 ACR/ARP Annual Meeting

    Long-term Outcome of a Randomized Controlled Trial Comparing Tacrolimus with Mycophenolate Mofetil as Induction Therapy of Severe Lupus Nephritis

    Chi Chiu Mok1, Ling Yin Ho 2, Shirley Ying 3, Woon Leung Ng 4 and Man Chi Leung 4, 1Department of Medicine, Tuen Mun Hospital, Hong Kong, China (People's Republic), 2Tuen Mun Hospital, Hong Kong, Hong Kong, 3Princess Margaret Hospital, Hong Kong, Hong Kong, 4United Christian Hospital, Hong Kong, Hong Kong

    Background/Purpose: To report the 10-year outcome of patients with lupus nephritis (LN) treated with combined prednisolone with mycophenolate mofetil (MMF) or tacrolimus (TAC) as induction…
  • Abstract Number: 860 • 2019 ACR/ARP Annual Meeting

    Efficacy of Belimumab in Patients of Black Race with Systemic Lupus Erythematosus and High Disease Activity or Renal Manifestations

    Luiz Sergio Guedes Barbosa 1, Amit Saxena 2, Ellen M Ginzler 3, Richard Furie4, David D'Cruz 5, Susan Burriss 6, Jennifer Gilbride 7, Michelle Miller 6, James Groark 6, David Roth 6 and Beulah Ji 8, 1NUTEC - Núcleo de Terapia Especializada em Cancerologia, Cuiaba, Brazil, 2New York University School of Medicine, New York, NY, 3State University of New York Downstate Medical Center, Brooklyn, NY, 4Northwell Health, Great Neck, NY, 5The Louise Coote Lupus Unit, Guy's Hospital, London, England, United Kingdom, 6GSK, Collegeville, PA, 7GSK, Stevenage, Hertfordshire, United Kingdom, 8GSK, Uxbridge, Middlesex, United Kingdom

    Background/Purpose: Black patients have more severe SLE and more frequent lupus nephritis vs other racial groups. Efficacy and safety of intravenous (IV) belimumab was demonstrated…
  • Abstract Number: 861 • 2019 ACR/ARP Annual Meeting

    Cutaneous Lupus Erythematosus Disease Area & Severity Index (CLASI) Demonstrates Thresholds for Detection of Treatment Response in a Phase-2, Placebo-Controlled Trial of Ustekinumab in SLE

    Victoria Werth1, Bevra Hahn 2, George Tsokos 3, Shawn Rose 4, Kaiyin Fei 4, Yun Gregan 4, Robert Gordon 4, Kim Hung Lo 4 and Ronald van Vollenhoven 5, 1Hospital of the Univ of PA and Veteran’s Administration Med Center, Philadelphia, PA, 2University of California, Los Angeles, CA, 3Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, 4Janssen Research & Development, LLC, Spring House, PA, 5Amsterdam Rheumatology and Immunology Center, Amsterdam, Netherlands

    Background/Purpose: Ustekinumab (UST), an anti-IL-12/23 p40 monoclonal antibody, showed significantly greater improvement at week (wk) 24 compared with placebo (PBO) in Systemic Lupus Erythematosus Disease…
  • Abstract Number: 862 • 2019 ACR/ARP Annual Meeting

    First Use of Cenerimod, a Selective sphingosine-1-phosphate 1 (S1P1) Receptor Modulator, for the Treatment of Systemic Lupus Erythematosus: A Double-Blind, Randomised, Placebo-Controlled, Phase II, Proof-of-Concept Study

    Viktoria Hermann1, Anastas Batalov 2, Svetlana Smakotina 3 and Peter Cornelisse 1, 1Idorsia, Allschwil, Switzerland, 2Medical University of Plovdiv, University Hospital Kaspela, Plovdiv, Bulgaria, 3Kemerovo Regional Clinical Hospital, Kemerovo, Russia

    Background/Purpose: Aberrantly activated T- and B-lymphocytes play a major pathophysiological role in SLE. Cenerimod, a potent, selective sphingosine-1-phosphate 1 receptor modulator, blocks the egress of…
  • Abstract Number: 863 • 2019 ACR/ARP Annual Meeting

    Tofacitinib in Early Diffuse Cutaneous Systemic Sclerosis— Results of Phase I/II Investigator-Initiated, Double-Blind Randomized Placebo-Controlled Trial

    Dinesh Khanna1, Erica Bush 2, Vivek Nagaraja 2, Andrew Koenig 3, Puja Khanna 4, Amber Young 5, Jeffrey Moore 6, David Fox 6 and Robert Lafyatis 7, 1Scleroderma Program, Division of Rheumatology, Department of Internal Medicine, Autoimmunity Center of Excellence, University of Michigan, Ann Arbor, 2University of Michigan, Ann Arbor, MI, 3Rheumatology, Collegeville, 4University of Michigan Medical School, Ann Arbor, 5University of Michigan, Ann Arbot, 6University of Michigan, Ann Arbor, 7University of Pittsburgh, Pittsburgh, PA

    Background/Purpose: Tofacitinib (TOFA) is a potent pan inhibitor of the Janus Kinase (JAK) family of kinases with a high degree of selectivity against JAK1 and…
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