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  • Abstract Number: 1693 • ACR Convergence 2021

    Lower Adverse Event and Infection Rates During Tocilizumab Therapy Without Concomitant GC: An Analysis of the ICHIBAN Study

    Christof Specker1, Martin Aringer2, Gerd Burmester3, Marvin A. Peters4, Michael W. Hofmann5, Herbert Kellner6, Frank Moosig7, Hans-Peter Tony8 and Gerhard Fliedner9, 1Evangelisches Krankenhaus, Kliniken Essen-Mitte, Essen, Germany, 2Rheumatology, Medicine III, University Medical Center & Faculty of Medicine, TU Dresden, Dresden, Germany, 3Charité University Medicine Berlin, Berlin, Germany, 4Roche Pharma AG, Grenzach-Wyhlen, Germany, 5Chugai Pharma Germany GmbH, Frankfurt am Main, Germany, 6Hospital Neuwittelsbach, Center for Rheumatology and Gastroenterology, Munich, Germany, Munich, Germany, 7Rheumatology Center Schleswig-Holstein Middle, Neumünster, Germany, 8Universitätsklinikum Würzburg, Wuerzburg, Germany, 9Rheumatology Practice, Osnabrueck, Germany

    Background/Purpose: To limit the risk of serious infections, guidelines recommend short term (< 3 months) or low-dose (≤10 mg/day) adjunct glucocorticoids (GCs) to control rheumatoid…
  • Abstract Number: 1694 • ACR Convergence 2021

    Sustainability of Response to Upadacitinib Among Patients with Active Rheumatoid Arthritis Refractory to Biological Disease-Modifying Anti-Rheumatic Drugs

    Ronald van Vollenhoven1, Stephen Hall2, Alvin Wells3, Sebastian Meerwein4, Yanna Song5, Jessica Suboticki5 and Roy Fleischmann6, 1Department of Rheumatology and Clinical Immunology, Amsterdam University Medical Center, Amsterdam Rheumatology Center, Amsterdam, Netherlands, 2Emeritus Research and Monash University, Melbourne, Australia, Melbourne, Australia, 3Rheumatology and Immunotherapy Center, Franklin, WI, 4AbbVie Deutschland GmbH & Co. KG, Ludwigshafen, Germany, 5AbbVie Inc., North Chicago, IL, 6Metroplex Clinical Research Center and University of Texas Southwestern Medical Center, Dallas, TX

    Background/Purpose: Sustained clinical remission (REM) is the primary treatment goal for patients with rheumatoid arthritis (RA), with low disease activity (LDA) being an appropriate target…
  • Abstract Number: 1695 • ACR Convergence 2021

    Erythrocyte Methotrexate Polyglutamates Are Substantially Higher After Subcutaneous Methotrexate Treatment in Rheumatoid Arthritis Patients in the First Months of Treatment

    Renske Hebing1, Sohaila Mahmoud1, Marry Lin2, Ittai Muller2, Sandra Heil3, Willem Lems4, Mike Nurmohamed5, Robert de Jonge2 and Gerrit Jansen2, 1Reade, Amsterdam, Netherlands, 2AmsterdamUMC, Amsterdam, Netherlands, 3ErasmusMC, Rotterdam, Netherlands, 4VUmc, Amsterdam, Netherlands, 5Reade; Amsterdam Rheumatology & Immunology Center, Amsterdam, Netherlands

    Background/Purpose: Optimal dosing of methotrexate (MTX) for individual rheumatoid arthritis (RA) patients to achieve adequate disease control remains challenging. Assessment of erythrocyte MTX-polyglutamates (PGs) levels…
  • Abstract Number: 1696 • ACR Convergence 2021

    Clinical Outcomes up to Week 48 of Ongoing Filgotinib RA Long-term Extension Trial of Biologic DMARD Inadequate Responders Initially on Filgotinib or Placebo in a Phase 3 Trial

    Maya Buch1, Tsutomu Takeuchi2, Vijay Rajendran3, Jacques-Eric Gottenberg4, Alena Pechonkina5, YingMeei Tan6, Qi Gong5, Katrien Van Beneden7 and Roberto Caporali8, 1University of Leeds, Leeds, United Kingdom, 2Div. Rheumatology, Keio University, Tokyo, Japan, 3Galapagos NV, Mechelen, Belgium, 4National Reference Center for Rare East South-West Autoimmune Systemic Diseases RESO, Strasbourg University Hospitals, Strasbourg, France, 5Gilead Sciences, Inc., Foster City, CA, 6Gilead Sciences, Inc, San Diego, CA, 7Galapagos, NV, Mechelen, Belgium, 8Policlinico S. Matteo University, Pavia, Italy

    Background/Purpose: The preferential Janus kinase-1 inhibitor filgotinib (FIL) is approved to treat RA in Europe and Japan. We assessed FIL efficacy and safety in patients…
  • Abstract Number: 1697 • ACR Convergence 2021

    Clinical Outcomes up to Week 48 of Filgotinib Treatment in an Ongoing Long-term Extension Trial of RA Patients with Inadequate Response to MTX Initially Treated with Filgotinib or Adalimumab During the Phase 3 Parent Trial

    Bernard Combe1, Yoshiya Tanaka2, Paul Emery3, Alena Pechonkina4, Albert Kuo4, Qi Gong4, Katrien Van Beneden5, Vijay Rajendran6 and Hendrik Schulze-Koops7, 1CHU Montpellier Montpellier University, Montpellier, France, 2University of Occupational and Environmental Health, Kitakyushu, Japan, 3Leeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds and Leeds NIHR Biomedical Research Centre, Leeds, United Kingdom, 4Gilead Sciences, Inc., Foster City, CA, 5Galapagos, NV, Mechelen, Belgium, 6Galapagos NV, Mechelen, Belgium, 7Division of Rheumatology and Clinical Immunology, Department of Internal Medicine IV, University of Munich, Munich, Germany

    Background/Purpose: The preferential Janus kinase (JAK)-1 inhibitor filgotinib (FIL) is approved for treatment of moderately to severely active RA in Europe and Japan. We assessed…
  • Abstract Number: 1698 • ACR Convergence 2021

    Integrated Safety Analysis Update for Filgotinib in Patients with Moderately to Severely Active Rheumatoid Arthritis Receiving Treatment over a Median of 2.2 Years

    Kevin Winthrop1, Yoshiya Tanaka2, Tsutomu Takeuchi3, Alan Kivitz4, Mark Genovese5, Alena Pechonkina6, Franziska Matzkies6, Beatrix Bartok7, Kun Chen6, Deyuan Jiang6, Iyabode Tiamiyu6, Robin Besuyen8, Sander Strengholt9, Gerd Burmester10 and Jacques-Eric Gottenberg11, 1Oregon Health & Science University, Portland, OR, 2University of Occupational and Environmental Health, Kitakyushu, Japan, 3Div. Rheumatology, Keio University, Tokyo, Japan, 4Altoona Center for Clinical Research, Duncansville, PA, 5Gilead Sciences, Inc., Sunnyvale, CA, 6Gilead Sciences, Inc., Foster City, CA, 7Gilead Sciences, Inc., La Jolla, CA, 8Galapagos BV, Leiden, Netherlands, 9Galapagos, BV, New York, NY, 10Charité University Medicine Berlin, Berlin, Germany, 11National Reference Center for Rare East South-West Autoimmune Systemic Diseases RESO, Strasbourg University Hospitals, Strasbourg, France

    Background/Purpose: The preferential Janus kinase (JAK)-1 inhibitor filgotinib (FIL) significantly improved signs and symptoms of RA in Phase 2 and 3 trials,1–5 and FIL is…
  • Abstract Number: 1699 • ACR Convergence 2021

    The “ITIS” Diet Improves Fatigue in Patients with Rheumatoid Arthritis and Is Associated with Changes in Metabolome and Fecal Microbiome

    Roxana Coras1, Cameron Martino1, Julia Gauglitz1, Alan Jarmusch1, Anupriya Tripathi1, Francesca Cedola2, Marta Fernandez-Bustamante1, Meritxall Agustín-Perez1, Maram Alharthi1, Susan Lee1, Abha Singh1, Soo In Choi1, Tania Rivera1, Katherine Nguyen3, Tatyana Shekhtman1, Tiffany Holt1, Shahrokh Golshan1, Rob Knight1, Pieter C Dorrestein1 and Monica Guma1, 1University of California San Diego, La Jolla, CA, 2University of California San Diego, Rome, CA, Italy, 3University of California San Diego, San Diego, CA

    Background/Purpose: Fatigue is common symptom in rheumatoid arthritis (RA), associated with decreased quality of life and productivity. Fatigue mechanisms have not been well studied, hence,…
  • Abstract Number: 1700 • ACR Convergence 2021

    Pharmacokinetic Boosting to Enable Once-Daily Reduced Dose Tofacitinib

    Céleste van der Togt1, Lise Verhoef2, Nathan den Broeder3, Rob ter Heine3, Bart van den Bemt4 and Alfons den Broeder5, 1Sint Maartenskliniek, Ubbergen, Gelderland, Netherlands, 2Sint Maartenskliniek, Nijmegen, Netherlands, 3Radboud University Medical Centre, Nijmegen, Gelderland, Netherlands, 4Sint Maartenskliniek; Radboud University Medical Center, Ubbergen, Netherlands, 5Sint Maartenskliniek, Nijmegen, Gelderland, Netherlands

    Background/Purpose: Tofacitinib is an effective, yet costly, drug for treatment of RA and PsA. Tofacitinib is metabolized mainly by the cytochrome P450-enzyme CYP3A4, and the…
  • Abstract Number: 1701 • ACR Convergence 2021

    Evaluation of Cardiovascular Risk Factors and Atherosclerosis in Rheumatoid Arthritis Patients, Treated with Biological Agents: 6-month Follow-up

    Georgios Papamichail1, Theodora Markatseli2, Athanasios Georgiadis3, Vasileios Xydis4, Haralampos Milionis1, Alexandros Drosos2 and Paraskevi Voulgari2, 1Internal Medicine, Department of Internal Medicine, Medical School, University of Ioannina, Ioannina, Greece, 2Rheumatology Clinic, Department of Internal Medicine, Medical School, University of Ioannina, Ioannina, Greece, 3Private Practice, Ioannina, Greece, Athens, Greece, 4Radiology, Department of Radiology, Medical School, University of Ioannina, Ioannina, Greece, Ioannina, Greece

    Background/Purpose: Despite new therapeutic approaches in RA, the mortality gap between RA patients and the general population persists, and may even be increasing. Cardiovascular (CV)…
  • Abstract Number: 1702 • ACR Convergence 2021

    Efficacy and Safety of Baricitinib in B/tsDMARDs Naive and B/tsDMARDs-IR Patients with Rheumatoid Arthritis

    MASAOMI YAMASAKI, Shin-Yokohama Arthritis and Rheumatology Clinic, Yokohama, Japan

    Background/Purpose: Baricitinib, an oral selective inhibitor of Janus kinase (JAK) 1 and 2, improved signs and symptoms of rheumatoid arthritis(RA).We analyze efficacy and safety of…
  • Abstract Number: 1703 • ACR Convergence 2021

    AP1189: A Novel Oral Biased Melanocortin Agonist with Anti-inflammatory and Pro-resolving Effect for the Treatment of Rheumatoid Arthritis

    Thomas Jonassen1, Thierry Duvauchelle1, Birgitte Telmer2, Irene Sandholdt2, Thomas Boesen1 and Ellen-Margrethe Hauge3, 1SynAct Pharma, Holte, Denmark, 2CroxxMed, Hørsholm, Denmark, 3Aarhus University Hospital, Aarhus, Denmark

    Background/Purpose: Melanocortin (MC) type 1 and type 3 receptor stimulation is associated with anti-inflammation and promotion of inflammatory resolution. AP1189 is a biased MC type…
  • Abstract Number: 1704 • ACR Convergence 2021

    Tofacitinib in Rheumatoid Arthritis: Is There a Correlation Between a Rapid Analgesic Effect and a Decrease in Activity After 3 and 6 Months?

    Elena Pogozheva1, Andrey Karateev1, Evgeniy Nasonov1, Alexander Lila1, Vadim Mazurov2, Rusanna Samigullina3, Diana Chakieva4, Anna Dadalova4, Anna Dyo4, Andrey Baranov5, Natalia Lapkina5, Ekaterina Kol’tsova6, Ivan Shchendrigin7, Tatyana Rasevich8, Antonina Davydova9, Irina Shafieva10, Inna Bashkova11, Daria Bobrikova12, Irina Kushnir13, Elena Kalinina14, Tatiana Sal’nikova15, Valentina Sorotskaya16, Irina Marusenko17, Olga Semagina18, Irina Vinogradova19, Diana Krechikova20, Natalia Kiryukhina21, Irina Semizarova22, Dzhamilya Murtazalieva23 and Marina Semchenkova24, 1V.A. Nasonova Reseach Institute of Rheumatology, Moscow, Russia, 2Mechnikov North-Western State Medical University, Saint Petersburg, Russia, 3Mechnikov North-Western State Medical University, St.Petersburg, Russia, 4Mechnikov North-Western State Medical University, St. Petersburg, Russia, 5Yaroslavl State Medical University, Yaroslavl, Russia, 6Scientific and Research Institute of Health Care Organization, Moscow, Russia, 7Stavropol Regional Clinical Hospital, Stavropol, Russia, 8Astrakhan Region Alexandro-Mariinsky Regional Clinical Hospital, Astrakhan, Russia, 9Regional Clinical Hospital №1 named. prof. S. V. Ochapovskogo, Krasnodar, Russia, 10Samara State Medical University of the Ministry of Health of the Russian Federation, Samara, Russia, 11Advisory Polyclinic Chuvash State University named after I. N. Ulyanov, Cheboksary, Russia, 12Regional Clinical Hospital No. 1, Tyumen', Russia, 13Kemerovo regional clinical hospital, Kemerovo, Russia, 14Volgograd State Medical University, Volgograd, Russia, 15Regional Clinical Hospital, Tula, Russia, 16Tula State Medical University, Tula, Russia, 17Petrozavodsk State University, Petrozavodsk, Russia, 18Regional Clinical Hospital, Samara, Russia, 19Regional Clinical Hospital, Ulyanovsk, Russia, 20Smolensk State Medical University, Smolensk, Russia, 21National Medical and Surgical Center named after N.I. Pirogov” of the Ministry of Healthcare of the Russian Federation, Moscow, Russia, 22Regional Clinical Hospital, Krasnodar, Russia, 23Moscow Clinical Scientific and Practical Centre named after Loginov A.S., Moscow, Russia, 24Medical Clinical Centre, Smolensk, Russia

    Background/Purpose: to investigate the correlation between the rapid analgesic effect of tofacitinib and a decrease in RA activity after 3 and 6 months.Methods: The study…
  • Abstract Number: 1705 • ACR Convergence 2021

    The Impact of Age and Drug-Drug Interactions on QT Interval in Chronic Hydroxychloroquine Users

    Marco Gianpiero Antivalle1, Michele Agosti1, Giuliana La Paglia2, Alberto Batticciotto3, Maria Chiara Ditto4, SIMONE PARISI5 and Piercarlo Sarzi-Puttini6, 1L. Sacco University Hospital, Milano, Italy, 2L.Sacco University Hospital, Milano, Lombardia, Italy, 3Ospedale di Circolo - Fondazione Macchi, Varese, Lombardia, Italy, 4AOU Città della Salute e della Scienza, Torino, Italy, 5AOU Città della Salute e della Scienza, TURIN, Italy, 6L.Sacco University Hospital, Milano, Italy

    Background/Purpose: Hydroxychloroquine (HCQ) has been used safely for over 60 years in rheumatic patients. However, following its recent use in covid-19 disease, its safety has…
  • Abstract Number: 1706 • ACR Convergence 2021

    Twenty-four-week Follow-up of a Randomized Controlled First-in-Human Trial of the Safety and Efficacy of Neurostimulation with a Miniaturized Vagus Nerve Stimulation Device in Patients with Multidrug-Refractory Rheumatoid Arthritis

    Norman Gaylis1, Mark Genovese2, David Sikes3, Alan Kivitz4, Diane Horowitz5, Charles Peterfy6, Yaakov Levine7 and David Chernoff8, 1Arthritis and Rheumatic Disease Specialties, Aventura, FL, 2Stanford University, Sunnyvale, CA, 3Florida Medical Clinic, Wesley Chapel, FL, 4Altoona Center for Clinical Research, Duncansville, PA, 5Northwell Health, Jericho, NY, 6Spire Sciences, Inc., Boca Raton, FL, 7SetPoint Medical, Manhassest, NY, 8SetPoint Medical, Sausalito, CA

    Background/Purpose: Vagus nerve stimulation (VNS) activates innate neuroimmune reflexes that have been shown to reduce pro-inflammatory cytokines and clinical disease activity in subjects with rheumatoid…
  • Abstract Number: 1707 • ACR Convergence 2021

    A Bioengineered Probiotic for the Oral Delivery of an Immunomodulator in Rheumatoid Arthritis

    Yuqing Wang1, Duolong Zhu1, Laura Ortiz-Velez2, Jacob Perry1, Michael Pennington3, Joseph Hyser1, Robert Britton1 and Christine Beeton1, 1Baylor College of Medicine, Houston, TX, 2TMC Innovation, Houton, 3AmbioPharm Inc., North Augusta, SC

    Background/Purpose: CCR7- effector memory T (TEM) lymphocytes are targets for immunomodulation for the treatment of rheumatoid arthritis (RA). Following activation, TEM cells upregulate the expression…
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