ACR Meeting Abstracts

ACR Meeting Abstracts

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  • Abstract Number: 939 • 2019 ACR/ARP Annual Meeting

    A Phase II Randomized, Double-Blind, Placebo-Controlled Study to Evaluate the Efficacy and Safety of Obinutuzumab or Placebo in Combination with Mycophenolate Mofetil in Patients with Active Class III or IV Lupus Nephritis

    Richard Furie1, Gustavo Aroca 2, Analía Alvarez 3, Hilda Fragoso-Loyo 4, Elizabeth Zuta Santillán 5, Brad Rovin 6, Thomas Schindler 7, Imran Hassan 8, Matthew Cascino 9, Jay P. Garg 10 and Ana Malvar 11, 1Northwell Health, Great Neck, NY, 2Simon Bolivar University y Clinica de la Costa, Barranquilla, Colombia, 3CEMIC, Buenos Aires, Argentina, 4Department of Immunology and Rheumatology, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico, 5Instituto de Ginecología y Reproducción, Lima, Peru, 6The Ohio State University Medical Center, Columbus, OH, 7F. Hoffmann-La Roche AG, Basel, Switzerland, 8Hoffmann-La Roche Ltd, Mississauga, ON, Canada, 9Genentech, Inc., San Fransisco, CA, 10Genentech, Inc., South San Francisco, CA, 11Hospital Fernandez; Organización Maedica de Investigación, Buenos Aires, Argentina

    Background/Purpose: Randomized trials in lupus nephritis (LN) of type I anti-CD20 monoclonal antibodies failed to demonstrate superiority over standard of care alone. NOBILITY (NCT02550652) is…
  • Abstract Number: 940 • 2019 ACR/ARP Annual Meeting

    Response to Placebo in Randomized Clinical Trials with Biologics in Non-renal, Non-neuropsychiatric Systemic Lupus Erythematosus: A Systematic Review and Pooled Analysis

    Konstantinos Tselios1, Laura Wakani 2, Dafna Gladman 3, Jiandong Su 4 and Murray Urowitz 4, 1University Health Network, University of Toronto, Toronto, Canada, 2University Health Network, Toronto, Canada, 3Toronto Western Hospital, Toronto, Canada, Toronto, ON, Canada, 4University Health Network, University of Toronto, Toronto, ON, Canada

    Background/Purpose: Most randomized controlled trials (RCTs) with biologic medicines in systemic lupus erythematosus (SLE) failed to reach their respective end-points with the rates of the…
  • Abstract Number: 941 • 2019 ACR/ARP Annual Meeting

    Treatment of Lupus Nephritis with anti-CD20 Followed by Anti-BAFF: Impact on B Cell Reconstitution, B Cell Subsets, and Autoreactivity

    Yemil Atisha Fregoso1, Susan Malkiel 2, Kristina Harris 3, Sai Kanaparthi 3, Margie Byron 4, Linna Ding 5, Dawn Smilek 6, David Wofsy 7, Maria Dall'Era 8, Cynthia Aranow 1 and Betty Diamond 9, 1Feinstein Institute for Medical Research, Manhasset, NY, 2Feinstein Institute for Medical Research, Manhasset, 3Immune Tolerance Network, Bethesda, 4Rho Federal Systems, Inc., Chapel Hill, NC, 5National Institute of Allergy and Infectious Diseases, Bethesda, MD, 6Immune Tolerance Network, San Francisco, CA, 7UCSF, San Francisco, 8University of California, San Francisco, San Francisco, CA, 9Feinstein Institutes for Medical Research, Manhasset

    Background/Purpose: Despite the relevance of B cells in lupus, two clinical trials of anti-CD20 failed to meet primary endpoints in patients with lupus and lupus…
  • Abstract Number: 942 • 2019 ACR/ARP Annual Meeting

    A Randomized Prospective Trial to Assess the Clinical Utility of Multianalyte Assay with Complement Activation Products in Diagnosing Systemic Lupus Erythematosus

    Daniel Wallace1, Roberta Alexander 2, Tyler O'Malley 3, Arezou Khosroshahi 4, Mehrnaz Hojjati 5, Konstantinos Loupasakis 6, Jeffrey Alper 7, Yvonne Sherrer 7, Maria Fondal 7, Rajesh Kataria 8, Tami Powell 2, Claudia Ibarra 2, Sonali Narain 9, Elena Massarotti 10, Arthur Weinstein 2 and Thierry Dervieux 2, 1Cedars Sinai Medical Center/UCLA, Los Angeles, CA, 2Exagen, Vista, CA, 3Exagen, Oceanside, CA, 4Emory University, Atlanta, GA, 5Department of Rheumatology, Loma Linda University, Loma Linda, CA, 6MedStar Washington Hospital Center, Department of Rheumatology, Washington, DC, 7BendCare Rheumatology, Naples, FL, 8Southern Ohio Rheumatology, Wheelersburg, OH, 9Northwell Health, Great Neck, Long Island, NY, 10Brigham and Women's Hospital/Harvard Medical School, Boston, MA

    Background/Purpose: Cell-Bound Complement Activation Products (CB-CAPs) in multianalyte assay panel (MAP) is a diagnostic immunology laboratory test with established clinical validity in distinguishing systemic lupus…
  • Abstract Number: 943 • 2019 ACR/ARP Annual Meeting

    A Phase 1b/2a Trial of Tofacitinib, an Oral Janus Kinase Inhibitor, in Systemic Lupus Erythematosus

    Sarfaraz Hasni1, Sarthak Gupta 2, Michael Davis 3, Elaine Poncio 4, Yenealem Temesgen-Oyelakin 4, Phillip Carlucci 4, Xinghao Wang 4, Mohammad Naqi 4, Martin Playford 5, Rishi Goel 4, Xiaobai Li 6, Ann Biehl 4, Isabel Ochoa-Navas 4, Zerai Manna 4, Yinghui Shi 7, Don Thomas 8, Jinguo Chen 9, Angélique Biancotto 9, Richard Apps 9, Foo Cheung 9, Yuri Kotliarov 9, Ashley Babyak 6, Katie Stagliano 9, John Tsang 9, Wanxia Tsai 10, Laura Vian 10, Nathalia Gazaniga 4, Valentina Giudice 4, Stephen Brooks 11, Meggan Mackay 12, Peter Gregersen 13, Betty Diamond 14, Nehal Mehta 15, Alan Remaley 5, John O'Shea 16, Massimo Gadina 10 and Mariana Kaplan 16, 1National Institute of Arthritis, Musculoskeletal, and Skin diseases/ National Institutes of Health, Bethesda, MD, 2Systemic Autoimmunity Branch, NIAMS, NIH, Bethesda, 3NIAMS/NIH, Bethesda, MD, 4NIAMS/NIH, Bethesda, 5NHLBI/NIH, Bethesda, 6Clinical Center/NIH, Bethesda, 7Office of Clinical Director, NIAMS, NIH, Bethesda, MD, 8Walter Reed National Military Medical Center, Bethesda, MD, 9NIAID/NIH, Bethesda, 10Translational Immunology Section, NIAMS, NIH, Bethesda, MD, 11Biomining and Discovery Section/NIAMS/NIH, Bethesda, MD, 12Feinstein Institute for Medical Research, New York, 13Feinstein Institutes for Medical Research, Manhasset, NY, 14Feinstein Institutes of Medical Research, Manhasset, NY, 15National Heart, Lung and Blood Institute, National Institutes of Health, Bethesda, MD, USA, Bethesda, MD, 16National Institute of Arthritis, Musculoskeletal, and Skin diseases/ National Institutes of Health, Bethesda

    Background/Purpose: A pharmacologic intervention that modulates JAK/STAT signaling pathways represents a novel approach for the treatment of Systemic Lupus Erythematosus (SLE). In animal models of…
  • Abstract Number: 944 • 2019 ACR/ARP Annual Meeting

    Efficacy and Safety of Dapirolizumab Pegol in Patients with Moderately to Severely Active Systemic Lupus Erythematosus: A Randomized, Placebo-Controlled Study

    Richard Furie1, Ian Bruce 2, Thomas Dörner 3, Manuel Gustavo Leon 4, Piotr Leszczyński 5, Murray Urowitz 6, Birgit Haier 7, Claire Brittain 8, Jiajun Liu 9, Catherine Barbey 10 and Christian Stach 7, 1Northwell Health, Great Neck, NY, 2University of Manchester, Manchester, United Kingdom, Manchester, England, United Kingdom, 3Charite Universitätsmedizin Berlin and DRFZ, Berlin, Germany, 4Investigaciones Clínicas, Lima, Peru, 5Poznań University of Medical Sciences, Poznań, Poland, 6University Health Network, University of Toronto, Toronto, ON, Canada, 7UCB Pharma, Monheim, Germany, 8UCB Pharma, Slough, United Kingdom, 9Biogen, Cambridge, MA, 10Biogen, Baar, Switzerland

    Background/Purpose: Dapirolizumab pegol (DZP) is a polyethylene glycol-conjugated Fab’ fragment, which targets CD40 ligand and is in development for the treatment of systemic lupus erythematosus…
  • Abstract Number: 945 • 2019 ACR/ARP Annual Meeting

    Comparison of Clinical Manifestations in IgG4 Related Disease Patients with/without Aortitis/Periaortitis and Periarteritis: A Prospective Cohort Study of 587 Patients with IgG4-RD Disease

    Linyi Peng 1, Wen Zhang 2 and Panpan Zhang1, 1Department of Rheumatology, Peking Union Medical College Hospital, Chinese Academy of Medical Science & Peking Union Medical College, Beijing, China (People's Republic), 2Department of Rheumatology and Clinical Immunology, Peking Union Medical College Hospital, Peking Union Medical College and Chinese Academy of Medical Sciences, Beijing, China (People's Republic)

    Background/Purpose: We aimed to clarify the clinical features of IgG4-related disease (IgG4-RD) with/without aortitis/periaortitis and periarteritis (PAO/PA), and evaluate the treatment efficacy of patients with…
  • Abstract Number: 946 • 2019 ACR/ARP Annual Meeting

    Improvements in Disease Activity and Quality of Life for up to 64 Weeks in Patients with Behçet’s Syndrome: Results from a Phase III Study

    Gulen Hatemi1, Alfred Mahr 2, Mitsuhiro Takeno 3, Doyoung Kim 4, Melike Melikoglu 5, Sue Cheng 6, Shannon McCue 7, Maria Paris 6, Mindy Chen 8 and Yusuf Yazici 9, 1Istanbul University-Cerrahpasa, Cerrahpasa Medical Faculty, Department of Internal Medicine, Division of Rheumatology, Istanbul University-Cerrahpasa, Behcet's Disease Research Center, Istanbul, Turkey, Istanbul, Turkey, 2Hospital Saint-Louis, University Paris Diderot, Paris, France, 3Nippon Medical School, Tokyo, Japan, 4Yonsei University College of Medicine and Severance Hospital, Seoul, Republic of Korea, 5Istanbul University-Cerrahpasa, Cerrahpasa Medical Faculty, Department of Internal Medicine, Division of Rheumatology, Istanbul University – Cerrahpasa, Behçet’s Disease Research Center, Istanbul, Turkey, Istanbul, Turkey, 6Celgene Corporation, Summit, 7Celgene Corporation, Summit, NJ, 8Celgene Corporation, Berkeley Heights, NJ, 9New York University School of Medicine, New York

    Background/Purpose: Behçet’s syndrome is a chronic, multi-system inflammatory disorder characterized by painful, recurrent oral ulcers (OU) that can impair quality of life (QoL). Apremilast (APR),…
  • Abstract Number: 947 • 2019 ACR/ARP Annual Meeting

    TNF Inhibitor Treatment and Dramatic Stroke Risk Reduction in Patients with Deficiency of Adenosine Deaminase 2

    Ryan Laird1, Patrycja Hoffmann 2, Karyl Barron 2, Deborah Stone 2, Michele Nehrebecky 3, Anne Jones 2, Tina Romeo 2, Camilo Toro 3, Arianne Soldatos 4, Cornelia Cudrici 3, Daniel Kastner 2 and Amanda Ombrello 2, 1National Institues of Health, Bethesda, 2National Institutes of Health, Bethesda, MD, 3National Institutes of Health, Bethesda, 4NIH/NINDS, Bethesda

    Background/Purpose: Deficiency of adenosine deaminase 2 (DADA2) is an autosomal recessive disease caused by biallelic loss-of-function mutations in the ADA2 gene . Over 60 pathogenic…
  • Abstract Number: 948 • 2019 ACR/ARP Annual Meeting

    Relapsing Cryoglobulinemic Vasculitis Following Successful HCV Eradication by Interferon-Free Direct Acting Antivirals, an International Multicenter Study

    Mohamed Tharwat Hegazy1, Ahmed Fayed 1, Tarek El Shabony 1, Marcella Visentini 2, David Saadoun 3, Patrice Cacoub 3 and Gaafar Ragab 1, 1Cairo University, Cairo, Egypt, Cairo, Egypt, 2Sapienza University of Rome, Rome, Italy, Rome, Italy, 3AP-HP, Groupe Hospitalier Pitié-Salpêtrière, Department of Internal Medicine and Clinical Immunology, F-75013, Paris, France, Paris, France

    Background/Purpose: Interferon-free Direct Acting Antiviral (DAA) combinations proved to be effective for the treatment of HCV induced Cryoglobulinemic Vasculitis (HCV-Cryovas). Some reports showed relapses of…
  • Abstract Number: 949 • 2019 ACR/ARP Annual Meeting

    Assessment of Femoral Vein Wall Thickness with Doppler Ultrasound Can Be a Diagnostic Tool for Behcet’s Disease

    Fatma Alibaz-Oner1, RABIA ERGELEN 2, YASIN YILDIZ 3, Ayten Yazici 4, AYDAN MUTIS 5, ZEYNEP ERTURK 3, MUSTAFA ALDAG 6, Ayşe Cefle 7, Bahar Artim-Esen 8, GONCA MUMCU 9, TULIN ERGUN 10 and Haner Direskeneli 11, 1Marmara University Faculty of Medicine,Department of Rheumatology,Istanbul,Turkey, Istanbul, Turkey, 2MARMARA UNIVERSITY, SCHOOL OF MEDICINE, RADIOLOGY, ISTANBUL, Turkey, 3MARMARA UNIVERSITY, SCHOOL OF MEDICINE, RHEUMATOLOGY, ISTANBUL, Turkey, 4Kocaeli University, Faculty of Medicine, Division of Rheumatology, Kocaeli, Kocaeli, Turkey, 5MARMARA UNIVERSITY, SCHOOL OF MEDICINE, RHEUMATOLOGY, ISTANBUL, Tuvalu, 6BAHCESEHIR UNIVERSITY, SCHOOL OF MEDICINE, DEPARTMENT OF CARDIOVASCULAR SURGERY, ISTANBUL, Turkey, 7Division of Rheumatology, Kocaeli University School of Medicine, Kocaeli, Turkey, Kocaeli, Turkey, 8Istanbul University, Istanbul Faculty of Medicine, Department of Internal Medicine, Division of Rheumatology, Istanbul, Turkey, 9Marmara, University, Department of Health Management, Marmara University School of Health Sciences, Istanbul, Turkey, ISTANBUL, Turkey, 10MARMARA UNIVERSITY, SCHOOL OF MEDICINE, DERMATOLOGY, Istanbul, Istanbul, Turkey, 11Marmara University, School of Medicine, Division of Rheumatology, Istanbul, Turkey

    Background/Purpose: Behcet's disease(BD) is a uniqe systemic vasculitis mainly involving venous vessels in contrast to other systemic vasculitides. Diagnosing BD is a challenge, especially in…
  • Abstract Number: 950 • 2019 ACR/ARP Annual Meeting

    Low-Dose IL-2 Effectively Restored Decreased Regulatory T Cells in Patients with Behcet’s Disease

    Xiao-qing Liu1, Xiaojie Liu 2, Nalin Lai 3, Ting Cheng 1, Chong Gao 4 and Xiao-feng Li 1, 1The Second Hospital of Shanxi Medical University, Taiyuan, China (People's Republic), 2Taiyuan University of Technology, Taiyuan, China (People's Republic), 3Shanxi Medical University, Taiyuan, China (People's Republic), 4Brigham and Women’s Hospital, Harvard Medical School, Boston

    Background/Purpose: Behcet’s disease (BD) is a chronic multisystemic disease characterized by muco-cutaneous and ocular manifestations, with central nervous system, vascular and/or gastro-intestinal involvement. Several studies…
  • Abstract Number: 951 • 2019 ACR/ARP Annual Meeting

    Avoidable Acute Care Use for Vaccine-Preventable Illnesses Among Medicaid Beneficiaries with Lupus: Demographic and Healthcare Utilization Differences

    Candace Feldman1, Chang Xu 1 and Karen Costenbader 1, 1Brigham and Women's Hospital, Boston, MA

    Background/Purpose: Nearly 25% of patients with SLE are hospitalized each year often for outcomes that may have been avoided if patients had received sustained, high…
  • Abstract Number: 952 • 2019 ACR/ARP Annual Meeting

    Rate of Thirty-Day Readmissions in Systemic Lupus Erythematosus Rivals Congestive Heart Failure and Exceeds the General Medicare Population

    Ann Chodara1, Xing Wang 1, Fangfang Shi 1, Shivani Garg 1, Ryan Powell 1, Maria Schletzbaum 1, Ann Sheehy 1, Amy Kind 1 and Christie Bartels 1, 1University of Wisconsin School of Medicine and Public Health, Madison, WI

    Background/Purpose: Medicare measures readmissions within 30 days of hospitalization across several conditions as a marker of care quality. While not currently a reporting condition, in…
  • Abstract Number: 953 • 2019 ACR/ARP Annual Meeting

    Treatment Patterns and Persistency Following the First Biologic DMARD in Patients with Rheumatoid Arthritis: Real-World Analysis of 2012–2016 US Medicare Data

    Robin Dore1, Lawrence Chang 2, Yuanyuan Ji 3, Suying Li 3, Jenya Antonova 2 and Mark Genovese 4, 1Private practice, Tustin, CA, 2Gilead Sciences, Foster City, CA, 3Chronic Disease Research Group, Minneapolis, MN, 4Stanford University, Stanford, CA

    Background/Purpose: In RA patients not meeting treat-to-target goals despite treatment with a biologic (b)DMARD, ACR guidelines1 recommend using other targeted immunomodulators (TIM): TNF-α inhibitor (TNFi),…
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