ACR Meeting Abstracts

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  • Abstract Number: 1419 • 2019 ACR/ARP Annual Meeting

    Cost-per-Responder Analysis of Sarilumab for the Treatment of Moderately-to-Severely Active Rheumatoid Arthritis (RA)

    Marie Fournier 1, Susan Boklage 2, Florence Joly 1, Kerri Ford3, Zsofia Kiss 4, Peter Gal 4 and Jeannie Choi 5, 1Sanofi, Chilly-Mazarin, France, 2Regeneron Pharmaceuticals, Inc, Tarrytown, NY, 3Sanofi Genzyme, Bridgewater, NJ, 4Evidera, London, United Kingdom, 5Formerly of Sanofi, Bridgewater, NJ

    Background/Purpose: Network meta-analyses (NMA) have been conducted to compare the efficacy and safety of sarilumab, a fully human monoclonal antibody against the interleukin 6 receptor…
  • Abstract Number: 1420 • 2019 ACR/ARP Annual Meeting

    Heterogeneity in the Pattern of Use of JAK-inhibitors Between Countries Participating in an International Collaboration of Registers of Rheumatoid Arthritis Patients (the JAK-pot Study)

    Kim Lauper1, Denis Mongin 2, Sytske Anne Bergstra 3, Denis Choquette 4, Catalin Codreanu 5, Ori Elkayam 6, Kimme Hyrich 7, Florenzo Iannone 8, Eirik Kristianslund 9, Tore Kvien 10, Burkhard Leeb 11, Galina Lukina 12, Dan Nordström 13, Fatos Onen 14, Karel Pavelka 15, Manuel Pombo-Suarez 16, Ziga Rotar 17, Maria José Santos 18, Anja Strangfeld 19, Delphine Courvoisier 20 and Axel Finckh 20, 1Division of Rheumatology, Geneva University Hospital, Switzerland / Versus Arthritis Centre for Epidemiology, Centre for Musculoskeletal Research, Division of Musculoskeletal and Dermatological Sciences, School of Biological Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Manchester Academic Health Science Centre, Manchester, United Kingdom, Geneva, Switzerland, 2Division of Rheumatology, Geneva University Hospitals, Switzerland, Geneva, Switzerland, 3Department of Rheumatology, Leiden University Medical Center, Leiden, The Netherlands, Leiden, Netherlands, 4Institut de Recherche en Rhumatologie de Montréal, University of Montreal, Québec, Canada., Montreal, QC, Canada, 5Center of Rheumatic Diseases, University of Medicine and Pharmacy, Bucharest, Romania., Bucharest, Romania, 6Rheumatology Department, Tel Aviv Medical Center, and Sackler Faculty of Medicine, Tel Aviv University, Israel., Tel Aviv, Israel, 7Versus Arthritis Centre for Epidemiology, Centre for Musculoskeletal Research, Division of Musculoskeletal and Dermatological Sciences, School of Biological Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Manchester Academic Health Science Centre, Manchester, United Kingdom / NIHR Manchester Biomedical Research Centre, Manchester University Hospitals NHS Foundation Trust, Manchester Academic Health Science Centre, Manchester, United Kingdom, Manchester, United Kingdom, 8Department of Emergency and Transplantation , Rheumatology Unit, University Hospital of Bari, Bari, Italy., Bari, Italy, 9Department of Rheumatology, Diakonhjemmet Hospital, Oslo, Norway., Oslo, Norway, 10Diakonhjemmet Hospital, Dept. of Rheumatology / University of Oslo, Faculty of Medicine, Oslo, Norway, 11Second Department of Medicine, Centre for Rheumatology Lower Austria, State Hospital Stockerau, Stockerau, Austria., Stockerau, Austria, 12V.A.Nasonova Research Institute of Rheumatology, Moscow, Russian Federation., Moscow, Russia, 13Department of Medicine, ROB-FIN, Helsinki University Hospital and Helsinki University, Helsinki, Finland., Helsinki, Finland, 14Dokuz Eylul University School of Medicine, Division of Rheumatology, İzmir, Turkey, 15Institute of Rheumatology, Department of Rheumatology, 1st Faculty of Medicine, Prague, Czech Republic, Prague 2, Czech Republic, 16Rheumatology Service , Hospital Clinico Universitario , Santiago de Compostela , Spain., Santiago de Compostela, Spain, 17UMC LJUBLJANA, DPT. OF RHEUMATOLOGY, LJUBLJANA, Slovenia, 18Rheumatology department, Hospital Garcia de Orta, Almada, Portugal, 19German Rheumatism Research Center (DRFZ), Berlin, Germany, 20Division of Rheumatology, Geneva University Hospital, Switzerland, Geneva, Switzerland

    Background/Purpose: In many countries, JAK-inhibitors (JAKi) have been recently accepted for the treatment of patients with rheumatoid arthritis (RA). However, prescription patterns may differ notably…
  • Abstract Number: 1421 • 2019 ACR/ARP Annual Meeting

    Effect of Tocilizumab on HDL and LDL Characteristics in Patients with Rheumatoid Arthritis: Preliminary Results

    Florencia Pierini1, Ignacio Gandino 1, Eliana Botta 2, Fernando Brites 2, Tomas Meroño 2, Osvaldo Luis Cerda 3, Gustavo Citera 4, Javier Rosa 5, Patricia Sorroche 6, Laura Boero 2, Maximiliano Martin 2, Soledad saez 6, Walter Tetzlaff 2 and Enrique Soriano 7, 1Rheumatology Section, Internal Medicine Service, Hospital Italiano de Buenos Aires, Argentina., Capital Federal, Argentina, 2Universidad de Buenos Aires, Buenos Aires, Argentina, 3Instituto de Rehabilitación Psicofísica, Ciudad Autonoma de Buenos Aires, Ciudad Autonoma de Buenos Aires, Argentina, 4Instituto de Rehabilitación Psicofísica, Ciudad Autónoma de Buenos Aires, Buenos Aires, Argentina, 5Rheumatology Section, Internal Medicine Service, Hospital Italiano de Buenos Aires, Argentina, Buenos Aires, Argentina, 6Hospital Italiano de Buenos Aires, Buenos Aires, Argentina, 7Rheumatology Section, Internal Medicine Service, Hospital Italiano de Buenos Aires, Argentina., Buenos Aires, Buenos Aires, Argentina

    Background/Purpose: In patients with Rheumatoid Arthritis (RA), qualitative alterations of low and high density lipoproteins (LDL and HDL, respectively) might partially explain their increased cardiovascular…
  • Abstract Number: 1422 • 2019 ACR/ARP Annual Meeting

    Reduction in CD4 TEMRA Cells and Its Association with DAS28 (CRP) < 2.6 Treatment Response with Abatacept in Patients with Early, ACPA+, DMARD-Naïve RA

    Paul Emery1, Yoshiya Tanaka 2, Vivian Bykerk 3, Clifton Bingham 4, Thomas Huizinga 5, Gustavo Citera 6, Sean Connolly 7, Kuan-Hsiang Gary Huang 7, Yedid Elbez 8, Sumanta Mukherjee 7 and Roy Fleischmann 9, 1Leeds Institute of Rheumatic and Musculoskeletal Medicine, Leeds, United Kingdom, 2University of Occupational and Environmental Health Japan, Kitakyushu, Japan, 3Hospital for Special Surgery, New York City, NY, 4Johns Hopkins University, Baltimore, MD, 5Leiden University Medical Center, Leiden, Netherlands, 6Instituto de Rehabilitación Psicofísica, Ciudad Autónoma de Buenos Aires, Buenos Aires, Argentina, 7Bristol-Myers Squibb, Princeton, NJ, 8Excelya, Boulogne-Billancourt, France, 9Metroplex Clinical Research Center and University of Texas Southwestern Medical Center, Dallas, TX

    Background/Purpose: T-cell profiles are heterogeneous between individuals and consist of naïve T cells, memory T cells (including effector memory T cells [TEM] and central memory…
  • Abstract Number: 1423 • 2019 ACR/ARP Annual Meeting

    Patient-Reported Outcomes of Abatacept in Combination with MTX in Early, MTX-Naïve, ACPA Positive Patients with RA: 1-Year Results from a Phase IIIb Study

    Paul Emery1, Yoshiya Tanaka 2, Vivian Bykerk 3, Clifton Bingham 4, Thomas Huizinga 5, Gustavo Citera 6, Joe Zhuo 7, Kuan-Hsiang Gary Huang 8, Robert Wong 7, Sean Connolly 8, Yedid Elbez 9 and Roy Fleischmann 10, 1Leeds Institute of Rheumatic and Musculoskeletal Medicine, Leeds, United Kingdom, 2University of Occupational and Environmental Health Japan, Kitakyushu, Japan, 3Hospital for Special Surgery, New York City, NY, 4Johns Hopkins University, Baltimore, MD, 5Leiden University Medical Center, Leiden, Netherlands, 6Instituto de Rehabilitación Psicofísica, Ciudad Autónoma de Buenos Aires, Buenos Aires, Argentina, 7Bristol-Myers Squibb, Princeton, 8Bristol-Myers Squibb, Princeton, NJ, 9Excelya, Boulogne-Billancourt, France, 10Metroplex Clinical Research Center and University of Texas Southwestern Medical Center, Dallas, TX

    Background/Purpose: Early biologic use can improve long-term control of RA, and early use of abatacept (ABA) + MTX has demonstrated sustained improvements in selected patient-reported…
  • Abstract Number: 1424 • 2019 ACR/ARP Annual Meeting

    The Effect of HLA-DRB1 Risk Alleles (Shared Epitope) on Changes in Immune Cell Subsets and Disease Activity Following Treatment with Abatacept versus Adalimumab in Seropositive Biologic-Naïve Patients with Early, Moderate-to-Severe RA: Data from a Head-to-Head Single-Blinded Trial

    Jane Buckner1, Vivian Bykerk 2, V. Michael Holers 3, S. Louis Bridges 4, William Rigby 5, Sheng Gao 6, Marleen Nys 7 and Neelanjana Ray 8, 1Benaroya Research Institute, Seattle, WA, 2Hospital for Special Surgery, New York City, NY, 3University of Colorado Denver, Division of Rheumatology, Aurora, CO, USA, Denver, 4University of Alabama at Birmingham, Birmingham, 5Dartmouth-Hitchcock Medical Center, Lebanon, 6Bristol-Myers Squibb, Princeton, NJ, 7Bristol-Myers Squibb, Braine L’Alleud, Belgium, 8Bristol-Myers Squibb, Princeton

    Background/Purpose: Mechanistic differences between biologic DMARDs are poorly understood. Exploring these mechanisms includes assessing the role of HLA-DRB1 alleles containing the shared epitope (SE), which…
  • Abstract Number: 1425 • 2019 ACR/ARP Annual Meeting

    Effect of ACPA IgM Serostatus on Efficacy Outcomes Following Treatment with Abatacept or Adalimumab: A Post Hoc Analysis of a Phase III Head-to-Head Trial

    Thomas Huizinga1, René Toes 1, Michael Weinblatt 2, Michael Schiff 3, Roy Fleischmann 4, Yedid Elbez 5, Sean Connolly 6, Michael Maldonado 6 and Sheng Gao 6, 1Leiden University Medical Center, Leiden, Netherlands, 2Brigham and Women's Hospital, Boston, MA, USA, Boston, MA, 3University of Colorado, Denver, CO, 4Metroplex Clinical Research Center and University of Texas Southwestern Medical Center, Dallas, TX, 5Excelya, Boulogne-Billancourt, France, 6Bristol-Myers Squibb, Princeton, NJ

    Background/Purpose: Anti-citrullinated protein antibody (ACPA) is a marker for early, erosive RA.1 In the Abatacept (ABA) versus adaliMumab (ADA) comParison in bioLogic-naïvE RA subjects with…
  • Abstract Number: 1426 • 2019 ACR/ARP Annual Meeting

    Impact of TNF Inhibitor Cycling with Adalimumab and Etanercept vs Switching to Tofacitinib

    James Harnett1, Timothy Smith 1, John Woolcott 2, David Gruben 3 and Christopher Murray 2, 1Pfizer Inc, New York, NY, 2Pfizer Inc, Collegeville, PA, 3Pfizer Inc, Groton, CT

    Background/Purpose: Tofacitinib is an oral JAK inhibitor for the treatment of RA. It was approved for RA by the US FDA in Nov 2012. TNFi…
  • Abstract Number: 1427 • 2019 ACR/ARP Annual Meeting

    Comparison of Real-World Persistence of Subcutaneously Administered Biologic Disease-Modifying Antirheumatic Drug Therapies Among Patients with Rheumatoid Arthritis Switching from Another Biologic

    Jennie Best1, Lenore Tominna 1 and Ibrahim Abbass 1, 1Genentech, Inc., South San Francisco, CA

    Background/Purpose: The EULAR and ACR clinical guidelines recommend switching to a different disease-modifying antirheumatic drug (DMARD) when biologic-treated patients experience treatment failure or toxicity. Lack…
  • Abstract Number: 1428 • 2019 ACR/ARP Annual Meeting

    Time to Discontinuation of Tofacitinib in Rheumatoid Arthritis Patients with and Without Methotrexate: Results from a Rheumatoid Arthritis Cohort

    Mohammad Movahedi1, Angela Cesta 2, Xiuying Li 2, Edward Keystone 1, Claire Bombardier 2 and And Other OBRI Investigators 2, 1Division of Rheumatology, Mount Sinai Hospital, Toronto, ON, Canada, 2Toronto General Hospital Research Institute, University Health Network, Toronto, ON, Canada

    Background/Purpose: Tofacitinib (TOFA) is an oral, small molecule drug which can be used as an alternative to biologic disease modifying antirheumatic drugs (bDMARDs) for rheumatoid…
  • Abstract Number: 1429 • 2019 ACR/ARP Annual Meeting

    Results at 6 Months of Abatacept vs TNF-α Blockers in Patients with Severe, Long-standing, DMARDs Resistant Rheumatoid Arthritis

    Omar Valenzuela 1, Sebastian Ibanez2, Maria Paz Poblete 3, Claudia Mardones 2, Francisco Silva 2, Maria Jose Villar 2 and Katherine Mogollones 1, 1Facultad de Medicina Clinica Alemana -UDD, Santiago, Region Metropolitana, Chile, 2Facultad de Medicina Clinica Alemana - UDD, Santiago, Region Metropolitana, Chile, 3Rheumatology dpt., Facultad de Medicina Clinica Alemana - UDD, Santiago, Region Metropolitana, Chile

    Background/Purpose: Since January 2016, Chilean patients with rheumatoid arthritis (RA), with severe activity despite the use of 3 DMARDs for at least 6 months, have guaranteed access…
  • Abstract Number: 1430 • 2019 ACR/ARP Annual Meeting

    Predictors of Response to Etanercept-Methotrexate Treatment: Post-hoc Analysis of a Randomized, Open-label Study in Latin American Patients with Rheumatoid Arthritis

    Maria de la Vega1, Generoso Guerra Bautista 2, Ricardo Machado Xavier 3, César Pacheco-Tena 4, Gastón Solano 5, Ronald Pedersen 6, Cecila Borlenghi 7, Karina Santana 8 and Bonnie Vlahos 6, 1CEIM Investigaciones Medicas, Buenos Aires, Argentina, 2Centro de Investigacion Marbella, Panama, Panama, 3Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil, 4Universidad Autónoma de Chihuahua, Chihuahua, Mexico, 5Pfizer, San Jose, Costa Rica, 6Pfizer, Collegeville, 7Pfizer, Buenos Aires, Argentina, 8Pfizer Inc, Mexico City, Mexico

    Background/Purpose: Etanercept (ETN) plus methotrexate (MTX) was shown to be superior to MTX plus another conventional disease-modifying anti-rheumatic drug (DMARD) in an open-label, randomized study…
  • Abstract Number: 1431 • 2019 ACR/ARP Annual Meeting

    Real-Life Golimumab Persistence in Patients with Chronic Inflammatory Rheumatic Disease: Results of the GO PRACTICE Study

    René-Marc Flipo1, Florence Tubach 2, Jean Ouaniche 3, Philippe Goupille 4, Eric Lespessailles 5, Najat Gouyette 6, Naoual Harid 7, Saannya Sequiera 8, Philippe Bertin 9 and Bruno Fautrel 10, 1Roger Salengro University-Hospital, Lille , France, Lille, France, 2Pitié Salpétrière University-Hospital, Paris, Ile-de-France, France, 3Private Practice , Toulon, France, Toulon, France, 4Tours University-Hospital, Tours, France, Tours, France, 5Orléans Regional Hospitals, Orléans ,France, Orléans, France, 6MSD France, Courbevoie ,France, Courbevoie, Ile-de-France, France, 7MSD France, Courbevoie, France, Courbevoie, Ile-de-France, France, 8ClinSearch ,Malakoff, France, Malakoff, Ile-de-France, France, 9Limoges University-Hospital , Limoges, France, Limoges, France, 10Pitié-Salpêtrière Hospital, Department of Rheumatology, AP-HP, Sorbonne University, UPMC university, Paris, Ile-de-France, France

    Background/Purpose: The GO PRACTICE study was initiated following a demand by the French Health Authorities for long-term data on the real-life use of golimumab (GLM)…
  • Abstract Number: 1432 • 2019 ACR/ARP Annual Meeting

    Tapering and Discontinuing Prednisolone Without Deteriorated Disease Control by Optimizing Methotrexate in Patients with Rheumatoid Arthritis Under Stable Treatment – 2-year Results in the Real-world Clinical Practice –

    Shintaro Hirata1, Takuji Omoto 1, Hiroki Kohno 1, Hirofumi Watanabe 1, Kazutoshi Yukawa 1, Tadahiro Tokunaga 1, Tatsuomi Kuranobu 1, Katsuhiro Oi 1, Yusuke Yoshida 1, Tomohiro Sugimoto 1, Sho Mokuda 1, Keisuke Oda 1, Takaki Nojima 1 and Eiji Sugiyama 1, 1Hiroshima University, Hiroshima, Japan

    Background/Purpose: To determine whether prednisolone (PSL) could be tapered or discontinued without deterioration of disease control through optimizing methotrexate (MTX) for 2-yrs in patients with…
  • Abstract Number: 1433 • 2019 ACR/ARP Annual Meeting

    Association Between Seropositivity and Discontinuation of Tumor Necrosis Factor Inhibitors Due to Insufficient Response in Rheumatoid Arthritis

    Yoshikazu Ogawa1, Nobunori Takahashi 2, Toshihisa Kojima 2 and Naoki Ishiguro 2, 1Nakatsugawa Municipal General Hospital, Nakatsugawa, Japan, 2Department of Orthopedic Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan

    Background/Purpose: Discontinuation of biologic therapy in rheumatoid arthritis is attributable to various reasons, with the most important cause being insufficient response. In this study, we…
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