ACR Meeting Abstracts

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  • Abstract Number: 0553 • ACR Convergence 2024

    Analyzing the Utilization of HLA-B27 Testing in a Large Rural Health System: Implications for Diagnostic Appropriateness

    Sanjeev Shrestha1, Angela Bobak2, Idorenyin Udoeyo3, Pradeep Puri4, Jordan Law5 and David Bulbin6, 1Geisinger Medical Center, Bloomsburg, PA, 2Geisinger Medical Center Internal Medicine Residency, Danville, PA, 3Geisinger Medical Center, Danville, PA, 4Geisinger Medical Center, Danville, 5Geisinger Health System, Danville, 6Geisinger Health System, Danville, PA

    Background/Purpose: Human leukocyte antigen (HLA)-B27 is linked to spondyloarthropathies (SpA), uveitis, and inflammatory bowel disease (IBD). By analyzing ordering diagnoses and final diagnoses during patient…
  • Abstract Number: 0496 • ACR Convergence 2024

    Dissecting Early RA Patient Trajectories Through Time-independent Disease State Identification Identifies Distinct Patterns Dissected by Inflammation in Blood or Joints

    Nils Steinz1, Tjardo Maarseveen2, Andrew Cope3, John Isaacs4, Aaron Winkler5, Thomas Huizinga6, Yann Abraham7 and Rachel Knevel1, 1Department of Rheumatology, Leiden University Medical Center, Leiden, Netherlands, 2Department of Rheumatology, Leiden University Medical Center, Wormerveer, Netherlands, 3King's College London, London, United Kingdom, 4Translational and Clinical Research Institute, NIHR Newcastle Biomedical Research Centre, Newcastle University and The Newcastle Upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, United Kingdom, 5Pfizer Inc., Cambridge, MA, 6Department of Rheumatology, Leiden University, Leiden, Netherlands, 7Janssen Research and Development, Beerse, Belgium

    Background/Purpose: Patients with RA display different trajectories in the improvement of disease activity. Discerning the RA trajectories, how they differ between patients and which factors…
  • Abstract Number: 0499 • ACR Convergence 2024

    PD-1hiCXCR5-CD4+T Peripheral Helper Cells Enrich in Rheumatoid Arthritis and Predict Clinical Response to Anti-TNF Treatment

    Wanki Ho1, Huaqun Zhu1, Hua Ye1, Dongdong Fu2 and Xi Xu1, 1Peking University People's Hospital, Beijing, China, 2Xinxiang Central Hospital, Xinxiang, Henan, China (People's Republic)

    Background/Purpose: PD-1hiCXCR5-CD4+T peripheral helper cells (Tph) are newly identified pathogenic CD4+T helper cells and participate in rheumatoid arthritis (RA) pathogenesis. However, the clinical significance of…
  • Abstract Number: 0645 • ACR Convergence 2024

    Mortality and Ethnicity in Adults with Systemic Lupus Erythematosus: A Systematic Literature Review and Meta-Analysis

    Samir Patel1, Zijing Yang1, deepak Nagra1, Maryam Adas2, Mark Russell1, Sam Norton1, Chris Wincup3, James Galloway4, Kate Bramham2 and Patrick Gordon5, 1King's College London, London, England, United Kingdom, 2King's College London, London, United Kingdom, 3King's College Hospital, London, United Kingdom, 4Centre for Rheumatic Diseases, King's College London, London, United Kingdom, 5nhs, London, United Kingdom

    Background/Purpose: Ethnicity and health outcomes are intrinsically interrelated, although mechanisms are complex. Systemic lupus erythematosus (SLE) is a disease with higher incidence in non-White populations…
  • Abstract Number: 0583 • ACR Convergence 2024

    Impact of Prior Tumor Necrosis Factor Inhibitor Treatment and Baseline Psoriatic Arthritis Disease Activity on Minimal Clinically Important Improvement Thresholds for Efficacy Outcomes: Post Hoc Analysis of Three Phase 3 Studies of Guselkumab in Patients with Active Psoriatic Arthritis

    Alexis Ogdie1, Philip Mease2, Francois Nantel3, Frederic Lavie4, Mohamed Sharaf5, Emmanouil Rampakakis6, Helena Marzo-Ortega7 and Laure Gossec8, 1Department of Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, 2Swedish Medical Center/Providence St. Joseph Health; University of Washington School of Medicine, Seattle, WA, 3Nantel MedSci Consult, Montreal, QC, Canada, 4Janssen Cilag Global Medical Affairs, Immunology Global Medical Affairs, Issy les Moulineaux, France, 5Johnson & Johnson, Middle East FZ LLC, Dubai, UAE, Dubai, United Arab Emirates, 6McGill University, Department of Pediatrics / Scientific Affairs, JSS Medical Research Inc., Montreal, QC, Canada, 7NIHR Leeds Biomedical Research Centre, Leeds Teaching Hospitals NHS Trust and Leeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds, Leeds, United Kingdom, 8Sorbonne Université, Paris, France

    Background/Purpose: PsA disease activity (DA) and impact on patients (pts) are measured with clinical and pt-reported outcomes1. Minimal clinically important improvement (MCII), the smallest improvement…
  • Abstract Number: 0606 • ACR Convergence 2024

    Choice of Biologic Immunotherapy for Psoriasis or Psoriatic Arthritis Not Associated with Risk of Major Adverse Cardiac Events

    Bonit Gill1, Jack Geiger1, Jean Liew2, Michael Putman3 and Shikha Singla1, 1Medical College of Wisconsin, Milwaukee, WI, 2Boston University, Boston, MA, 3The Medical College of Wisconsin, Milwaukee, WI

    Background/Purpose: Individuals with psoriasis or psoriatic arthritis (PsO/PsA) have an elevated risk ofmajor adverse cardiac events (MACE), which include congestive heart failure (CHF), myocardialinfarction (MI),…
  • Abstract Number: 0509 • ACR Convergence 2024

    Trends in Initiation of Disease-Modifying Antirheumatic Drugs for Rheumatoid Arthritis Among Commercially-Insured US Adults, 2001-2021

    Lydia Lee1, Jeffrey Sparks2, Priyanka Yalamanchili1, Daniel B. Horton3, Zeba Khan4, Joseph Barone4 and Chintan Dave5, 1Rutgers University, New Brunswick, NJ, 2Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA, Boston, MA, 3Center for Pharmacoepidemiology and Treatment Science, Institute for Health, Health Care Policy, and Aging Research; Department of Biostatistics and Epidemiology, Rutgers School of Public Health; Department of Pediatrics, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, 4Rutgers University, New Brunswick, 5Center for Pharmacoepidemiology and Treatment Science, Institute for Health, Health Care Policy, and Aging Research; Center for Health Outcomes, Policy & Economics, Rutgers Ernest Mario School of Pharmacy and Rutgers School of Public Health, New Brunswick, NJ

    Background/Purpose: Despite the increasing availability of newer RA therapies, there is a paucity of data comprehensively evaluating long-term trends for individual DMARDs in the US.…
  • Abstract Number: 0651 • ACR Convergence 2024

    Renal Survival and Mortality in Patients with Proliferative and Membranous Lupus Nephritis

    Jung-Min Shin1, Jiyoung Lee2, Hye-Soon Lee3, Sang-Cheol Bae3 and So-Young Bang3, 1Department of Rheumatology, Nowon Eulji Medical Center, Seoul, Republic of Korea, 2Hanyang University Institute for Rheumatology Research, Seoul, Republic of Korea, 3Department of Rheumatology, Hanyang University Hospital for Rheumatic Diseases, Seoul, Republic of Korea

    Background/Purpose: Lupus nephritis (LN) affects approximately 50% of patients and is a major determinant in the survival and prognosis of patients with systemic lupus erythematosus…
  • Abstract Number: 0592 • ACR Convergence 2024

    Sustained Improvements with Bimekizumab in Patient-Reported Symptoms of Axial Spondyloarthritis: 2-Year Results from Two Phase 3 Studies

    Helena Marzo-Ortega1, Philip Mease2, Maxime Dougados3, Maureen Dubreuil4, Marina Magrey5, Martin Rudwaleit6, Maria Antonietta D'Agostino7, Christine de la Loge8, Ute Massow9, Vanessa Taieb10, Diana Voiniciuc11 and Atul Deodhar12, 1NIHR Leeds Biomedical Research Centre, Leeds Teaching Hospitals NHS Trust and Leeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds, Leeds, United Kingdom, 2Swedish Medical Center/Providence St. Joseph Health; University of Washington School of Medicine, Seattle, WA, 3Rheumatology Department, Cochin Hospital and Clinical Epidemiology and Biostatistics, University of Paris, INSERM (U1153), Paris, France, 4Section of Rheumatology, Boston University School of Medicine, Boston, MA, 5Case Western Reserve University School of Medicine/University Hospitals, Richfield, OH, 6University of Bielefeld, Klinikum Bielefeld, Bielefeld, Germany, 7Division of Rheumatology, Fondazione Policlinico Universitario Agostino Gemelli IRCSS, Università Cattolica del Sacro Cuore, Rome, Italy, 8UCB Pharma, Brussels, Belgium, 9UCB Pharma, Monheim am Rhein, Germany, 10UCB Pharma, Colombes, France, 11UCB Pharma, Slough, United Kingdom, 12Division of Arthritis and Rheumatic Diseases, Oregon Health & Science University, Portland, OR

    Background/Purpose: In the phase 3 studies, BE MOBILE 1 and 2, bimekizumab (BKZ), a monoclonal IgG1 antibody that selectively inhibits interleukin (IL)-17F in addition to…
  • Abstract Number: 0612 • ACR Convergence 2024

    Performance of the Systemic Lupus Erythematosus Risk Probability Index (SLERPI): Results from the Egyptian College of Rheumatology (ECR) Study Cohort

    Nevin Hammam1, Ahmed Elsaman2, Esam Abualfadl3, Soha Senara4, Nada M. Gamal5, Mona H. Abd Elsamea5, Abdelhfeez Moshrif6, Samar Tharwat7, Osman Hammam8 and Tamer A Gheita9, 1Rheumatology Department, Faculty of Medicine, Assiut University, Assiut, Egypt, Boston, MA, 2Rheumatology Department, Faculty of Medicine, Sohag University, Sohag, Egypt, 3Rheumatology Department, Faculty of Medicine, Sohag University, Sohag, Egypt; Qena/Luxor Hospitals, Qena, Egypt, Sohag, Egypt, 4Rheumatology Department, Faculty of Medicine, Fayoum University,, Fayoum, Egypt, 5Rheumatology Department, Faculty of Medicine, Assiut University, Assiut, Egypt, Assiut, Egypt, 6Al-azhar university, Assiut, Egypt, 7Rheumatology Unit, Internal Medicine, Mansoura University, Dakahlia, 8Department of Rheumatology and Rehabilitation, Faculty of Medicine, New Valley University, New Valley, Assiut, Egypt, 9Rheumatology Department, Faculty of Medicine, Cairo University, Cairo, Egypt

    Background/Purpose: Systemic lupus erythematosus (SLE) is a complex autoimmune disease characterized by a great heterogeneity and unpredictable flare. In managing patients with SLE, the diagnosis…
  • Abstract Number: 0627 • ACR Convergence 2024

    Clinical Conditions Associated with Presence of a High-titer Antinuclear Antibody in Individuals Without Autoimmune Disease

    Matthew Chung1, John Shelley2, John Still2, Gul Karakoc3, Xiaodi Ruan4, Jonathan D. Mosley4, C. Michael Stein4 and Vivian K. Kawai4, 1VU, Nashville, TN, 2VUMC, Nashville, TN, 3Vanderbilt University Medical Center, Mt. Pleasant, SC, 4Vanderbilt University Medical Center, Nashville, TN

    Background/Purpose: Antinuclear antibodies (ANAs) are a diverse group of autoantibodies that are commonly present in SLE and other autoimmune (AI) disorders. However, a positive ANA…
  • Abstract Number: 0623 • ACR Convergence 2024

    Select Patient Reported Outcome Measure Domains Enhance Immune Mediator Based Indexes That Inform Flare Risk and Disease Activity in Systemic Lupus Erythematosus

    Melissa Munroe1, Daniele DeFreese2, Adrian Holloway2, Mohan Purushothaman2, Wade DeJager3, Susan Macwana3, Joel Guthridge4, Stan Kamp3, Nancy Redinger3, Teresa Aberle4, Eliza Chakravarty4, Cristina Arriens4, Yanfeng Li5, hu Zeng5, Uma Thanarajasingam5, Judith James4 and Eldon Jupe2, 1Oklahoma Medical Research Foundation; Progentec Diagnostics, Inc., Oklahoma City, OK, 2Progentec Diagnostics, Inc., Oklahoma City, 3Oklahoma Medical Research Foundation, Oklahoma City, 4Oklahoma Medical Research Foundation, Oklahoma City, OK, 5Mayo Clinic, Rochester

    Background/Purpose: We have recently validated a plasma Lupus Flare Risk Index (L-FRI; Munroe et al. Ann Rheum Dis. 2024. 83 [Supp 1]: 402) and Lupus…
  • Abstract Number: 0516 • ACR Convergence 2024

    Management of Elederly Patients with Rheumatoid Arthritis Treated with Tocilizumab : Comparison of Patients over and Under 75 Years Old

    Bruno Fautrel1, Alain SARAUX2, Isabelle Idier3, Henri Bonnabau4, Geoffray Bizouard5 and BERNARD COMBE6, 1INSERM, UMRS 1136, Institut Pierre Louis d'Epidémiologie et de Santé Publique, and Sorbonne University – Assistance Publique-Hôpitaux de Paris, Département de Rhumatologie, Hôpital Pitié-Salpêtrière, Paris, Ile-de-France, France, 2CHU Brest, Brest, France, 3Chugai Pharma france, Puteaux, Ile-de-France, France, 4IQVIA France, Bordeaux, France, 5IQVIA France, La Defense, Ile-de-France, France, 6Montpellier University, LA GRANDE MOTTE, Languedoc-Roussillon, France

    Background/Purpose: Few real-life long-term data are available in RA patients initiating tocilizumab (TCZ) depending on age. The objective of this study was to compare the…
  • Abstract Number: 0660 • ACR Convergence 2024

    Hydroxychloroquine Users at Lower Risk of Kidney Function Decline in Lupus Nephritis

    Shivani Garg1, Brad Rovin2, Brad Astor1, Tripti Singh1, Lexie Kolton1, Callie Saric1, S. Sam Lim3 and Christie Bartels4, 1University of Wisconsin, School of Medicine and Public Health, Madison, Madison, WI, 2The Ohio State University, Columbus, OH, 3Emory University, Atlanta, GA, 4University of Wisconsin School of Medicine and Public Health, Madison, WI

    Background/Purpose: Hydroxychloroquine (HCQ) is the cornerstone in treatment of systemic lupus erythematosus (SLE), yet its role in preventing kidney function decline in lupus nephritis (LN)…
  • Abstract Number: 0607 • ACR Convergence 2024

    Plasma Proteomic Analysis Reveals Type I Interferon Blockade Effects of Anifrolumab in Lupus Nephritis: Insights from a Phase 2 Trial

    Andrea Fava1, Michelle Petri2, David Jayne3, Patrick G Gavin4, Eszter Csomor5, Philip Z Brohawn4, Daniel Muthas6, Adam Platt5, Catharina Lindholm7 and Nicola Ferrari5, 1Divison of Rheumatology, Johns Hopkins University, Baltimore, MD, 2Johns Hopkins University School of Medicine, Timonium, MD, 3University of Cambridge, Cambridge, United Kingdom, 4BioPharmaceuticals R&D, AstraZeneca, Gaithersburg, MD, 5BioPharmaceuticals R&D, AstraZeneca, Cambridge, United Kingdom, 6BioPharmaceuticals R&D, AstraZeneca, Gothenburg, Sweden, 7BioPharmaceuticals Medical, AstraZeneca, Gothenburg, Sweden

    Background/Purpose: An elevated type I interferon gene signature (IFNGS) is associated with more active disease in patients with LN.1 Anifrolumab, a type I interferon receptor…
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