ACR Meeting Abstracts

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  • Abstract Number: 1824 • 2019 ACR/ARP Annual Meeting

    Perceived Stress Independently Associates with Worse Type 2 Symptoms in Systemic Lupus Erythematosus

    Sarah Patterson1, Laura Trupin 1, Cristina Lanata 1, Louise Murphy 2, Wendy Hartogenesis 1, Maria Dall'Era 1, Jinoos Yazdany 3 and Patricia Katz 1, 1University of California, San Francisco, San Francisco, CA, 2Centers for Disease Control and Prevention, Division of Population Health, Atlanta, 3UCSF Division of Rheumatology, San Francisco, CA

    Background/Purpose: A new posited framework for categorizing patients with systemic lupus erythematosus (SLE) is the division of symptomatology into two groups: type 1 manifestations represent…
  • Abstract Number: 1825 • 2019 ACR/ARP Annual Meeting

    Comparison of the Thrombosis Risk Score with Triple Positivity in SLE Thrombosis

    Michelle Petri1, Jessica Li 1, John Conklin 2, Tyler O'Malley 3, Jo-Anne Ligayon 2, Leilani Wolover 2 and Thierry Dervieux 2, 1Johns Hopkins University School of Medicine, Baltimore, MD, 2Exagen, Vista, CA, 3Exagen, Oceanside, CA

    Background/Purpose: We previously developed a Thrombosis Risk Score, a sum of three factors: lupus anticoagulant (by RVVT confirm); low C3; and C4d bound to platelets.…
  • Abstract Number: 1826 • 2019 ACR/ARP Annual Meeting

    Describing Intra-Individual Cognitive Function Course over Time in Lupus Patients: Persistent and Fluctuating Cognitive Impairment, Affected Cognitive Domains, and Severity

    Oshrat Tayer-Shifman1, Dorcas Beaton 2, Robin Green 3, Lesley Ruttan 3, Joan Wither 4, Maria Tartaglia 5, Mahta Kakvan 1, Sabrina Lombardi 3, Nicole Anderson 1, Jiandong Su 1, Dennisse Bonilla 1, Moe Zandy 1, May Choi 6, Marvin Fritzler 6 and Zahi Touma 7, 1University Health Network, University of Toronto, Toronto, ON, Canada, 2St. Michael's Hospital, Toronto, ON, Canada, 3University Health Network, Toronto, ON, Canada, 4University Health Network, Krembil Research Institute, Toronto, ON, Canada, 5University Health Network, University of Toronto, Toronto, ON, Canada, 6Cumming School of Medicine, University of Calgary, Calgary, AB, Canada, 7University Health Network, University of Toronto, Toronto, Canada

    Background/Purpose: Cognitive impairment (CI) is a common manifestation of systemic lupus erythematosus (SLE). The course of CI in SLE patients has been described as persistent…
  • Abstract Number: 1827 • 2019 ACR/ARP Annual Meeting

    Clinical Implications of Neutrophil Extracellular Traps in Systemic Lupus Erythematosus

    Stanley Moore 1, Hsin-Hsuan Juo 1, Christoffer Nielsen 2, Helena Tyden 3, Anders Bengtsson 3 and Christian Lood1, 1University of Washington, Seattle, 2Statens Serum Institut, Copenhagen, Denmark, 3Lund University, Lund, Sweden

    Background/Purpose: Neutrophil activation, including formation of neutrophil extracellular traps (NETs), is essential in host defense. However, NET formation has also been linked to inflammation and…
  • Abstract Number: 1828 • 2019 ACR/ARP Annual Meeting

    Avascular Necrosis Is Associated with APOL1 Variants in African Americans with Systemic Lupus Erythematosus

    Kevin Yip1, Elizaveta Efuni 2, Yingzhi Qian 1, Robert Clancy 3, Jill Buyon 2 and Ashira Blazer 1, 1New York University School of Medicine, New York City, 2New York University School of Medicine, New York, NY, 3New York University School of Medicine, New York

    Background/Purpose: African Americans (AA) with systemic lupus erythematous (SLE) are at higher risk for both renal disease and avascular necrosis (AVN). The two Apolipoprotein L1…
  • Abstract Number: 1829 • 2019 ACR/ARP Annual Meeting

    Ability of Inflammatory and Regulatory Soluble Mediators to Forecast Impending Clinical Disease Flare and Inform a Refined Lupus Flare Prediction Index in a Confirmatory Cohort of SLE Patients

    Melissa E. Munroe1, Sarah Kleckner 1, Wade DeJager 1, Susan R. Macwana 1, Joel Guthridge 2, Eldon Jupe 3, Mohan Purushothaman 3, Sanjiv Sharma 3, Nancy Redinger 1, Teresa Aberle 1, Stan Kamp 1, Cristina Arriens 2, Eliza F. Chakravarty 2, Joan T. Merrill 4 and Judith James 2, 1Oklahoma Medical Research Foundation, Oklahoma City, OK, 2Oklahoma Medical Research Foundation, University of Oklahoma Health Sciences Center, Oklahoma City, OK, 3Progentec Diagnostics, Inc., Oklahoma City, OK, 4Okalahoma Medical Research Foundation, Oklahoma City, OK

    Background/Purpose: SLE is marked by altered immune regulation linked to waxing and waning clinical disease activity. This study seeks to verify the alteration of inflammatory…
  • Abstract Number: 1830 • 2019 ACR/ARP Annual Meeting

    Short- and Long-term Morbidity and Mortality Outcomes of African American Patients with Systemic Sclerosis-Related Interstitial Lung Disease

    Elizabeth Volkmann1, Virginia Steen 2, Ning Li 3, Michael Roth 4, Philip Clements 3, Dinesh Khanna 5, Daniel Furst 6, Shervin Assassi 7, Grace Kim 3, Jonathan Goldin 3, Robert Elashoff 3 and Donald Tashkin 3, 1University of California, Los Angeles, David Geffen School of Medicine, Los Angeles, 2Georgetown University, Washington, D.C., USA, Georgetown, 3University of California, Los Angeles, David Geffen School of Medicine, Los Angeles, 4University of California, Los Angeles, David Geffen School of Medicine, Los Angeles, CA, 5Department of Medicine, University of Michigan, Ann Arbor, Michigan, USA, Ann Arbor, 6University of California, Los Angeles, CA, 7Division of Rheumatology and Clinical Immunogenetics, University of Texas McGovern Medical School, Houston, Texas, USA, Houston, TX

    Background/Purpose: Observational studies have demonstrated that African American (AA) patients with systemic sclerosis (SSc) have a more unfavorable prognosis compared with non-AA. However, no studies…
  • Abstract Number: 1831 • 2019 ACR/ARP Annual Meeting

    Subtypes of Scleroderma Lung Involvement Associated with Burden of Disease and Outcomes

    Sarah French1, Kim Taylor 1, Stephanie Rush 2 and Francesco Boin 1, 1UCSF, San Francisco, CA, 2University of California, San Francisco, San Francisco, CA

    Background/Purpose: Pulmonary disease is a leading cause of mortality in scleroderma (SSc). Previous studies indicate that the coexistence of pulmonary hypertension (PH) and interstitial lung…
  • Abstract Number: 1832 • 2019 ACR/ARP Annual Meeting

    Reliability of Traditional Cardiovascular Risk Calculators in Predicting Risk of Cardiovascular Disease in Systemic Sclerosis

    Yasser Radwan1, Reto Kurmann 2, Avneek Singh Sandhu 3, Cynthia Crowson 4, Eric Matteson 5, Thomas Osborn 1, Kenneth Warrington 2, Rekha Mankad 1 and Ashima Makol 1, 1Mayo Clinic Minnesota, rochester, MN, 2Mayo Clinic Rochester, rochester, MN, 3kettering health, dayton, OH, 4Mayo Clinic Rochester, Rochester, 5Mayo Clinic College of Medicine and Science, Rochester, Minnesota, USA, Rochester

    Background/Purpose: Most cardiovascular (CV) risk calculators including the Framingham risk score (FRS) and American College of Cardiology (ACC) / American Heart Association (AHA) risk score…
  • Abstract Number: 1833 • 2019 ACR/ARP Annual Meeting

    Efficacy and Safety of Nintedanib in Patients with Systemic Sclerosis-Associated Interstitial Lung Disease by Use of Mycophenolate at Baseline: Subgroup Analysis of the SENSCIS Trial

    Kristin Highland1, Oliver Distler 2, Masataka Kuwana 3, Yannick Allanore 4, Shervin Assassi 5, Arata Azuma 6, Arnaud Bourdin 7, Christopher Denton 8, Jörg Distler 9, Anna Maria Hoffmann-Vold 10, Dinesh Khanna 11, Maureen Mayes 5, Ganesh Raghu 12, Madelon Vonk 13, Martina Gahlemann 14, Mannaig Girard 15, Susanne Stowasser 16, Donald Zoz 17, Aryeh Fischer 18 and Toby Maher 19, 1Cleveland Clinic, Cleveland, Ohio, USA, Cleveland, OH, 2Dept. of Rheumatology, University Hospital Zürich, Zürich, Switzerland, Zürich, Switzerland, 3Department of Allergy and Rheumatology, Nippon Medical School Graduate School of Medicine, Tokyo, Japan, Bunkyo-ku, Tokyo, Japan, 4Dept. of Rheumatology A, Descartes University, APHP, Cochin Hospital, Paris, France, Paris, France, 5Division of Rheumatology and Clinical Immunogenetics, University of Texas McGovern Medical School, Houston, Texas, USA, Houston, TX, 6Department of Pulmonary Medicine and Oncology, Graduate School of Medicine, Nippon Medical School, Tokyo, Japan, Tokyo, Japan, 7PhyMedExp, University of Montpellier, INSERM U1046, CNRS UMR 9214 and Department of Respiratory Diseases, University of Montpellier, CHU Montpellier, Montpellier, France, Montpellier, 8University College London Division of Medicine, Centre for Rheumatology and Connective Tissue Diseases, London, UK, London, United Kingdom, 9Department of Internal Medicine 3 – Rheumatology and Immunology, Friedrich-Alexander-University Erlangen-Nürnberg (FAU) and University Hospital Erlangen, Erlangen, Germany, Erlangen, Germany, 10Department of Rheumatology, Oslo University Hospital, Oslo, Norway, Oslo, Norway, 11Department of Medicine, University of Michigan, Ann Arbor, Michigan, USA, Ann Arbor, 12University of Washington, Seattle, USA, Seattle, 13Department of Rheumatology, Radboud University Medical Center, Nijmegen, The Netherlands, Nijmegen, Gelderland, Netherlands, 14Boehringer Ingelheim (Schweiz) GmbH, Basel, Switzerland, Basel, Switzerland, 15Boehringer Ingelheim France S.A.S., Reims, France, Reims, France, 16Boehringer Ingelheim International GmbH, Ingelheim am Rhein, Germany, Ingelheim am Rhein, Germany, 17Boehringer Ingelheim Pharmaceuticals, Inc., Ridgefield, Connecticut, USA, Ridgefield, CT, 18University of Colorado School of Medicine, Denver, Colorado, USA, Denver, CO, 19National Heart and Lung Institute, Imperial College London, UK and National Institute for Health Research Clinical Research Facility, Royal Brompton Hospital, London, UK, London, United Kingdom

    Background/Purpose: In the SENSCIS trial in patients with systemic sclerosis-associated interstitial lung disease (SSc-ILD), nintedanib reduced the annual rate of decline in forced vital capacity…
  • Abstract Number: 1834 • 2019 ACR/ARP Annual Meeting

    Serum Interferon Chemokine Score Predicts Better Response to Immunosuppression in Systemic Sclerosis Related Interstitial Lung Disease

    Shervin Assassi1, Ning Li 2, Elizabeth Volkmann 3, Maureen Mayes 1, Jun Ying 4, Michael Roth 5, Philip Clements 2, Daniel Furst 6, Dinesh Khanna 7, Jonathan Goldin 2, Robert Elashoff 2 and Donald Tashkin 2, 1Division of Rheumatology and Clinical Immunogenetics, University of Texas McGovern Medical School, Houston, Texas, USA, Houston, TX, 2University of California, Los Angeles, David Geffen School of Medicine, Los Angeles, 3University of California, Los Angeles, David Geffen School of Medicine, Los Angeles, 4University of Texas McGovern Medical School at Houston, Houston, TX, 5University of California, Los Angeles, David Geffen School of Medicine, Los Angeles, CA, 6University of California, Los Angeles, CA, 7Department of Medicine, University of Michigan, Ann Arbor, Michigan, USA, Ann Arbor

    Background/Purpose: Response to immunosuppression is highly variable in systemic sclerosis (SSc) related interstitial lung disease (ILD), and there are no widely accepted clinical or biological…
  • Abstract Number: 1835 • 2019 ACR/ARP Annual Meeting

    Frequency and Predictors of Meaningful Decline in Forced Vital Capacity During Follow up оf a Large Cohort of Systemic Sclerosis Associated Pulmonary Fibrosis Patients

    Svetlana Nihtyanova1, Emma Derrett-Smith 1, Carmen Fonseca 1, Voon Ong 2 and Christopher Denton 3, 1UCL Medical School, Royal Free Campus, London, United Kingdom, 2UCL Medical School, Royal Free Campus, London, 3University College London Division of Medicine, Centre for Rheumatology and Connective Tissue Diseases, London, UK, London, United Kingdom

    Background/Purpose: Pulmonary fibrosis (PF) is common in systemic sclerosis (SSc) and serial pulmonary function tests (PFTs) are used for routine PF monitoring. Forced vital capacity…
  • Abstract Number: 1836 • 2019 ACR/ARP Annual Meeting

    Clinical Outcomes of Patients with Giant Cell Arteritis with Polymyalgia Symptoms Only vs Cranial Symptoms Only Treated with Tocilizumab or Placebo in a Randomized Clinical Trial

    Robert Spiera1, Sebastian Unizony 2, Min Bao 3, Yves Luder 4, Páris Sidiropoulos 3, Jian Han 3, Jinglan Pei 3 and John Stone 2, 1Hospital for Special Surgery, New York, NY, 2Massachusetts General Hospital Rheumatology Unit, Harvard Medical School, Boston, MA, 3Genentech, South San Francisco, CA, 4F. Hoffmann-La Roche, Basel, Switzerland

    Background/Purpose: GiACTA, a randomized, double-blind, placebo (PBO)–controlled study, demonstrated the efficacy and safety of tocilizumab (TCZ) in patients with giant cell arteritis (GCA).1 Growing evidence…
  • Abstract Number: 1837 • 2019 ACR/ARP Annual Meeting

    Ustekinumab for the Treatment of Giant Cell Arteritis

    Mark Matza1, John Stone 1, Ana Fernandes 1 and Sebastian Unizony 1, 1Massachusetts General Hospital Rheumatology Unit, Harvard Medical School, Boston, MA

    Background/Purpose: Disease flare despite high cumulative glucocorticoid exposure is one of the hallmarks of giant cell arteritis (GCA). Tocilizumab is effective in controlling disease activity…
  • Abstract Number: 1838 • 2019 ACR/ARP Annual Meeting

    Time to Flare in Patients with New-Onset versus Relapsing Giant Cell Arteritis Treated with Tocilizumab or Placebo Plus Prednisone Tapering: 3-Year Results from a Randomized Controlled Phase 3 Trial

    John Stone1, Helen Spotswood 2, Sebastian Unizony 1, Martin Aringer 3, Daniel Blockmans 4, Elisabeth Brouwer 5, Maria C. Cid 6, Bhaskar Dasgupta 7, Jürgen Rech 8, Carlo Salvarani 9, Robert Spiera 10 and Min Bao 11, 1Massachusetts General Hospital Rheumatology Unit, Harvard Medical School, Boston, MA, 2Roche Products, Ltd., Welwyn Garden City, United Kingdom, 3Division of Rheumatology, Department of Medicine III, University Medical Center & Faculty of Medicine Carl Gustav Carus, TU Dresden, Dresden, Germany, Dresden, Germany, 4Department of General Internal Medicine, University Hospitals Gasthuisberg, Leuven, Belgium, 5Department of Rheumatology and Clinical Immunology, University of Groningen, University Medical Center Groningen, Groningen, Netherlands, 6Department of Autoimmune Diseases, Hospital Clínic, University of Barcelona, Institut d’Investigacions Biomèdiques August Pi i Sunyer, Barcelona, Spain, 7Southend University Hospital, NHS Foundation Trust, Westcliff-on-Sea, United Kingdom, 8Department of Internal Medicine 3, Friedrich-Alexander-University Erlangen-Nuremberg (FAU) and Universitätsklinikum Erlangen, Erlangen, Germany, 9Division of Rheumatology, Arcispedale Santa Maria Nuova-IRCCS, Reggio Emilia, Italy, 10Hospital for Special Surgery, New York, NY, 11Genentech, South San Francisco, CA

    Background/Purpose: Tocilizumab (TCZ) administered subcutaneously every week (QW) or every other week (Q2W) with 26-week prednisone tapering was superior to placebo (PBO) plus 26-week (PBO+26)…
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