ACR Meeting Abstracts

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  • Abstract Number: 0581 • ACR Convergence 2025

    Effects of Apremilast on Body Mass Index, Weight, and HbA1c as Cardiometabolic Outcomes in Patients With Early Oligoarticular Psoriatic Arthritis in the FOREMOST Study

    Philip J. Mease1, Álvaro González Cantero2, Jennifer Soung3, April Armstrong4, Joseph F Merola5, Fabian Proft6, Laure Gossec7, Dafna D. Gladman8, Laura Coates9, Lichen Teng10, Jimena Vázquez11, Cynthia Deignan12 and Arthur Kavanaugh13, 1Department of Rheumatology, Providence-Swedish Medical Center and University of Washington, Seattle, WA, 2Department of Dermatology, Ramón y Cajal University Hospital, Madrid, Spain, 3Southern California Dermatology, Inc, Santa Ana, CA, USA, Santa Ana, 4University of California Los Angeles, Los Angeles, 5Department of Dermatology and Department of Medicine, UT Southwestern Medical Center, Dallas, TX, 6Department of Gastroenterology, Infectiology and Rheumatology (including Nutrition Medicine), Charité – Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany, 7Sorbonne Université, Pitié Salpêtrière Hospital, Paris, France, 8Schroeder Arthritis Institute, Krembil Research Institute, Toronto Western Hospital, Division of Rheumatology, Toronto, ON, Canada, 9Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, England, United Kingdom, 10Amgen Inc., Thousand Oaks, 11Amgen Inc., Thousand Oaks, CA, 12Amgen, Inc., Agoura Hills, CA, 13University of California, San Diego, School of Medicine, San Diego, CA

    Background/Purpose: The prevalence of cardiometabolic diseases, including obesity and diabetes, is higher in patients with psoriatic arthritis (PsA) than those without PsA.1,2 Metabolic syndrome is…
  • Abstract Number: 0578 • ACR Convergence 2025

    Real-world Effectiveness of Upadacitinib on Group for Research and Assessment of Psoriasis and Psoriatic Arthritis Core Domains for Patients with Psoriatic Arthritis: Data from the CorEvitas Psoriatic Arthritis/Spondyloarthritis Registry

    Philip J. Mease1, Xiaolan Ye2, Christopher Saffore3, Thomas Iyile4, Nicole Middaugh5, Taylor Blachley5, Melissa Eliot5 and Alexis Ogdie6, 1Department of Rheumatology, Providence-Swedish Medical Center and University of Washington, Seattle, WA, 2AbbVie Inc., Mettawa, IL, 3AbbVie Inc., waukegan, IL, 4AbbVie Inc, North Chicago, IL, 5CorEvitas, LLC, Waltham, MA, 6Department of Medicine, Perelman School of Medicine at the University of Pennsylvania, Wilmington, DE

    Background/Purpose: Psoriatic arthritis (PsA) is a heterogenous inflammatory disease that can cause substantial impairment in quality of life in affected patients. The Group for Research…
  • Abstract Number: 0650 • ACR Convergence 2025

    Obinutuzumab Demonstrates Steroid-Sparing Effects and Consistent Benefit In Patients with Lupus Nephritis When Using Multiple Primary Endpoint Definitions: A Secondary Analysis of Phase III Trial Results

    Brad Rovin1, Jay Garg2, Richard Furie3, Rachel Jones4, Amit Saxena5, Pasquale Esposito6, Elsa Martins7, Claire Petry7, Nicolas Frey7, Bongin Yoo2, Imran Hassan8, Thomas Schindler7, Theodore Omachi9, William Pendergraft2, Mittermayer Santiago10, Gustavo Aroca Martínez11 and Ana Malvar12, 1The Ohio State University, Columbus, OH, 2Genentech, Inc., South San Francisco, CA, 3Division of Rheumatology, Northwell Health, Great Neck, NY, 4Renal Medicine, Cambridge University Hospitals, Cambridge, England, United Kingdom, 5Division of Rheumatology, Department of Medicine, NYU Grossman School of Medicine, New York, NY, 6Clinica Nefrologica, Dialisi, Trapianto, Department of Internal Medicine, University of Genoa and IRCCS Ospedale Policlinico San Martino, Genova, Italy, 7F. Hoffmann-La Roche Ltd, Basel, Switzerland, 8Hoffmann-La Roche Ltd, Mississauga, ON, Canada, 9Genentech, Inc., South San Francisco, 10Bahiana School of Medicine and Public Health and UFBA, Federal University of Bahia, and Clínica SER da Bahia, Salvador, Bahia, Brazil, 11Universidad Simón Bolívar, Barranquilla, Colombia y Clínica de la Costa, Barranquilla, Colombia, 12Organización Médica de Investigación, Buenos Aires, Argentina

    Background/Purpose: The Phase III REGENCY study (NCT04221477) demonstrated superiority of obinutuzumab (OBI) over placebo (PBO) in achieving complete renal response (CRR) at Week 76 when…
  • Abstract Number: 0730 • ACR Convergence 2025

    Levels of Disease Activity and Their Relationship With Health-Related Quality of Life In ANCA-Associated Vasculitis Patients: Data from the Almenara Vasculitis Cohort

    Victor Pimentel-Quiroz1, Alvaro Oyarce-Calderón2, Allison Figueroa-Sánchez3, Leonor León-Yaurimucha3, Rocío Gamboa-Cárdenas4, Zoila Rodríguez-Bellido5, Risto Perich-Campos6, Graciela Alarcón7 and Manuel Ugarte-Gil8, 1Universidad Científica del Sur, San Isidro, Peru, 2Hospital Nacional Guillermo Almenara Irigoyen, San Miguel, Lima, Peru, 3Universidad Científica del Sur, Lima, Peru, 4Universidad Científica del Sur, Lima, Peru, 5Hospital Nacional Guillermo Almenara Irigoyen; Universidad Nacional Mayor de San Marcos, Lima, Peru, 6Hospital Nacional Guillermo Almenara Irigoyen; Universidad Nacional Mayor de San Marcos, La Molina, Peru, 7The University of Alabama at Birmingham, Oakland, CA, 8Universidad Cientifica del Sur, Lima, Peru

    Background/Purpose: It is known that health-related quality of life (HRQoL) in patients with ANCA-associated vasculitis (AAV) is impaired. Categories of disease activity levels have been…
  • Abstract Number: 0679 • ACR Convergence 2025

    Inhibition of TGFb3 in Systemic Sclerosis Patients Does Not Result in TGFb Pathway Modulation in Skin Biopsies or Circulation

    Parisa Mazrooei, Xuting Rebecca Sheng, Xiaoyun Yang, Lyrialle Han, Samira Jamalian, Daniel Repplinger, Jingxuan He, Evelin Logis, Jeongsup Shim, Angela Hendricks, Lena Wang, Andrew Thorley and Sara Glickstein, Genentech/Roche, South San Francisco

    Background/Purpose: There are 3 isoforms of Transforming Growth Factor Beta (TGFb), a cytokine frequently upregulated in fibrosis. Chronic targeting of TGFb1 and TGFb2 for fibrotic…
  • Abstract Number: 0642 • ACR Convergence 2025

    Belimumab-Based Triple Therapy in Proliferative Lupus Nephritis: Renal Outcomes and Glucocorticoid Tapering in a Real-World Multicenter Cohort

    Paola Vidal Montal1, Javier Narváez2, Aina Fabregat3, Iñigo Rúa-Figueroa4, José María Pego-Reigosa5, Andrea Hernández-martín6, Clara Moriano7, Maria Garcia-Villanueva8, Sandra Garrote Corral9, Sergi Heredia10, Julia Martínez Barrio11, Júlia Bernardez Moreno12, Paloma Vela Casasempere13, Beatriz Tejera Segura14, Leyre Riancho15, Francisco Javier Novoa16, Vicenç Torrente-Segarra17, Maria Piqueras García18, Beatriz Frade Sosa19, José Gomez-Puerta20, Consuelo Ramos Giraldez21, Tarek Salman Montes22, María Galindo-Izquierdo23, EVA GLORIA TOMERO MURIEL24, Jaime calvo25, Jorge Juan Fragío Gil26, Marta De la Rubia Navarro27, Berta Magallares28 and Irene Altabás-González29, 1Bellvitge University Hospital, Barcelona, Spain, 2Hospital Universitario de Bellvitge, Barcelona, Spain, 3Department of Rheumatology. Hospital Universitario de Bellvitge., Barcelona, Spain, 4Hospital de Gran Canaria Doctor Negrin, Las Palmas GC, Spain, 5Department of Rheumatology, University Hospital of Vigo, Vigo, Spain; IRIDIS Group (Investigation in Rheumatology and Immune-Diseases), Galicia Sur Health Research Institute, Vigo, Spain, 6Hospital Universitario de Gran Canaria Dr Negrín, Las palmas, Spain, 7Hospital León, LEON, Castilla y Leon, Spain, 8Hospital Ramón y Cajal, Madrid, Spain, 9Hospital Ramón y Cajal, Madrid, 10Hospital Moisès Broggi, Barcelona, Spain, 11Department of Rheumatology, Hospital Gregorio Marañón, Madrid, Spain, Madrid, Madrid, Spain, 12Hospital de Sant Pau, Barcelona, Spain, 13Hospital General Universitario Alicante, Alicante, Comunidad Valenciana, Spain, 14Hospital Insular de Gran Canaria, Las palmas, Spain, 15Hospital de Sierrallana, Torrelavega, 16Hospital Insular de Gran Canaria, Las palmas, 17Hospital Comarcal Alt Penedés Garraf, Vilafranca del Penedès, Spain, 18Servicio Murciano de Salud, Murcia, Spain, 19Hospital Clinic de Barcelona, Barcelona, Catalonia, Spain, 20Rheumatology Department, Hospital Clinic, Barcelona, Spain, Barcelona, Spain, 21Hospital Universitario Virgen de Valme, Servicio de Reumatología, Seville, Spain, 22Hospital del Mar/Parc de Salut Mar-IMIM, Barcelona, Spain, 23Department of Rheumatology, Hospital Universitario 12 de Octubre, Madrid, Spain, Madrid, Madrid, Spain, 24Hospital Universitario de la Princesa, Madrid, Spain, 25Hospital de Araba, Vitoria, Spain, 26Hospital General Universitario, Valencia, Spain, 27Hospital de La Fe, Valencia, 28Hospital de Sant Pau, Bareclona, 29Complejo Hospitalario de Vigo, Vigo, Spain

    Background/Purpose: The newly published ACR guidelines recommend initiating triple therapy for all patients with proliferative lupus nephritis (LN). While belimumab (BEL) has demonstrated efficacy in…
  • Abstract Number: 0554 • ACR Convergence 2025

    Real world experience with generic Tofacitinib in Axial Spondyloarthritis from North India

    Sanjeev Kapoor1, Babita Bondage1, Niti Kedia1, Mariya Patel1 and Akanksha Kapoor2, 1Indian Spinal Injuries Centre (ISIC), New Delhi, India, 2Bharati Vidyapeeth (Deemed to be University) Medical College and Hospital, Pune, India

    Background/Purpose: Axial spondyloarthritis (AxSpA) is an inflammatory condition that falls under the category of spondyloarthritis (SpA) and significantly affects quality of life, causing symptoms like…
  • Abstract Number: 0860 • ACR Convergence 2025

    Activated protein C resistance and protein C antibodies in the antiphospholipid syndrome alliance for clinical trials and international networking (APS ACTION) clinical database and repository

    Maria Efthymiou1, Ibrahim Tohidi-Esfahani2, Veronica Venturelli1, Maria Tektonidou3, Vittorio Pengo4, Diana Parades-Ruiz5, Ware Branch6, Maria Gerosa7, Cecilia Nalli8, Esther Rodriguez Almaraz9, Michelle Petri10, Ricard Cervera11, Olga Amengual12, Danieli Andrade13, Rohan Willis14, Maria Laura Bertolaccini15, Doruk Erkan16 and Hannah Cohen17, 1University College London, London, United Kingdom, 2University of Sydney, Syndey, Australia, Sydney, Australia, 3National and Kapodistrian University of Athens, Athens, Greece, 4Padova University Hospital, Padova, Italy, 5Biobizkaia Health Research Institute, Barakaldo, Spain, Barakaldo, Spain, 6University of Utah Health Sciences Center, Salt Lake City, UT, 7University of Milan, Milano, Italy, 8ASST SPEDALI CIVILI DI BRESCIA, Brescia, Italy, 9Hospital Universitario 12 de Octubre, Madrid, Spain, Madrid, Spain, 10Johns Hopkins University School of Medicine, Timonium, MD, 11Hospital Clinic Barcelona, Barcelona, Spain, 12Hokkaido University Graduate School of Medicine, Sapporo, Japan, Sapporo, Japan, 13University of Sao Paulo, São Paulo, São Paulo, Brazil, 14University of Texas Medical Branch, Galveston, TX, 15King's College London, London, United Kingdom, 16Hospital for Special Surgery, New York, NY, 17University College London Hospitals NHS Foundation Trust, London, United Kingdom

    Background/Purpose: Dysregulation in the protein C anticoagulant pathway, more specifically acquired resistance to activated protein C (APCr) and antibodies against protein C (anti-PC), has been…
  • Abstract Number: 0875 • ACR Convergence 2025

    Efficacy and Safety of Icotrokinra, a Novel Targeted Oral Peptide (IL-23R-Inhibitor), in Adolescents With Moderate-to-Severe Plaque Psoriasis: Subgroup Analyses From a Phase 3, Randomized, Double-Blind, Placebo-Controlled Study (ICONIC-LEAD)

    Lawrence Eichenfield1, Ricardo Galimberti2, Adelaide Hebert3, Wen-Hui Wang4, Jennifer Soung5, Nina Magnolo6, John Browning7, Angela Moore8, Mark Lebwohl9, Dagmar Wilsmann-Theis10, Joseph F Merola11, Georgios Kokolakis12, Dariusch Mortazawi13, Parbeer Grewal14, Megan Miller15, Joseph Cafone16, Shu Li17, Gigi Jiang17, Fabio Nunes17, Cynthia DeKlotz18 and Amy Paller19, 1University of California, San Diego School of Medicine, La Jolla, CA, USA, La Jolla, CA, 2Hosp Italiano de Buenos Aires, Buenos Aires, Argentina, Buenos Aires, Argentina, 3University of Texas Medical School-Houston, Bellaire, TX, USA, Bellaire, TX, 4Peking University Third Hospital, Haidian District, Beijing, China, Beijing, China (People's Republic), 5Southern California Dermatology, Inc, Santa Ana, CA, USA, Santa Ana, 6University Hospital Muenster, Muenster, Germany, Muenster, Germany, 7Methodist Children's Hospital, San Antonio, TX, USA, San Antonio, TX, 8Baylor University Medical Center, Dallas, TX, USA, Dallas, TX, 9Icahn School of Medicine at Mount Sinai, New York, NY, 10University Hospital Bonn, Center for Skin Diseases, Bonn, Germany, Bonn, Germany, 11Department of Dermatology and Department of Medicine, UT Southwestern Medical Center, Dallas, TX, 12Charité-Universitätsmedizin Berlin, Berlin, Germany, Berlin, Germany, 13Clinical Research Center, Remscheid, Germany, Remscheid, Germany, 14University of Alberta, Edmonton, Alberta, Canada, Edmonton, AB, Canada, 15Johnson & Johnson, San Diego, CA, USA, San Diego, CA,, CA, 16Johnson & Johnson, San Diego, CA, USA, San Diego, CA, CA, 17Johnson & Johnson, Spring House, PA, USA, Spring House, PA, 18Johnson & Johnson, San Diego, CA, USA, San Diego, CA, 19Northwestern University Feinberg School of Medicine, Chicago, IL, USA, Chicago, IL

    Background/Purpose: Icotrokinra (ICO), a novel targeted oral peptide, binds the interleukin (IL)-23 receptor to inhibit IL-23 signaling. ICONIC-LEAD (NCT06095115) is the first Phase 3 study…
  • Abstract Number: 0508 • ACR Convergence 2025

    Serum immune complexes assessed using a cell-reporter assay are associated with serum IFN-alpha levels, disease activity and the risk of incident lymphoma in the ASSESS prospective cohort

    Clementine Pouenat1, Marine Vierling2, Chiara Meier3, Ludivine Robin4, Philippe Kolb5, Hartmut Hengel6, Gaetane Nocturne7, Divi Cornec8, Valerie Devauchelle9, Véronique Le Guern10, Claire larroche11, Damien Sène12, Marion Couderc13, Eric HACHULLA14, Philippe Dieude15, Olivier Vittecoq16, Jacques Morel17, Nicolas Meyer18, Raphaele Seror19, Reinhard Voll20, Pierre-Marie Duret21, Laurent Miguet22, Xavier Mariette23 and Jacques-eric GOTTENBERG24, 1IBMC, UPR 3572, STRASBOURG, France, 2Strasbourg University Hospital, Department of Public Health, GMRC, Strasbourg, France,, Strasbourg, Alsace, France, 3Strasbourg University Hospital, Department ofRheumatology, STRASBOURG, France, 4Strasbourg University Hospital, Department of pathology, 4CNRS, Immunopathologie et Chimie Thérapeutique/Laboratory of Excellence Medalis, Institut de Biologie Moléculaire et Cellulaire (IBMC), Strasbourg, France Strasbourg, France;, Strasbourg, Alsace, France, 5INSTITUTE OF VIROLOGY Medical Center, Freiburg, Freiburg, Germany, 6INSTITUTE OF VIROLOGY University Hospital Freiburg, FREIBURG, Germany, 7University Paris Saclay, Le Kremlin Bicetre, Ile-de-France, France, 8LBAI, UMR1227, University of Brest, CHU Brest, Brest, France, Brest, Bretagne, France, 9UBO, Brest, France, 10Cochin hospital, Paris, France, 11Service de Médecine Interne, Hôpital Avicenne APHP, Bobigny, Paris, Ile-de-France, France, 12Department of Internal Medicine, Lariboisière University Hospital, Université Paris Cité, Assistance Publique Hôpitaux de Paris, Paris, Ile-de-France, France, 13Service de Rhumatologie CHU Clermont-Ferrand, Clermont-Ferrand, 14CHU Lille, Département de Médecine Interne et Immunologie Clinique, Centre de Référence des Maladies Auto-Immunes et Auto-Inflammatoires Rares du Nord, Nord-Ouest, Méditerranée et Guadeloupe (CeRAINOM), Lille, France, Lille, France, 15Service de Rhumatologie, Hôpital Bichat APHP, Paris, Paris, Ile-de-France, France, 16Service de Rhumatologie & CIC-CRB 1404, CHU de Rouen, Université de Rouen, Rouen, Rouen, France, 17CHU and University of Montpellier, Montpellier, France, 18Strasbourg University Hospital, Department of Public Health, GMRC, Strasbourg, France, Strasbourg, Alsace, France, 19Department of Rheumatology, National referral center for auto immune disease and Sjogren disease, Université Paris-Saclay, INSERM UMR1184: Centre for Immunology of Viral Infections and Autoimmune Diseases, Assistance Publique-Hôpitaux de Paris, Hôpital Bicêtre, Le Kremlin Bicêtre, Paris, France., le kremlin bicetre, France, 20University Medical Center Freiburg, Freiburg, Germany, 21Colmar General Hospital; Strasbourg University Hospital, Strasbourg, France, 22Haemtology, Strasbourg University Hospital, IBMC UPR 3572, Strasbourg, France, 23Université Paris-Saclay, Le Kremlin Bicetre, France, 24Hautepierre Hospital, STRASBOURG, Alsace, France

    Background/Purpose: Fc‐gamma receptor (FcγR) activation by soluble IgG immune complexes (sICs) is considered to play a pivotal pathogenic role in B-cell-mediated autoimmune diseases, such as…
  • Abstract Number: 0680 • ACR Convergence 2025

    Altered miRNA patterns of peripheral blood mononuclear cells show correlations with pulmonary manifestations of systemic sclerosis

    Dóra Csige, Szilárd Póliska, János Rózsa, Dóra Tari, Szilvia Szamosi, Zoltán Szekanecz, Gabriella Szűcs and Levente Bodoki, University of Debrecen, Debrecen, Hungary

    Background/Purpose: Systemic sclerosis (SSc) is an autoimmune rheumatic and musculoskeletal disease (RMD) with a high mortality. Epigenetic factors, such as miRNAs might play an important…
  • Abstract Number: 0652 • ACR Convergence 2025

    Evolution and Readiness: Preparing for Cell Therapy in Lupus Trials, A LuCIN Network Evaluation

    Brandon Jackson1, Saira Sheikh2, Roberto Caricchio3, Taylor Irons4, Maria Dall'Era5, Amit Saxena6, Alfred Kim7, Jose Rubio8, Sasha Bernatsky9, David Goddard10, Fotios Koumpouras11, Aimee Williams12, Maya Merrell13, Jennifer Meriwether14 and Stacie Bell15, 1Lupus Therapeutics, Miami, FL, 2University of North Carolina at Chapel Hill, Chapel Hill, NC, 3University of Massachusetts Chan Medical School, Worcester, MA, 4Lupus Therapeutics, Houston, TX, 5Division of Rheumatology, University of California, San Francisco, CA, 6NYU Grossman School of Medicine, New York, NY, 7Washington University School of Medicine, St. Louis, MO, 8University of Alabama at Birmingham, Hoover, AL, 9Research Institute of the McGill University Health Centre, Montreal, QC, Canada, 10NYU Langone Grossman SOM, Brooklyn, NY, 11Yale School of Medicine, New Haven, CT, 12Lupus Therapeutics, Raleigh, NC, 13Lupus Therapeutics, Charleston, SC, 14Lupus Therapeutics, Westminster, CO, 15Lupus Therapeutics, Lakewood, CO

    Background/Purpose: Lupus Therapeutics (LT), the clinical affiliate of the Lupus Research Alliance, oversees the premier North American Lupus Clinical Investigators Network (LuCIN). As cell therapy…
  • Abstract Number: 0675 • ACR Convergence 2025

    Neutrophil-to-Lymphocyte Ratio as a biomarker for disease onset and a predictor for mortality in Systemic Sclerosis – real-world data from a large healthcare provider in Israel.

    Shiri Keret1, Shlomit Yaari2, gleb Slobodin3 and doron Rimar3, 1Bnai Zion Medical Center, Atlit, Israel, 2Maccabi Healthcare Services, HaMered 27, Tel Aviv, 68125, Israel., Tel Aviv, Israel, 3Bnai Zion Medical Center Faculty of Medicine, Technion Israel institute of technology, Haifa, Israel

    Background/Purpose: Elevated neutrophil-to-lymphocyte ratio (NLR) in systemic sclerosis (SSc) has been demonstrated to predict worsening skin and lung involvement, and a cutoff of 2.95 was…
  • Abstract Number: 0672 • ACR Convergence 2025

    Determinants of Progressive Microstomia in Systemic Sclerosis: Insights from the GENISOS Cohort with a Focus on GI Involvement

    Francesca Romana Di Ciommo1, Ashish Balar2, Robert M. Anderton2, Michael Hughes3, Brian Skaug4, Maureen Mayes5, Shervin Assassi6, Ali Y Ayla2 and Zsuzsanna McMahan7, 1La Sapienza University of Rome, Rome, Italy, 2UTHealth Houston, Houston, TX, 3Division of Musculoskeletal and Dermatological Sciences, The University of Manchester, Manchester Academic Health Science Centre, Manchester, UK, Manchester, England, United Kingdom, 4UTHealth Houston Division of Rheumatology, Houston, TX, 5UT Health Houston Division of Rheumatology, Houston, TX, 6Division of Rheumatology, UTHealth Houston, Houston, Texas, USA, Houston, TX, 7UT Health Houston, Houston, TX

    Background/Purpose: Systemic sclerosis (SSc) is a complex autoimmune condition characterized by vascular abnormalities, immune dysregulation, and progressive fibrosis affecting both the skin and internal organs.…
  • Abstract Number: 0647 • ACR Convergence 2025

    Anti-CD19 Chimeric Antigen Receptor T Cell Therapy for Refractory Systemic Lupus Erythematosus: an open-label pilot study

    Jinxia Zhao, Xiaoying Zhang, Xinyi Li, Hui Wei, Rui Liu, Lin Sun, Zhaohua Li, Wei Guo and Rong Mu, Peking University Third Hospital, Beijing, China (People's Republic)

    Background/Purpose: This pilot study aims to evaluate the preliminary efficacy and safety of autologous anti-CD19 chimeric antigen receptor T cell (CAR T) named IM19 therapy…
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All abstracts accepted to ACR Convergence are under media embargo once the ACR has notified presenters of their abstract’s acceptance. They may be presented at other meetings or published as manuscripts after this time but should not be discussed in non-scholarly venues or outlets. The following embargo policies are strictly enforced by the ACR.

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