ACR Meeting Abstracts

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  • Abstract Number: 2756 • 2019 ACR/ARP Annual Meeting

    Subcutaneous Tanezumab versus NSAID for the Treatment of Osteoarthritis: Joint Safety Events in a Randomized, Double-Blind, Active-Controlled, 80-Week, Phase-3 Study

    Marc C. Hochberg1, John Carrino 2, Thomas Schnitzer 3, Ali Guermazi 4, David Walsh 5, Alexander White 6, Satoru Nakajo 7, Robert Fountaine 8, Anne Hickman 8, Glenn Pixton 9, Lars Viktrup 10, Mark T. Brown 8, Christine R. West 8 and Kenneth M. Verburg 8, 1University of Maryland School of Medicine, Baltimore, MD, 2Hospital for Special Surgery, New York, NY, 3Northwestern University Feinberg School of Medicine, Chicago, IL, 4Boston Medical Center, Boston, 5Sherwood Forest Hospitals NHS Foundation Trust, Nottingham, United Kingdom, 6Progressive Medical Research, Port Orange, FL, 7Nakajo Orthopaedic Clinic, Miyagi, Japan, 8Pfizer Inc, Groton, CT, 9Pfizer Inc, Morrisville, NC, 10Eli Lilly and Company, Indianapolis, IN

    Background/Purpose: Tanezumab, a monoclonal antibody inhibiting nerve growth factor (NGF), is under investigation for the treatment of chronic pain conditions. In prior osteoarthritis (OA) studies,…
  • Abstract Number: 2757 • 2019 ACR/ARP Annual Meeting

    Clinical Effectiveness of Ultrasound-guided Intra-articular Corticosteroid and Local Anaesthetic Injections for Hip Osteoarthritis: A Randomised Controlled Trial (HIT)

    Zoe Paskins 1, Kieran Bromley 2, Martyn Lewis 2, Gemma Hughes 2, Emily Hughes 2, Andrea Cherrington 2, Alison Hall 2, Melanie Holden 3, Raymond Oppong 4, Kay Stevenson 2, Ajit Menon 5, Philip Roberts 6, George Peat 2, Clare Jinks 7, Nadine Foster 2, Christian Mallen 8 and Edward Roddy9, 1Research Institute for Primary Care and Health Sciences, Keele University, Keele, United Kingdom, 2Keele University, Keele, United Kingdom, 3Research Institute for Primary Care and Health Sciences and Keele CTU, Keele University, Keele, England, United Kingdom, 4University of Birmingham, Birmingham, United Kingdom, 5Midlands Partnership NHS Foundation Trust, Stoke-on-Trent, United Kingdom, 6University Hospitals North Midlands NHS Trust, Stoke-on-Trent, United Kingdom, 7Research Institute for Primary Care and Health Sciences, Keele University, Keele, England, United Kingdom, 8Research Institute for Primary Care and Health Sciences, Keele University, UK, Keele, United Kingdom, 9Research Institute for Primary Care and Health Sciences and Keele Clinical Trials Unit, Keele, United Kingdom

    Background/Purpose: Evidence of the effectiveness of intra-articular corticosteroid injection for hip osteoarthritis (OA) is limited and conflicting. The HIT trial compared the clinical effectiveness of…
  • Abstract Number: 2758 • 2019 ACR/ARP Annual Meeting

    Nortriptyline in Knee Arthritis (Nortika): A Randomised Controlled Double Blind Trial of Nortriptyline for Pain in Knee Osteoarthritis

    Ben Hudson 1, Leslie Toop 2, Jonathan Williman 1, Gary Hooper 1, Dee Mangin 1, John Alchin 1, Browyn Thompson 1 and Lisa Stamp1, 1University of Otago, Christchurch, Christchurch, Canterbury, New Zealand, 2UNiversity of Otago, Chirstchurch, Christchurch, Canterbury, New Zealand

    Background/Purpose: Osteoarthritis (OA) is the most common joint disease and is a major cause of pain and disability There is currently no cure for OA…
  • Abstract Number: 2759 • 2019 ACR/ARP Annual Meeting

    Stopping NSAIDs for Arthritis Pain (SNAP): A Randomized Withdrawal Trial Comparing NSAIDs to Cognitive Behavioral Therapy

    Liana Fraenkel1, Eugenia Buta 2, Joseph Goulet 3, Matthew Brennan 3, Alicia Heapy 3 and Lisa Suter 3, 1Yale School of Medicine and VA Connecticut Healthcare System, New Haven, 2Yale University/VA CT Healthcare System, New Havne, 3Yale University/VA CT Healthcare System, New Haven

    Background/Purpose: NSAIDs are associated with uncertain long-term benefits and significant toxicity in patients with knee osteoarthritis (OA). Our objective was to evaluate if discontinuing NSAIDs…
  • Abstract Number: 2760 • 2019 ACR/ARP Annual Meeting

    A Phase 2 Double-Blind Clinical Trial to Examine the Comparative Effects on Osteoarthritic Knee Pain of CGS-200-1 (1% Capsaicin Topical Liquid), CGS-200-5 (5% Capsaicin Topical Liquid), and CGS-200-0 (Vehicle, No Capsaicin)

    Michael Billard 1, John Todhunter 1, Margaret Fleming 1, Tim Warneke1, Yuhui Qiu 2, Nhu Ly 2, William Aronstein 2 and William Moore 1, 1Vizuri Health Sciences, LLC, Columbia, MD, 2CTI Clinical Trial & Consulting, Covington, KY

    Background/Purpose: There is considerable unmet medical need for an osteoarthritic knee pain (OAKP) treatment that does not require regular daily use, does not carry gastrointestinal…
  • Abstract Number: 2761 • 2019 ACR/ARP Annual Meeting

    Cartilage Thickness Modification with Sprifermin in Knee Osteoarthritis Patients Translates into Symptomatic Improvement over Placebo in Patients at Risk of Further Structural and Symptomatic Progression: Post-Hoc Analysis of a Phase II Trial

    Hans Guehring1, Jeffrey Kraines 2, Flavie Moreau 2, Benjamin Daelken 1, Christoph Ladel 1, Wolfgang Wirth 3, Philip G Conaghan 4, Felix Eckstein 5 and Marc C. Hochberg 6, 1Merck KGaA, Darmstadt, Germany, 2EMD Serono Research and Development Institute, Inc. (a business of Merck KGaA, Darmstadt, Germany), Billerica, MA, 3Paracelsus Medical University, Salzbury, Austria, 4Leeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds & NIHR Leeds Biomedical Research Centre, Leeds, United Kingdom, 5Paracelsus Medical University, Salzburg, Austria, 6University of Maryland School of Medicine, Baltimore, MD

    Background/Purpose: Results from the 5-year Phase II FORWARD study showed significant dose-dependent modification of total femorotibial joint (TFTJ) cartilage thickness change with sprifermin at 2…
  • Abstract Number: 2762 • 2019 ACR/ARP Annual Meeting

    The Preparation and Recovery Experience from Total Knee Replacement of Patients with Osteoarthritis: A Qualitative Study

    Iris Navarro-Millan1, Sarah Young 2, Geyanne Lui 1, Marianna Frey 3, Janey Peterson 1, Susan Goodman 4, Monika Safford 1 and Lisa Mandl 5, 1Weill Cornell Medicine, New York, 2Binghamton University, Binghamton, 3Hospital for Special Surgery, New York, NY, New York, 4Hospital For Special Surgery/Weill Cornell Medicine, New York, NY, 5Hospital for Special Surgery/Weill Cornell Medicine, New York, NY, New York, NY

    Background/Purpose: Up to 30% of patients may have persistent pain post-total knee arthroplasty (TKA). One possible approach to improve these outcomes is to optimize muscle…
  • Abstract Number: 2763 • 2019 ACR/ARP Annual Meeting

    What Disease Do You Have? – Assessment and Predictors of Accurate Illness Naming in Rheumatology

    Jacob Meindertsma1, Kara Harrison 1, Nicholas Lucchesi 1 and Adam Carlson 1, 1University of Virginia, Charlottesville, VA

    Background/Purpose: Shared decision making remains central to the effective treatment of many rheumatologic conditions and is most appropriate when the patient and physician agree on…
  • Abstract Number: 2764 • 2019 ACR/ARP Annual Meeting

    Medication Necessity and Concerns Beliefs Are Distinct, Interactive Predictors of Treatment Adherence in Rheumatoid Arthritis

    George Karpouzas1, Elizabeth Hernandez 2, Lorena Ruiz 3, Vibeke Strand 4 and Sarah Ormseth 1, 1Harbor-UCLA Medical Center and Los Angeles Biomedical Institute, Torrance, CA, 2Harbor-UCLA and Los Angeles Biomedical Institute, Torrance, CA, 3Harbor-UCLA andLos Angeles Biomedical Research Institute, Torrance, 4Division of Immunology/Rheumatology, Stanford University, Stanford, CA

    Background/Purpose: Medication adherence is instrumental for the successful management of rheumatoid arthritis (RA) to a goal of remission. Awareness of medication necessity and concerns regarding…
  • Abstract Number: 2765 • 2019 ACR/ARP Annual Meeting

    Assessing the Impact of Digital Health Coaching on Quality Adjusted Life Years, Symptom Severity and Disease Activity in Patients with Rheumatoid Arthritis

    Matt Allsion1, Michael McMorris 2, Dhiren Patel 2 and B Stephen Burton 3, 1Pack Health, Birmigham, AL, 2Pack Health, Birmingham, 3Pack Health, Birmingham, AL

    Background/Purpose: Rheumatoid arthritis (RA) is the most common autoimmune inflammatory arthritis in adults. RA has a significant negative impact on the ability to perform daily…
  • Abstract Number: 2766 • 2019 ACR/ARP Annual Meeting

    Patient Preferences for Attributes of Treatments for Chronic Pain Associated with Osteoarthritis Pain and Chronic Low Back Pain That Differentiate Nerve-Growth Factor Inhibitors, Nonsteroidal Anti-inflammatory Drugs, and Opioids in the United States: A Discrete-Choice Experiment

    Dennis Turk 1, Marco Boeri2, Lucy Abraham 3, Brett Hauber 4, Joanna Atkinson 3, Andrew Bushmakin 5, Joseph Cappelleri 5, Leo Russo 6, Lars Viktrup 7 and David Walsh 8, 1University of Washington, Seattle, 2RTI Health Solutions, Belfast, Northern Ireland, United Kingdom, 3Pfizer, LTD, Surrey, England, United Kingdom, 4RTI Health Solutions, Research Triangle Park, NC, 5Pfizer Inc, Groton, CT, 6Pfizer, Inc., Collegeville, PA, 7Eli Lilly and Company, Indianapolis, IN, 8Sherwood Forest Hospitals NHS Foundation Trust, Nottingham, United Kingdom

    Background/Purpose: Monoclonal antibodies that inhibit nerve growth factor (NGF-abs) may offer an alternative to current nonsteroidal anti-inflammatory drug (NSAID) and opioid treatments for osteoarthritis (OA)…
  • Abstract Number: 2767 • 2019 ACR/ARP Annual Meeting

    Importance of Discussing RA Treatment Goals: Patients Report Providers Seldom Discuss Treatment Goals and Outcomes Improve When Goals Are Discussed

    Kelly O'Neill1, Cynthia Crowson 2, Dana Symons 3, Pamela Sinicrope 4, Elena Myasoedova 4, Martha Bock 4, Jon Tilburt 4 and John Davis 4, 1Rheumatoid Patient Foundation, Inc., Winter Springs, FL, 2Mayo Clinic Rochester, Rochester, 3Rheumatoid Patient Foundation, Inc., Rockford, MI, 4Mayo Clinic, Rochester, MN

    Background/Purpose: Treat-to-target is a guiding principle in the management of rheumatoid arthritis (RA), and randomized clinical trials demonstrate its value in improving outcomes. However, implementation…
  • Abstract Number: 2768 • 2019 ACR/ARP Annual Meeting

    Changes in B Cell Profile as a Marker of Clinical Remission to TNF Inhibitors in Patients with Rheumatoid Arthritis

    Borja Hernández-Breijo1, Israel Nieto-Gañán 2, Cristina Sobrino 3, Victoria Navarro-Compán 4, Ana Martínez-Feito 5, Carlota García-Hoz 6, Paloma Lapuente-Suanzes 2, javier Bachiller 3, Gema Bonilla 7, Cristina Pijoán-Moratalla 3, Garbiñe Roy 2, Mónica Vázquez Díaz 3, Alejandro Balsa 7, Luisa María Villar 2, Dora Pascual-Salcedo 1, Eulalia Rodríguez-Martín 2 and Chamaida Plasencia 7, 1Immuno-Rheumatology Research Group, IdiPAZ. La Paz University Hospital, Madrid, Spain, 2Immunology Department, Ramón y Cajal University Hospital & IRYCIS, Madrid, Spain, 3Rheumatology Department, Ramón y Cajal University Hospital & IRYCIS, Madrid, Spain, 4University Hospital La Paz, IdiPaz, Madrid, Spain, 5Immuno-Rheumatology Research Group, IdiPAZ & Immunology Department. La Paz University Hospital, MADRID, Spain, 6Immunology Department, Ramón y Cajal University Hospital & IRYCIS, Madrid, 7Immuno-Rheumatology Research Group, IdiPaz & Rheumatology Department. La Paz University Hospital, Madrid, Spain

    Background/Purpose: According to the EULAR recommendations, the therapeutic objective in patients with rheumatoid arthritis (RA) should be remission. Biological therapies, as TNF inhibitors (TNFi), have…
  • Abstract Number: 2769 • 2019 ACR/ARP Annual Meeting

    The Pre-Treatment Gut Microbiome Predicts Early Response to Methotrexate in Rheumatoid Arthritis

    Sandrine Isaac 1, Alejandro Artacho 1, Renuka Nayak 2, Steven B. Abramson 3, Margaret Alexander 2, Imhoi Koo 4, Pamela Rosenthal 5, Peter Izmirly 6, Andrew Patterson 7, Antonio Pineda 8, Leonor Puchades-Carrasco 8, Peter Turnbaugh 2, Carles Ubeda 9 and Jose Scher10, 1FISABIO, Valencia, Spain, 2UCSF, San Francisco, 3NYU School of Medicine and NYU Langone Orthopedic Hospital, New York City, NY, 4Pennsylvania State University; Penn State · Huck Institutes of Life Sciences, University Park, PA, 5NYU Langone Orhopedic Hospital, New York, 6NYU School of Medicine, New York, 7Penn State, University Park, PA, 8Centro de Investigación Príncipe Felipe/Instituto de Investigación Sanitaria La Fe, Valencia, Spain, 9Centro Superior de Investigación en Salud Pública - FISABIO, Valencia, Spain, 10New York University School of Medicine, New York, NY

    Background/Purpose: Early treatment initiation in rheumatoid arthritis (RA) is fundamental to avoid chronic joint destruction and disability. Despite remarkable advances in RA therapeutics, oral methotrexate…
  • Abstract Number: 2770 • 2019 ACR/ARP Annual Meeting

    Towards the Lowest Efficacious Dose (ToLEDo): Results of a Multicenter Non-Inferiority Randomized Open-Label Controlled Trial Assessing Tocilizumab or Abatacept Injection Spacing in Rheumatoid Arthritis Patients in Remission

    Joanna Kedra1, Philippe Dieudé 2, Hubert Marotte 3, Alexandre Lafourcade 4, Emilie Ducourau 5, Thierry Schaeverbeke 6, Aleth Perdriger 7, Martin SOUBRIER 8, Jacques Morel 9, Arnaud Constantin 10, Emmanuelle Dernis 11, Valérie Royant 12, Jean-Hugues Salmon 13, Thao Pham 14, Jacques-Eric Gottenberg 15, Edouard Pertuiset 16, Maxime Dougados 17, Valérie Devauchelle Pensec 18, Philippe Gaudin 19, gregoire Cormier 20, Philippe Goupille 21, Xavier Mariette 22, Francis Berenbaum 23, Didier Alcaix 24, Sid-Ahmed Rouidi 25, Jean-Marie Berthelot 26, Agnès Monnier 27, Christine Piroth 28, Frédéric Lioté 29, Vincent Goeb 30, Cécile Gaujoux-Viala 31, Isabelle Chary-Valckenaere 32, David Hajage 4, Florence Tubach 33 and Bruno Fautrel 34, 1Sorbonne Université, Institut Pierre Louis d'Epidémiologie et de Santé Publique (iPLESP), UMR S1136, Paris France, Paris, France, 2Rheumatology, Bichat Hospital, APHP, Paris;, Paris, France, 3University Hospital, St Etienne, France, 4Biostatistics, Public Health and Medical Information department, Pitié-Salpêtrière Hospital, AP-HP, Paris, France, Paris, France, 5Rheumatology Department, CHR Orléans, Orléans, France, 6FHU ACRONIM, Department of Rheumatology, Centre Hospitalier Universitaire, Bordeaux, France, Bordeaux, France, 7Rheumatology department, Rennes University Hospital, France, Rennes, France, 8CHU Gabriel Montpied, Clermont Ferrand, Auvergne, France, 9CHU MONTPELLIER, MONTPELLIER, France, 10Hôpital Pierre-Paul Riquet, Toulouse, France, 11Rheumatology Department, Le Mans Central Hospital, Le Mans, France, 12Rheumatology Department, Chartres Hospital, Chartres, France, 13Rheumatology, Reims University Hospital, Reims, Reims, France, 14Aix-Marseille University, CHU Marseille, department of Rheumatology, 13,000 Marseille, France, Marseille, France, 15Department of Rheumatology, Strasbourg University Hospital, Strasbourg, France, 16Rheumatology Department, Pontoise Hospital, Pontoise, France, Pontoise, France, 17Cochin Hospital, Paris, France, 18University Hospital of Brest, Brest, France, 19Rheumatology Department, CHU Grenoble Alpes Hôpital Sud and GREPI - Université Grenoble Alpes, EA7408, Grenoble - Echirolles, France, 20CHD Vendée, La Roche sur Yon, France, 21Tours University-Hospital, Tours, France, Tours, France, 22Center for Immunology of Viral Infections and Autoimmune Diseases, Assistance Publique – Hôpitaux de Paris, Hôpitaux Universitaires Paris-Sud, Le Kremlin-Bicêtre, Université Paris Sud, INSERM, Paris, France, 23Sorbonne Université-Inserm CDR Saint-Antoine, AP-HP, Paris, France, 24Rheumatology Department, Le Havre Hospital, Le Havre, 25Rheumatology Department, Dreux, France, 26University Hospital, Nantes, France, 27Internal Medicine Department, CH Côte Basque, Bayonne, France, 28Rheumatology Department, Dijon Hospital, Dijon, France, 29Rheumatology Department, Lariboisiere Hospital, AP-HP, Paris, France, Paris, France, 30Rheumatology Department, Amiens University Hospital, Amiens, France, 31Nîmes University Hospital, Nîmes, France, 32Centre Hospitalier Universitaire de Nancy, VANDOEUVRE, France, 33Pitié Salpétrière University-Hospital, Paris, Ile-de-France, France, 34Pitié-Salpêtrière Hospital, Department of Rheumatology, AP-HP, Sorbonne University, UPMC university, Paris, Ile-de-France, France

    Background/Purpose: Biologic Disease Modifying Anti-Rheumatic Drugs (bDMARD) tapering is proposed by clinical practice guidelines in rheumatoid arthritis (RA) patients in sustained remission. However, no randomized…
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