ACR Meeting Abstracts

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  • Abstract Number: 2848 • 2019 ACR/ARP Annual Meeting

    Semiquantitative Assessment of Synovial Inflammation on US-Guided Synovial Membrane Biopsy Is Contingent to Disease Phase, Autoimmune Profile and Treatment Response in Rheumatoid Arthritis: Large Single Center Experience (SYNGem Cohort)

    Stefano Alivernini1, Barbara Tolusso 1, Marco Gessi 2, Maria Rita Gigante 1, Luca Petricca 1, Clara Di Mario 3, Simone Perniola 1, Anna Laura Fedele 1, Giusy Peluso 4, Laura Bui 2, Annunziata Capacci 1, Francesco Federico 2, Gianfranco Ferraccioli 3 and Elisa Gremese 1, 1Division of Rheumatology - Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy, 2Division of Pathology - Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy, 3Institute of Rheumatology - Università Cattolica del Sacro Cuore, Rome, Italy, 4Division of Rheumatology - Fondazione Policlinico Universitario A. Gemelli IRCCS, Italy, Italy

    Background/Purpose: Ultrasound (US)-guided minimally-invasive Synovial Tissue (ST) biopsy is a well tolerated procedure for basic and translational studies on chronic inflammatory joint diseases as Rheumatoid…
  • Abstract Number: 2849 • 2019 ACR/ARP Annual Meeting

    Radiographic Progression During a 10-Year Follow-Up : Results from the French Cohort ESPOIR

    Joanna Kedra1, David Hajage 2, Alexandre Lafourcade 2, Bernard Combe 3, Maxime Dougados 4 and Bruno Fautrel 5, 1Sorbonne Université, Institut Pierre Louis d'Epidémiologie et de Santé Publique (iPLESP), UMR S1136, Paris France, Paris, France, 2Biostatistics, Public Health and Medical Information department, Pitié-Salpêtrière Hospital, AP-HP, Paris, France, Paris, France, 3CHU Montpellier, Montpellier University, Montpellier, France, 4Cochin Hospital, Paris, France, 5Pitié-Salpêtrière Hospital, Department of Rheumatology, AP-HP, Sorbonne University, UPMC university, Paris, Ile-de-France, France

    Background/Purpose: In early arthritis, identification of patients at risk of developing joint damage is an important issue. In rheumatoid arthritis (RA), the rate of progression…
  • Abstract Number: 2850 • 2019 ACR/ARP Annual Meeting

    Exploring Heterogeneity in Rheumatoid Arthritis: Outcomes up to 4 Years of Follow-Up in Patient Clusters Identified by Data-driven Analysis of the BRASS Registry

    Jeffrey Curtis1, Michael Weinblatt 2, Kenneth Saag 1, Vivian Bykerk 3, Christina Charles-Schoeman 4, Stefano Fiore 5, Gregory St John 6, Toshio Kimura 7, Shen Zheng 5, Clifton Bingham 8, Grace Wright 9, Martin Bergman 10, Kamala Nola 11, Daniel Furst 4 and Nancy Shadick 2, 1University of Alabama at Birmingham, Birmingham, AL, 2Brigham and Women's Hospital, Boston, MA, 3Hospital for Special Surgery, New York City, NY, 4University of California, Los Angeles, CA, 5Sanofi Genzyme, Bridgewater, NJ, 6Regeneron Pharmaceuticals, Inc., Tarrytown, NY, 7Regeneron Pharmaceuticals, Inc, Tarrytown, NY, 8Johns Hopkins University, Baltimore, MD, 9Private Practice, New York City, NY, 10Drexel University College of Medicine, Stockholm, Sweden, 11Lipscomb University College of Pharmacy & Health Sciences, Nashville, TN

    Background/Purpose: Patients with rheumatoid arthritis (RA) may share characteristics that relate to their future outcomes. We investigated clinical outcomes over a 4-year follow-up period in…
  • Abstract Number: 2851 • 2019 ACR/ARP Annual Meeting

    Limiting Factors of Reaching ACR/EULAR Boolean Remission in Early RA Patients Treated According to Current Recommendations

    Nina Sundlisater1, Anna-Birgitte Aga 2, Ulf Sundin 3, Hilde Hammer 1, Till Uhlig 4, Tore Kvien 4, Espen Haavardsholm 4 and Siri Lillegraven 5, 1Diakonhjemmet Hospital, Department of Rheumatology, Oslo, Norway, 2Diakonhjemmet Hospital, Department of Rheumatology, Oslo, Oslo, Norway, 3Diakonhjemmet Hospital, Department of Rheumatology, Oslo, Norway. University of Oslo, Oslo, Norway, Oslo, Oslo, Norway, 4Diakonhjemmet Hospital, Dept. of Rheumatology / University of Oslo, Faculty of Medicine, Oslo, Norway, 5Diakonhjemmet Hospital, Dept. of Rheumatology, Oslo, Norway

    Background/Purpose: Abrogation of inflammation is important to prevent irreversible joint damage and maximize health-related quality of life in early RA patients. The ACR/EULAR Boolean remission…
  • Abstract Number: 2852 • 2019 ACR/ARP Annual Meeting

    Shared and Differing Risk Factors for PsA, Psoriasis, AS, and RA: A Series of Case-control Studies

    Alexis Ogdie1, Xingmei Wang 1, Thorvardur J Love 2, Telma Thrastardottir 3, Maureen Dubreuil 4 and Joel Gelfand 5, 1Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, 2Faculty of Medicine, University of Iceland, Reykjavik, Iceland, 3University of Iceland, Reykjavik, Iceland, 4Boston University School of Medicine, Boston, 5University of Pennsylvania, Philadelphia, PA

    Background/Purpose: While a handful of clinical risk factors for the development of inflammatory diseases have been identified, to date, no studies have compared risk factors…
  • Abstract Number: 2853 • 2019 ACR/ARP Annual Meeting

    The Pattern of Musculoskeletal Complaints in Patients with Suspected Psoriatic Arthritis and Their Correlation with Physical Examination and Ultrasound

    Samantha Sarabia 1, Chandra Farrer 2, Jensen Yeung 3, Richard Cook 4, Ker-Ai Lee 5, Dana Jerome 3 and Lihi Eder6, 1Faculty of Medicine, Queens University, Kingston, Canada, 2University of Toronto, Toronto, Canada, 3University of Toronto, Toronto, 4University of Waterloo, Waterloo, Canada, 5University of Waterloo, Waterloo, 6Women’s College Hospital and the Department of Medicine, University of Toronto, Toronto, Canada

    Background/Purpose: There is limited information about the constellation of musculoskeletal symptoms experienced by patients with early psoriatic arthritis (PsA). This study aims to describe the…
  • Abstract Number: 2854 • 2019 ACR/ARP Annual Meeting

    Delay Between the Onset of Psoriasis and Arthritis in PsA Patients from the PsART International Cohort

    Koray Tascilar1, Sibel Zehra Aydin 2, Servet Akar 3, Kenan Aksu 4, Sibel Bakirci 5, Ozun Bayindir 6, Meryem Can 7, Gozde Cetin 8, Muhammet Çınar 9, Ediz Dalkılıç 10, Atalay Dogru 11, Abdulsamet Erden 12, Emine Duygu Ersözlü 13, Şükran Erten 14, Timuçin Kaşifoğlu 15, Gezmiş Kimyon 16, Orhan Küçükşahin 17, Ahmet Omma 18, Cem Ozisler 19, Soner Senel 20, Dilek Solmaz 21, Emine Figen Tarhan 22, Ilaria Tinazzi 23, Sule Yavuz 24, Sema Yılmaz 25 and Umut Kalyoncu 26, 1Department of Internal Medicine 3 – Rheumatology and Immunology, Friedrich-Alexander-University Erlangen-Nürnberg, University Hospital Erlangen, Erlangen, Germany, Erlangen, Bayern, Germany, 2University of Ottawa Faculty of Medicine, Rheumatology,Ottawa Hospital Research Institute, 1967 Riverside Drive, Ottawa, ON, K1H 7W9, CANADA, Ottawa, Canada, 3Izmir Katip Celebi University, Faculty of Medicine, Division of Rheumatology, İzmir, Turkey, 4Ege University, Department of Internal Medicine, Division of Rheumatology, Izmir, 5Antalya Education and Research Hospital, Antalya, Turkey, 6Ege University, Department of Internal Medicine, Division of Rheumatology, Izmir, Turkey, 7Marmara University, Division of Rheumatology, Istanbul, Turkey, Istanbul, Turkey, 8Kahramanmaras Sutcu Imam University, Department of Internal Medicine, Division of Rheumatology, Kahramanmaras, 9University of Medical Sciences, Ankara, Turkey, 10Uludağ University, Bursa, Turkey, 11Suleyman Demirel University, Department of Internal Medicine, Division of Rheumatology, Isparta, Turkey, 12Hacettepe University, Ankara, Turkey, 13Adana State Hospital, Adana, Turkey, 14Yıldırım Beyazıt University, Ankara, Turkey, 15Eskişehir Osmangazi University, Faculty of Medicine, Department of Internal Medicine, Division of Rheumatology, Eskişehir, Turkey, 16Mustafa Kemal University, Hatay, Turkey, 17Liv Hospital, Ankara, Turkey, 18Ankara Numune Education and Research Hospital, Department of Internal Medicine, Division of Rheumatology, Ankara, Turkey, 19Diskapi Yildirim Beyazit Education and Research Hospital, Department of Internal Medicine, Division of Rheumatology, Ankara, 20Division of Rheumatology, Erciyes University School of Medicine, Kayseri, Turkey, Kayseri, Turkey, 21Izmir Katip Celebi University, Faculty of Medicine, Department of Internal Medicine, Division of Rheumatology, İzmir, Turkey, 22Mugla Sitki Kocman University, Department of Internal Medicine, Division of Rheumatology Mugla,, Mugla, Turkey, 23Sacro Cuore Don Calabria Hospital, Unit of Rheumatology, Verona, Italy, 24Uppsala University, Istanbul, Turkey, 25Division of Rheumatology, Selcuk University School of Medicine, Konya, Turkey, Konya, Turkey, 26Hacettepe University Department of Rheumatology, Ankara, Turkey

    Background/Purpose: Psoriatic arthritis is a heterogenous disorder not only with respect to patterns and components of musculoskeletal involvement but also with respect to types of…
  • Abstract Number: 2855 • 2019 ACR/ARP Annual Meeting

    Clinically Relevant Patient Clusters Identified by Machine Learning Tools in a Large Database from the Secukinumab Psoriatic Arthritis Clinical Development Program

    Iain McInnes1, Matthias Kormaksson 2, Effie Pournara 3, Gregory Ligozio 2, Luminita Pricop 4, Peter Nash 5, Bruce Kirkham 6, Kristian Reich 7 and Christopher Ritchlin 8, 1Institute of Infection, Immunity & Inflammation, University of Glasgow, Glasgow, United Kingdom, 2Novartis Pharmaceutical Corporation, New Jersey, NJ, 3Novartis Pharma AG, Basel, Basel-Stadt, Switzerland, 4Novartis Pharmaceuticals Corporation, East Hanover, NJ, 5University of Queensland, Brisbane, Queensland, Australia, 6Guy's & St Thomas' NHS Foundation Trust, London, England, United Kingdom, 7University Medical Center Hamburg-Eppendorf, Hamburg, Germany; Skinflammation®, Hamburg, Germany; Dermatologikum Berlin, Berlin, Germany, Hamburg, Germany, 8Division of Allergy, Immunology and Rheumatology, Center for Musculoskeletal Research, University of Rochester School of Medicine and Dentistry, Rochester, NY, USA, Rochester, NY

    Background/Purpose: Identifying clinically relevant patient phenotypes amidst the variability and heterogeneity of the clinical manifestations of psoriatic arthritis (PsA) is currently challenging.  Using machine-learning (ML)…
  • Abstract Number: 2856 • 2019 ACR/ARP Annual Meeting

    Drug Retention of Biological DMARDs Targeting IL-12/IL-23 or IL-17 versus TNF Inhibitors, After a First Line TNF Inhibitor, in Patients with Psoriatic Arthritis – an Analysis in the Swiss SCQM Register

    Burkhard Moeller1, Eleftherios Papagiannoulis 2, Lisa Christ 3, Adrian Ciurea 4, Thomas Hugle 5, Ruediger B. Mueller 6, Michael J. Nissen 7, Almut Scherer 8, Godehard Scholz 3, Peter M. Villiger 1 and Nikhil Yawalkar 3, 1University Hospital Bern, Bern, Switzerland, 2SCQM Zurich, Zurich, Switzerland, 3Inselspital-University Hospital Bern, Bern, Switzerland, 4University Hospital Zürich, Zürich, Switzerland, 5University Hospital Lausanne, Lausanne, Switzerland, 6Clinic of Rheumatology, Medical University Hospital Aarau, Aarau, Aargau, Switzerland, 7University Hospital Geneva, Geneva, Switzerland, 8SCQM Foundation, Zürich, Switzerland

    Background/Purpose: Tumor necrosis factor inhibitors (TNFi) were the first approved biological disease modifying antirheumatic drugs (bDMARDs) for psoriatic arthritis (PsA). IL-12/23 and IL-17-specific antibodies provide…
  • Abstract Number: 2857 • 2019 ACR/ARP Annual Meeting

    Decision Tree Analysis to Identify Inflammatory Arthritis Patient Subgroups with Different Levels of Treatment Persistence with First-Line Subcutaneous TNF-alpha Inhibitors

    Emma Hernlund 1, Johan Klint 1, Axel Svedbom 1, Johan Dalén 1, Christopher Black 2 and Amy Puenpatom2, 1ICON plc, Stockholm, Sweden, Stockholm, Sweden, 2Merck & Co., Inc., Kenilworth, NJ, United States, Kenilworth, NJ

    Background/Purpose: The advent of biologic medications, such as subcutaneous TNF-alpha inhibitors (SC-TNFi), has transformed the management of inflammatory arthritis (IA) during the last decades. However,…
  • Abstract Number: 2858 • 2019 ACR/ARP Annual Meeting

    The Role of Bradykinin Receptor B1 and Its New Ligand Soluble CD13 in Rheumatoid Arthritis and Inflammatory Arthritis Mouse Model

    Chenyang Lu 1, Phillip Campbell 1, Jonatan Hervoso 2, Stephanie Rasmussen 2, Wenyi Fu 2, Jeffrey Ruth 2, David Fox 3 and M Amin4, 1the University of Michigan, Ann Arbor, MI, 2the University of Michigan, Ann Arbor, 3University of Michigan, Ann Arbor, 4University of Michigan, Ann Arbor, MI

    Background/Purpose: Rheumatoid arthritis (RA) is an inflammatory disorder characterized by synovial hyperplasia, inflammatory cell infiltration and pannus formation. We have shown that soluble CD13 (sCD13)…
  • Abstract Number: 2859 • 2019 ACR/ARP Annual Meeting

    Citrulline Reactive B Cells Are Present in the Lungs of Early Untreated RA

    Vijay Joshua1, Malena Loberg-Haarhaus 1, Heidi Wähämaa 2, Aase Hensvold 2, Khaled Amara 1, Lena Israelsson 1, Ragnhild Stålesen 1, Magnus Sköld 3, Johan Grunewald 3, Caroline Grönwall 1, Vivianne Malmström 1 and Anca Catrina 4, 1Rheumatology Unit, Department of Medicine, Karolinska University Hospital and Institutet, Stockholm, Sweden., Stockholm, Sweden, 2Rheumatology unit Karolinska University Hospital and Karolinska Institutet, Stockholm, Sweden, Stockholm, 3Department of Respiratory Medicine and Allergy, Karolinska University Hospital, Stockholm, Sweden., Stockholm, Sweden, 4Rheumatology unit Karolinska University Hospital and Karolinska Institutet, Stockholm, Sweden, Stockholm, Sweden

    Background/Purpose: Structural changes, increased tissue citrullination, signs of local inflammation and anti-citrullinated protein autoantibodies (ACPA) are present in the pulmonary compartment of early untreated seropositive…
  • Abstract Number: 2860 • 2019 ACR/ARP Annual Meeting

    Perturbation of the Human Gut Microbiome by Methotrexate Contributes to the Resolution of Inflammation and Autoimmune Disease

    Renuka Nayak1, Margaret Alexander 1, Kye Stapleton-Grey 2, Carles Ubeda 3, Jose Scher 4 and Peter Turnbaugh 1, 1UCSF, San Francisco, 2Carnegie Mellon, Pittsburg, 3Centro Superior de Investigación en Salud Pública - FISABIO, Valencia, Spain, 4Division of Rheumatology, New York University School of Medicine and NYU Langone Orthopedic Hospital, New York, NY

    Background/Purpose: The trillions of microorganisms (microbiota) found within the human gut play a critical role in shaping the immune system, yet these complex microbial communities…
  • Abstract Number: 2861 • 2019 ACR/ARP Annual Meeting

    Lung-Related Factors Are Associated with Transitions from Systemic Anti-CCP Antibody Positivity to Classified RA

    Ashley Visser 1, Marie Feser 2, Chelsie Fleischer 3, Laura Lenis-Charry 1, Justin August 1, Elizabeth Bemis 4, Jill Norris 5, V. Michael Holers 6, Kevin Deane 2 and M. Kristen Demoruelle7, 1University of Colorado Denver, Aurora, 2University of Colorado Denver, Division of Rheumatology, Aurora, CO, USA, Aurora, CO, 3University of Colorado Denver, Division of Rheumatology, Aurora, CO USA, Aurora, 4University of Colorado Denver, School of Public Health, Aurora, CO USA, Aurora, 5Colorado School of Public Health, Aurora, 6University of Colorado Denver, Division of Rheumatology, Aurora, CO, USA, Denver, 7University of Colorado Denver, Division of Rheumatology, Aurora, CO, USA, Aurora

    Background/Purpose: Systemic autoimmunity associated with RA precedes the onset of inflammatory arthritis (IA) by several years. In particular, the presence of systemic anti-cyclic citrullinated peptide…
  • Abstract Number: 2862 • 2019 ACR/ARP Annual Meeting

    Hypoxia Resistant Pathogenic B Cells Accumulate in the RA Synovial Tissue in a CXCR3 Dependent Manner

    Achilleas Floudas1, Candice Low 2, Monika Biniecka 3, Kieran Murray 2, Ronan Mullan 4, Douglas Veale 5 and Ursula Fearon 6, 1Trinity Biomedical Sciences Institu, DUBLIN, Ireland, 2Saint Vincent's University Hospital, Dublin, Ireland, 3Molecular Rheumatology, Trinity Biomedical Sciences Institute, DUBLIN, Ireland, 4Dept of Rheumatology, Tallaght University Hospital, TCD, Dublin, Ireland, 5EULAR Centre For Arthritis And Rheumatic Diseases and The Conway Institute, Dublin, Ireland, 6Molecular Rheumatology, Trinity Biomedical Sciences Institute, TCD, Dublin, Ireland

    Background/Purpose: Rheumatoid arthritis (RA) is a chronic inflammatory autoimmune disease of unknown and complex aetiology with severe detrimental effects for the patient’s quality of life.…
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