ACR Meeting Abstracts

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  • Abstract Number: 2863 • 2019 ACR/ARP Annual Meeting

    Increased Expression of Extracellular Matrix Proteins in Human Fibroblast Synoviocytes and Lung Epithelial Cells Following Malondialdehyde-Acetaldehyde Adduct (MAA)/Citrullinated Protein Stimulation

    Matthew O'Dell1, Logan Duryee 1, Lynell Klassen 1, James O'Dell 2, Bryant England 3, Michael Duryee 1, Geoffrey Thiele 2 and Ted Mikuls 2, 1University of Nebraska Medical Center, Omaha, NE, 2VA Nebraska-Western IA Health Care System & University of Nebraska Medical Center, Omaha, NE, 3VA Nebraska-Western IA Health Care System & University of Nebraska Medical Center, Omaha

    Background/Purpose: Recently we have shown that both malondialdehyde-acetaldehyde adducts (MAA) and citrullinated proteins (CIT) are co-localized in joint and lung tissues of patients with rheumatoid…
  • Abstract Number: 2864 • 2019 ACR/ARP Annual Meeting

    Efficacy and Safety of Intravenous Belimumab in Children with Systemic Lupus Erythematosus: An Across-Trial Comparison with the Adult Belimumab Studies

    Antonio Nino1, Damon L Bass 2, Gina Eriksson 1, Anne Hammer 1, Beulah Ji 3, Holly Quasny 4 and David Roth 5, 1GlaxoSmithKline, Collegeville, 2GlaxoSmithKline, Collegeville, PA, 3GSK, Uxbridge, Middlesex, United Kingdom, 4GlaxoSmithKline, Research Triangle Park, 5GSK, Collegeville, PA

    Background/Purpose: Belimumab (BEL) is the first treatment approved for children with systemic lupus erythematosus (SLE) from 5 years of age and older.1 This approval was…
  • Abstract Number: 2865 • 2019 ACR/ARP Annual Meeting

    Application of Bayesian Statistics to Support Approval of Intravenous Belimumab in Children with Systemic Lupus Erythematosus in the United States

    Ginto Pottackal1, James Travis 1, Rosemarie Neuner 1, Rebecca Rothwell 1, Gregory Levin 1, Lei Nie 1, Jing Niu 1, Anshu Marathe 1 and Nikolay Nikolov 1, 1FDA, Silver Spring, MD

    Background/Purpose: In April 2019, FDA approved the first treatment, intravenous (IV) belimumab (BEL), specifically for children 5 to 17 years of age with active, seropositive…
  • Abstract Number: 2866 • 2019 ACR/ARP Annual Meeting

    Factors Associated with Cardiac Dysfunction in a Longitudinal Follow-Up of Neonatal Lupus

    Amit Saxena1, Peter Izmirly 2, Rebecca Bomar 3, Shireen Golpanian 4, Deborah Friedman 5, Ruth Eisenberg 6, Mimi Kim 7 and Jill Buyon 2, 1New York University School of Medicine, New York, NY, 2NYU School of Medicine, New York, 3New York University School of Medicine, New York, NY, New York, 4Miami Miller School of Medicine, Miami, 5New York Medical College, Valhalla, 6Albert Einstein College of Medicine, New York, 7Albert Einstein College of Medicine, Bronx, NY

    Background/Purpose: Cardiac manifestations of neonatal lupus (NL) have been associated with significant morbidity and mortality, however there has been minimal information on long-term outcomes of…
  • Abstract Number: 2867 • 2019 ACR/ARP Annual Meeting

    Nocturnal Blood Pressure Dipping as a Marker of Endothelial and Cardiac Function in Pediatric-onset Systemic Lupus Erythematosus

    Joyce Chang1, Taylor Goldberg 1, Sarah McGuire 1, Lindsay Waqar 1, Kevin Meyers 1, Laura Mercer-Rosa 1, Pamela F. Weiss 1 and Andrea Knight 2, 1Children's Hospital of Philadelphia, Philadelphia, PA, 2Division of Rheumatology, The Hospital for Sick Children, Department of Paediatrics, University of Toronto, Toronto, ON, Canada

    Background/Purpose: There is a need for clinically useful measures of cardiovascular (CV) risk in pediatric-onset SLE (pSLE). Nocturnal blood pressure (BP) non-dipping (loss of the…
  • Abstract Number: 2868 • 2019 ACR/ARP Annual Meeting

    Baseline Clinical and Serological Findings in Pediatric-Onset Discoid Lupus Erythematosus: Analysis of a Multicenter Retrospective Cohort Study

    Nnenna Ezeh1, Kevin Buhr2, Cordellia Nguyen3, Ohoud Al Ahmed4, Stacy Ardoin5, Virginia Barton6, Samantha Bell7, Heather Brandling-Bennett8, Leslie Castelo-Soccio9, Yvonne Chiu10, Benjamin Chong11, Dominic Co12, Irene Lara-Corrales13, Amber Cintosun13, Lucia Diaz14, Scott Andrew Elman15, Esteban Fernandez Faith4, Maria Teresa Garcia-Romero16, Julie Grossman-Kranseler8, Aimee Hersh17, Marcia Hogeling18, Andrew Hudson19, Raegan Hunt20, Erin Ibler10, Mariana Marques21, Reesa Monir22, Vikash Oza23, Amy Paller24, Elana Putterman9, Pamela Rodriguez-Salgado16, Jennifer Schoch22, Allison Truong18, Jason Wang23, Lara Wine Lee6, Ruth Ann Vleugels15, Marisa Klein-Gitelman25, Emily von-Scheven26, Victoria Werth27, Kaveh Ardalan28and Lisa Arkin29,1University of Wisconsin School of Medicine and Public Health, Madison, WI,2Department of Biostatistics & Medical Informatics, University of Wisconsin School of Medicine and Public Health, Madison,3University of Wisconsin School of Medicine and Public Health, Madison,4Department of Pediatrics, Division of Dermatology, Nationwide Children's Hospital/Ohio State University, Columbus,5Nationwide Children's Hospital, Columbus, OH,6Department of Dermatology and Dermatologic Surgery, Medical University of South Carolina, Charleston,7Department of Pediatrics, Division of Rheumatology, University of California at San Francisco, San Francisco,8Division of Dermatology; Department of Pediatrics, Seattle Children's Hospital/University of Washington School of Medicine, Seattle,9Department of Pediatrics, Section of Dermatology, Children's Hospital of Philadelphia, Philadelphia,10Departments of Dermatology and Pediatrics, Medical College of Wisconsin, Milwaukee,11University of Texas Southwestern, Dallas,12Department of Pediatrics, Division of Rheumatology, University of Wisconsin School of Medicine and Public Health, Madison,13Department of Pediatrics, Division of Dermatology, The Hospital for Sick Children/University of Toronto, Toronto, Canada,14Department of Pediatrics, Division of Dermatology, Dell Medical School/Dell Children's Hospital, Austin, Texas,15Department of Dermatology, Boston's Children Hospital/Harvard Medical School, Boston,16Department of Dermatology, National Institute for Pediatrics, Mexico City, Mexico,17University of Utah, Salt Lake City, UT,18Department of Dermatology, University of California at Los Angeles, Los Angeles,19Department of Dermatology, University of Texas Southwestern Medical Center, Dallas,20Departments of Pediatrics and Dermatology, Texas Children's Hospital, Houston, Texas,21Division of Rheumatology, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago,22Department of Dermatology, University of Florida School of Medicine, Gainesville,23Departments of Pediatrics and Dermatology, New York University School of Medicine, New York,24Departments of Dermatology and Pediatrics, Northwestern University Feinberg School of Medicine/Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago,25Department of Pediatrics, Division of Rheumatology, Northwestern University Feinberg School of Medicine/Ann & Robert H. Lurie Children's Hospital, Chicago,26University of California San Francisco, San Francisco,27Corporal Michael J. Crescenz VAMC, Philadelphia, PA, USA and Department of Dermatology, University of Pennsylvania, Philadelphia, PA, USA, Philadelphia, PA,28Division of Pediatric Rheumatology, Department of Pediatrics, Northwestern University, Chicago, Illinois,29Department of Dermatology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin

    Background/Purpose: DLE is a rare, disfiguring disorder in children. Small retrospective studies suggest 20-25% of patients progress to SLE. Progression risk factors are poorly understood,…
  • Abstract Number: 2869 • 2019 ACR/ARP Annual Meeting

    Access to Care and Diagnostic Delays in Juvenile Dermatomyositis

    Jessica Neely 1, Susan Kim 1, Hugh Sturrock 2 and Julia Shalen2, 1University of California, San Francisco, San Francisco, CA, 2UCSF, San Francisco

    Background/Purpose: Factors associated with diagnostic delay in Juvenile Dermatomyositis (JDM) are not known.  We hypothesized that limited access to pediatric rheumatologists can lead to delay…
  • Abstract Number: 2870 • 2019 ACR/ARP Annual Meeting

    Persistence of B Cell-rich Synovitis Following Conventional Synthetic Disease Modifying Anti-Rheumatic Drug Treatment in Early Rheumatoid Arthritis Is Associated with Radiographic Progression Independently of Clinical Response

    Felice Rivellese1, Gloria Lliso-Ribera 2, Alessandra Nerviani 1, Frances humby 3 and Costantino Pitzalis 1, 1Centre for Experimental Medicine & Rheumatology, Queen Mary University of London, London, United Kingdom, 2Centre for Experimental Medicine & Rheumatology, Queen Mary University of London, London, 3Queen Mary University of London, London, United Kingdom

    Background/Purpose: Synovial B cell aggregates in patients with early Rheumatoid Arthritis (RA) have been associated with disease severity and radiographic progression. Here, we analysed the…
  • Abstract Number: 2871 • 2019 ACR/ARP Annual Meeting

    Advances in Treatment of Rheumatoid Arthritis: ACPA-positive Patients Benefited More Than ACPA-negative Patients; 25 Year Results of a Longitudinal Cohort Study

    Xanthe ME Matthijssen1, Ellis Niemantsverdriet 2, Thomas Huizinga 2 and Annette van der Helm-van Mil 3, 1Department of Rheumatology, Leiden University Medical Center, Leiden, The Netherlands, Leiden, Netherlands, 2Leiden University Medical Center, Leiden, Netherlands, 3LUMC, Leiden, Zuid-Holland, Netherlands

    Background/Purpose: The last 25 years, treatment of rheumatoid arthritis (RA) has changed considerably. Although clinically relevant joint damage has become infrequent, it is less established…
  • Abstract Number: 2872 • 2019 ACR/ARP Annual Meeting

    Risk of 30-day Readmission and Adverse Events After Primary Hip or Knee Arthroplasty: A Comparison of Patients with Rheumatoid Arthritis versus Osteoarthritis Using the Nationwide Readmission Database

    Ali Yazdanyar1, Anthony Donato 2, Kathleen McElwee 3, Mary Chester Wasko 4 and Michael Ward 5, 1Lehigh Valley Hospital- Cedar Crest, Allentown, PA, 2Reading Hospital, PA, Reading, 3Reading Hospital, Reading, PA, 4Allegheny Health Network-West Penn Hospital, Pittsburgh, PA, 5NIAMS, Bethesda, MD

    Background/Purpose: To assess the risk of 30-day readmission, mortality, and adverse events among adults with Rheumatoid Arthritis as compared to Osteoarthritis after primary hip or…
  • Abstract Number: 2873 • 2019 ACR/ARP Annual Meeting

    Antimicrobial Use Is High in Patients with Rheumatoid Arthritis, and Further Increases with First-Line TNFi Therapy – Nationwide Results from Iceland

    Aron H Bjornsson1, Olafur Palsson 2, Mar Kristjansson 3, Petur S Gunnarsson 4, Gerdur Grondal 5, Bjorn Gudbjornsson 6 and Thorvardur J Love 7, 1Department of Medicine, Landspitali, Reykjavík, Iceland, 2Department of Clinical Sciences Lund, Lund University and Skåne University Hospital, Lund, Sweden, 3Department of Infectious Diseases, Landspitali, Reykjavík, Iceland, 4Faculty of Pharmaceutical Sciences, University of Iceland and Hospital Pharmacy, Landspitali, Reykjavík, Iceland, 5Department of Rheumatology, Landspitali and Centre for Rheumatology Research, Landspitali, Reykjavík, Iceland, 6Centre for Rheumatology Research, Landspitali and Faculty of Medicine, University of Iceland, Reykjavik, Iceland, 7Faculty of Medicine, University of Iceland and Department of Science, Landspitali, Reykjavík, Iceland

    Background/Purpose: Severe infections, frequently resulting in hospitalization, are a well-known adverse effects of tumor necrosis factor inhibitors (TNFi). However, studies regarding outpatient treated infections are…
  • Abstract Number: 2874 • 2019 ACR/ARP Annual Meeting

    Comparison of Malignancy and Mortality Rates Between Tofacitinib and Biologic DMARDs in Clinical Practice: Five-Year Results from a US-Based Rheumatoid Arthritis Registry

    Joel Kremer1, Clifton Bingham 2, Laura Cappelli 2, Jeffrey Greenberg 3, Ann Madsen 4, Jamie Geier 4, Jose L. Rivas 5, Alina Onofrei 6, Christine Barr 6, Dimitrios Pappas 7, Heather Litman 6, Kimberly Dandreo 6, Andrea Shapiro 8, Carol Connell 9 and Arthur Kavanaugh 10, 1Albany Medical College, Albany, NY, 2Johns Hopkins University, Baltimore, MD, 3Corrona, LLC; NYU School of Medicine, Waltham, MA, 4Pfizer Inc, New York, NY, 5Pfizer SLU, Madrid, Spain, 6Corrona, LLC, Waltham, MA, 7Columbia University, New York, NY, 8Pfizer Inc, Peapack, NJ, 9Pfizer Inc, Groton, CT, 10University of California, San Diego School of Medicine, La Jolla, CA

    Background/Purpose: Real-world evidence (RWE) is key to understanding post-approval long-term safety of medications. Tofacitinib is an oral Janus kinase inhibitor for the treatment of RA.…
  • Abstract Number: 2875 • 2019 ACR/ARP Annual Meeting

    Effects of Filgotinib on Anemia, Thrombocytopenia and Leukopenia: Results from a Phase 3 Study in Patients with Active Rheumatoid Arthritis and Prior Inadequate Response or Intolerance to Biological DMARDs

    Mark Genovese1, Kenneth Kalunian 2, Jacques-Eric Gottenberg 3, Beatrix Bartok 4, YingMeei Tan 4, Ying Guo 4, Chantal Tasset 5, John Sundy 4, Kurt de Vlam 6, David Walker 7 and Tsutomu Takeuchi 8, 1Stanford University, Stanford, CA, 2Division of Rheumatology, Allergy, and Immunology, University of California San Diego, La Jolla, CA, 3Department of Rheumatology, Strasbourg University Hospital, Strasbourg, France, 4Gilead Sciences, Inc., Foster City, CA, 5Galapagos NV, Mechelen, Belgium, 6Department of Rheumatology, Universitair Ziekenhuis Leuven, Leuven, Belgium, 7Northumbria Healthcare, Northumbria, United Kingdom, 8Keio University School of Medicine, Tokyo, Japan

    Background/Purpose: Anemia, thrombocytopenia and leukopenia in RA patients treated with non-Janus Kinase 1 (JAK1) selective inhibitors may be due to inhibition of hematopoietic growth factors…
  • Abstract Number: 2876 • 2019 ACR/ARP Annual Meeting

    Go-Dact: A Phase 3b Randomized Double-Blind Placebo-Controled Proof-Of-Concept Trial, of Golimumab Plus Methotrexate (MTX) versus MTX Monotherapy, in Improving Dactylitis, in MTX Naïve Psoriatic Arthritis Patients

    Elsa Vieira-Sousa1, Pedro Alves 2, Ana Maria Rodrigues 3, Filipa Teixeira 4, José Tavares-Costa 5, Alexandra Bernardo 6, Sofia Pimenta 6, Fernando Pimentel-Santos 7, João Lagoas Gomes 8, Renata Aguiar 9, Patrícia Pinto 10, Taciana Videira 10, Cristina Catita 11, Helena Santos 12, Joana Borges 13, Graça Sequeira 14, Célia Ribeiro 14, Lídia Teixeira 15, Pedro Ávila-Ribeiro 16, Fernando M Martins 17, Helena Canhão 18, Ruy M Ribeiro 19 and João Eurico Fonseca 16, 1Rheumatology and Metabolic Bone Diseases, Hospital de Santa Maria - Centro Hospitalar Lisboa Norte, EPE | Rheumatology Research Unit, Instituto de Medicina Molecular - Faculty of Medicine, University of Lisbon, Lisbon Academic Medical Centre, Lisbon, Portugal,, Lisbon, Portugal, 2Radiology Department, CHLC, Lisbon, Portugal, 3Rheumatology Unit, , HSEIT, Ilha Terceira, Açores e FMUL, Centro Académico de Medicina de Lisboa, Lisbon, Portugal, 4Rheumatology Department, ULSAM, Ponte de Lima, Portugal, 5ULSAM, Ponte de Lima, Portugal, 6Rheumatology Department, CHSJ, Porto, Portugal, 7CEDOC, NOVA-Medical School | Hospital Egas Moniz, CHLO, Lisbon, Lisbon, Portugal, 8Rheumatology Department, Hospital de Egas Moniz, Centro Hospitalar de Lisboa Ocidental; CEDOC, NOVA Medical School, Faculdade de Ciências Médicas, Lisbon., Lisbon, Portugal, 9Rheumatology Department, CHBV, Aveiro, Portugal, 10Rheumatology Department, CHVNG, Vila Nova de Gaia, Portugal, 11Hospital Particular do Algarve, Faro, Portugal, 12Instituto Português de Reumatologia (IPR), Lisbon, Portugal, 13Instituto Português de Reumatologia, Lisbon, Portugal, 14Rheumatology Unit, CHA, Faro, Portugal, 15Rheumatology Department, HGO, Almada, Portugal, 16Rheumatology and Bone Diseases Department, Hospital de Santa Maria, Centro Hospitalar Universitário Lisboa Norte; Unidade de Investigação em Reumatologia, Instituto de Medicina Molecular, Faculdade de Medicina, Universidade de Lisboa; Centro Académico de Medicina de Lisboa; Lisbon, Portugal., Lisbon, Portugal, 17Portuguese Society of Rheumatology, Lisbon, Portugal, 18CEDOC, EpiDoC Unit, NOVA Medical School, Lisbon, Lisbon, Portugal, 19Laboratório de Biomatemática, FMUL, Lisbon, Portugal

    Background/Purpose: Psoriatic arthritis (PsA) dactylitis is associated with an increased risk of erosions and higher disease activity. Dactylitis treatment strategies are however controversial due to…
  • Abstract Number: 2877 • 2019 ACR/ARP Annual Meeting

    Safety and Efficacy Results from the Open Label Extension of a Phase 2 Trial of Risankizumab, a Selective IL-23p19 Inhibitor in Patients with Active Psoriatic Arthritis

    Kim Papp1, Melinda Gooderham 2, Akimichi Morita 3, Alan Kivitz 4, Ranjeeta Sinvhal 5, Andrew Topp 5, Graham Heap 5, Ann Eldred 5 and Philip Mease 6, 1K. Papp Clinical Research and Probity Medical Research, Waterloo, ON, Canada, Waterloo, ON, Canada, 22School of Medicine, Queen’s University, Kingston, ON and Skin Centre for Dermatology and Probity Medical Research, Peterborough, ON, Canada, 3Dept of Geriatric and Environmental Dermatology, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan, 4Altoona Center for Clinical Research, Duncansville, PA, 5AbbVie Inc., North Chicago, 6Swedish Medical Center/Providence St Joseph Health, and University of Washington, Seattle, WA

    Background/Purpose: Psoriatic arthritis (PsA) is characterized by peripheral synovitis, enthesitis, dactylitis and spondylitis, and IL-23 is involved in the pathogenesis of these conditions either directly…
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