ACR Meeting Abstracts

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Abstracts tagged "Biologicals"

  • Abstract Number: 2224 • ACR Convergence 2023

    Difficult to Treat Axial Spondyloarthritis. Predictors of Poor Outcomes

    FERNANDO MONTERO1, Laura Berbel Arcobé2, Karen Carpio Astudillo1, Jose Maria Bellón3 and Xavier Juanola Roura4, 1Hospital General Universitario Gregorio Marañón, Madrid, Spain, 2H.U. Bellvitge, Barcelona, Spain, 3Gregorio Marañón Health Research Institute, Madrid, Spain, 4Hospital Universitari de Bellvitge, Barcelona, Spain

    Background/Purpose: The term "Difficult-to-Treat" (D2T) defines those patients who remain active despite having undergone various treatments within the established recommendations. This concept is defined by…
  • Abstract Number: 2344 • ACR Convergence 2023

    Telitacicept versus Belimumab for Patients with Active Systemic Lupus Erythematosus: A Retrospective, Multicenter, Real-world Observational Study

    Zhu Chen1, Huizhi Jin1, Yujing Li1, Guosheng Wang1, Xiaomei Li2, Zhijun Li3, Lin Niu4 and Haifeng Pan5, 1University of Science and Technology of China, Hefei, China, 2University of Science and Technology of China, Department of Rheumatology and Immunology, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, Hefei, China, 3Bengbu Medical University, Bengbu, China, 4Fuyang People's Hospital, Fuyang, China, 5Anhui Medical University, Hefei, China

    Background/Purpose: The past decade has witnessed the innovation of several biologics in the treatment of systemic lupus erythematosus (SLE), most of which target B cells,…
  • Abstract Number: 2546 • ACR Convergence 2023

    Anti-infliximab Antibodies as a Marker of Drug Survival and Tapering in Ankylosing Spondylitis Patients: 12 Years Follow-up

    CLARISSA PIMENTEL, ANA CRISTINA MEDEIROS-RIBEIRO, ANDREA SHIMABUCO, PERCIVAL SAMPAIO-BARROS, JULIO CESAR MORAES, CLAUDIA SCHAINBERG, CELIO GONÇALVES, ELAINE LEON, LEONARD KUPPA, Sandra Pasoto, NADIA AIKAWA, CLOVIS SILVA, Eloisa Bonfa and CARLA SAAD, University of São Paulo, São Paulo, Brazil

    Background/Purpose: Tumor necrosis factor inhibitors (TNFi) therapies were one of the major advances in the treatment of Ankylosing Spondylitis (AS) patients. For infliximab, anti-drug antibodies…
  • Abstract Number: 0004 • ACR Convergence 2023

    CD22 X CD79b Bispecific Ab Potently Inhibits B Cell Activation and Plasmablast Accumulation

    Timothy Burwell1, Jeffrey Hall1, Suzanne Cole2, Sarah Tursi1, Isabelle Baribaud3, Kyle Bednar1, Naresh Kumar1, Julie Carman1, Navin Rao2 and Edith Janssen2, 1Janssen Research and Development, LLC, Spring House, PA, 2Janssen Research & Development, LLC, Spring House, PA, 3IGM Biosciences, Inc., Doylestown, PA

    Background/Purpose: B cells contribute to the development and progression of autoimmune diseases through multiple mechanisms. Consequently, modulating B cell activation, B cell effector function, and…
  • Abstract Number: 0383 • ACR Convergence 2023

    Identification of Contributing Factors to Difficult-to-Treat Rheumatoid Arthritis (D2T RA) in a Cohort of 972 Patients Using a Natural Language Processing (NLP) Approach

    Hugo BERGIER1, Thibaut Fabacher2, Nathanaël Sedmak2, Erik Sauleau2 and Jacques-Eric Gottenberg3, 1Hautepierre Hospital, Strasbourg, France, 2Hôpitaux Universitaires de Strasbourg, Strasbourg, France, 3Rheumatology Department, Strasbourg University Hospital, Strasbourg, France

    Background/Purpose: Natural Language Processing (NLP), an interdisciplinary field combining artificial intelligence and language science, has gained significant interest in the medical domain for automated collection…
  • Abstract Number: 0520 • ACR Convergence 2023

    How Do Early Disease Activity and Early Clinical Response Associate with Long-Term Outcomes with Ixekizumab in Radiographic Axial Spondyloarthritis?

    Sofia Ramiro1, Cedric Lukas2, Louis Bessette3, Pendleton Wickersham4, Soyi Liu-Leage5, Tommaso Panni5, Rebecca Bolce5, Boris Janos5, Michael Nissen6 and James Cheng-Chung Wei7, 1Department of Rheumatology, Leiden University Medical Center, Leiden, Netherlands, 2CHU Montpellier, Montpellier, France, 3Centre de l'Ostéoporose et de Rhumatologie de Québec, Quebec City, QC, Canada, 4Arthritis Associates PA, San Antonio, TX, 5Eli Lilly and Company, Indianapolis, IN, 6Geneva University Hospitals, Geneva, Switzerland, 7Chung Shan Medical University Hospital, Department of Rheumatology, Taichung, Taiwan

    Background/Purpose: The ASAS-EULAR recommendations for the management of axial spondyloarthritis (axSpA) advise that a patient be assessed for biological disease-modifying anti-rheumatic drug (bDMARD) treatment response…
  • Abstract Number: 0604 • ACR Convergence 2023

    Is Belimumab Dose Optimization Possible in Patients with Systemic Lupus Erythematosus?: Analysis of This Therapeutic Strategy in a Large Multicenter Cohort of Patients from Spanish Rheumatology Departments

    Irene Altabas Gonzalez1, Jose-Maria Pego-Reigosa2, CORAL Mourino Rodriguez3, Norman Jiménez4, Andrea Hernández-Martín5, Judit Font6, Ivette Casafont-Sole7, Jose Andres Roman Ivorra8, Marta De la Rubia Navarro9, Maria Galindo10, TAREK CARLOS SALMAN MONTE11, Javier Narvaez12, Paola Vidal-Montal13, Maria J. García-Villanueva14, Sandra Garrote Corral14, María Ángeles Blázquez Cañamero15, carlos Marras Fernández-Cid16, María Piqueras García17, JULIA MARTINEZ BARRIO18, Marina Sánchez-Lucas19, Josefina Cortés Hernández20, Eleonora Penzo21, Jaime Calvo Alén22, Juan Ramón de Dios Jiménez de Aberásturi23, Belén Álvarez Rodríguez24, Margarida Rocha25, Eva Tomero Muriel26, Raúl Menor-Almagro27, Myriam Gandía Martínez28, Jose A Gomez-Puerta29, Beatriz Frade30, Consuelo Ramos-Giráldez31, Carmen Trapero Pérez32, MARIA ELVIRA DIEZ ALVAREZ33, Clara Moriano Morales33, Alejandro Muñoz34 and Iñigo Rúa-Figueroa35, 1Complejo Hospitalario Universitario de Vigo, IRIDIS (Investigation in Rheumatology and Immune-Mediated Diseases) Group, Galicia Sur Health Research Institute, Vigo, Spain, 2Rheumatology, Hospital do Meixoeiro, Vigo, Spain, 3Complejo Hospitalario Universitario de Vigo. IRIDIS (Investigation in Rheumatology and Immune-Mediated Diseases) Group, Galicia Sur Health Research Institute, Vigo, Spain, 4IIRIDIS (Investigation in Rheumatology and Immune-Mediated Diseases) Group, Galicia Sur Health Research Institute., Vigo, Spain, 5Hospital Universitario de Gran Canaria Dr. Negrin, Las Palmas de Gran Canaria, Spain, 6Hospital Universitario Germans Trias i Pujol, Badalona, Spain, 7Hospital Universitari Germans Trias i Pujol, Badalona, Spain, 8Hospital Universitari i Politècnic la Fe, Valencia, Spain, 9Hospital Universitario y Politécnico de la Fe, Valencia, Spain, 10Hospital Universitario 12 de Octubre, Madrid, Spain, 11Hospital del Mar/Parc de Salut Mar-IMIM, Barcelona, Spain, 12Hospital Universitario de Bellvitge, Barcelona, Spain, 13Department of Rheumatology. Hospital Universitario de Bellvitge, Barcelona, Spain, 14Hospital Ramón y Cajal, Madrid, Spain, 15Rheumatology Department Hospital Ramon y Cajal, Madrid, Spain, 16Rheumatology, Hospital Virgen Arrixaca, Murcia, Spain, 17Hospital Virgen de la Arrixaca de Murcia, Murcia, Spain, 18Rheumatology, Gregorio Marañon University Hospital, Madrid, Spain, 19Hospital General Universitario Gregorio Marañón, Madrid, Spain, 20Lupus Unit, Rheumatology Department, Vall d’Hebron Hospitals, Barcelona, Spain, 21Hospital Universitario Valle d´ Hebrón, Barcelona, Spain, 22Hospital Universitario Araba, Vitoria, Spain, 23Hospital Universitario Araba, Álava, Spain, 24Hospital de Araba, Vitoria, Spain, 25Osakidetza, Bilbo, Spain, 26Rheumatology, Hospital La Princesa, Madrid, Spain, 27Rheumatology, Hospital Jerez, Puerto De Santa María, Spain, 28Hospital de Jerez, Jerez, Spain, 29Department of Rheumatology, Hospital Clinic of Barcelona, Barcelona, Spain, 30Hospital Clinic, Barcelona, Spain, 31Rheumatology Department Hospital Universitario Virgen de Valme, Sevilla, Spain, 32Hospital Universitario Nuestra Señora de Valme, Sevilla, Spain, 33Rheumatology, Hospital Universitario de León, León, Spain, 34Hospital universitario Virgen del Rocío, El Viso de Alcor, Spain, 35Rheumatology, Hospital de Gran Canaria Doctor Negrin, Las Palmas de Gran Canaria, Spain

    Background/Purpose: Belimumab (BLM) is an IgG-1l anti-BAFF monoclonal antibody effective in patients with systemic lupus erythematosus (SLE), being used increasingly. However, there are no published…
  • Abstract Number: 1017 • ACR Convergence 2023

    Cross Country Differences in b/tsDMARD Prescription Behavior: Associations Between Socioeconomics, Real World b/tsDMARD Use and Disease Outcomes

    Isabell Nevins1, Delphine COURVOISIER2, Axel Finckh3, Ruth Fritsch-Stork4, Dan Nordstrom5, Ana Maria Rodrigues6, Stefan Dinescu7, Alvaro Garcia8, Mert Oztas9, Ziga Rotar10, Karen Salomon11, Arvind Chopra12, David Vega Morales13, Marieke De Buck14, Denis Choquette15, Richard Conway16, Florenzo Iannone17, CF Allaart18, Thomas Huizinga18, Kim Lauper19 and Sytske Anne Bergstra18, 1Leiden University Medical Center, Amsterdam, Netherlands, 2Division of Rheumatology, Geneva University Hospitals, Geneva, Switzerland, 3HUG, Geneva, Switzerland, 4Medical Health center Mariahilf and Sigmund Freud Private University, Utrecht, Netherlands, 5Helsinki University Hospital, Helsinki, Finland, 6Sociedade Portuguesa de Reumatologia; Nova Medical School; Hospital dos Lusíadas, Lisbon, Portugal, 7University of Medicine and Pharmacy of Craiova, Craiova, Romania, 8University Hospital del Tajo, Madrid, Spain, 9Istanbul University-Cerrahpasa, Istanbul, Turkey, 10University Medical Centre Ljubljana, Ljubljana, Slovenia, 11University of Massachusetts Medical School, Shrewsbury, MA, 12Center for Rheumatic Diseases, Pune, India, 13ROCHE, Ciudad de México, Mexico, 14Haaglanden Medisch Centrum, Den Haag, Netherlands, 15Centre hospitalier de l'Université de Montréal (CHUM), Université de Montréal, Montréal, QC, Canada, 16Trinity College Dublin, Dublin, Ireland, 17Rheumatology Unit, Department of Precision and Regenerative Medicine and Ionian Area, University of Bari "Aldo Moro", Bari, Italy, 18Leiden University Medical Center, Leiden, Netherlands, 19Geneva University Hospitals, Genève, Switzerland

    Background/Purpose: The development of biologic and targeted synthetic (b/ts)DMARDs contributed to improved treatment outcomes in rheumatoid arthritis (RA). However, high medication costs may limit their…
  • Abstract Number: 1247 • ACR Convergence 2023

    Pharmacokinetic, Pharmacodynamic, and Safety Profile of Subcutaneous Belimumab in Pediatric Patients with Systemic Lupus Erythematosus: Analysis of Data from a Multicenter, Open-Label Trial

    Hermine Brunner1, Diego Oscar Viola2, Richard Dimelow3, Inmaculada Calvo Penadés4, Christel Wilkinson5, Juan Cruz Rizo Rodriguez6, Alina Boteanu7, Sylvia Kamphuis8, Kirsten Minden9, Gerd Horneff10, Jordi Anton11, Masaaki Mori12, Yuichi Yamasaki13, Jose Miyar Olaiz14, Rebecca Marino15, Andre van Maurik16, Mohamed Okily17, Emad Yanni18 and Paul WIlde19, 1Cincinnati Children's Hospital Medical Center, Division of Rheumatology, Cincinnati, OH, 2CAICI Institute, Pediatric Rheumatology, Santa Fe, Argentina, 3GlaxoSmithKline, Clinical Pharmacology Modelling and Simulation, Stevenage, United Kingdom, 4Hospital Universitario y Politécnico La Fe, Pediatric Rheumatology Unit, València, Spain, 5GlaxoSmithKline, Clinical Statistics, Stevenage, United Kingdom, 6Centro de Alta Especialidad en Reumatologia e Investigacion del Potosi, San Luis Potosí, Mexico, 7Hospital Universitario Ramón y Cajal, Departamento de Reumatología, Madrid, Spain, 8Erasmus University Medical Center, Department of Pediatric Rheumatology, Rotterdam, Netherlands, 9Charité Universitätsmedizin Berlin, Department of Pediatric Respiratory Medicine, Immunology and Critical Care Medicine, Berlin, Germany, 10Asklepios Klinik Sankt Augustin GmbH, Bonn, Germany, 11Hospital Sant Joan de Déu, Pediatric Rheumatology Department, Universitat de Barcelona, Barcelona, Spain, 12Tokyo Medical and Dental University Hospital, Department of Lifetime Clinical Immunology, Tokyo, Japan, 13Kagoshima University Hospital, Department of Pediatrics, Kagoshima, Japan, 14GlaxoSmithKline, Safety Evaluation and Risk Management, Brentford, United Kingdom, 15GlaxoSmithKline, Safety Evaluation and Risk Management, Durham, NC, 16GlaxoSmithKline, Clinical Pharmacology and Experimental Medicine, Brentford, United Kingdom, 17GlaxoSmithKline, Clinical Development, ImmunoInflammation, Brentford, United Kingdom, 18GlaxoSmithKline, Clinical Development, Rockville, MD, 19GlaxoSmithKline, Clinical Development, Brentford, United Kingdom

    Background/Purpose: Belimumab (BEL) is an approved treatment for SLE, in addition to standard therapy. Intravenous (IV) BEL is approved in patients (pts) ≥5 years of…
  • Abstract Number: 1412 • ACR Convergence 2023

    Improvements in Patient-Reported Outcomes Through 6 Months of Guselkumab Treatment in Patients with Active Psoriatic Arthritis: Real-World Data from the CorEvitas Psoriatic Arthritis/Spondyloarthritis (PsA/SpA) Registry

    Philip J. Mease1, Alexis R Ogdie2, John Tesser3, Natalie shiff4, Iris Lin5, Soumya Chakravarty6, Mike Kelleman7, Rhiannon Dodge7, Robert McLean7, Aaron Broadwell8, Arthur Kavanaugh9 and Joseph F. Merola10, 1Swedish Medical Center/Providence St. Joseph Health and University of Washington School of Medicine, Seattle, WA, 2University of Pennsylvania, Philadelphia, PA, 3Arizona Arthritis & Rheumatology Associates, Phoenix, AZ, 4Immunology, Janssen Scientific Affairs, LLC / Adjunct, Community Health and Epidemiology, University of Saskatchewan, Horsham, PA, 5Janssen, Horsham, PA, 6Immunology, Janssen Scientific Affairs, LLC / Division of Rheumatology, Drexel University College of Medicine, Villanova, PA, 7CorEvitas, LLC, Waltham, MA, 8Department of Rheumatology, Rheumatology and Osteoporosis Specialists, Shreveport, LA, 9Division of Rheumatology, Allergy, and Immunology, University of California San Diego, La Jolla, CA, 10Brigham and Women's Hospital and Harvard Medical School, Boston, MA

    Background/Purpose: Guselkumab (GUS) has demonstrated significant efficacy across disease domains in controlled clinical trials of patients (pts) with active PsA.1,2 Recent CorEvitas PsA/SpA Registry analyses…
  • Abstract Number: 1582 • ACR Convergence 2023

    Non-TNFi b/tsDMARDs vs. TNFi in Rheumatoid Arthritis-Interstitial Lung Disease: An Active-Comparator, New-User, Propensity Score Matched Study Using National Veterans Affairs Data

    Bryant England1, Joshua Baker2, Michael George2, Tate Johnson1, Yangyuna Yang1, Punyasha Roul1, Harlan Sayles1, Fang Yu1, Jorge Rojas Jr3, Brian Sauer4, Grant Cannon5, Jeffrey R Curtis6 and Ted R Mikuls7, 1University of Nebraska Medical Center, Omaha, NE, 2University of Pennsylvania, Philadelphia, PA, 3Puget Sound VA and University of Utah, Seattle, WA, 4Salt Lake City VA/University of Utah, Salt Lake City, UT, 5University of Utah and Salt Lake City VA, Salt Lake City, UT, 6Division of Clinical Immunology and Rheumatology, University of Alabama, Birmingham, AL, 7Division of Rheumatology and Immunology, University of Nebraska Medical Center, Omaha, NE

    Background/Purpose: There is a paucity of data to guide biologic and JAKi DMARD selection in rheumatoid arthritis-interstitial lung disease (RA-ILD), with some reports of higher…
  • Abstract Number: 2052 • ACR Convergence 2023

    Risk Factors for Hospitalization for SARS-CoV-2 in Pediatric Patients with Rheumatic Diseases: A Systematic Review and Meta-analysis

    Qianzi Zhao1, Beth Wallace2, Lawrence Jung3 and Tova Ronis4, 1Trinity Health Ann Arbor, Ann Arbor, MI, 2Michigan Medicine, VA Ann Arbor Healthcare System, Ann Arbor, MI, 3Jung Medical, Cedar Falls, IA, 4Children's National Hospital, Chevy Chase, MD

    Background/Purpose: Among adults who develop SARS-CoV-2 infection, those with rheumatic diseases (RDs) have similar hospitalization rates compared to those without RDs. Similar comparisons are lacking…
  • Abstract Number: 2227 • ACR Convergence 2023

    The Impact of Smoking Status on One Year Secukinumab Retention Rate in 1,684 Patients with PsA: Real-World Results from the EuroSpA Collaboration

    Zohra Faizy Ahmadzay1, Stylianos Georgiadis2, Marion Pons2, Merete Hetland2, Bente Glintborg3, Jette Heberg2, Sara Nysom Christiansen2, Simon Horskjær Rasmussen2, Anne Gitte Loft4, Isabel Castrejon5, Lucia Otero-Valera6, Jakub Zavada7, Karel Pavelka8, Heikki Relas9, Laura Kuusalo10, Burkhard Moeller11, Michael Nissen12, Ziga Rotar13, Katja Perdan Pirkmajer14, Daniela Santos Oliveira15, Ana Rita Cruz-Machado16, Brigitte Michelsen17, Eirik Kristianslund18, Bjorn Gudbjornsson19, Gerdur Maria Grondal20, Karin Laas21, Pasoon Hellamand22, Ismail Sari23, Daniela Di Giuseppe24, Mikkel Østergaard25 and Lykke Ørnbjerg2, 1Rigshospitalet Glostrup, University of Copenhagen, Glostrup, Denmark, 2Copenhagen Center for Arthritis Research, Rigshospitalet, Copenhagen, Denmark, 3Rigshospitalet Glostrup, University of Copenhagen, Virum, Denmark, 4Aarhus University, Horsens, Denmark, 5Hospital General Universitario Gregorio Marañón, Madrid, Spain, 6Spanish Society of Rheumatology, Madrid, Spain, 7Institute of Rheumatology; Charles University, Prague, Czech Republic, 8Institut of Rheumatology and Department of Rheumatology, First Faculty of Medicine, Charles University, Praha, Czech Republic, 9Helsinki University Hospital, Helsinki, Finland, 10Division of Internal Medicine, Centre for Rheumatology and Clinical Immunology, University of Turku and Turku University Hospital, Turku, Finland, 11Inselspital - University Hospital Bern, Bern, Switzerland, 12Geneva University Hospitals, Geneva, Switzerland, 13University Medical Centre Ljubljana, Ljubljana, Slovenia, 14Department of Rheumatology, University Medical Centre LJubljana, Ljubljana, Slovenia, 15Department of Medicine, Faculty of Medicine, University of Porto, Rheumatology Department, Centro Hospitalar e Universitário de São João, Porto, Portugal, 16Rheumatology and Metabolic Bone Diseases Department, Hospital de Santa Maria, CHULN, Academic Medical Center and ERN-ReCONNET; Instituto de Medicina Molecular João Lobo Antunes, Faculdade de Medicina da Universidade de Lisboa; Reuma.pt Sociedade Portuuesa de Reumatologia, Lisbon, Portugal, 17Rigshospitalet Glostrup; Diakonhjemmet Hospital; Sørlandet Hospital, Copenhagen, Denmark, 18Diakonhjemmet Hospital, Oslo, Norway, 19Centre for Rheumatology Research, University Hospital, Reykjavik, Iceland, 20Department for Rheumatology, Landspitali University Hospital, Reykjavik, Iceland, 21Department of Rheumatology, East-Tallinn Central Hospital, Tallinn, Estonia, 22Amsterdam University Medical Centers, University of Amsterdam, Amsterdam, Netherlands, 23Division of Rheumatology, Department of Internal Medicine, Dokuz Eylul University School of Medicine, Izmir, Turkey, 24Karolinska Institutet, Stockholm, Sweden, 25Copenhagen Center for Arthritis Research, Center for Rheumatology and Spine Diseases, Centre for Head and Orthopaedics, Rigshospitalet; University of Copenhagen, Copenhagen, Denmark

    Background/Purpose: Smoking has been associated with higher disease activity, poorer treatment response, and drug retention rate among psoriatic arthritis (PsA) patients treated with Tumor Necrosis…
  • Abstract Number: 2346 • ACR Convergence 2023

    SLE Medication Usage and Organ Damage Among Adult SLE Patients with SLE Treated with Belimumab (BEL): Pooled Data from Three Open-Label Extension Studies over 11+ Years

    Zahi Touma1, Cristina Arriens2, Christine Henning3, Angela Carroll3, Paula Curtis4, Roger A. Levy5 and William Stohl6, 1University of Toronto, Toronto, ON, Canada, 2Oklahoma Medical Research Foundation and University of Oklahoma Health Sciences Center, Department of Arthritis & Clinical Immunology, Oklahoma City, OK, 3GlaxoSmithKline, US Medical Affairs, Durham, NC, 4GlaxoSmithKline, R&D Biostatistics, Brentford, United Kingdom, 5GlaxoSmithKline, Global Medical Affairs, Collegeville, PA, 6University of Southern California Keck School of Medicine, Division of Rheumatology, Los Angeles, CA

    Background/Purpose: A key treatment goal for patients (pts) with SLE is to reduce use of CS, due to their association with organ damage.1 BEL is…
  • Abstract Number: 2547 • ACR Convergence 2023

    Characteristics of Difficult-To-Treat Axial Spondyloarthritis: Results of a Multicentric Retrospective Study

    Cecile PHILIPPOTEAUX1, Thibaut DELEPINE2, Emeline Cailliau1, Peggy Philippe1, Nicolas TAISNE3, Tristan Pascart4, Julien Paccou1, Bernard Cortet1, Rene-Marc Flipo1 and Jean-Guillaume Letarouilly5, 1University Hospital Center of Lille, Lille, France, 2CHU de Lille, Lille University Hospital, Valenciennes, France, 3Valenciennes Hospital Center, Valenciennes, France, 4Department of Rheumatology, Saint-Philibert Hospital, Lille Catholic University, Lille, France, 5CHU Lille, Lille, France

    Background/Purpose: The EULAR task force recently published the difficult-to-treat (D2T) RA definition1, however, a definition of D2T axSpA is still lacking. To date, we have…
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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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