ACR Meeting Abstracts

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Abstracts tagged "glucocorticoids"

  • Abstract Number: 1827 • ACR Convergence 2020

    Flare Reduction and Oral Corticosteroid Taper in Patients with Active SLE Treated with Anifrolumab in 2 Phase 3 Trials

    Richard Furie1, Eric Morand2, Anca Askanase3, Ed Vital4, Joan Merrill5, Rubana Kalyani6, Gabriel Abreu7, Lilia Pineda6 and Raj Tummala6, 1Zucker School of Medicine at Hofstra/Northwell, Great Neck, 2Medicine, School of Clinical Sciences at Monash Health, Monash University, Melbourne, Australia, 3Columbia University College of Physicians and Surgeons, New York, 4University of Leeds; NIHR Leeds Biomedical Research Centre, Leeds Teaching Hospitals NHS Trust, Leeds, United Kingdom, 5Oklahoma Medical Research Foundation, Oklahoma City, 6BioPharmaceuticals R&D, AstraZeneca, Gaithersburg, 7BioPharmaceuticals R&D, AstraZeneca, Gothenburg, Sweden

    Background/Purpose: Objectives of long-term SLE management are not only to reduce disease activity, but also to prevent flares and minimize exposure to oral corticosteroids (OCS),…
  • Abstract Number: 0220 • ACR Convergence 2020

    Impact of Concomitant Glucocorticoids on the Clinical Efficacy and Safety of Upadacitinib in Patients with Rheumatoid Arthritis: An Ad Hoc Analysis of Data from Three Phase 3 Studies

    Bernard Combe1, Frank Buttgereit2, Andrew Östör3, Ricardo Xavier4, Alain Saraux5, Capucine Daridon6, Kirsten Famulla7, Yanna Song8, Ivan Lagunes-Galindo9 and Gerd Burmester10, 1University of Montpellier, Montpellier, France, 2Charité University Medicine, Berlin, Germany, 3Cabrini Medical Center, Monash University, Malvern, Victoria, Australia, 4Hospital de Clínicas de Porto Alegre, Universidade Federal do Rio Grande do Sul, Rio Grande do Sul, Rio Grande do Sul, Brazil, 5Department of Rheumatology, UBO, CHU, INSERM 1227 (LBAI), Brest, France, 6AbbVie France, Rungis, France, 7AbbVie Deutschland GmbH & Co. KG, Wiesbaden, Germany, 8AbbVie Inc., North Chicago,, IL, 9AbbVie Inc., North Chicago, IL, 10Charité University Hospital Berlin, Berlin, Germany

    Background/Purpose: Glucocorticoid (GC) therapy has strong anti-inflammatory effects and helps slow radiographic progression in RA1; however, GCs can be associated with adverse events (AEs) such…
  • Abstract Number: 1828 • ACR Convergence 2020

    Comprehensive Efficacy of Anifrolumab Across Organ Domains in Patients with Active SLE: Pooled Data from 2 Phase 3 Trials

    Eric Morand1, Richard Furie2, Ian Bruce3, Ed Vital4, Maria Dall'Era5, Emmanuelle Maho6, Lilia Pineda7 and Raj Tummala7, 1Monash University, Melbourne, Australia, 2Zucker School of Medicine at Hofstra/Northwell, Great Neck, 3Centre for Epidemiology Versus Arthritis, The University of Manchester and NIHR Manchester Biomedical Research Centre, Manchester University Hospitals NHS Foundation Trust, Manchester Academic Health Science Centre, Manchester, United Kingdom, 4University of Leeds; NIHR Leeds Biomedical Research Centre, Leeds Teaching Hospitals NHS Trust, Leeds, United Kingdom, 5Division of Rheumatology, University of California, San Francisco, CA, 6BioPharmaceuticals R&D, AstraZeneca, Cambridge, United Kingdom, 7BioPharmaceuticals R&D, AstraZeneca, Gaithersburg

    Background/Purpose: SLE is a heterogeneous autoimmune disease with clinical manifestations across multiple organ systems. In the phase 3 TULIP-1 and TULIP-2 trials, anifrolumab treatment resulted…
  • Abstract Number: 0267 • ACR Convergence 2020

    Gastrointestinal Disease in SLE: Does It Indicate a Worse Prognosis?

    Beatriz Tejera Segura1, Irene Altabás González2, Iñigo Rúa-Figueroa3, Natalia Pérez Veiga4, Victor del Campo Pérez5, Alejandro Olivé-Marqués6, Maria Galindo-Izquierdo7, Jaime Calvo-Alén8, Juan Ovalles-Bonilla9, Antonio Fernandez-Nebro10, Raul Menor Almagro11, Eva Tomero Muriel12, N. Del-val-del-amo13, Maria Esther Uriarte14, VM Martínez Taboada15, Jose Luis Andreu Sanchez16, Alina Lucica Boteanu17, Francisco Javier Narváez18, A Morasat19, Carlos Montilla Morales20, JM Senabre Gallego21, Blanca Hernández Cruz22, Mariano Andrés23, Eva Salgado Pérez24, Mercedes Freire-González25, Sergio Ramon Machin Garcia1, Clara Moriano26, Lorena Expósito27, Clara E. Perez-Velasquez28, ML Velloso-Feijoo29, Ana Paula Cacheda30, Nuria Lozano Rivas31, Gema Bonilla32, Marta Arévalo33, Inmaculada Jimenez34, VE Quevedo-Vila35, Francisco Manero-Ruiz36, Paloma García de la Peña37, TR Vázquez-Rodríguez38, J Ibáñez-Ruan39, Tatiana Cobo-Ibañez40 and Jose Maria Pego-Reigosa41, 1Hospital Universitario Insular de Gran Canaria, Las Palmas de Gran Canaria, Spain, 2Complejo Hospitalario Universitario de Vigo, Vigo, Pontevedra, Spain, 3Hospital Universitario de Gran Canaria Dr Negrín, Las Palmas de Gran Canaria, Spain, 4Grupo IRIDIS, Universidad de Vigo, Vigo, Pontevedra, 5Hospital Universitario Meixoeiro, Vigo, Vigo, Pontevedra, Spain, 6Hospital Germans Trias i Pujol, Barcelona, Spain, 7Hospital Universitario 12 de Octubre, Madrid, Spain, 8Hospital Universitario Araba, Vitoria-Gasteiz, Pais Vasco, Spain, 9Hospital General Universitario Gregorio Marañón, Madrid, Spain, 10University of Malaga, Malaga, Spain, 11Hospital General Universitario de Jerez de la Frontera, Puerto De Santa Mar�a, Spain, 12Hospital Universitario de la Princesa, Madrid, Madrid, Spain, 13Complejo Hospitalario de Navarra, Pamplona, Spain, 14Hospital Universitario Donostia, San Sebastian, Spain, 15Hospital Universitario Marqués de Valdecilla, Santander, Spain, 16Hospital Universitario Puerta de Hierro, Majadahonda, Spain, 17PRINTO, Istituto Giannina Gaslini, Genova, Italy, 18Hospital Bellvitge, BARCELONA, Spain, 19Hospital Universitario Príncipe de Asturias, Alcalá de Henares, Spain, 20Hospital Universitario de Salamanca, Salamanca, Spain, 21Hospital Marina Baixa, Alicante, Spain, 22Universidad de Sevilla, Sevilla, Spain, 23Hospital General Universitario de Alicante, Alicante, Spain, 24Complejo Hospitalario Universitario de Santiago de Compostela, Santiago de Compostela, Spain, 25CHU Coruña, Coruña, Spain, 26Complejo Asistencial Universitario de León, León, Spain, 27Hospital Universitario de Canarias, Santa Cruz de Tenerife, Spain, 28Basurto University Hospital, Bilbao, Spain, 29Hospital Universitario de Valme, Sevilla, Spain, 30Hospital son LLátzer, Palma de Mallorca, Spain, 31Hospital Clínico Universitario Virgen de Arrixaca, Murcia, Spain, 32Rheumatology, La Paz University Hospital-IdiPAZ, Madrid, Spain, 33Hospital Universitari Parc Taulí I3PT, Sabadell, Spain, 34Hospital Clínico San Ceciio Granada, Granada, Spain, 35Hospital Comarcal de Monforte, Lugo, Spain, 36Hospital Universitario Miguel Servet, Zaragoza, Spain, 37Hospital HM, Madrid, Spain, 38Hospital Universitario Lucus Augusti, Lugo, Spain, 39Hospital Povisa, Vigo, Pontevedra, Spain, 40Hospital Infanta Sofia, Madrid, Spain, 41University Hospital of Vigo, Galicia Sur Health Research Institute, Vigo, Spain

    Background/Purpose: To describe the GI manifestations of SLE in the RELESSER (Registry of Systemic Lupus Erythematosus Patients of the Spanish Society of Rheumatology) cohort and…
  • Abstract Number: 1835 • ACR Convergence 2020

    Evaluation of Low Dose Glucocorticoid Effects on Infection Occurrence in Systemic Lupus Erythematosus Patients

    Kazuya Abe1, Nobuyuki Yajima2, Yuichi Ishikawa3, Yasuhiko Kita4, Ken-ei Sada5, Ryusuke Yoshimi6, Yasuhiro Shimojima7, Shigeru Ohno8, Hiroshi Kajiyama9, Kunihiro Ichinose10, Shuzo Sato11 and Michio Fujiwara12, 1Department of Rheumatology, Yokohama Rosai Hospital, Chiba, Japan, 2Division of Rheumatology, Department of Internal Medicine, Showa University School of Medicine, Tokyo, Japan, 3Department of Rheumatology, Yokohama Rosai Hospital, Tokyo, Japan, 4Department of Rheumatology, Yokohama Rosai Hospital, kanagawa, 5Department of Nephrology, Rheumatology, Endocrinology and Metabolism, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Science, Okayama, Japan, 6Department of Stem Cell and Immune Regulation, Yokohama City University Graduate School of Medicine, Yokohama, Japan, 7Department of Medicine (Neurology and Rheumatology), Shinshu University School of Medicine, Matsumoto, Japan, 8Center for Rheumatic Diseases, Yokohama City University Medical Center, Yokohama, Japan, 9Department of Rheumatology and Applied Immunology Faculty of Medicine, Saitama Medical University, Iruma-gun, Saitama, Japan, 10Department of Immunology and Rheumatology, Division of Advanced Preventive Medical Sciences, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan, 11Fukushima Medical University School of Medicine, Department of Rheumatology, Fukushima, Japan, 12Department of Rheumatology, Yokohama Rosai Hospital, Kanagawa, Japan

    Background/Purpose: Infection is major cause of morbidity and mortality in systemic lupus erythematosus (SLE) patient. The past exploratory study suggested various infection risk in SLE…
  • Abstract Number: 1876 • 2019 ACR/ARP Annual Meeting

    Effect of Discontinuation of Denosumab in Subjects with Rheumatoid Arthritis Treated with Glucocorticoids

    Kenneth Saag1, Michele McDermott 2, Jonathan Adachi 3, Willem Lems 4, Nancy Lane 5, Piet Geusens 6, Peter Butler 2, Li Chen 2, Daria Crittenden 2, Robin Dore 7 and Stanley Cohen 8, 1University of Alabama, Birmingham, AL, 2Amgen Inc., Thousand Oaks, CA, 3McMaster University and St. Joseph's Healthcare Hamilton, Hamilton, ON, Canada, 4VU University Medical Centre, Amsterdam, Netherlands, 5University of California at Davis Medical Center, Sacramento, CA, 6Maastricht University, Maastricht, Netherlands, 7Robin K Dore Inc, Tustin, CA, 8Metroplex Clinical Research Center, Dallas, TX

    Background/Purpose: Denosumab, a monoclonal antibody against RANKL, is approved for the treatment of glucocorticoid (GC) induced osteoporosis (GiOP). In postmenopausal women with osteoporosis, denosumab discontinuation…
  • Abstract Number: 2219 • 2019 ACR/ARP Annual Meeting

    Randomized Control Study in Glucocorticoid-Induced Osteoporosis Treated with Bisphosphonate or Denosumab (GOBID)

    Ikuko Tanaka1, Mari Ushikubo 2, Misako Konishi 2, Yutaro Hayashi 2, Satoshi Hama 3, Keisuke Izumi 2, Yutaka Okano 2, Shigenori Tamaki 4 and Hisaji Ohshima 2, 1Nagoya Rheumatology Clinic, Ngoya, Japan, 2National Tokyo Medical Center, Tokyo, Japan, 3tokyo medical center, tokyo, Japan, 4Nagoya Rheumatology Clinic, Nagoya, Japan

    Background/Purpose: It has not been established which therapy, bisphosphonates or denosumab, is more effective for glucocorticoid-induced osteoporosis (GIO). The purpose of this study was to…
  • Abstract Number: 2675 • 2019 ACR/ARP Annual Meeting

    Risk of Potential Glucocorticoid-Related Adverse Events in Patients with Giant Cell Arteritis: Results from a US-based Electronic Health Records Database

    Jennie Best1, Amanda M. Kong 2, Oth Tran 2 and Margaret Michalska 1, 1Genentech, Inc., South San Francisco, CA, 2IBM Watson Health, Cambridge, MA

    Background/Purpose: Oral glucocorticoids (OGC) have been the mainstay of treatment for giant cell arteritis (GCA). However, OGCs are associated with several adverse events (AEs). The…
  • Abstract Number: 2691 • 2019 ACR/ARP Annual Meeting

    Treatment Patterns, Disease Burden and Outcomes in Patients with Giant Cell Arteritis and Polymyalgia Rheumatica

    Gary Craig1, Keith Knapp 2, Bob Salim 3, Shalini Mohan 4 and Margaret Michalska 4, 1Arthritis Northwest; Discus Analytics, Spokane, WA, 2Discus Analytics, Spokane, WA, 3Axio Research, Seattle, WA, 4Genentech, Inc., South San Francisco, CA

    Background/Purpose: For patients with giant cell arteritis (GCA) and/or polymyalgia rheumatica (PMR), glucocorticoids are the mainstay of treatment. However, due to the chronic nature of…
  • Abstract Number: 2694 • 2019 ACR/ARP Annual Meeting

    Inpatient Treatment Variation in New-Onset Systemic Juvenile Idiopathic Arthritis

    Rosemary Peterson1, Rui Xiao 2, Hannah Katcoff 1, Brian Fisher 1 and Pamela F. Weiss 1, 1Children's Hospital of Philadelphia, Philadelphia, PA, 2Children's Hospital of Philadelphia, Philadelphia

    Background/Purpose: The effectiveness of IL-1 and IL-6 inhibitors as first-line therapy in patients with new-onset systemic JIA has led to the concept of a “window…
  • Abstract Number: 2825 • 2019 ACR/ARP Annual Meeting

    Provider Variability in Glucocorticoid Prescribing for Patients with Rheumatoid Arthritis and Impact on Chronic Glucocorticoid Use

    Michael George1, Joshua Baker 2, Lang Chen 3, Qufei Wu 2, Fenglong Xie 4, Huifeng Yun 3 and Jeffrey Curtis 3, 1University of Pennsylvania, Philadelphia, 2University of Pennsylvania, Philadelphia, PA, 3University of Alabama at Birmingham, Birmingham, AL, 4University of Alabama at Birmingham, Birmingham

    Background/Purpose: Glucocorticoids are recommended as short-term bridging therapy in patients with rheumatoid arthritis (RA), but as many as 30-40% of patients remain on glucocorticoids chronically.…
  • Abstract Number: 554 • 2019 ACR/ARP Annual Meeting

    Evidence to Guide Glucocorticoid Tapering Is Lacking in RA

    Beth Wallace1, David Wallace 2, Akbar Waljee 3 and Daniel Clauw 4, 1Center for Clinical Management Research, VA Ann Arbor Healthcare System; Division of Rheumatology, Department of Internal Medicine, Michigan Medicine, Ann Arbor, MI, 2Division of General Medicine, Department of Internal Medicine, Michigan Medicine, Ann Arbor, MI, 3Center for Clinical Management Research, VA Ann Arbor Healthcare System; Division of Gastroenterology, Department of Internal Medicine, Michigan Medicine, Ann Arbor, MI, 4Division of Rheumatology, Department of Internal Medicine and Division of Anesthesia, Michigan Medicine, Ann Arbor, MI

    Background/Purpose: Over a third of RA patients are managed with long-term oral glucocorticoids (GC), defined as daily GC use for ≥3 months[1]. Due to dose-dependent…
  • Abstract Number: 848 • 2019 ACR/ARP Annual Meeting

    Risk of Serious Infection with Long-Term Use of Low-Dose Glucocorticoids in Patients with Rheumatoid Arthritis

    Michael George1, Joshua Baker 2, Kevin Winthrop 3, Qufei Wu 2, Lang Chen 4, Fenglong Xie 5, Huifeng Yun 4 and Jeffrey Curtis 4, 1University of Pennsylvania, Philadelphia, 2University of Pennsylvania, Philadelphia, PA, 3Oregon Health and Science University, Portland, OR, 4University of Alabama at Birmingham, Birmingham, AL, 5University of Alabama at Birmingham, Birmingham

    Background/Purpose: As many as 30-40% of patients with RA remain on long term glucocorticoids. Infection risk with higher dose glucocorticoids is well known, but evidence…
  • Abstract Number: 1152 • 2019 ACR/ARP Annual Meeting

    Low Rates of Bone Mineral Density Testing by Rheumatologists in Patients with Systemic Lupus Erythematosus and Glucocorticoid Therapy

    JB Boone1, S. Bobo Tanner 1 and April Barnado 1, 1Vanderbilt University Medical Center, Nashville, TN

    Background/Purpose: Patients with systemic lupus erythematosus (SLE) are at an increased risk of developing osteoporosis and clinical fractures compared to healthy controls. Bone loss in…
  • Abstract Number: 1432 • 2019 ACR/ARP Annual Meeting

    Tapering and Discontinuing Prednisolone Without Deteriorated Disease Control by Optimizing Methotrexate in Patients with Rheumatoid Arthritis Under Stable Treatment – 2-year Results in the Real-world Clinical Practice –

    Shintaro Hirata1, Takuji Omoto 1, Hiroki Kohno 1, Hirofumi Watanabe 1, Kazutoshi Yukawa 1, Tadahiro Tokunaga 1, Tatsuomi Kuranobu 1, Katsuhiro Oi 1, Yusuke Yoshida 1, Tomohiro Sugimoto 1, Sho Mokuda 1, Keisuke Oda 1, Takaki Nojima 1 and Eiji Sugiyama 1, 1Hiroshima University, Hiroshima, Japan

    Background/Purpose: To determine whether prednisolone (PSL) could be tapered or discontinued without deterioration of disease control through optimizing methotrexate (MTX) for 2-yrs in patients with…
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