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Abstracts tagged "methotrexate (MTX) and rheumatoid arthritis (RA)"

  • Abstract Number: 539 • 2017 ACR/ARHP Annual Meeting

    Comparison of Oral Versus Parenteral Methotrexate in Rheumatoid Arthritis: A Meta-Analysis

    Sahar Janjua1, Andreea Bujor1, Michael P. LaValley2, Josefina Duran3, Jürgen Braun4 and David T. Felson5, 1Department of Rheumatology, Boston Medical Center, Boston, MA, 2Boston University School of Public Health, Boston, MA, 3Pontificia Universidad Católica de Chile, Santiago, Chile, 4Institut für angewandte Statistik Dr. Jörg Schnitker GmbH, Bielefeld, Germany, 5Clinical Epidemiology Research and Training Unit, Boston University School of Medicine, Boston, MA

    Background/Purpose: Methotrexate (MTX) is the mainstay first-line therapy for rheumatoid arthritis (RA), and it can be given orally or parenterally. Bioavailability of oral MTX may…
  • Abstract Number: 1438 • 2017 ACR/ARHP Annual Meeting

    Is It Necessary to Weight By Weight the Dosage of MTX in RA Patients? Results from Obsevational Analysis of Baseline Data of a Phase III Trial

    Alain Saraux1, Christophe Hudry2, Elena Zinovieva3 and Hélène Herman-Demars3, 1Rheumatology Department, Rheumatology Department, CHU de la Cavale Blanche, Brest, France, Brest Cedex, France, 2AP-HP Hôpital Cochin, Paris, France, 3Medical Department Nordic Pharma, Paris, France

    Background/Purpose: In inflammatory rheumatic diseases, pharmacokinetics of MTX may be modified by patients’ weight [1]. The rheumatologists are though reluctant to prescribe a high dosage…
  • Abstract Number: 1738 • 2017 ACR/ARHP Annual Meeting

    The Pattern of Proinflamatory Cytokine Expression By CD4+ T Lymphocytes Segregates the Clinical Response to Methotrexate in Recently Diagnosed Rheumatoid Arthritis Patients

    Jorge Monserrat Sanz1, Ana Maria Gómez Lahoz2, Cristina Bohórquez Heras3, Maria Dolores Sosa Reina2, Atusa Movasat3, Ana Pérez Gómez3, Lucía Ruiz Gutiérrez3, Ana Sánchez Atrio3, Eduardo Cuende Quintana3, Maria José León3, David Diaz2, Fernando Albarrán Hernández3 and Melchor Alvarez-Mon2,3, 1Laboratory of Inmune System Diseases, Deparment of Medicine and Medical Specialties. IRYCIS. University of Alcalá. Madrid. Spain, Alcalá de Henares. Madrid, Spain, 2Laboratory of Inmune System Diseases, Deparment of Medicine and Medical Specialties. IRYCIS. University of Alcalá. Madrid. Spain, Alcalá de Henares, Madrid, Spain, 3University Hospital Príncipe de Asturias, Immune System Diseases, Rheumatology Department, Alcalá de Henares, Madrid, Spain

    Background/Purpose: Mechanisms regulating the autoimmune response in rheumatoid arthritis (RA) are not well understood. However, it is known that T CD4+ lymphocytes play a pivotal…
  • Abstract Number: 2380 • 2017 ACR/ARHP Annual Meeting

    The Use of Fibroscan in Detecting Early Liver Fibrosis in RA Patients on Long Term MTX with Normal Liver Enzymes

    Malack Alachkar1, T Mathialahan2, Sandra Walsh2 and Vun Lim3, 1Rheumatology, The Pennine Acute Hospitals NHS Trust, Manchester, United Kingdom, 2Gastroenterology, Wrexham Maelor Hospital, Betsi Cadwaladr University Health Board, Wrexham, United Kingdom, 3Rheumatology, Wrexham Maelor Hospital, Betsi Cadwaladr University Health Board, Wrexham, United Kingdom

    Background/Purpose: FibroScan (FS) is a non-invasive investigation that allows assessment of possible liver fibrosis by measuring liver stiffness. There are studies which confirm that MTX-related…
  • Abstract Number: 2516 • 2016 ACR/ARHP Annual Meeting

    Concomitant Use of Oral Vs. Subcutaneous Methotrexate at Biologic Initiation: A Comparison of Biologic Treatment Survival in a Rheumatoid Arthritis Cohort

    Carter Thorne1, Mohammad Movahedi2, Angela Cesta2, Xiuying Li2, Emmanouil Rampakakis3, John S. Sampalis4 and Claire Bombardier5, 1University of Toronto and Southlake Regional Health Centre, Newmarket, ON, Canada, 2Toronto General Hospital Research Institute, University Health Network, Toronto, ON, Canada, 3JSS Medical Research, St-Laurent, QC, Canada, 4McGill University, Montreal, QC, Canada, 5University of Toronto, Toronto, ON, Canada

    Background/Purpose: Previous studies have shown differences in the effectiveness and survival of subcutaneous vs. oral methotrexate. Furthermore, concurrent methotrexate therapy has been shown to enhance…
  • Abstract Number: 2569 • 2016 ACR/ARHP Annual Meeting

    Restoration of Decreased Lymphocyte Counts and the Shift to Th1 and Effector Memory CD8+T Cell Subsets Associate with Spontaneous Regression of Lympho-Proliferative Disorders Developed in RA Patients Treated with Methotrexate

    Shuntaro Saito1, Katsuya Suzuki1, Kunihiro Yamaoka1, Koichi Amano2, Michihide Tokuhira3 and Tsutomu Takeuchi1, 1Keio University School of Medcine, Division of Rheumatology, Department of Internal Medicine, Tokyo, Japan, 2Department of Rheumatology and Clinical Immunology, Saitama Medical Center, Saitama Medical University, Saitama, Japan, 3Department of Hematology, Saitama Medical Center, Saitama Medical University., Saitama, Japan

    Background/Purpose:  Methods:  Forty-three RA patients complicated with LPD were identified and 76 control patients were selected. Among the 43 LPD patients, 28 were regressive and…
  • Abstract Number: 3091 • 2016 ACR/ARHP Annual Meeting

    Effect of Sarilumab on Circulating Biomarkers of Bone and Joint Destruction in Patients with Rheumatoid Arthritis with Inadequate Response to Methotrexate

    Cem Gabay1, Jérôme Msihid2, Nikki Daskalakis3, Neil Graham4, Anne Barbot5, Moshe Zilberstein3 and Anita Boyapati4, 1University Hospitals of Geneva/SCQM Registry, Geneva, Switzerland, Geneva, Switzerland, 2Sanofi, Chilly-Mazarin, France, Chilly-Mazarin, NJ, France, 3Sanofi Genzyme, Bridgewater, NJ, 4Regeneron Pharmaceuticals, Inc., Tarrytown, NY, 5Sanofi, Chilly-Mazarin, France, Chilly-Mazarin, France

    Background/Purpose: Patients with RA develop bone and joint damage due to chronic inflammation that is mediated by a destructive synovial pannus.1 The pannus is composed…
  • Abstract Number: 22 • 2016 ACR/ARHP Annual Meeting

    Incidence and Factors Associated with the Development of Non Alcoholic Fatty Liver Disease(NAFLD) Among Patients with Rheumatoid Arthritis

    Ani John1, Angela Witt Prehn2, Hebatullah Tawfik2, George W. Reed3 and Joel Kremer4, 1School of Health Sciences, Walden University, Minneapolis, CA, 2School of Health Sciences, Walden University, Minneapolis, MN, 3Corrona, LLC, Southborough, MA, 4The Center for Rheumatology, Albany Medical College, Albany, NY

    Background/Purpose: NAFLD is a leading cause of chronic liver disorders, unrelated to significant alcohol use. RA and NAFLD have shared risk factors such as age,…
  • Abstract Number: 3149 • 2016 ACR/ARHP Annual Meeting

    “Early Use of Subcutaneous MTX Monotherapy Vs. MTX Oral or Combination Therapy Significantly Delays Time to Initiating Biologics in Early RA

    Stephanie Gottheil1, J Carter Thorne2, Orit Schieir3, Gilles Boire4, Boulos Haraoui5, Carol Hitchon6, Diane Tin7, Cheryl Barnabe8, Glen Hazlewood8, Edward Keystone9, Vivian P. Bykerk10, Janet E. Pope11, Susan J. Bartlett12 and Canadian Early Arthritis Cohort, 1University of Western Ontario, LONDON, ON, Canada, 2Southlake Regional Health Centre, Newmarket, ON, Canada, 3McGill University, Montreal, ON, Canada, 4Rheumatology Division, CHUS - Sherbrooke University, Sherbrooke, QC, Canada, 5Institute de Rheumatologie, Montreal, QC, Canada, 6University of Manitoba, Winnipeg, MB, Canada, 7The Arthritis Program, Southlake Regional Health Centre, Newmarket, ON, Canada, 8Division of Rheumatology, University of Calgary, Calgary, AB, Canada, 9Mt. Sinai Hospital, University of Toronto, Toronto, ON, Canada, 10Divison of Rheumatology, Hospital for Special Surgery, New York, NY, 11University of Western Ontario, St Joseph's Health Care, London, ON, Canada, 12Department of Medicine, Division of ClinEpi, Rheumatology, Respirology, McGill University, Montreal, QC, Canada

    Background/Purpose: Optimal treatment for moderate-severe early rheumatoid arthritis involves using a methotrexate-based, treat-to-target strategy aiming for remission. Achieving remission without using biologics may be preferable…
  • Abstract Number: 624 • 2016 ACR/ARHP Annual Meeting

    Association Between Methotrexate Use and Effects of Treatment with a Second Biologic Agent in Rheumatoid Arthritis

    Yoshikazu Ogawa1, Nobunori Takahashi2, Toshihisa Kojima3 and Naoki Ishiguro4, 1orthopedic surgery, Sakashita Hospital, Nakatsugawa, Japan, 2Nagoya Univ. Grad. Schl. of Med., Nagoya, Japan, 3Department of Orthopedic Surgery, Nagoya University Hospital, Nagoya, Japan, 4Nagoya University, Nagoya, Japan

    Background/Purpose: In general, the concomitant use of methotrexate (MTX) and biologic disease-modifying antirheumatic drugs (bDMARDS) plays an important role in treating bio-naïve patients with rheumatoid…
  • Abstract Number: 3221 • 2016 ACR/ARHP Annual Meeting

    Efficacy and Safety of Sarilumab Versus Adalimumab in a Phase 3, Randomized, Double-Blind, Monotherapy Study in Patients with Active Rheumatoid Arthritis with Intolerance or Inadequate Response to Methotrexate

    Gerd Burmester1, Yong Lin2, Rahul Patel2, Janet van Adelsberg3, Erin Mangan3, Hubert van Hoogstraten2, Deborah Bauer2, Juan Ignacio Vargas4 and Eun Bong Lee5, 1Med. Klinik mit SP Rheumatologie und Klinische Immunologie, Charit, Berlin, Germany, 2Sanofi Genzyme, Bridgewater, NJ, 3Regeneron Pharmaceuticals, Inc., Tarrytown, NY, 4Quantum Research, Puerto Varas, Chile, 5Seoul National University, Seoul, Korea, Republic of

    Background/Purpose: Sarilumab is a human mAb that blocks IL-6 from binding to both membrane-bound and soluble IL-6Rα. Efficacy and safety of sarilumab + non-biologic DMARDs…
  • Abstract Number: 641 • 2016 ACR/ARHP Annual Meeting

    Reduction of Concomitant Oral Methotrexate or Corticosteroids in Combination Treatment with Adalimumab Does Not Affect Effectiveness in Patients with Rheumatoid Arthritis

    Edward Keystone1, Ferdinand Breedveld2, Arthur Kavanaugh3, Ying Zhang4, Iain Sainsbury4 and Jasmina Kalabic5, 1Mt. Sinai Hospital, University of Toronto, Toronto, ON, Canada, 2Leiden University Medical Center, Leiden, Netherlands, 3Univ of California San Diego, San Diego, CA, 4AbbVie Inc., North Chicago, IL, 5AbbVie Deutschland GmbH & Co. KG, Ludwigshafen, Germany

    Background/Purpose:  In rheumatoid arthritis (RA) patients (pts) receiving corticosteroids (CS) or methotrexate (MTX) with an anti-TNF, such as adalimumab (ADA), the concomitant CS or MTX…
  • Abstract Number: 953 • 2016 ACR/ARHP Annual Meeting

    Comparison of 10-Years Disease Outcomes of Rheumatoid Arthritis Patients with Continued Low Disease Activity on Methotrexate with or without Initial Combination Therapy with Infliximab or Prednisone and Sulfasalazine

    SA Bergstra1, RBM Landewé2,3, TWJ Huizinga1 and CF Allaart1, 1Department of Rheumatology, LUMC, Leiden, Netherlands, Leiden, Netherlands, 2Amsterdam Rheumatology & Immunology Center, Netherlands, Amsterdam, Netherlands, 3Zuyderland Medical Center, Heerlen, Netherlands, Heerlen, Netherlands

    Background/Purpose: Low disease activity and remission in rheumatoid arthritis (RA) patients is achieved earlier and in higher frequency when the initial treatment includes a combination…
  • Abstract Number: 1546 • 2016 ACR/ARHP Annual Meeting

    Clinical Features at the Onset of Lymphoproliferative Disorder in Patients with Rheumatoid Arthritis

    Daisuke Kobayashi1,2, Satoshi Ito1, Chinatsu Takai1,3, Akira Murasawa1, Ichiei Narita2 and Kiyoshi Nakazono1, 1Department of Rheumatology, Niigata Rheumatic Center, Shibata, Japan, 2Division of Clinical Nephrology and Rheumatology, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan, 3Department of clinical rheumatology and nephrology, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan

    Background/Purpose: Rheumatoid arthritis (RA) is intrinsically associated with an increased incidence of lymphoproliferative disorders (LPDs). Although treatment with immunosuppressive agents, such as methotrexate, tacrolimus, or…
  • Abstract Number: 1587 • 2016 ACR/ARHP Annual Meeting

    A Phase 2a, 4-Week Double-Blind, Proof-of-Concept Efficacy and Safety Study of CC-292 Versus Placebo As Co-Therapy with Methotrexate in Active Rheumatoid Arthritis (RA)

    Alan J Kivitz1, Ramesh Gupta2, Guillermo Valenzuela3, Edwin Smith4, Quaiser Rehman5, Hisham El Kadi6, Elizabeth Bretton7, Jacob A. Aelion8, Anurekh Chadha9, John Tesser10, Douglas Hough11, Shimon Korish12, Peter H. Schafer13, Garth Ringheim14, Donna Sutherland15 and Li LI16, 1Altoona Arthritis & Osteo Ctr, Duncansville, PA, 2Private Practice, Memphis, TN, 3Integral Rheumatology & Immunology Specialists, Fort Lauderdale, FL, 4Rheumatology, Medical University of South Carolina, Charleston, SC, 5Rheumatology Clinic of Houston, Houston, TX, 6Arthritis & Osteoporosis Associates, Freehold, NJ, 7Albuquerque Clinical Trials, Albuquerque, NM, 8West Tennessee Research Institute, Jackson, TN, 9Department of Rheumatology, Austin Regional Clinic, Austin, TX, 10Arizona Arthritis and Rheumatology Research, PLLC, Pheonix, AZ, 11Clinical Research, Celgene Corporation, Warren, NJ, 1233 Technology Drive, Celgene Corporation, Warren, NJ, 13Department of Translational Development, Celgene Corporation, Summit, NJ, 14Translational Medicine, Celgene Corporation, Summit, NJ, 15Clinical Research, Celgene Corporation, Summit, NJ, 16Biostatistics, Celgene Corporation, Summit, NJ

    Methods:  47 adult female RA subjects were randomized 1:1 CC-292 375 mg PO daily or placebo (PBO). Subjects were required to have a diagnosis of…
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