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Abstracts tagged "methotrexate (MTX)"

  • Abstract Number: 2354 • 2019 ACR/ARP Annual Meeting

    Replication of a Prognostic Multivariable Prediction Model for Insufficient Clinical Response to Methotrexate in Early Rheumatoid Arthritis

    Helen Gosselt1, Maxime Verhoeven 2, Maurits de Rotte 3, Saskia Pluijm 4, Gerrit Jansen 5, Janneke Tekstra 2, Sandra Heil 6, Floris Lafeber 2, Mieke Hazes* 7 and Robert de Jonge* 8, 1Amsterdam UMC, VU Medical Center, Department of Clinical Chemistry, Amsterdam, The Netherlands and Erasmus MC, University Medical Center Rotterdam, Department of Clinical Chemistry, Rotterdam, The Netherlands, Amsterdam, Netherlands, 2UMC Utrecht, Department of Rheumatology & Clinical Immunology, Utrecht, The Netherlands, Utrecht, Netherlands, 3Amsterdam UMC, Amsterdam Medical Center, Department of Clinical Chemistry, Amsterdam, The Netherlands, Amsterdam, Netherlands, 4Prinses Máxima Centre for Paediatric Oncology, Department of Paediatric Oncology Utrecht, The Netherlands, Utrecht, Netherlands, 5Amsterdam UMC, VU Medical Center, Amsterdam Rheumatology and immunology Center, Amsterdam, The Netherlands, Amsterdam, Netherlands, 6Erasmus MC, University Medical Center Rotterdam, Department of Clinical Chemistry, Rotterdam, The Netherlands, Rotterdam, Netherlands, 7Erasmus MC, University Medical Center Rotterdam, Department of Rheumatology, Rotterdam, The Netherlands, Rotterdam, Netherlands, 8Amsterdam UMC, VU Medical Center, Department of Clinical Chemistry, Amsterdam, The Netherlands, Amsterdam, Netherlands

    Background/Purpose: Methotrexate (MTX) constitutes first-line therapy in rheumatoid arthritis (RA). However, up to 40% of RA patients do not benefit from MTX therapy. To restrain…
  • Abstract Number: 386 • 2019 ACR/ARP Annual Meeting

    Idiopathic Granulomatous Mastitis: The Role of Rheumatologists in Treating This Rare Cause of Breast Pain

    Sarah Ringsted1 and Marcia Friedman 1, 1Oregon Health and Science University, Portland, OR

    Background/Purpose: Idiopathic granulomatous mastitis (IGM) is an inflammatory breast disease occurring primarily in young to middle-aged women (1, 2). IGM typically presents with a tender,…
  • Abstract Number: 2357 • 2019 ACR/ARP Annual Meeting

    Methotrexate Liver Toxicity in a Large Randomized Controlled Trial

    Daniel Solomon1, Nina Paynter 2, Anna Rutherford 2, Robert Glynn 3, Jean MacFadyen 4, Fengxin Lu 4, Chang Xu 4, Elizabeth Karlson 4 and Paul Ridker 2, 1Brigham and Women´s Hospital, Div. of Rheumatology, Immunology and Allergy, Boston, MA, 2Brigham and Women's Hospital, Boston, 3Harvard Medical School - Boston, MA, Boston, MA, 4Brigham and Women's Hospital, Boston, MA

    Background/Purpose: Liver test abnormalities are known to predict liver pathology in patients using methotrexate (MTX). Monitoring guidelines for MTX suggest frequent assessment of liver tests…
  • Abstract Number: 505 • 2019 ACR/ARP Annual Meeting

    Low-grade Total Rheumatoid Arthritis MRI Scoring System Can Predict Successful Half-dose Reduction of MTX in Patients with RA in Clinical Remission

    Takeshi Suzuki1, Marina Uchida 2, Shoshi Shinagawa 2, Machiko Mizushima 3, Takayasu Ando 3, Yutaka Gotou 3, Tomohiko Shibata 2 and Kimito Kawahata 4, 1Division of Rheumatology and Allergology, Department of Internal Medicine, St. Marianna University School of Medicine, Kawasaki, Japan, 2Division of Rheumatology, Department of Internal Medicine, St. Marianna University School of Medicine, Yokohama City Seibu Hospital, Yokohama, Kanagawa, Japan, 3Division of Rheumatology and Allergology, Department of Internal Medicine, St. Marianna University School of Medicine, Kawasaki, Kanagawa, Japan, 4Rheumatology and Allergology, St. Marianna University School of Medicine, Tokyo, Japan

    Background/Purpose: It has been recommended that tapering csDMARDs should be considered if a patient is in persistent remission. However, methods for tapering csDMARDs, including MTX,…
  • Abstract Number: 2363 • 2019 ACR/ARP Annual Meeting

    Influence of the Clinical Characteristics and Different Genetic Polymorphisms Related to MTX, on the Efficacy and Safety in Patients with RA Treated with MTX in Monotherapy

    Eugenio Chamizo Carmona1, Carmen carrasco-Cubero 2, Sara María Rojas Herrera 1, María Eugenia Gonzalez Naranjo 2, Juan José Aznar Sanchez 3, Raul Veroz Gonzalez 1, Pedro Dorado 2 and Adrian LLerena Ruiz 2, 1Hospital de Mérida, Mérida, Spain, 2CHU de Badajoz, Badajoz, Spain, 3Hospital de Mérida, Mérida

    Background/Purpose: Rheumatoid arthritis (RA) produces joint destruction, functional deterioration, comorbidity and premature death. The best results are achieved with an early start of a treat-to-target…
  • Abstract Number: 1095 • 2019 ACR/ARP Annual Meeting

    The Role of Immunosuppressive Therapy in the Development of Atherosclerotic Cardiovascular Disease in Patients with Psoriatic Arthritis

    Linh Truong1, Nicole Ridolfi 2, Eugenia Chen 2 and Maida wong 3, 1University of California, Irvine, San Diego, CA, 2University of California, Irvine, Orange, 3Tibor Rubin Veterans Affairs Medical Center, Long Beach

    Background/Purpose: There is accumulating evidence demonstrating an increased prevalence of atherosclerotic cardiovascular disease (ASCVD) among the psoriatic arthritis (PsA) population. Yet, the relationship between immunosuppressive…
  • Abstract Number: 2364 • 2019 ACR/ARP Annual Meeting

    Multi-center Analyses on 518 Cases with Rheumatoid Arthritis Developing Lymphoproliferative Disorders (RA-LPD): The Prognostic Factors and the Influence of Anti-rheumatic Drugs on LPD Development

    Yoshihiko Hoshida1, Shiro Ohshima 2, Yukihiko Saeki 3, Masao Katayama 4, Tomoya Miyamura 5, Atsuahi Hashimoto 6, Shinji Higa 7, Hisaji Oshima 8, Masato Yagita 9, Yasushi Hiramatsu 10, Norie Yoshikawa 11, Akiko Mitsuo 12, Akira Okamoto 13, Noriyuki Chiba 14, Takao Sugiyama 15, Shouhei Nagaoka 16, Shoji Sugii 17, Keigo Setoguchi 18, Asami Abe 19, Toshiaki Sugaya 20, Masahiro Koseto 21, Yasuo Kunugiza 22, Ryousuke Yoshihara 23, Shinichiro Tsunoda 24, Tomoaki Fujisaki 25, Hiroshi Furukawa 26, Kazuyoshi Saito 27, Kiyoshi Matsui 28, Yasuhiko Tomita 29 and Shigeto Tohma 30, 1National Hospital Organization Osaka Minami Medical Center, Kawachinagano, Osaka, Japan, 2NHO Osaka Minami Medical Canter, Kawachinagano, Osaka, Japan, 3NHO Osaka Minami Medical Center, Kawachinagano, Osaka, Japan, 4National Hospital Organization Nagoya Medical Center, Nagoya, Japan, 5NHO Kyusyu Medical Center, Fukuoka, Japan, 6NHO Sagamihara Hospital, Sagamihara, Japan, 7Osaka Second Police Hospital, Osaka, Japan, 8NHO Tokyo Medical Hospital, Tokyo, Japan, 9Kitano Hospital, Osaka, Japan, 10Japanese Red Cross Society Himeji Hospital, Himeji, Hyogo, Japan, 11NHO Miyakonojo Medical Center, Miyakonojo, Miyazaki, Japan, 12NHO Disaster Medical Center, Tokyo, Tokyo, Japan, 13National Hospital Organization HImeji Medical Center, Himeji, Hyogo, Japan, 14National Hospital Organization Morioka Medical Center, Morioka, Iwate, Japan, 15NHO Shimoshizu Hospital, Chiba, Chiba, Japan, 16Yokohama Minami Kyousai Hospital, Yokohama, Kanagawa, Japan, 17Department of Rheumatic Diseases, Tokyo Metropoitan Tama Medica Center, Fuchu, Japan, 18Tokyo Metropolitan Cancer and Infectious Dease Center Komagome Hospital, Tokyo, Tokyo, Japan, 19Niigata Rheumatic Center, Shibata, Niigata, Japan, 20Fuchu Hospital, Izumi, Osaka, Japan, 21Nippon Life Hospital, Osaka, Osaka, Japan, 22JCHO Hoshigaoka Medical Center, Katano, Osaka, Japan, 23Hyogo Prefecture Kakogawa Hospital, Kakogawa, Hyogo, Japan, 24Sumitomo Hospital, osaka, Osaka, Japan, 25Matsuyama Red Cross Hospital, Matsuyama, Ehime, Japan, 26Molecular and Genetic Epidemiology Laboratory, Faculty of Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan, 27University of Occupational and Environmental Health, Kitakyushu, Fukuoka, Japan, 28Division of Rheumatology, Department of Internal Medicine, Hyogo College of Medicine, Nishinomiya, Japan, 29International University of health and welfare, Narita, Chiba, Japan, 30National Hospital Organization Tokyo National Hospital, Tokyo, Japan

    Background/Purpose: Lymphoproliferative disorders (LPD) remains as a major problem to resolve among the patients with rheumatoid arthritis (RA). During few decades, rheumatic therapy has dramatically…
  • Abstract Number: 1236 • 2019 ACR/ARP Annual Meeting

    Subcutaneous or Oral Methotrexate Exposure and Response to Pegloticase in Uncontrolled Gout Patients in a Community Rheumatology Practice

    John A. Albert1, Tony Hosey 2 and Brian LaMoreaux 2, 1Rheumatic Disease Center, Milwaukee, IL, 2Horizon Therapeutics plc, Lake Forest, IL

    Background/Purpose: Pegloticase is an infused biologic for uncontrolled gout patients that is highly effective but can cause anti-drug antibodies that lead to a lack of…
  • Abstract Number: 2386 • 2019 ACR/ARP Annual Meeting

    Consensus Statement and Recommendations on Methotrexate Use in Combined Therapy with Biological or Targeted Synthetic Disease Modifying Drugs in Patients with Rheumatoid Arthritis

    Jesus Tornero1, Mercedes Alperi-López 2, Ivan Castellvi 3, Juan José de Agustín de Oro 4, Alejandro Escudero 5, Rosario Garcia-Vicuña 6, Miguel Angel González-Gay 7, Cristina Hidalgo 8, Esteban Rubio 9, Raimon Sanmarti 10, Núria Casamira 11 and Jaime Calvo-Alen 12, 1Hospital de Guadalajara, Guadalajara, Spain, 2Hospital Universitario Central de Asturias, Oviedo, Spain, 3Hospital de la Santa Creu i Sant Pau, Barcelona, Spain, 4Hospital Universitari Vall d’Hebron, Barcelona, Spain, 5IMIBIC/Reina Sofia Hospital/University of Cordoba, Córdoba, Spain, 6Hospital Universitario de La Princesa, Madrid, Spain, 7Universidad de Cantabria and IDIVAL, Hospital Universitario Marqués de Valdecilla, Santander, Spain, 8Hospital Clínico Universitario de Salamanca, Salamanca, Castilla y Leon, Spain, 9Rheumatology Department, University Hospital Virgen del Rocío, Sevilla, Spain, 10Department of Rheumatology, Hospital Clínic, Barcelona, Barcelona, Spain, 11Medical Department, Gebro Pharma S.A., Barcelona, Spain, 12Hospital Universitario Araba, Vitoria-Gasteiz, Spain

    Background/Purpose: Our aim was to develop recommendations for the management of methotrexate (MTX) when considering the combination with biological (b) or targeted synthetic (ts) disease…
  • Abstract Number: 1279 • 2019 ACR/ARP Annual Meeting

    Response Rate and Sustained Remission in Idiopathic Inflammatory Myopathies Receiving Conventional Immunosuppressive Stepwise Management

    Alain Sánchez-Rodríguez1, Citlallyc Josefina Gómez-Ruiz 2, Abril Montes-Yanes 2 and Gabriel Medrano-Ramírez 2, 1Hospital General de Mexico, Mexico City, Distrito Federal, Mexico, 2Hospital General de Mexico, Rheumatology Department, Ciudad de Mexico, Distrito Federal, Mexico

    Background/Purpose: Information regarding response rate and sustained remission in patients with idiopathic inflammatory myopathies (IIM), polymyositis (PM), dermatomyositis (DM), in Hispanics with non-biological treatment is…
  • Abstract Number: 2394 • 2019 ACR/ARP Annual Meeting

    Use and Influence of Biologic/Janus Kinase Monotherapy Among Recently Switched Rheumatoid Arthritis Patients: Results from an Annual National Patient Chart Audit

    Lynn Price1, Phil Pouliot 1 and Lauren Schmitt 1, 1Spherix Global Insights, Exton, PA

    Background/Purpose: US rheumatologists have long agreed that methotrexate (MTX) is the backbone of rheumatoid arthritis (RA) treatment, and while comfort with biologic/JAK monotherapy is growing,…
  • Abstract Number: 1338 • 2019 ACR/ARP Annual Meeting

    Joint-specific Responses to Tofacitinib and Methotrexate in Rheumatoid Arthritis: A Post Hoc Analysis of Data from ORAL Start

    Mojca Frank-Bertoncelj1, Oliver Distler 2, Tim Killeen 3, Kenneth Kwok 4, Lisy Wang 5, Caroline Ospelt 1 and Adrian Ciurea 1, 1University Hospital Zürich, Zürich, Switzerland, 2Dept. of Rheumatology, University Hospital Zürich, Zürich, Switzerland, Zürich, Switzerland, 3Pfizer AG, Zürich, Switzerland, 4Pfizer Inc, New York, NY, 5Pfizer Inc, Groton, CT

    Background/Purpose: Despite systemic inflammatory cues, RA affects synovial joints variably. Tofacitinib is an oral JAK inhibitor for the treatment of RA. Previous post hoc analyses…
  • Abstract Number: 2401 • 2019 ACR/ARP Annual Meeting

    Enhanced Methotrexate Polyglutamation in Japanese as Compared to Caucasian Rheumatoid Arthritis Patients Starting Methotrexate

    Thierry Dervieux1, Joel Kremer 2, Kelley Brady 1, Chihiro Takahashi 3, Tsutomu Takeuchi 4 and Yuko Kaneko 5, 1Exagen, Vista, CA, 2Albany Medical College and The Center for Rheumatology; Corrona, LLC, Albany, NY, 3Division of Rheumatology, Department of Internal Medicine, Tokyo, Japan, 4Keio University Hospital Division of Rheumatology, Tokyo, Japan, 5Division of Rheumatology, Department of Internal Medicine, Keio University School of Medicine, Shinjuku, Tokyo, Japan

    Background/Purpose: Methotrexate (MTX) is an anti-folate prodrug activated to MTX polyglutamates (MTXPGs). Japanese Rheumatoid Arthritis (RA) patients are thought to have heightened sensitivity to MTX…
  • Abstract Number: L06 • 2018 ACR/ARHP Annual Meeting

    Safety and Efficacy of Filgotinib in a Phase 3 Trial of Patients with Active Rheumatoid Arthritis and Inadequate Response or Intolerance to Biologic Dmards

    Mark C. Genovese1, Kenneth C. Kalunian2, David Walker3, Jacques-Eric Gottenberg4, Kurt de Vlam5, Neelufar Mozaffarian6, Beatrix Bartok6, Franziska Matzkies6, Jie Gao6, Ying Guo6, Chantal Tasset7, John S. Sundy6 and Tsutomu Takeuchi8, 1Division of Immunology & Rheumatology, Stanford University, Stanford, CA, 2Division of Rheumatology, Allergy and Immunology, University of California, San Diego, La Jolla, CA, 3Northumbria Healthcare, United Kingdom, United Kingdom, 4Department of Rheumatology, Strasbourg University Hospital, Strasbourg, France, 5Department of Rheumatology, Universitair Ziekenhuis Leuven, Leuven, Belgium, 6Gilead Sciences, Inc., Foster City, CA, 7Galapagos NV, Mechelen, Belgium, Mechelen, Belgium, 8Division of Rheumatology, Keio University School of Medicine, Tokyo, Japan

    Background/Purpose: Filgotinib (FIL), an oral, selective, Janus Kinase 1 (JAK1) inhibitor was effective in phase 2 studies of active RA in patients (pts) with insufficient…
  • Abstract Number: L11 • 2018 ACR/ARHP Annual Meeting

    Etanercept and Methotrexate As Monotherapy or in Combination in Patients with Psoriatic Arthritis: A Phase 3, Double-Blind, Randomized Controlled Study

    Philip J. Mease1, Dafna D. Gladman2, David H. Collier3, Christopher T. Ritchlin4, Philip S. Helliwell5, Lyrica Liu6, Gregory J. Kricorian3 and James B. Chung3, 1Swedish Medical Center and University of Washington, Seattle, WA, 2University of Toronto, Toronto, ON, Canada, 3Amgen Inc., Thousand Oaks, CA, 4University of Rochester Medical Center, Rochester, NY, 5University of Leeds, Leeds, United Kingdom, 6Amgen Inc., South San Francisco, CA

    Background/Purpose:  Methotrexate (MTX) and tumor necrosis factor inhibitors (TNFi) such as etanercept (ETN) are often prescribed for psoriatic arthritis (PsA) either alone or in combination,…
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