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Abstracts tagged "methotrexate (MTX)"

  • Abstract Number: 2899 • 2018 ACR/ARHP Annual Meeting

    Sustained Drug-Free Remission in Early RA Following Methotrexate-Based Strategy: Role of the JAK-STAT Pathway

    Xavier M Teitsma1, Johannes W. G. Jacobs2, Arno N Concepcion3, Attila Pethö-Schramm4, Michelle EA Borm5, Jacob van Laar1, Johannes W. J. Bijlsma6 and Floris PJG Lafeber1, 1Department of Rheumatology & Clinical Immunology, University Medical Center Utrecht, Utrecht, the Netherlands, Utrecht, Netherlands, 2Rheumatolgy & Clinical Immunology, University Medical Center Utrecht, Utrecht, Netherlands, 3Rheumatology & Clinical Immunology, University Medical Center Utrecht, Utrecht, Netherlands, 4F. Hoffmann-La Roche, Basel, Switzerland, 5Roche Nederland BV, Woerden, Netherlands, 6Department of Rheumatology & Clinical Immunology, University Medical Center Utrecht, Utrecht, Netherlands

    Background/Purpose: We previously identified several co-expressed genes associated with achieving sustained drug-free remission (sDFR) following a methotrexate (MTX)-based strategy in early rheumatoid arthritis (RA).1 The…
  • Abstract Number: 218 • 2018 ACR/ARHP Annual Meeting

    Risk of Serious Infection Associated with TNF Inhibitor Versus Triple Therapy in Rheumatoid Arthritis Patients

    Yinzhu Jin1, Eun Ha Kang2, Rishi J. Desai3, Angela Tong1 and Seoyoung C. Kim4,5, 1Division of Pharmacoepidemiology and Pharmacoeconomics, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, 2Division of Rheumatology, Department of Internal Medicine, Seoul National University Bundang Hospital, Gyeonggi-do, Korea, Republic of (South), 3Division of Pharmacoepidemiology and Pharmacoeconimics, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, 4Division of Pharmacoepidemiology and Pharmocoeconomics, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, 5Rheumatology, Immunology and Allergy, Brigham and Women’s Hospital, Boston, MA

    Background/Purpose: Treatment with tumor necrosis factor inhibitor (TNFi) with methotrexate or triple therapy (MTX, sulfasalazine, and sulfasalazine) is considered in patients with rheumatoid arthritis (RA)…
  • Abstract Number: 1502 • 2018 ACR/ARHP Annual Meeting

    Predicting Response to Methotrexate Therapy in New-Onset RA: No Value of Adding Protein Biomarkers to Clinical Predictors

    Xavier M Teitsma1, Johannes W. G. Jacobs2, Pascal HP de Jong3, JMW Hazes3, Angelique EAM Weel3,4, Paco MJ Welsing1, Attila Pethö-Schramm5, Michelle EA Borm6, Jacob van Laar1, Johannes W. J. Bijlsma7 and Floris PJG Lafeber8, 1Department of Rheumatology & Clinical Immunology, University Medical Center Utrecht, Utrecht, the Netherlands, Utrecht, Netherlands, 2Rheumatolgy & Clinical Immunology, University Medical Center Utrecht, Utrecht, Netherlands, 3Rheumatology, Erasmus Medical Center Rotterdam, Rotterdam, Netherlands, 4Rheumatology, Maastad Hospital, Rotterdam, Netherlands, 5F. Hoffmann-La Roche, Basel, Switzerland, 6Roche Nederland BV, Woerden, Netherlands, 7Department of Rheumatology & Clinical Immunology, University Medical Center Utrecht, Utrecht, Netherlands, 8Rheumatology & Clinical Immunology, University Medical Center Utrecht, Utrecht, Netherlands

    Background/Purpose: We previously identified higher disease activity score assessing 28 joints (DAS28) at baseline, current smoking and no alcohol consumption as clinical predictors for inadequate…
  • Abstract Number: 2954 • 2018 ACR/ARHP Annual Meeting

    Factors Related to Initiation of TNF Inhibitor Versus Triple Therapy in Rheumatoid Arthritis Patients

    Yinzhu Jin1, Eun Ha Kang2, Angela Tong1, Rishi J. Desai3 and Seoyoung C. Kim4,5, 1Division of Pharmacoepidemiology and Pharmacoeconomics, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, 2Division of Rheumatology, Department of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Korea, Republic of (South), 3Division of Pharmacoepidemiology and Pharmacoeconimics, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, 4Division of Pharmacoepidemiology and Pharmocoeconomics, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, 5Division of Rheumatology, Immunology and Allergy, Brigham and Women's Hospital, Boston, MA

    Background/Purpose: While efficacy of triple therapy [methotrexate (MTX), sulfasalazine (HCQ), and sulfasalazine (SSZ)] and TNF inhibitor (TNFi) plus MTX was similar in a previous clinical…
  • Abstract Number: 428 • 2018 ACR/ARHP Annual Meeting

    Significant Pain Reduction with Oral Methotrexate in Knee Osteoarthritis; Results from a Randomised Controlled Phase III Trial of Treatment Effectiveness

    Sarah R. Kingsbury1, Puvan Tharmanathan2, Ada Keding2, Belen Corbacho2, Fiona E Watt3, David L Scott4, Edward Roddy5, Fraser Birrell6, Nigel K Arden7, Catherine Arundel2, Sarah Ronaldson2, Lema Vernon8, Catherine Hewitt2, Michael Doherty9, David Torgerson2 and Philip G. Conaghan1, 1Leeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds and National Institute for Health Research (NIHR) Leeds Biomedical Research Centre, Leeds, United Kingdom, Leeds, United Kingdom, 2York Trials Unit, University of York, York, United Kingdom, 3Kennedy Institute of Rheumatology, University of Oxford, Oxford, United Kingdom, 4Department of Rheumatology, King's College London, London, United Kingdom, 5Staffordshire and Stoke on Trent Partnership NHS Foundation Trust, Newcastle Under Lyme, United Kingdom, 6Northumbria Healthcare NHS Foundation Trust, North Shields, United Kingdom, 7Arthritis Research UK Centre for Sports, Exercise and Osteoarthritis, University of Oxford, Oxford, United Kingdom, 8Leeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds, Leeds, United Kingdom, 9The University of Nottingham, Nottingham, United Kingdom

    Background/Purpose: Current treatments for osteoarthritis (OA) are severely limited. Synovitis is prevalent in OA and is associated with pain. The slow-acting anti-rheumatic drug methotrexate (MTX)…
  • Abstract Number: 1531 • 2018 ACR/ARHP Annual Meeting

    Tofacitinib Show Similar Retention When Used with and without Methotrexate. Analysis from the Rhumadata® Clinical Database and Registry

    Denis Choquette1, Louis Bessette2, Jacques Brown2, Boulos Haraoui1, Frédéric Massicotte1, Jean-Pierre Pelletier1, Jean-Pierre Raynauld1, Marie-Anaïs Rémillard1, Diane Sauvageau1, Angèle Turcotte2, Édith Villeneuve1 and Louis Coupal1, 1Rheumatology, Institut de Recherche en Rhumatologie de Montréal (IRRM), Montréal, QC, Canada, 2Rheumatology, Centre de l'Ostéoporose et de Rhumatologie de Québec (CORQ), Québec, QC, Canada

    Background/Purpose: Tofacitinib (TOFA), a targeted synthetic DMARD has recently appeared on the Canadian market. It is an oral agent, targeting the JAK 1 and JAK…
  • Abstract Number: 2984 • 2018 ACR/ARHP Annual Meeting

    Lifestyle and MTX Use Are the Strongest Predictors of Not Achieving Remission in the First Year of Rheumatoid Arthritis: Results from the Canadian Early Arthritis Cohort (CATCH)

    Susan J. Bartlett1,2, Orit Schieir3, Marie-France Valois4, Carol Hitchon5, Louis Bessette6, Gilles Boire7, Carter Thorne8, Janet E. Pope9, Vivian P. Bykerk10, Edward C. Keystone11, Diane Tin12 and Glen Hazlewood13, 1Department of Medicine, Division of ClinEpi, Rheumatology, Respirology, McGill University, Montreal, QC, Canada, 2Rheumatology, Johns Hopkins University School of Medicine, Baltimore, MD, 3McGill University, Montreal, ON, Canada, 4McGill University, Montreal, QC, Canada, 5University of Manitoba, Winnipeg, MB, Canada, 6Division of Rheumatology, Department of Medicine, CHU de Québec-Université Laval, Québec, QC, Canada, 7Rheumatology Division, Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre Hospitalier Universitaire de Sherbrooke and Universite de Sherbrooke, Sherbrooke, QC, Canada, 8University of Toronto, Newmarket, ON, Canada, 9Department of Medicine, University of Western Ontario, London, ON, Canada, 10Hospital for Special Surgery, New York, NY, 11Mount Sinai Hospital, Toronto, ON, Canada, 12The Arthritis Program, Southlake Regional Health Centre, Newmarket, ON, Canada, 13Departments of Medicine and Community Health Sciences, University of Calgary, Calgary, AB, Canada

    Background/Purpose: Implementation of RA guidelines have improved remission outcomes in RA; nevertheless 45% of early RA participants do not achieve remission in the first year.…
  • Abstract Number: 477 • 2018 ACR/ARHP Annual Meeting

    Early Treatment with Intravenous Pulse Methylprednisolone or Methotrexate Is Associated with Decreased Medication Requirements at 12 and 24 Months in Patients with Juvenile Dermatomyositis: A Propensity Score Analysis

    Takayuki Kishi1,2, Jesse Wilkerson3, Marjo Smith3, Nastaran Bayat1, Michael Henrickson4, Bianca Lang5, Murray Passo6, Frederick W. Miller1, Michael Ward7 and Lisa G. Rider1, 1Environmental Autoimmunity Group, National Institute of Environmental Health Sciences, National Institutes of Health, Bethesda, MD, 2Department of Pediatrics, Tokyo Women's Medical University, Tokyo, Japan, 3Social & Scientific Systems, Inc., Durham, NC, 4Division of Rheumatology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, 5Department of Pediatrics, IWK Health Centre and Dalhousie University, Halifax, NS, Canada, 6Division of Rheumatology PTD, Medical University of South Carolina, Charleston, SC, 7National Institute of Arthritis and Musculoskeletal and Skin Diseases, National Institutes of Health, Bethesda, MD

    Background/Purpose: Daily oral prednisone has been the main therapy in juvenile dermatomyositis (JDM), and combination therapy with methotrexate (MTX) introduced soon after diagnosis has been…
  • Abstract Number: 1655 • 2018 ACR/ARHP Annual Meeting

    Achieving Remission in Psoriatic Arthritis By Early Initiation of TNF Inhibition: A Double-Blind, Randomized, Placebo-Controlled Trial of Golimumab + Methotrexate Versus Placebo + Methotrexate

    Leonieke van Mens1, Jet de Jong2, Inka Fluri1, Marleen van de Sande3, Michael Nurmohamed4, M.R. Kok5, Arno van Kuijk6 and Dominique Baeten2, 1Amsterdam Rheumatology and immunology Center, Academic Medical Center/University of Amsterdam, Amsterdam, Netherlands, 2Clinical Immunology and Rheumatology, Amsterdam Rheumatology and immunology Center, Academic Medical Center/University of Amsterdam, Amsterdam, Netherlands, 3Clinical Immunology & Rheumatology, ARC | Academic Medical Center/University of Amsterdam, Amsterdam, Netherlands, 4Rheumatology, Reade, Amsterdam Rheumatology and immunology Center, Amsterdam, Netherlands, 5Rheumatology, Maasstad Ziekenhuis, Rotterdam, Netherlands, 6Amsterdam Rheumatology and immunology Center, Reade, Amsterdam, Netherlands

    Background/Purpose: In inflammatory arthritis such as RA, early initiation of highly effective targeted treatments is a successful strategy to aim for sustained remission.1 Here we…
  • Abstract Number: 566 • 2018 ACR/ARHP Annual Meeting

    Capillary Blood Based Methotrexate Polyglutamate Assay for Monitoring Low Dose Methotrexate Therapy in Rheumatic Diseases

    Thierry Dervieux1, Kelley Brady1, Deborah Stimson1, Ying Qu1, Tyler O'Malley1, Robert Apilado1, Smitha Reddy2, Puja Chitkara3, John Conklin1, Roberta Alexander1 and Claudia Ibarra1, 1Exagen Diagnostics, Inc., Vista, CA, 2Arthritis Care and Research Center, San Diego, CA, 3Center for Arthritis and Rheumatologic Excellence, Chula Vista, CA

    Background/Purpose: The red blood cell (RBC) Methotrexate (MTX) polyglutamate (MTXPG3) assay is a helpful therapeutic drug monitoring (TDM) tool in autoimmune rheumatic diseases. Our objective…
  • Abstract Number: 1859 • 2018 ACR/ARHP Annual Meeting

    The Prognostic Value of Autoantibody Isotypes for Predicting Therapeutic Responses to Methotrexate in Patients with Rheumatoid Arthritis

    Daniela Sieghart1, Alexander Platzer2, Farideh Alasti2, Paul Studenic3, Maresa Grundhuber4, Sascha Swiniarski4, Stephan Blüml2, Helmuth Haslacher5, Josef S. Smolen6 and Günter Steiner1, 1Division of Rheumatology, Department of Internal Medicine III, Medical University Vienna, Austria, Vienna, Austria, 2Division of Rheumatology, Department of Internal Medicine III, Medical University Vienna, Vienna, Austria, 3Division of Rheumatology, Department of Internal Medicine III, Division of Rheumatology, Medical University of Vienna, Vienna, Austria, 4Thermo Fisher Scientific, Freiburg, Germany, Freiburg, Germany, 5Department of Laboratory Medicine, Medical University Vienna, Vienna, Austria, 6Division of Rheumatology, Department of Medicine 3, Medical University of Vienna, Vienna, Austria

    Background/Purpose: Rheumatoid factor (RF) and anti-citrullinated protein antibodies (ACPA) are the most specific diagnostic markers of rheumatoid arthritis (RA). Lately we showed that the determination…
  • Abstract Number: 572 • 2018 ACR/ARHP Annual Meeting

    Combining Tocilizumab with Methotrexate Improves Sustainability. Real World Evidence Report from Quebec Database Rhumadata®

    Denis Choquette1, Louis Bessette2, Jacques Brown2, Boulos Haraoui1, Frédéric Massicotte1, Jean-Pierre Pelletier1, Jean-Pierre Raynauld1, Marie-Anaïs Rémillard1, Diane Sauvageau1, Angèle Turcotte2, Édith Villeneuve1 and Louis Coupal1, 1Rheumatology, Institut de Recherche en Rhumatologie de Montréal (IRRM), Montréal, QC, Canada, 2Rheumatology, Centre de l'Ostéoporose et de Rhumatologie de Québec (CORQ), Québec, QC, Canada

    Background/Purpose: Biologic therapy targeting TNF have consistently demonstrated better efficacy and effectiveness when combined with a conventional synthetic DMARD (csDMARD), most frequently methotrexate. Although pre-clinical…
  • Abstract Number: 2138 • 2018 ACR/ARHP Annual Meeting

    Real-World Evaluation of Treatment Patterns of Methotrexate Users in Psoriatic Arthritis

    Brian Ung1, Dionne Hines2, Sandhya Mehta1, Corey Pelletier1, Xin Wang2 and Rolin Wade2, 1Celgene Corporation, Summit, NJ, 2IQVIA, Durham, NC

    Background/Purpose: Methotrexate (MTX) is commonly used to treat psoriatic arthritis (PsA), yet data supporting its effectiveness in PsA are limited. This analysis describes real-world dosing,…
  • Abstract Number: 581 • 2018 ACR/ARHP Annual Meeting

    Comparative Analysis of Outcomes Among Patients with Rheumatoid Arthritis Initiating Tofacitinib in Combination with Oral MTX Who Discontinue, Interrupt, or Persist with MTX

    Stanley Cohen1, Boulos Haraoui2, Jeffrey R. Curtis3, Timothy Smith4, John Woolcott5, David Gruben6, Christopher W Murray5, Noriko Iikuni4, Andrew Koenig5 and James Harnett4, 1Metroplex Clinical Research Center and University of Texas Southwestern Medical Center, Dallas, TX, 2Institut de Rhumatologie de Montreal, Montreal, QC, Canada, 3University of Alabama at Birmingham, Birmingham, AL, 4Pfizer Inc, New York, NY, 5Pfizer Inc, Collegeville, PA, 6Pfizer Inc, Groton, CT

    Background/Purpose: Tofacitinib is an oral Janus kinase inhibitor for the treatment of RA, in combination with MTX or other non‑biologic (nb)DMARDs, or as monotherapy. Two…
  • Abstract Number: 2348 • 2018 ACR/ARHP Annual Meeting

    Prescriber Attitudes and Beliefs about Triple Therapy for Patients with Rheumatoid Arthritis: Knowledge Exchange in Internet Forums and Social Media

    Maria A. Lopez-Olivo1, Jude K. A. des Bordes1, Gregory Pratt2 and Maria Suarez-Almazor1, 1Section of Rheumatology and Clinical Immunology, Department of General Internal Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX, 2Research Medical Library, The University of Texas MD Anderson Cancer Center, Houston, TX, USA, Houston, TX

    Background/Purpose: Several forums on the internet serve as repositories of personal experiences and exchange of health information. Online discussions among healthcare providers about management of…
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