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Abstracts tagged "methotrexate (MTX)"

  • Abstract Number: 432 • 2015 ACR/ARHP Annual Meeting

    Additional Intensive Treatment for Rheumatoid Arthritis Patients with Positive Power Doppler Signals Reduce the Radiological Joint Damage Even after Achieving Clinical Remission -SCRUM Study-

    Tadashi Okano1, Kentaro Inui2, Masahiro Tada3, Yuko Sugioka4, Kenji Mamoto1, Tatsuya Koike4 and Hiroaki Nakamura1, 1Orthopedic Surgery, Osaka City University Graduate School of Medicine, Osaka, Japan, 2Orhtopedic Surgery, Osaka City University Graduate School of Medicine, Osaka, Japan, 3Orthopedic surgery, Osaka City General Hospital, Osaka, Japan, 4Center for Senile Degenerative Disorders (CSDD), Osaka City University Graduate School of Medicine, Osaka, Japan

    Background/Purpose: The latest recommendations for the treatment of rheumatoid arthritis (RA) focus on the achievement of clinical remission. However, joints with subclinical positive power Doppler…
  • Abstract Number: 2732 • 2015 ACR/ARHP Annual Meeting

    The Effect of Adrenocorticotropin Gel (HP Acthar Gel) in Combination with MTX in Newly Diagnosed RA Patients from a Clinical and Structural Perspective

    Norman B. Gaylis1, Steven Needell2 and Joanne Sagliani1, 1Arthritis & Rheumatic Disease Specialties, Aventura, FL, 2Boca Radiology Group, Boca Raton, FL

    Background/Purpose: Although adrenocorticotropin (ACTH) gel was approved by the FDA for the treatment of RA in 1952, data on its clinical and structural benefits for…
  • Abstract Number: 439 • 2015 ACR/ARHP Annual Meeting

    Progression of Radiographic Joint Destruction in Patients with Rheumatoid Arthritis Treated with a Biologic Agent in Combination with Methotrexate Versus a Biologic Alone: A Systematic Review and Meta-Analysis of Randomized Trials

    Tanja Schjødt Jørgensen1, Simon Tarp1, Daniel E. Furst2, Anna Døssing1, Peter C. Taylor3, Henning Bliddal1 and Robin Christensen1, 1Musculoskeletal Statistics Unit, The Parker Institute, Department of Rheumatology, Copenhagen University Hospital, Bispebjerg and Frederiksberg, Copenhagen, Denmark, 2Medicine, University of California, Los Angeles, David Geffen School of Medicine, Los Angeles, CA, 3Nuffield Dept. of Orthopaedics, Rheumatology and Musculoskeletal, Sciences, Kennedy Institute of Rheumatology, University of Oxford,, Oxford, United Kingdom

    Background/Purpose : One of the frequently claimed advantages of biologic agents is their potential to arrest radiographic progression. The ability of disease-modifying antirheumatic drugs (DMARDs;…
  • Abstract Number: 2741 • 2015 ACR/ARHP Annual Meeting

    An Analysis of the Efficacy of Tofacitinib Monotherapy in MTX-Naïve Patients with Early RA Compared with Patients with Established RA

    Roy Fleischmann1, T. W. J. Huizinga2, Arthur Kavanaugh3, Bethanie Wilkinson4, Kenneth Kwok5, Ryan DeMasi5 and Ronald F. van Vollenhoven6, 1Metroplex Clinical Research Center, Dallas, TX, 2Leiden University Medical Center, Leiden, Netherlands, 3University of California, San Diego School of Medicine, LaJolla, CA, 4Pfizer Inc, Groton, CT, 5Pfizer Inc, New York, NY, 6The Karolinska Institute, Stockholm, Sweden

    Background/Purpose: Tofacitinib is an oral Janus kinase inhibitor for the treatment of RA. In a Phase 3 study (ORAL Start; NCT01039688), tofacitinib monotherapy in MTX-naïve…
  • Abstract Number: 507 • 2015 ACR/ARHP Annual Meeting

    Meta-Analysis of the Time Course of the Response to Adalimumab Plus Methotrexate or Methotrexate Monotherapy in Clinical Trials of Patients with Rheumatoid Arthritis

    Xin Wang1, Arthur Kavanaugh2, Désirée van der Heijde3, Maxime Dougados4, Stefan Florentinus1, Yihan Li1, Iain Sainsbury1 and Josef S. Smolen5, 1AbbVie Inc., North Chicago, IL, 2University of California San Diego, La Jolla, CA, 3Leiden University Medical Center, Leiden, Netherlands, 4René Descartes University and Hôpital Cochin, Paris, France, 5Medical University of Vienna and Hietzing Hospital, Vienna, Austria

    Background/Purpose: Adalimumab (ADA) plus methotrexate (MTX) and MTX treatments for rheumatoid arthritis (RA) have been assessed in phase 2–4 clinical trials. This meta-analysis used 5…
  • Abstract Number: 2744 • 2015 ACR/ARHP Annual Meeting

    What Is the Treatment Durability and Safety Profile of Rheumatoid Arthritis Patients Treated with Infliximab Plus Methotrexate and/or Leflunomide? an Analysis from a Real-World Registry

    Rafat Faraawi1, Raman Joshi2, William G Bensen3, Denis Choquette4, Wojciech Olsynzynski5, Regan Arendse5, Maqbool Sheriff6, Proton Rahman7, Emmanouil Rampakakis8, Eliofotisti Psaradellis9, Francois Nantel10, Allen J Lehman11, Susan Otawa11, Cathy Tkaczyk11 and Brendan Osborne11, 1McMaster University, Hamilton, ON, Canada, 2William Osler Health Centre-Brampton Civic Hospital, Brampton, ON, Canada, 3St Joseph's Healthcare Hamilton, Hamilton, ON, Canada, 4Rheumatology Department, Institut de Rhumatologie de Montréal and University of Montreal, Montreal, QC, Canada, 5University of Saskatchewan, Saskatoon, ON, Canada, 6Nanaimo Regional General Hospital, Nanaimo, BC, Canada, 7Medicine, Memorial University, St John's, NF, Canada, 8JSS Medical Research, St-Laurent, QC, Canada, 9JSS Medical Research, Montreal, QC, Canada, 10Janssen Inc., Toronto, ON, Canada, 11Medical Affairs, Janssen Inc., Toronto, ON, Canada

    Background/Purpose: Clinical trials of anti-TNF therapies have shown that concurrent methotrexate (MTX) therapy enhances the efficacy of TNF inhibitors. A scarcity of data exists on…
  • Abstract Number: 579 • 2015 ACR/ARHP Annual Meeting

    Methotrexate Does Not Influence 1-Year Bone Mineral Density in Rheumatoid Arthritis: A Systematic Review and Meta-Analysis

    Richard Koch1, Thomas Barnetche2, Adeline Ruyssen-Witrand1, Alain Cantagrel1, Arnaud Constantin3 and Yannick Degboé4, 1Rheumatology Center, Purpan University Hospital, Toulouse, France, 2Rheumatology Department, Pellegrin University Hospital, BORDEAUX, France, 3Inserm U558, Rheumatology Center, Purpan University Hospital, Toulouse, France, 4Rheumatology, Rheumatology Center, Purpan University Hospital, Toulouse, France

    Background/Purpose: Rheumatoid arthritis (RA) is associated with reduction of bone mineral density (BMD) and increased risk of peripheral and axial fractures.  Methotrexate is the first-line…
  • Abstract Number: 2753 • 2015 ACR/ARHP Annual Meeting

    Effectiveness and Safety of Tocilizumab in Biologics-Naive RA Patients – Postmarketing Surveillance for Investigating Success in Achieving Clinical and Functional Remission and Sustaining Efficacy with Tocilizumab in Biologics-Naive RA Patients (FIRST Bio) Study

    Naoki Ishiguro1, Tatsuya Atsumi2, Masayoshi Harigai3, Tsuneyo Mimori4, Norihiro Nishimoto5, Takayuki Sumida6, Tsutomu Takeuchi7, Yoshiya Tanaka8, Nobuhiro Takagi9, Ayako Nakasone10 and Hisashi Yamanaka11, 1Department of Orthopedic Suregery, Nagoya University Hospital, Nagoya, Japan, 2Division of Rheumatology, Endocrinology and Nephrology, Hokkaido University Graduate School of Medicine, Sapporo, Japan, 3Department of Phamacovigilance, Tokyo Medical and Dental University, Tokyo, Japan, 4Dept of Rheum & Clinical Immun, Kyoto Univ Grad Schl of Med, Kyoto, Japan, 5Osaka Rheumatology Clinic, Osaka, Japan, 6Department of Internal Medicine, Faculty of Medicine, University of Tsukuba, Tsukuba, Japan, 7Keio University School of Medicine, Tokyo, Japan, 8The First Department of Internal Medicine, University of Occupational and Environmental Health, Kitakyushu, Japan, 9Medical Science, Chugai Pharmaceutical, Tokyo, Japan, 10Chugai Pharmaceutical Co. Ltd, Tokyo, Japan, 11Institute of Rheumatology, Tokyo Women's Medical University, Tokyo, Japan

    Background/Purpose: The all-patient postmarketing surveillance (PMS) of tocilizumab (TCZ; PMS7901), which followed 7901 rheumatoid arthritis (RA) patients for 28 weeks (wks), showed that patients with…
  • Abstract Number: 593 • 2015 ACR/ARHP Annual Meeting

    Predicting the Need for Additional Treatment in Early Rheumatoid Arthritis Patients Treated to Target on Methotrexate Monotherapy

    Xavier Teitsma1, Johannes Jacobs2, Paco Welsing3, Thasia Woodworth4, Attila Pethö-Schramm5, Michelle Borm6, Corrado Bernasconi5, Floris Lafeber1 and Johannes W J Bijlsma7, 1Department of Rheumatology and Clinical Immunology, University Medical Center Utrecht, Utrecht, Netherlands, 2Rheumatology & Clinical Immunology, University Medical Center Utrecht, Utrecht, Netherlands, 3Department Rheumatology and clinical immunology, University Medical Center Utrecht, Utrecht, Netherlands, 4Medicine, Division of Rheumatology, David Geffen School of Medicine, Los Angeles, CA, 5F. Hoffmann-La Roche, Basel, Switzerland, 6Beneluxlaan 2a, Roche Nederland BV, Woerden, Netherlands, 7Rheumatology and Clinical Immunology, University Medical Center Utrecht, Utrecht, Netherlands

    Background/Purpose: Joint damage and functional disability can be reduced by intensive treatment of newly diagnosed rheumatoid arthritis (RA) patients during the "window of opportunity". Although…
  • Abstract Number: 2869 • 2015 ACR/ARHP Annual Meeting

    Impact of Methotrexate on the Real-World Effectiveness of Golimumab in Psoriatic Arthritis

    Louis Bessette1, Proton Rahman2, Denis Choquette3, John Kelsall4, Maqbool Sheriff5, Emmanouil Rampakakis6, Eliofotisti Psaradellis7, Allen J Lehman8, Karina Maslova8, Francois Nantel9,10, Brendan Osborne11 and Cathy Tkaczyk11, 1Centre d’Ostéoporose et de Rhumatologie de Québec (CORQ), Québec, QC, Canada, 2Medicine, Memorial University, St John's, NF, Canada, 3Rheumatology Department, Institut de Rhumatologie de Montréal and University of Montreal, Montreal, QC, Canada, 4Mary Pack Arthritis Centre, Vancouver, Vancouver, BC, Canada, 5Nanaimo Regional General Hospital, Nanaimo, BC, Canada, 6JSS Medical Research, St-Laurent, QC, Canada, 7JSS Medical Research, Montreal, QC, Canada, 8Janssen Inc., Toronto, ON, Canada, 9Schering Plough Canada Inc., Janssen Inc., Kirkland, QC, QC, Canada, 1019 Green belt Dr, Janssen Inc., Toronto, ON, Canada, 11Medical Affairs, Janssen Inc., Toronto, ON, Canada

    Background/Purpose: : Previous controlled clinical trials have shown that concurrent methotrexate (MTX) therapy may enhance the efficacy of anti-TNF agents. However, real-world data on the…
  • Abstract Number: 609 • 2015 ACR/ARHP Annual Meeting

    A Reduction in Serum Uric Acid Levels May be Related to Methotrexate Efficacy in Early Rheumatoid Arthritis: Data from a Canadian Arthritis Cohort

    Jason Lee1, VP Bykerk2, George Dresser3, Gilles Boire4, Boulos Haraoui5, Carol Hitchon6, J Carter Thorne2, Diane Tin7, Shahin Jamal8, Edward C. Keystone9, Janet E. Pope10 and CATCH Investigators, 1Rheumatology, Western University, St. Joseph's Hospital, London, ON, Canada, 2University of Toronto, Toronto, ON, Canada, 3Clinical Pharmacology and Toxicology, Western University, London, ON, Canada, 4Department of Medicine/Division of Rheumatology, Université de Sherbrooke, Sherbrooke, QC, Canada, 5Institut de Rhumatologie, Montreal, QC, Canada, 6University of Manitoba, Winnipeg, MB, Canada, 7The Arthritis Program, Southlake Regional Health Centre, Newmarket, ON, Canada, 8Vancouver Coastal Health, Vancouver, BC, Canada, 9Mount Sinai Hospital, University of Toronto, Toronto, ON, Canada, 10Monsignor Roney Bldg/Rheum, University of Western Ontario, St Joseph Health Care, London, ON, Canada

    Background/Purpose: The mechanism of methotrexate in rheumatoid arthritis (RA) is complex. It may increase adenosine levels by blocking conversion to of xanthine to uric acid…
  • Abstract Number: 3194 • 2015 ACR/ARHP Annual Meeting

    Oral to Subcutaneous Methotrexate Dose-Conversion Strategies in the Treatment of Rheumatoid Arthritis

    Michael Schiff1 and Peter Sadowski2, 1Division of Rheumatology, University of Colorado, Denver, CO, 2Antares Pharma Inc., Minneapolis, MN

    Background/Purpose: Methotrexate (MTX) is the cornerstone of rheumatoid arthritis (RA) therapy1 but absorption saturation limitations compromise oral MTX bioavailability (BA). Subcutaneous (SC) MTX has a…
  • Abstract Number: 1024 • 2015 ACR/ARHP Annual Meeting

    Disruptions in Folate Homeostasis May Lead to Increased Risk for Methotrexate Intolerance in Juvenile Idiopathic Arthritis

    Mara L Becker1, Leon van Haandel2, Ryan Funk3, Rodger Gaedigk4 and J.S. Leeder5, 1Rheumatology, Children's Mercy Kansas City, Kansas City, MO, 2Clinical Pharmacology, Medical Toxicology, and Therapeutic Innovation, Children's Mercy Kansas City, Kansas City, MO, 3University of Kansas Medical Center, Kansas City, KS, 4Clinical Pharmacology, medical Toxicology and Therapeutic Innovation, Children's Mercy Kansas City, Kansas City, MO, 5Clinical Pharmacology, Medical Toxicology and Therapeutic Innovation, Children's Mercy Kansas City, Kansas City, MO

    Background/Purpose: Despite widespread use, there remain no clear predictors of methotrexate (MTX) response or toxicity in Juvenile Idiopathic Arthritis (JIA).  With the utilization of new…
  • Abstract Number: 3197 • 2015 ACR/ARHP Annual Meeting

    Clinical Practice Experience in Rheumatoid Arthritis Patients Treated with Triple Therapy and Methotrexate-Tumor Necrosis Factor Inhibition Differs from That of Randomized Controlled Trials

    Daniel Erhardt1, Brian Sauer2, Chia-Chen Teng3, Ted R. Mikuls4, Jeffrey R. Curtis5, Derek Tang6, Bradley S. Stolshek6 and Grant W. Cannon1, 1Division of Rheumatology, Salt Lake City VA Medical Center and University of Utah, Salt Lake City, UT, 2Salt Lake City VA Medical Center and University of Utah, Salt Lake City, UT, 3HSR&D SLC VA Medical Center and University of Utah, Salt Lake City, UT, 4University of Nebraska Medical Center, Omaha, NE, 5University of Alabama at Birmingham, Birmingham, AL, 6Amgen, Inc., Thousand Oaks, CA

    Background/Purpose: Recently published randomized controlled trials (RCTs) have demonstrated similar outcomes in rheumatoid arthritis (RA) patients treated with triple therapy [methotrexate (MTX), sulfasalazine (SUL) and…
  • Abstract Number: 1039 • 2015 ACR/ARHP Annual Meeting

    The Safety and Effect on Disease Activity of Tocilizumab in Combination with MTX Versus Tocilizumab Monotherapy in Patients with Mild to Moderate RA: An Attempt to Optimise the Treatment Response

    Burkhard Leeb1,2, Raimund Lunzer3, Peter Fasching4, Manfred Herold5, O. Zamani6, Winfried Graninger7 and OPTIMISE trial Investigators, 12nd Dept. of Medicine, State Hospital Stockerau, Center for Rheumatology Lower Austria, Stockerau, Austria, 2Department of Clinical Rheumatology, Karl Landsteiner Society, Stockerau, Austria, 3Department of Internal Medicine, Hospital Barmherzige Brüder Graz-Eggenberg, Graz, Austria, 4Department of Internal Medicine V, Wilhelminen Hospital Vienna, Vienna, Austria, 5Internal Medicine VI, Medical University of Innsbruck, Austria, Innsbruck, Austria, 6Rheumazentrum Favoriten, Wien, Austria, 7Rheumatology and Immunology, Medical University of Graz, Graz, Austria

    Background/Purpose: An Austrian multi-center study of the effect on disease activity and the safety of Tocilizumab (TCZ) in combination with Methotrexate (MTX) versus TCZ Monotherapy…
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