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Abstracts tagged "Tocilizumab"

  • Abstract Number: 1270 • 2019 ACR/ARP Annual Meeting

    Effectiveness and Safety of Off-label Use of Tocilizumab in Refractory Autoimmune Diseases: A Multicenter Study

    Martin Michaud1, Thomas Sene 2, Pascal Chazerain 2, Geoffrey Urbanski 3, Frederique Retornaz 4, Boris Bienvenu 5, Laurent Chiche 4, Florian Catros 6, Laurent Sailler 7, Laurent Alric 8, Jean Thomas Giraud 9, Léo Caudrelier 10, Slim Lassoued 10, Sophie Ancellin 6, Olivier Lidove 2 and Francis Gaches 6, 1Joseph Ducuing Hospital, Toulouse, France, 2Hôpital Croix Saint Simon, Paris, France, 3CHU Angers, Angers, France, 4Hôpital Européen, Marseille, France, 5Hôpital Saint Joseph, Marseille, France, 6Hôpital Joseph Ducuing, Toulouse, France, 7University Hospital of Toulouse, Toulouse, France, 8CHU Toulouse, Toulouse, France, 9Hôpital de Tarbes, Tarbes, France, 10Hôpital de Cahors, Cahors, France

    Background/Purpose: There is increasing evidence of Tocilizumab (TCZ) efficacy in refractory auto-immune diseases. The present study aimed at evaluating the real-world experience of using TCZ…
  • Abstract Number: 2770 • 2019 ACR/ARP Annual Meeting

    Towards the Lowest Efficacious Dose (ToLEDo): Results of a Multicenter Non-Inferiority Randomized Open-Label Controlled Trial Assessing Tocilizumab or Abatacept Injection Spacing in Rheumatoid Arthritis Patients in Remission

    Joanna Kedra1, Philippe Dieudé 2, Hubert Marotte 3, Alexandre Lafourcade 4, Emilie Ducourau 5, Thierry Schaeverbeke 6, Aleth Perdriger 7, Martin SOUBRIER 8, Jacques Morel 9, Arnaud Constantin 10, Emmanuelle Dernis 11, Valérie Royant 12, Jean-Hugues Salmon 13, Thao Pham 14, Jacques-Eric Gottenberg 15, Edouard Pertuiset 16, Maxime Dougados 17, Valérie Devauchelle Pensec 18, Philippe Gaudin 19, gregoire Cormier 20, Philippe Goupille 21, Xavier Mariette 22, Francis Berenbaum 23, Didier Alcaix 24, Sid-Ahmed Rouidi 25, Jean-Marie Berthelot 26, Agnès Monnier 27, Christine Piroth 28, Frédéric Lioté 29, Vincent Goeb 30, Cécile Gaujoux-Viala 31, Isabelle Chary-Valckenaere 32, David Hajage 4, Florence Tubach 33 and Bruno Fautrel 34, 1Sorbonne Université, Institut Pierre Louis d'Epidémiologie et de Santé Publique (iPLESP), UMR S1136, Paris France, Paris, France, 2Rheumatology, Bichat Hospital, APHP, Paris;, Paris, France, 3University Hospital, St Etienne, France, 4Biostatistics, Public Health and Medical Information department, Pitié-Salpêtrière Hospital, AP-HP, Paris, France, Paris, France, 5Rheumatology Department, CHR Orléans, Orléans, France, 6FHU ACRONIM, Department of Rheumatology, Centre Hospitalier Universitaire, Bordeaux, France, Bordeaux, France, 7Rheumatology department, Rennes University Hospital, France, Rennes, France, 8CHU Gabriel Montpied, Clermont Ferrand, Auvergne, France, 9CHU MONTPELLIER, MONTPELLIER, France, 10Hôpital Pierre-Paul Riquet, Toulouse, France, 11Rheumatology Department, Le Mans Central Hospital, Le Mans, France, 12Rheumatology Department, Chartres Hospital, Chartres, France, 13Rheumatology, Reims University Hospital, Reims, Reims, France, 14Aix-Marseille University, CHU Marseille, department of Rheumatology, 13,000 Marseille, France, Marseille, France, 15Department of Rheumatology, Strasbourg University Hospital, Strasbourg, France, 16Rheumatology Department, Pontoise Hospital, Pontoise, France, Pontoise, France, 17Cochin Hospital, Paris, France, 18University Hospital of Brest, Brest, France, 19Rheumatology Department, CHU Grenoble Alpes Hôpital Sud and GREPI - Université Grenoble Alpes, EA7408, Grenoble - Echirolles, France, 20CHD Vendée, La Roche sur Yon, France, 21Tours University-Hospital, Tours, France, Tours, France, 22Center for Immunology of Viral Infections and Autoimmune Diseases, Assistance Publique – Hôpitaux de Paris, Hôpitaux Universitaires Paris-Sud, Le Kremlin-Bicêtre, Université Paris Sud, INSERM, Paris, France, 23Sorbonne Université-Inserm CDR Saint-Antoine, AP-HP, Paris, France, 24Rheumatology Department, Le Havre Hospital, Le Havre, 25Rheumatology Department, Dreux, France, 26University Hospital, Nantes, France, 27Internal Medicine Department, CH Côte Basque, Bayonne, France, 28Rheumatology Department, Dijon Hospital, Dijon, France, 29Rheumatology Department, Lariboisiere Hospital, AP-HP, Paris, France, Paris, France, 30Rheumatology Department, Amiens University Hospital, Amiens, France, 31Nîmes University Hospital, Nîmes, France, 32Centre Hospitalier Universitaire de Nancy, VANDOEUVRE, France, 33Pitié Salpétrière University-Hospital, Paris, Ile-de-France, France, 34Pitié-Salpêtrière Hospital, Department of Rheumatology, AP-HP, Sorbonne University, UPMC university, Paris, Ile-de-France, France

    Background/Purpose: Biologic Disease Modifying Anti-Rheumatic Drugs (bDMARD) tapering is proposed by clinical practice guidelines in rheumatoid arthritis (RA) patients in sustained remission. However, no randomized…
  • Abstract Number: 1344 • 2019 ACR/ARP Annual Meeting

    Increased High Molecular Weight Adiponectin and Lean Mass During Tocilizumab Treatment in Patients with Rheumatoid Arthritis: A 12 Month Multicenter Study

    Eric Toussirot1, Hubert Marotte 2, denis Mulleman 3, gregoire Cormier 4, fabienne Coury-Lucas 5, Philippe Gaudin 6, Emmanuelle Dernis 7, christine bonnet 8, richard damade 9, jean-luc Grauer 10, Tassadit Ait Abdesselam 11, caroline Karras 12, frederic Liote 13, Pascal Hilliquin 14, antoinette sacchi 15, Jean-Marie Berthelot 16, marc puyraveau 1 and gilles dumoulin 1, 1University Hospital, Besancon, France, 2University Hospital, St Etienne, France, 3University hospital, Tours, France, 4CHD Vendée, La Roche sur Yon, France, 5University Hospital, Lyon, France, 6Rheumatology Department, CHU Grenoble Alpes Hôpital Sud and GREPI - Université Grenoble Alpes, EA7408, Grenoble - Echirolles, France, 7Rheumatology Department, Le Mans Central Hospital, Le Mans, France, 8University Hospital, Limoges, France, 9Centre Hospitalier, Chartres, France, 10Centre Hopsitalier, Montelimar, France, 11Centre Hospitalier, Meaux, France, 12Hôpital Saint Joseph, Marseille, France, 13AP-HP, Paris, France, 14Centre Hospitalier, Corbeil Essones, France, 15Centre Hospitalier, Mantes la Jolie, France, 16University Hospital, Nantes, France

    Background/Purpose: Patients with rheumatoid arthritis (RA) have an increased risk of cardiovascular (CV) diseases. Dyslipidemia is a known adverse reaction to tocilizumab (TCZ). TNFa blockade…
  • Abstract Number: 1391 • 2019 ACR/ARP Annual Meeting

    Connective Tissue Remodeling Is Differently Modulated by Tocilizumab versus Methotrexate Monotherapy in Patients with Early RA: The AMBITION Study

    Patryk Drobinski1, Anne Bay-Jensen 2, Morten Karsdal 3 and Anne Siebuhr 4, 1University of Copenhagen/Nordic Bioscience, Copenhagen, Denmark, 2Nordic Bioscience, Herlev, Denmark, 3Nordic Bioscience, Copenhagen, Denmark, 4Nordic Bioscience, Herlev

    Background/Purpose: Response to treatments in Rheumatoid Arthritis (RA) is assessed by symptomatic changes, such as ACR-response and DAS28. However, such assessments do not provide information…
  • Abstract Number: 1397 • 2019 ACR/ARP Annual Meeting

    Comparative Effectiveness of Tocilizumab in Combination with Methotrexate versus Tumor Necrosis Factor Inhibitors (TNFis) in Combination with Methotrexate in Patients with Rheumatoid Arthritis with Prior Exposure to TNFis

    Dimitrios Pappas1, Taylor Blachley 2, Steve Zlotnick 3, Jennie Best 3, Kelechi Emeanuru 2 and Joel Kremer 4, 1Columbia University, New York, NY, 2Corrona, LLC, Waltham, MA, 3Genentech, Inc., South San Francisco, CA, 4Albany Medical College and The Center for Rheumatology; Corrona, LLC, Albany, NY

    Background/Purpose: Clinical studies have demonstrated the efficacy of tocilizumab (TCZ) administered with methotrexate (MTX) in improving rheumatoid arthritis (RA) disease activity in patients who have…
  • Abstract Number: 1405 • 2019 ACR/ARP Annual Meeting

    Expression of Uncoupling Protein-1 in Subcutaneous Fat Is Increased by Tocilizumab

    Lovisa Lyngfelt1, Malin Erlandsson 2, Karin Andersson 2, Sofia Silfverswärd 2 and Maria Bokarewa 2, 1Department of Rheumatology and Inflammation Research at Institute of Medicine, University of Gothenburg, Gothenburg, Sweden, 2Department of Rheumatology and Inflammation Research, the Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden, Gothenburg, Sweden

    Background/Purpose: Adipose tissue is an important player in cardiovascular (CV) morbidity. Thermogenic brown adipocytes, rich with uncoupling protein 1 (UCP1), increase metabolic and CV health.…
  • Abstract Number: 1406 • 2019 ACR/ARP Annual Meeting

    Impact on Costs and Quality of Life over 5 Years of Treat-to-target Treatment Strategies Initiating Tocilizumab, Methotrexate or Their Combination in Early Rheumatoid Arthritis: Economic Evaluation of the U-Act-Early Trial

    Maxime Verhoeven1, Janneke Tekstra 1, Attila Pethö-Schramm 2, Michelle Borm 3, Jacob van Laar 1, Floris Lafeber 1, Johannes Bijlsma 1, Johannes Jacobs 1 and Paco Welsing 1, 1UMC Utrecht, Department of Rheumatology & Clinical Immunology, Utrecht, The Netherlands, Utrecht, Netherlands, 2Hoffmann-La Roche, Basel, Basel, Switzerland, 3Roche Nederland BV, Woerden, Netherlands

    Background/Purpose: U-Act-Early was a 2-year multicentre, double-blind, randomized, placebo-controlled trial in early (DMARD-naïve) RA patients treated to the target of remission. Patients were assigned to…
  • Abstract Number: 1414 • 2019 ACR/ARP Annual Meeting

    Improvement of Mental Health and Quality of Life During Therapy with Tocilizumab

    Frank Behrens1, Werner A Biewer 2, Gerd Burmester 3, Martin Feuchtenberger 4, Michael W. Hofmann 5, Peter Kästner 6, Herbert Kellner 7, Ramona König 8, Anke Liebhaber 9, Christina Luig 10, Regina Max 11, Patrizia Sternad 12, Hans-Peter Tony 13 and Christopher Amberger 14, 1Rheumatology Goethe-University Frankfurt & Fraunhofer IME-TMP, Frankfurt, Germany, 2Rheumatologische Schwerpunktpraxis Saarbrücken, Saarbrücken, Germany, 3Charité—University Medicine Berlin, Berlin, Germany, 4Rheumatologie/Klinische Immunologie, Kreiskliniken Altötting-Burghausen, Burghausen, Germany, 5Chugai Pharma Europe Ltd., Frankfurt/Main, Germany, 6MVZ Ambulantes Rheumazentrum Erfurt, Erfurt, Germany, 7Praxis Prof. Herbert Kellner, Munich, Germany, 8Justus-Liebig-Universität Giessen and Kerckhoff-Klinik-Forschungs-GmbH, Giessen, Germany, 9Internistisch-Rheumatologische Arztpraxis, Halle, Halle, Germany, 10Roche Pharma AG, Rheumatologie, Grenzach-Wyhlen, Germany, 11Universitätsklinikum Heidelberg, Heidelberg, Germany, 12Gemeinschaftspraxis, Planegg, Planegg, Germany, 13Department of Rheumatology/Clinical Immunology, University Hospital, Wuerzburg, Germany, Würzburg, Germany, 14Rheumatologische Gemeinschaftspraxis Dr. Pick/Dr. Amberger, Bad Neuenahr, Germany

    Background/Purpose: In rheumatoid arthritis (RA), the proinflammatory cytokine IL-6 is associated with mental disorders such as depression and anxiety.1 Furthermore, depression and anxiety are comorbidities…
  • Abstract Number: 1438 • 2019 ACR/ARP Annual Meeting

    Discontinuation of Concomitant Methotrexate in Japanese Patients with Rheumatoid Arthritis Treated with Tocilizumab: An Interventional Study

    Toshihisa Kojima1, Shuji Asai 1, Masahiro Hanabayashi 2, Masatoshi Hayashi 3, Nobunori Takahashi 1, Yachiyo Kuwatsuka 4, Masahiko Ando 4 and Naoki Ishiguro 1, 1Department of Orthopedic Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan, 2Ichinomiya Municipal Hospital, Ichinomiya, Japan, 3Hayashi Orthopedic Clinic, Nagano, Japan, 4Nagoya University Hospital, Nagoya, Japan

    Background/Purpose: Biological DMARD (bDMARD) concomitant with methotrexate (MTX) has made great progress in the treatment of rheumatoid arthritis (RA) in these decades. There are various…
  • Abstract Number: 1692 • 2019 ACR/ARP Annual Meeting

    Long-Term Follow-Up of Anti-IL6-Receptor Tocilizumab in Refractory Uveitis in Patients with Behçet Disease: Multicenter Study of 14 Patients in Clinical Practice

    Iñigo Gonzalez-Mazon1, Lara Sanchez-Bilbao 2, Belén Atienza-Mateo 2, Jose Luis Martín-Varillas 2, DIANA PRIETO- PENA 1, Vanesa Calvo-Río 3, Rosalia Demetrio 4, Natalia Palmou-Fontana 1, Javier Loricera 5, Emma Beltrán Catalán 6, Marisa Hernández Garfella 7, Elia Valls-Pascual 8, Antonio Atanés 9, Miguel Cordero Coma 9, Joan M Nolla 10, Carmen carrasco-Cubero 11, Julio Sánchez 12, Miguel A Gonzalez-Gay 2 and Ricardo Blanco 2, 1Rheumatology, Hospital Universitario Marques de Valdecilla, Santander, Cantabria, Spain, 2Rheumatology, Hospital Universitario Marques de Valdecilla, Santander, Spain, 3Hospital Marqués de Valdecilla, Santander, Cantabria, Spain, 4Hospital Universitario Marqués de Valdecilla, Santander, Spain, 5H.U. Marques de Valdecilla, Santander, Spain, 6Hospital del Mar, Barcelona, Spain, 7H.G.U. Valencia, Valencia, 8Dr Peset University Hospital, Valencia, Spain, 9HUAC La Coruña, Coruña, Spain, 10Hospital Universitari de Bellvitge, Hospitalet, Spain, 11CHU de Badajoz, Badajoz, Spain, 12Hospital 12 de Octubre, Madrid, Spain

    Background/Purpose: Ocular involvement in Behçet’s disease (BD) is a potential severe and disabling complication. Anti-TNF-α agents have shown an improvement of visual outcome in BD-related…
  • Abstract Number: 1841 • 2019 ACR/ARP Annual Meeting

    Resolution of Vascular Inflammation in Patients with Giant Cell Arteritis Receiving Glucocorticoids, Methotrexate or Tocilizumab Treatment: Data from the Italian/German RIGA Study

    Verena Schönau 1, Jessica Roth 1, Koray Tascilar 2, Jürgen Rech 3, Daniela Schmidt 4, Torsten Kuwert 4, Filippo Crescentini 5, Luigi Boiardi 6, Massimiliano Casali 7, Annibale Versari 8, Giulia Pazzola 5, Georg Schett 9, Carlo Salvarani 10 and Francesco Muratore11, 1Rheumatology Unit, University of Erlangen, Erlangen, Germany, 2Department of Internal Medicine 3 – Rheumatology and Immunology, Friedrich-Alexander-University Erlangen-Nürnberg, University Hospital Erlangen, Erlangen, Germany, Erlangen, Bayern, Germany, 3Department of Internal Medicine 3, Friedrich-Alexander-University Erlangen-Nuremberg (FAU) and Universitätsklinikum Erlangen, Erlangen, Germany, 4Nuclear Medicine Unit, University of Erlangen, Erlangen, Germany, 5Rheumatology Unit, Azienda Unita' Sanitaria Locale IRCCS di Reggio Emilia, Reggio Emilia, Italy, 6Division of Rheumatology, Azienda Unita' Sanitaria Locale IRCCS di Reggio Emilia, Reggio Emilia, Italy, 7Azienda USL-IRCCS di Reggio Emilia, REGGIO EMILIA, Italy, 8Nuclear Medicine Unit, Azienda Unità Sanitaria Locale IRCCS di Reggio Emilia, Reggio Emilia, Emilia-Romagna, Italy, 9Department of Internal Medicine 3, Friedrich Alexander University Erlangen-Nuremberg, Erlangen, Germany, 10Division of Rheumatology, Arcispedale Santa Maria Nuova-IRCCS, Reggio Emilia, Italy, 11Division of Rheumatology, Azienda Unita’ Sanitaria Locale IRCCS di Reggio Emilia, Reggio Emilia, Italy

    Background/Purpose: 18F-FDG-PET/CT is a sensitive and comprehensive technique to diagnose giant cell arteritis (GCA). This technique may be also very useful to test whether vascular…
  • Abstract Number: 2118 • 2019 ACR/ARP Annual Meeting

    Efficacy and Safety of Tocilizumab Treatment for Anti–human T Lymphotropic Virus Type I Antibody–positive Rheumatoid Arthritis

    Yushiro Endo1, Kunihiko Umekita 2, Hideki Nakamura 1, Shoichi Fukui 3, Takahisa Suzuki 4, Junya Miyamoto 5, Toshimasa Shimizu 1, Tomohiro Koga 1, Shin-ya Kawashiri 1, Naoki Iwamoto 1, Kunihiro Ichinose 1, Mami Tamai 1, Tomoki Origuchi 6, Akitomo Okada 7, Keita Fujikawa 8, Akinari Mizokami 8, Naoki Matsuoka 9, Toshiyuki Aramaki 10, Yukitaka Ueki 10, Katsumi Eguchi 10, Yumi Kariya 2, Yayoi Hashiba 11, Toshihiko Hidaka 11, Akihiko Okayama 2 and Atsushi Kawakami 12, 1Nagasaki University Graduate School of Biomedical Sciences, Department of Immunology and Rheumatology, Division of Advanced Preventive Medical Sciences, Nagasaki, Japan, 2University of Miyazaki, Miyazaki, Japan, 3Nagasaki University Graduate School of Biomedical Sciences, Department of Immunology and Rheumatology, Division of Advanced Preventive Medical Sciences, Nagasaki, Nagasaki, Japan, 4Sasebo City General Hospital, Sasebo, Japan, 5Nagasaki University Hospital Clinical Research Center, Nagasaki, Japan, 6Nagasaki University School of health sciences, Division of physical therapy, Nagasaki, Japan, 7Japanese Red Cross Nagasaki Genbaku Hospital, Nagasaki, Japan, 8JCHO Isahaya General Hospital Department of Rheumatology, Isahaya, Japan, 9Nagasaki Medical Hospital of Rheumatology, Nagasaki, Japan, 10Sasebo Chuo Hospital Rheumatic and Collagen Disease Center, Sasebo, Japan, 11Zenjinkai Shimin-no-Mori Hospital, Miyazaki, Japan, 12Nagasaki University Graduate School of Biomedical Sciences, Department of Immunology and Rheumatology, Division of Advanced Preventive Medical Sciences, Nagasaki

    Background/Purpose: The asymptotic individuals with the human T lymphotropic virus type I (HTLV-I) infection rarely develop adult T cell leukemia/lymphoma (ATL) or HTLV-I–associated myelopathy (HAM).…
  • Abstract Number: 2368 • 2019 ACR/ARP Annual Meeting

    Risk of Diverticulitis and Gastro-Intestinal Perforation in Rheumatoid Arthritis Treated with Tocilizumab Compared to Rituximab and Abatacept: A Prospective Propensity-matched Cohort Study

    Claire Rempenault1, Cédric Lukas 1, Bernard Combe 2, Isabelle Pane 3, Xavier Mariette 4, Jacques-Eric Gottenberg 5 and Jacques Morel 1, 1Department of Rheumatology, Montpellier University Hospital, Montpellier, France, Montpellier, Languedoc-Roussillon, France, 2CHU Montpellier, Montpellier University, Montpellier, France, 3Centre de Recherche en Epidémiologie et Statistiques, INSERM U1153, Centre d'Épidémiologie Clinique, Hôpital Hôtel-Dieu, Assistance Publique-Hôpitaux de Paris (AP-HP), Descartes University, Paris, France., Paris, Ile-de-France, France, 4Center for Immunology of Viral Infections and Autoimmune Diseases, Assistance Publique – Hôpitaux de Paris, Hôpitaux Universitaires Paris-Sud, Le Kremlin-Bicêtre, Université Paris Sud, INSERM, Paris, France, 5Department of Rheumatology, Strasbourg University Hospital, Strasbourg, France

    Background/Purpose: Several studies have reported an increased risk of gastro-intestinal perforation (GIP) in rheumatoid arthritis (RA) patients treated with tocilizumab (TCZ) compared to conventional synthetic…
  • Abstract Number: 2397 • 2019 ACR/ARP Annual Meeting

    Skin Lesions as a Side Effect of anti-IL6 Therapy: Transcriptome Analysis of Peripheral Blood Shows a Risk of Paradoxical Neutrophil Activation and Exacerbation of Skin Ulcer

    Yoshinobu Koyama1, Akemi Senoo 2, Kaho Otsuki 3, Yoshiharu Sato 4, Mari Yamaguchi 2 and Toshie Higuchi 1, 1Center for Autoimmune Diseases, Division of Rheumatology, Japanese Red Cross Okayama Hospital, Okayama, Japan, 2Division of Dermatology, Japanese Red Cross Okayama Hospital, Okayama, Japan, 3Center for Autoimmune Diseases, Division of Rheumatology, Okayama, Japan, 4DNA Chip Research Inc, Tokyo, Japan

    Background/Purpose: Skin lesion as a side effect of Tocilizumab (TCZ) has not been paid much attention. In the drug information sheets, incidence of dermatological adverse…
  • Abstract Number: 2668 • 2019 ACR/ARP Annual Meeting

    Pharmacokinetics and Pharmacodynamics of Tocilizumab in Combination with Prednisone Tapering in Patients with Giant Cell Arteritis: 3-Year Results from a Randomized Controlled Phase 3 Trial

    Navita Malallieu1, Min Bao 2 and John Stone 3, 1Roche Innovation Center, New York, NY, 2Genentech, South San Francisco, CA, 3Massachusetts General Hospital Rheumatology Unit, Harvard Medical School, Boston, MA

    Background/Purpose: Tocilizumab (TCZ) administered subcutaneously weekly or every 2 weeks with a 26-week prednisone taper (TCZ-QW or TCZ-Q2W) was superior to placebo given with a…
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