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B O O K - American College of Rheumatology

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tuesday<br />

7:25 AM<br />

New Insights into Mechanisms <strong>of</strong> Action and Method <strong>of</strong><br />

Administration<br />

Joel M. Kremer, MD; The Center for <strong>Rheumatology</strong>; Albany, NY<br />

7:55 am<br />

Re-evaluating Methotrexate Toxicity and Monitoring in the<br />

Changing Landscape <strong>of</strong> Rheumatoid Arthritis Therapy<br />

Michael E. Weinblatt, MD; Brigham and Women’s Hospital;<br />

Boston, MA<br />

Session Overview:<br />

Methotrexate has become the mainstay <strong>of</strong> therapy in<br />

rheumatoid arthritis and psoriatic arthritis, both as monotherapy<br />

and as the anchor drug for additional biologic agents, and<br />

is frequently used as primary or adjunctive therapy in other<br />

rheumatologic diseases. Since the development <strong>of</strong> the ACR<br />

guidelines for monitoring hepatoxicity with methotrexate over<br />

10 years ago, new information has become available on the<br />

mechanism, toxicities, and the value <strong>of</strong> monitoring strategies<br />

for this drug. The current and future use <strong>of</strong> other agents in<br />

combination with methotrexate, which may share some <strong>of</strong><br />

the same organ toxicities, creates a challenge for practitioners<br />

trying to safely prescribe and monitor methotrexate therapy.<br />

This presentation will review the history <strong>of</strong> methotrexate use,<br />

update the data on its mechanism(s) <strong>of</strong> action and toxicity, and<br />

explore the challenges inherent in the use <strong>of</strong> methotrexate in<br />

combination with other agents.<br />

Upon completion <strong>of</strong> this session, participants should be able to:<br />

• identify potential mechanisms for the effect <strong>of</strong> methotrexate<br />

in rheumatic diseases<br />

• describe the rationale for modifying the dose and method <strong>of</strong><br />

administration <strong>of</strong> methotrexate<br />

• identify potential toxicities associated with methotrexate,<br />

along with the rationale for, and details <strong>of</strong>, the existing<br />

guidelines for monitoring methotrexate therapy<br />

ACR Special Session<br />

7:30 - 8:30 am<br />

A411<br />

News from the National Institutes <strong>of</strong> Health: Updates<br />

and Opportunities R<br />

Moderators: Mariana J. Kaplan, MD; University <strong>of</strong> Michigan<br />

Medical Center; Ann Arbor, MI<br />

Raymond L. Yung, MD; University <strong>of</strong> Michigan Medical Center;<br />

Ann Arbor, MI<br />

7:30 am<br />

Cartilage Research at the National Institute on Aging<br />

John Williams, PhD; National Institute on Aging; Bethesda, MD<br />

7:50 am<br />

Enhancements to Peer Review and You<br />

Laura K. Moen, PhD; National Institute <strong>of</strong> Arthritis and<br />

Musculoskeletal and Skin; Bethesda, MD<br />

8:10 am<br />

Current and Future Needs and Opportunities for <strong>Rheumatology</strong><br />

Clinical Trials<br />

Robert H. Carter, MD; National Institute <strong>of</strong> Arthritis and<br />

Musculoskeletal and Skin/Nationl Institutes <strong>of</strong> Health; Bethesda,<br />

MD<br />

Session Overview:<br />

The National Institutes <strong>of</strong> Health represents the premier agency<br />

funding arthritis research. However, there is a gap in the ACR<br />

members’ knowledge <strong>of</strong> National Institutes <strong>of</strong> Health funding<br />

opportunities outside <strong>of</strong> National Institute <strong>of</strong> Arthritis and<br />

Musculoskeletal and Skin and National Institute <strong>of</strong> Allergy and<br />

Infectious Diseases. Additionally, recent major changes in the<br />

National Institutes <strong>of</strong> Health grant application process have<br />

significant impact on rheumatology researchers.<br />

Upon completion <strong>of</strong> this session, participants should be able to:<br />

• review funding opportunities and resources for basic arthritis<br />

research at the National Institute on Aging<br />

• describe the impact <strong>of</strong> recent changes in the National<br />

Institutes <strong>of</strong> Health grant application system<br />

• define the priorities for clinical research in rheumatic diseases<br />

ACR Meet the Pr<strong>of</strong>essor Sessions<br />

7:45 - 9:15 am<br />

Admission to each Meet the Pr<strong>of</strong>essor session requires a<br />

separate registration and ticket. To verify which session you<br />

registered for, check to make sure the registration code on your<br />

ticket matches the code listed below in parentheses.<br />

B207<br />

Antiphospholipid Syndrome (031) PS<br />

Speaker: Robert A. S. Roubey, MD; University <strong>of</strong> North Carolina;<br />

Chapel Hill, NC<br />

Upon completion <strong>of</strong> this session, participants should be able to:<br />

• identify the diverse clinical subsets within the spectrum <strong>of</strong><br />

antiphospholipid syndrome<br />

• discuss the laboratory tests used to confirm antiphospholipid<br />

syndrome<br />

• analyze the therapeutic alternatives for the different<br />

manifestations <strong>of</strong> antiphospholipid syndrome, including the<br />

benefit/risk, adverse effects and limitations<br />

B208<br />

Crystal: Management <strong>of</strong> Gout (032) PS<br />

Speaker: Peter A. Simkin, MD; University <strong>of</strong> Washington; Seattle,<br />

WA<br />

Upon completion <strong>of</strong> this session, participants should be able to:<br />

• critique recent changes in the epidemiology and complexity <strong>of</strong><br />

gout relevant to clinical practice<br />

• determine the basis and status <strong>of</strong> novel drugs for lowering<br />

serum urate in refractory patients<br />

• determine new developments in gout inflammation<br />

pathophysiology and how they point to novel treatment<br />

strategies<br />

B209<br />

Infections in Patients on Tumor Necrosis Factor<br />

Therapy (033) PS<br />

Speaker: Eric L. Matteson, MD; Mayo Clinic; Rochester, MN<br />

Upon completion <strong>of</strong> this session, participants should be able to:<br />

• identify the risks <strong>of</strong> infections, including opportunistic<br />

infections, with biological response modifier therapies for<br />

rheumatoid arthritis<br />

56<br />

2010 Program Book

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