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  1. AU="Massarotti, Elena M."
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  1. Book: Lupus erythematosus

    Schur, Peter H. / Massarotti, Elena M.

    clinical evaluation and treatment

    2012  

    Author's details Peter H. Schur ; Elena M. Massarotti ed
    Keywords Systemic lupus erythematosus ; Systemic lupus erythematosus--Diagnosis ; Systemic lupus erythematosus--Treatment
    Language English
    Size XI, 260 S. : Ill., graph. Darst., 24 cm
    Publisher Springer
    Publishing place New York u.a.
    Publishing country United States
    Document type Book
    HBZ-ID HT017356035
    ISBN 978-1-4614-1188-8 ; 1-4614-1188-2 ; 9781461411895 ; 1461411890
    Database Catalogue ZB MED Medicine, Health

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  2. Article: Clinical and patient-reported outcomes in clinical trials of abatacept in the treatment of rheumatoid arthritis.

    Massarotti, Elena M

    Clinical therapeutics

    2008  Volume 30, Issue 3, Page(s) 429–442

    Abstract: Background: Rheumatoid arthritis (RA) is an autoimmune disease characterized by chronic joint inflammation, which if left untreated leads to progressive disability and joint destruction. A combination of antiinflammatory agents, steroids, disease- ... ...

    Abstract Background: Rheumatoid arthritis (RA) is an autoimmune disease characterized by chronic joint inflammation, which if left untreated leads to progressive disability and joint destruction. A combination of antiinflammatory agents, steroids, disease-modifying antirheumatic drugs, and biological agents are used to treat RA. Beyond the use of conventional measures of disease activity, such as American College of Rheumatology (ACR) response rates, the importance of patient-reported outcomes (PROs) in assessing therapeutic benefits is gaining increasing emphasis in clinical trials of RA and other chronic illnesses. Clinical trials testing new RA therapeutics generally include health-related quality of life (HRQoL) measures and assessments of function and disability. Abatacept, a costimulation modulator that selectively targets the activation of T cells and downregulates the immune response, has been approved by the US Food and Drug Administration for the treatment of RA, with or without methotrexate.
    Objective: The aim of this review was to summarize the clinical outcomes and PROs in published trials of abatacept.
    Methods: A literature search was performed using the MEDLINE, EMBASE, and BIOSIS databases (restricted to articles posted between January 2000 and September 2007) with the search terms CTLA-4Ig, abatacept, and Orencia to identify published trials of abatacept. Primary clinical trial publications in patients with RA were selected. The ACR response and PROs data presented in the identified publications are summarized in this review.
    Results: Our search identified 6 studies that met our selection criteria, which included 1 Phase IIa study, 2 Phase IIb studies, and 3 Phase III studies. The Phase IIa study found that abatacept was more effective than placebo and that physical function improved in treated patients compared with placebo. The 2 Phase IIb studies in 339 patients with RA previously treated with methotrexate found statistically significant improvements in HRQoL with abatacept at 6 months and 1 year. Similar findings were noted in the published Phase III trials. Across clinical trials, abatacept has been associated with clinically meaningful and statistically significant improvements in conventional measures of disease activity, HRQoL, and physical function.
    Conclusions: These 6 published trials found that abatacept was associated with significant improvements in both conventional measures of disease activity and PROs. Continued assessment of these outcomes will be required to further support the findings of the Phase II and III abatacept clinical trial literature reviewed here.
    MeSH term(s) Abatacept ; Antirheumatic Agents/therapeutic use ; Arthritis, Rheumatoid/drug therapy ; Clinical Trials as Topic/statistics & numerical data ; Health Status ; Humans ; Immunoconjugates/therapeutic use ; Pilot Projects ; Quality of Life ; Treatment Outcome
    Chemical Substances Antirheumatic Agents ; Immunoconjugates ; Abatacept (7D0YB67S97)
    Language English
    Publishing date 2008-03
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Review
    ZDB-ID 603113-4
    ISSN 1879-114X ; 0149-2918
    ISSN (online) 1879-114X
    ISSN 0149-2918
    DOI 10.1016/j.clinthera.2008.03.002
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: The potential role of ‘non-rheumatic’ therapies in rheumatic disease.

    Massarotti, Elena M / Solomon, Daniel H

    Arthritis research & therapy

    2013  Volume 15, Issue 6, Page(s) 124

    Abstract: The relationship between inflammation and insulin resistance is complex and not fully understood. Patients with rheumatoid arthritis are at increased risk of mortality from cardiovascular disease, which is known to be associated with insulin resistance. ... ...

    Abstract The relationship between inflammation and insulin resistance is complex and not fully understood. Patients with rheumatoid arthritis are at increased risk of mortality from cardiovascular disease, which is known to be associated with insulin resistance. In the previous issue of Arthritis Research & Therapy, Ormseth and colleagues report the results of an 8-week trial of pioglitazone, an agent commonly used to treat type 2 diabetes mellitus, upon the DAS-28 (disease activity score using 28 joint counts). Modest improvements in the DAS-28 CRP (DAS-28 C-reactive protein) were shown, with no effect on DAS-28 ESR (DAS-28 erythrocyte sedimentation rate). Other variables that improved with pioglitazone were the CRP, IL-6, and patient-reported assessment of global health. The authors discuss the contribution of insulin resistance to the inflammation noted in rheumatoid arthritis.
    MeSH term(s) Arthritis, Rheumatoid/drug therapy ; Female ; Humans ; Male ; PPAR gamma/agonists ; Thiazolidinediones/therapeutic use
    Chemical Substances PPAR gamma ; Thiazolidinediones
    Language English
    Publishing date 2013-10-23
    Publishing country England
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Comment
    ZDB-ID 2107602-9
    ISSN 1478-6362 ; 1478-6354
    ISSN (online) 1478-6362
    ISSN 1478-6354
    DOI 10.1186/ar4371
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Editorial: Interferon-Targeted Therapy for Systemic Lupus Erythematosus: Are the Trials on Target?

    Massarotti, Elena M / Allore, Heather G / Costenbader, Karen

    Arthritis & rheumatology (Hoboken, N.J.)

    2016  Volume 69, Issue 2, Page(s) 245–248

    MeSH term(s) Antibodies, Monoclonal ; Humans ; Interferon-alpha ; Lupus Erythematosus, Systemic
    Chemical Substances Antibodies, Monoclonal ; Interferon-alpha ; anifrolumab
    Language English
    Publishing date 2016-11-16
    Publishing country United States
    Document type Editorial ; Comment
    ZDB-ID 2756371-6
    ISSN 2326-5205 ; 2326-5191
    ISSN (online) 2326-5205
    ISSN 2326-5191
    DOI 10.1002/art.39985
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: The new ACR/EULAR remission criteria: rationale for developing new criteria for remission.

    Bykerk, Vivian P / Massarotti, Elena M

    Rheumatology (Oxford, England)

    2012  Volume 51 Suppl 6, Page(s) vi16–20

    Abstract: As more effective treatments for RA have become available, studies have demonstrated that in patients who attained remission, defined as a simplified disease activity index (SDAI) ≤3.3, not only disease activity but radiographic progression was reduced. ... ...

    Abstract As more effective treatments for RA have become available, studies have demonstrated that in patients who attained remission, defined as a simplified disease activity index (SDAI) ≤3.3, not only disease activity but radiographic progression was reduced. The feasibility and the benefit of attaining remission led to the development of the ACR/European League Against Rheumatism (EULAR) 2011 remission criteria. These criteria employ either a Boolean definition, including tender and swollen joint counts ≤1, and CRP ≤1 mg/dl, or an index-based definition, SDAI ≤3.3, in combination with patient-reported outcomes on a scale of 0-10. It is expected that the ACR/EULAR criteria will be used as secondary outcomes in clinical trials. Some questions about the implementation of the new criteria include the availability of CRP values, and the possibility that patient-reported outcomes may skew the outcome if patients cannot distinguish other musculoskeletal conditions from RA. Several issues require further study, including the role of imaging, fatigue and the impact of the involvement of joints other than the 28 counted in the ACR/EULAR criteria.
    MeSH term(s) Antirheumatic Agents/therapeutic use ; Arthritis, Rheumatoid/classification ; Arthritis, Rheumatoid/drug therapy ; Arthritis, Rheumatoid/physiopathology ; C-Reactive Protein/metabolism ; Disease Progression ; Europe ; Humans ; Joints/physiopathology ; Remission Induction ; Societies, Medical ; United States
    Chemical Substances Antirheumatic Agents ; C-Reactive Protein (9007-41-4)
    Language English
    Publishing date 2012-12
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 1464822-2
    ISSN 1462-0332 ; 1462-0324
    ISSN (online) 1462-0332
    ISSN 1462-0324
    DOI 10.1093/rheumatology/kes281
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: The new ACR/EULAR classification criteria for RA: how are the new criteria performing in the clinic?

    Bykerk, Vivian P / Massarotti, Elena M

    Rheumatology (Oxford, England)

    2012  Volume 51 Suppl 6, Page(s) vi10–5

    Abstract: The objective of the 2010 ACR/European League Against Rheumatism classification criteria for RA was to distinguish patients at high risk for developing persistent erosive and/or inflammatory disease from those with undifferentiated inflammatory arthritis. ...

    Abstract The objective of the 2010 ACR/European League Against Rheumatism classification criteria for RA was to distinguish patients at high risk for developing persistent erosive and/or inflammatory disease from those with undifferentiated inflammatory arthritis. These criteria were developed for use in clinical trials; in order to implement these criteria most effectively, they need to be validated in real-world settings. The 1987 criteria may have led to underdiagnosis in the case of patients with positive anti-citrullinated peptide antibody values but no evidence of radiographic progression of joint erosion, or overdiagnosis in the case of some patients with FM; similarly, the possibility that the 2010 criteria may result in overdiagnosis cannot be excluded. Prospective validation of the 2010 criteria has been carried out in several cohorts, with reported sensitivities ranging from 0.50 to 0.60 and specificities from 0.88 to 0.97. The sensitivity and specificity of the 2010 criteria were 0.74 and 0.66 when compared against the gold standard of needing MTX therapy in the opinion of experienced clinicians, and 0.69 and 0.72 against the standard of having persistent synovitis despite DMARDs after 1 year. Other comparisons have yielded similar sensitivities and specificities, ranging up to 0.85 for the gold standard of needing MTX therapy. Questions remain concerning the utility of the 2010 criteria for non-arthritis health care practitioners, who may be less than expert in identifying swollen joints and may underestimate the number of joints affected by synovitis. US may be of value in the future, but its role remains to be validated.
    MeSH term(s) Arthritis, Rheumatoid/classification ; Arthritis, Rheumatoid/diagnosis ; Arthritis, Rheumatoid/therapy ; Biological Therapy ; Disease Progression ; Europe ; Humans ; Practice Patterns, Physicians'/trends ; Sensitivity and Specificity ; Societies, Medical ; United States
    Language English
    Publishing date 2012-12
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 1464822-2
    ISSN 1462-0332 ; 1462-0324
    ISSN (online) 1462-0332
    ISSN 1462-0324
    DOI 10.1093/rheumatology/kes280
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Book: Lupus erythematosus

    Schur, Peter H / Massarotti, Elena M

    clinical evaluation and treatment

    2012  

    Author's details Peter H. Schur, Elena M. Massarotti, editors
    MeSH term(s) Lupus Erythematosus, Systemic/diagnosis ; Lupus Erythematosus, Systemic/therapy ; Lupus Erythematosus, Systemic/complications ; Comorbidity
    Language English
    Size xi, 260 p. :, ill.
    Publisher Springer
    Publishing place New York
    Document type Book
    ISBN 9781461411888 ; 9781461411895 ; 1461411882 ; 1461411890
    Database Catalogue of the US National Library of Medicine (NLM)

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  8. Article ; Online: To what extent can preventive treatments prevent damage from systemic lupus erythematosus?

    Massarotti, Elena M / Schur, Peter H

    Current rheumatology reports

    2011  Volume 13, Issue 4, Page(s) 317–323

    Abstract: Managing lupus patients traditionally involves treating manifestations of active disease with the most effective and least toxic therapies so that "damage" from ongoing disease or treatments can be minimized. Damage in clinical epidemiologic studies is ... ...

    Abstract Managing lupus patients traditionally involves treating manifestations of active disease with the most effective and least toxic therapies so that "damage" from ongoing disease or treatments can be minimized. Damage in clinical epidemiologic studies is usually defined by the Systemic Lupus International Collaborating Clinics/American College of Rheumatology Damage Index, a validated, organ-specific assessment tool. This review summarizes recent developments regarding organ-specific manifestations and lupus-related damage and their prevention.
    MeSH term(s) Cardiovascular Diseases/epidemiology ; Cardiovascular Diseases/physiopathology ; Disability Evaluation ; Endocrine System Diseases/epidemiology ; Endocrine System Diseases/physiopathology ; Gastrointestinal Diseases/epidemiology ; Gastrointestinal Diseases/physiopathology ; Glucocorticoids/therapeutic use ; Health Status Indicators ; Humans ; Kidney Diseases/epidemiology ; Kidney Diseases/physiopathology ; Lung Diseases/epidemiology ; Lung Diseases/physiopathology ; Lupus Erythematosus, Systemic/drug therapy ; Lupus Erythematosus, Systemic/epidemiology ; Lupus Erythematosus, Systemic/physiopathology ; Lupus Vasculitis, Central Nervous System/complications ; Lupus Vasculitis, Central Nervous System/epidemiology ; Morbidity ; Severity of Illness Index ; Skin Diseases/epidemiology ; Skin Diseases/physiopathology
    Chemical Substances Glucocorticoids
    Language English
    Publishing date 2011-05-20
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2057357-1
    ISSN 1534-6307 ; 1523-3774
    ISSN (online) 1534-6307
    ISSN 1523-3774
    DOI 10.1007/s11926-011-0188-4
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article: Lyme arthritis.

    Massarotti, Elena M

    The Medical clinics of North America

    2002  Volume 86, Issue 2, Page(s) 297–309

    Abstract: Infection with B. burgdorferi can cause a large joint inflammatory arthritis in patients who have not been treated for early Lyme disease; the knee is the most common joint affected. The diagnosis depends on a history of known exposure to the spirochete, ...

    Abstract Infection with B. burgdorferi can cause a large joint inflammatory arthritis in patients who have not been treated for early Lyme disease; the knee is the most common joint affected. The diagnosis depends on a history of known exposure to the spirochete, characteristic clinical features, and serologic studies (ELISA and Western blot) confirming exposure to the spirochete. In most patients, antibiotic therapy is curative, but in a smaller percentage of patients, the presence of the HLA-DR beta 1*0401 haplotype can trigger treatment-resistant arthritis, in which antibiotic therapy is ineffective; in these instances, remittive agents, such as hydroxychloroquine and methotrexate, are indicated. Arthroscopic synovectomy may be considered when antibiotic therapy is not curative. Fibromyalgia can follow infection with B. burgdorferi but is unresponsive to antibiotic therapy; it is treated with tricyclic antidepressants and an exercise program. Lyme arthritis is the only chronic inflammatory arthritis in which the specific cause is known and can be cured. As such, it serves as an excellent model with which to study the pathogenesis of more common inflammatory arthritides, such as rheumatoid arthritis.
    MeSH term(s) Adult ; Anti-Bacterial Agents/therapeutic use ; Arthritis, Infectious/complications ; Arthritis, Infectious/diagnosis ; Arthritis, Infectious/drug therapy ; Arthritis, Infectious/microbiology ; Borrelia burgdorferi/isolation & purification ; Diagnosis, Differential ; Female ; Fibromyalgia/microbiology ; Humans ; Lyme Disease/complications ; Lyme Disease/diagnosis ; Lyme Disease/drug therapy ; Male ; Middle Aged
    Chemical Substances Anti-Bacterial Agents
    Language English
    Publishing date 2002-03
    Publishing country United States
    Document type Case Reports ; Journal Article ; Review
    ZDB-ID 215710-x
    ISSN 1557-9859 ; 0025-7125
    ISSN (online) 1557-9859
    ISSN 0025-7125
    DOI 10.1016/s0025-7125(03)00088-9
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: A Multianalyte Assay Panel With Cell-Bound Complement Activation Products Predicts Transition of Probable Lupus to American College of Rheumatology-Classified Lupus.

    Ramsey-Goldman, Rosalind / Alexander, Roberta Vezza / Conklin, John / Arriens, Cristina / Narain, Sonali / Massarotti, Elena M / Wallace, Daniel J / Collins, Christopher E / Saxena, Amit / Putterman, Chaim / Brady, Kelley / Kalunian, Kenneth C / Weinstein, Arthur

    ACR open rheumatology

    2021  Volume 3, Issue 2, Page(s) 116–123

    Abstract: Objective: To evaluate the usefulness of biomarkers to predict the evolution of patients suspected of systemic lupus erythematosus (SLE), designated as probable SLE (pSLE), into classifiable SLE according to the American College of Rheumatology (ACR) ... ...

    Abstract Objective: To evaluate the usefulness of biomarkers to predict the evolution of patients suspected of systemic lupus erythematosus (SLE), designated as probable SLE (pSLE), into classifiable SLE according to the American College of Rheumatology (ACR) classification criteria.
    Methods: Patients suspected of SLE were enrolled by lupus experts if they fulfilled three ACR criteria for SLE and were followed for approximately 1-3 years to evaluate transition into ACR-classifiable SLE. Individual cell-bound complement activation products (CB-CAPs), serum complement proteins (C3 and C4), and autoantibodies were measured by flow cytometry, turbidimetry, and enzyme-linked immunosorbent assay, respectively. Blood levels of hydroxychloroquine (HCQ) were measured by mass spectrometry. A multianalyte assay panel (MAP), which includes CB-CAPs, was also evaluated. A MAP of greater than 0.8 reflected the optimal cutoff for transition to SLE. Time to fulfillment of ACR criteria was evaluated by Kaplan-Meier analysis and Cox proportional hazards model.
    Results: Of the 92 patients with pSLE enrolled, 74 had one or two follow-up visits 9-35 months after enrollment for a total of 128 follow-up visits. Overall, 28 patients with pSLE (30.4%) transitioned to ACR-classifiable SLE, including 16 (57%) in the first year and 12 (43%) afterwards. A MAP score of greater than 0.8 at enrollment predicted transition to classifiable SLE during the follow-up period (hazard ratio = 2.72; P = 0.012), whereas individual biomarkers or fulfillment of Systemic Lupus International Collaborating Clinics criteria did not. HCQ therapy was not associated with the prevention of transition to SLE.
    Conclusion: Approximately one-third of patients with pSLE transitioned within the study period. MAP of greater than 0.8 predicted disease evolution into classifiable SLE.
    Language English
    Publishing date 2021-02-04
    Publishing country United States
    Document type Journal Article
    ISSN 2578-5745
    ISSN (online) 2578-5745
    DOI 10.1002/acr2.11219
    Database MEDical Literature Analysis and Retrieval System OnLINE

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