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Elucidation of the mechanisms of rheumatoid arthritis flare and the importance of symptoms in it

Research Project

Project/Area Number 15K09535
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Collagenous pathology/Allergology
Research InstitutionToho University

Principal Investigator

KAMEDA Hideto  東邦大学, 医学部, 教授 (00265795)

Project Period (FY) 2015-04-01 – 2019-03-31
Project Status Completed (Fiscal Year 2018)
Budget Amount *help
¥4,810,000 (Direct Cost: ¥3,700,000、Indirect Cost: ¥1,110,000)
Fiscal Year 2018: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2017: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
Fiscal Year 2016: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2015: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Keywords関節リウマチ / 生物学的製剤 / 寛解 / 休薬 / 自覚症状 / 関節超音波 / サイトカイン / 再燃
Outline of Final Research Achievements

A total of 36 patients with rheumatoid arthritis (RA) who had been in sustained remission for at least 6 months with biologic disease-modifying anti rheumatic drug (bDMARD) and preferred to discontinue bDMARD were enrolled in this study. Twenty patients developed RA flare and almost all of them returned to remission state with the re-introduction of the same bDMARD. It was difficult to predict the RA flare after bDMARD discontinuation. However, this study demonstrates that patient symptom is a sensitive measure of disease flare, blood concentration of cytokines and their receptors varies among patients receiving different bDMARDs, and interleukin-6 is the best biomarker of RA activity.

Academic Significance and Societal Importance of the Research Achievements

生物学的製剤の寛解休薬は医療経済学的観点からも大きなメリットがあり、関節の違和感を感じた際には早期に受診することで再燃の早期診断・早期治療が可能になり、休薬のリスクを最小化できると考えられた。さらにサイトカインおよびサイトカイン受容体の血中濃度の継時的測定結果から、患者間におけるサイトカインプロファイルの多様性と同一患者における再現性が示されたことから、テーラーメイド医療への道筋にも大きく貢献する結果となった。

Report

(5 results)
  • 2018 Annual Research Report   Final Research Report ( PDF )
  • 2017 Research-status Report
  • 2016 Research-status Report
  • 2015 Research-status Report
  • Research Products

    (35 results)

All 2018 2017 2016 2015 Other

All Journal Article (12 results) (of which Int'l Joint Research: 2 results,  Peer Reviewed: 10 results,  Open Access: 1 results,  Acknowledgement Compliant: 1 results) Presentation (22 results) (of which Int'l Joint Research: 8 results,  Invited: 4 results) Remarks (1 results)

  • [Journal Article] Safety and effectiveness of subcutaneous tocilizumab in patients with rheumatoid arthritis in a real-world clinical setting2018

    • Author(s)
      Atsumi Tatsuya、Fujio Keishi、Yamaoka Kunihiro、Tomobe Minako、Kuroyanagi Kazuyuki、Kameda Hideto
    • Journal Title

      Modern Rheumatology

      Volume: in press Issue: 5 Pages: 1-9

    • DOI

      10.1080/14397595.2017.1416760

    • NAID

      120006539252

    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Journal Article] Reply2018

    • Author(s)
      Hirata Ayako、Ogura Takehisa、Hayashi Norihide、Takenaka Sayaka、Ito Hideki、Mizushina Kennosuke、Fujisawa Yuki、Yamashita Naoko、Nakahashi Sumie、Imamura Munetsugu、Kujime Rie、Kameda Hideto
    • Journal Title

      Arthritis Care & Research

      Volume: in press Issue: 7 Pages: 1-1

    • DOI

      10.1002/acr.23344

    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Journal Article] Safety and effectiveness of certolizumab pegol in patients with rheumatoid arthritis: Interim analysis of post-marketing surveillance2017

    • Author(s)
      亀田 秀人、西田 圭一郎、南木 敏宏、渡辺 彰、大島 行哉、桃原 茂樹
    • Journal Title

      Japanese Journal of Clinical Immunology

      Volume: 40 Issue: 3 Pages: 196-205

    • DOI

      10.2177/jsci.40.196

    • NAID

      130005865141

    • ISSN
      0911-4300, 1349-7413
    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Journal Article] Global assessments of disease activity are age-dependent determinant factors of clinical remission in rheumatoid arthritis2017

    • Author(s)
      Ito Hideki、Ogura Takehisa、Hirata Ayako、Takenaka Sayaka、Mizushina Kennosuke、Fujisawa Yuki、Katagiri Takaharu、Hayashi Norihide、Kameda Hideto
    • Journal Title

      Seminars in Arthritis and Rheumatism

      Volume: 47 Issue: 3 Pages: 310-314

    • DOI

      10.1016/j.semarthrit.2017.04.008

    • Related Report
      2017 Research-status Report
  • [Journal Article] Consensus statements for medical practice: Biological agents and lung disease [Abridged English translation by the Japanese Respiratory Society]2017

    • Author(s)
      Tokuda Hitoshi、Harigai Masayoshi、Kameda Hideto、Tomono Kazunori、Takayanagi Noboru、Watanabe Akira、Tasaka Sadatomo、Suda Takafumi、Tateda Kazuhiro、Kadota Junichi
    • Journal Title

      Respiratory Investigation

      Volume: 55 Issue: 3 Pages: 229-251

    • DOI

      10.1016/j.resinv.2017.01.002

    • Related Report
      2017 Research-status Report
  • [Journal Article] Possible preventive effect of salazosulfapyridine against development of Pneumocystis pneumonia in methotrexate-receiving patients with rheumatoid arthritis2016

    • Author(s)
      Mizushina K, Hirata A, Hayashi N, Takenaka S, Ito H, Ogura T, Fujisawa Y, Imamura M, Yamashita N, Kujime R, Nakahashi S, Kameda H
    • Journal Title

      Mod Rheumatol

      Volume: 26 Issue: 6 Pages: 976-978

    • DOI

      10.3109/14397595.2015.1118196

    • Related Report
      2016 Research-status Report
    • Peer Reviewed
  • [Journal Article] Identification of baseline gene expression signatures predicting therapeutic responses to three biologic agents in rheumatoid arthritis: a retrospective observational study2016

    • Author(s)
      Nakamura S, Suzuki K, Iijima H, Hata Y, Lim CR, Ishizawa Y, Kameda H, Amano K, Matsubara K, Matoba R, Takeuchi T
    • Journal Title

      Arthritis Res Ther

      Volume: 18 Issue: 1 Pages: 159-159

    • DOI

      10.1186/s13075-016-1052-8

    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Bendamustine increases interleukin-10 secretion from B cells via p38 MAP kinase activation2016

    • Author(s)
      Le L, Yoshimoto K, Morita A, Kameda H, Takeuchi T
    • Journal Title

      Int Immunopharmacol

      Volume: 39 Pages: 273-279

    • DOI

      10.1016/j.intimp.2016.07.033

    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Int'l Joint Research
  • [Journal Article] Concordance between patient-reported joint symptoms, physician-examined arthritic signs and ultrasound-detected synovitis in rheumatoid arthritis2016

    • Author(s)
      Hirata A, Ogura T, Hayashi N, Takenaka S, Ito H, Mizushina K, Fujisawa Y, Yamashita N, Nakahashi S, Imamura M, Kujime R, Kameda H
    • Journal Title

      Arthritis Care Res

      Volume: 印刷中 Issue: 6 Pages: 801-806

    • DOI

      10.1002/acr.23006

    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Journal Article] Comparison of ultrasonographic joint and tendon findings in hands between early, treatment-naive patients with systemic lupus erythematosus and rheumatoid arthritis2016

    • Author(s)
      Ogura T, Hirata A, Hayashi N, Takenaka S, Ito H, Mizushina K, Fujisawa Y, Imamura M, Yamashita N, Nakahashi S, Kujime R, Kameda H
    • Journal Title

      Lupus

      Volume: 印刷中 Issue: 7 Pages: 707-714

    • DOI

      10.1177/0961203316676375

    • Related Report
      2016 Research-status Report
    • Peer Reviewed
  • [Journal Article] Fcγ receptor 3B polymorphism is associated with hypersensitivity reactions to adalimumab in Japanese patients with rheumatoid arthritis2016

    • Author(s)
      Tsukamoto M, Kameda H, Ohshige T, Kaneko Y, Yoshimoto K, Suzuki K, Takeuchi T
    • Journal Title

      Mod Rheumatol

      Volume: 印刷中 Issue: 5 Pages: 778-781

    • DOI

      10.1080/14397595.2016.1254709

    • Related Report
      2016 Research-status Report
    • Peer Reviewed
  • [Journal Article] The effect of tocilizumab on preventing relapses in adult-onset Still's disease; a retrospective, single center study2015

    • Author(s)
      Nishina N, Kaneko Y, Kameda H, Takeuchi T.
    • Journal Title

      Mod Rheumatol

      Volume: 25 Issue: 3 Pages: 401-404

    • DOI

      10.3109/14397595.2014.973659

    • Related Report
      2015 Research-status Report
    • Peer Reviewed
  • [Presentation] 関節リウマチ(RA)患者の手の関節における診察所見と超音波(US)所見の関連についての検討2018

    • Author(s)
      林則秀, 小倉剛久, 平田絢子, 久次米吏江, 伊東秀樹, 武中さや佳, 今村宗嗣, 井上有希, 今泉ちひろ, 高倉悠人, 亀田秀人.
    • Organizer
      第62回日本リウマチ学会総会・学術集会
    • Related Report
      2018 Annual Research Report
  • [Presentation] Concordance between ultrasound joint synovitis and clinical joint assessments by patients or physicians in rheumatoid arthritis sorted by disease activity2018

    • Author(s)
      Hirata A, Ogura T, Ito H, Takenaka S, Inoue Y, Imaizumi C, Takakura Y, Kujime R, Hayashi N, Imamura M, Mizushina K, Katagiri T, Kameda H
    • Organizer
      第62回日本リウマチ学会総会・学術集会
    • Related Report
      2018 Annual Research Report
  • [Presentation] 関節リウマチの寛解導入に関連する因子の検討2017

    • Author(s)
      伊東秀樹, 小倉剛久, 藤澤有希, 水品研之介, 武中さや佳, 平田絢子, 林則秀, 亀田秀人
    • Organizer
      第61回日本リウマチ学会総会・学術集会
    • Related Report
      2017 Research-status Report
  • [Presentation] 関節リウマチ患者に対するTNF阻害薬の治療効果と関連する遺伝子発現シグネチャの同定2017

    • Author(s)
      中村誠二, 鈴木勝也, 亀田秀人, 天野宏一, 竹内勤
    • Organizer
      第61回日本リウマチ学会総会・学術集会
    • Related Report
      2017 Research-status Report
  • [Presentation] Concordance between ultrasound joint synovitis and clinical joint assessments by patients or physicians in rheumatoid arthritis2017

    • Author(s)
      Hirata A, Ogura T, Ito H, Takenaka S, Fujisawa Y, Mizushina K, Imamura M, Hayashi N, Kameda H
    • Organizer
      第61回日本リウマチ学会総会・学術集会
    • Related Report
      2017 Research-status Report
  • [Presentation] Persistence with biological disease-modifying anti rheumatic drugs - A retrospective database study in Japanese patients with rheumatoid arthritis2017

    • Author(s)
      Mahlich J, Kameda H, Sruamsiri R
    • Organizer
      Annual European Congress of Rheumatology (EULAR 2017)
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Presentation] Finger joint cartilage thickness evaluated by ultrasound in patients with rheumatoid arthritis (RA)2017

    • Author(s)
      Ogura T, Hirata A, Hayashi N, Ito H, Takenaka S, Fujisawa Y, Mizushina K, Katagiri T, Kujime R, Imamura M, Yamashita N, Kameda H
    • Organizer
      Annual European Congress of Rheumatology (EULAR 2017)
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Presentation] 関節リウマチ(RA)における超音波による手指軟骨の検討2017

    • Author(s)
      小倉剛久, 平田絢子, 伊東秀樹, 武中さや佳, 藤澤有希, 水品研之介, 片桐翔治, 林則秀, 久次米吏江, 今村宗嗣, 亀田秀人
    • Organizer
      第38回日本炎症・再生医学会
    • Related Report
      2017 Research-status Report
  • [Presentation] 生物学的製剤による全身性炎症性疾患に対する治療戦略の現況と未来2017

    • Author(s)
      亀田秀人
    • Organizer
      第38回日本炎症・再生医学会
    • Related Report
      2017 Research-status Report
    • Invited
  • [Presentation] Evidence of IL-6 targeted therapy in Japan2017

    • Author(s)
      Hideto Kameda
    • Organizer
      Taiwan Rheumatology Association Annual Meeting
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research / Invited
  • [Presentation] 関節リウマチ(RA)における超音波によるMCP, PIP関節軟骨の検討2017

    • Author(s)
      小倉剛久, 平田絢子, 伊東秀樹, 武中さや佳, 水品研之介, 井上有希, 片桐翔治, 今泉ちひろ, 高倉悠人, 亀田秀人
    • Organizer
      第45回日本臨床免疫学会総会
    • Related Report
      2017 Research-status Report
  • [Presentation] Finger joint cartilage thickness evaluated by semiquantitative ultrasound score in patients with rheumatoid arthritis2017

    • Author(s)
      Ogura T, Hirata A, Takenaka S, Ito H, Inoue Y, Imaizumi C, Takakura Y, Mizushina K, Katagiri T, Hayashi N, Kujime R, Imamura M, Kameda H
    • Organizer
      81th Annual Scientific Meeting of American College of Rheumatology
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Presentation] Improvement in overall work productivity among biologic-naive patients with rheumatoid arthritis treated with tocilizumab subcutaneous injection: A prospective, real world, observational study in Japan2017

    • Author(s)
      Tanaka Y, Kameda H, Saito K, Kaneko Y, Tanaka E, Yasuda S, Tamura N, Fujio K, Kojima T, Anzai T, Hamada C, Fujino Y, Matsuda S, Kohsaka H
    • Organizer
      81th Annual Scientific Meeting of American College of Rheumatology
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Presentation] Concordance between ultrasound joint synovitis and clinical joint assessments by patients or physicians in rheumatoid arthritis2016

    • Author(s)
      Hirata A, Ogura T, Takenaka S, Ito H, Fujisawa Y, Mizushina K, Imamura M, Hayashi N, Kameda H
    • Organizer
      80th Annual Scientific meeting of American College of Rheumatology
    • Place of Presentation
      Washington DC.(U.S.A)
    • Year and Date
      2016-11-13
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research
  • [Presentation] 関節リウマチ患者に対する3つの生物学的製剤の治療効果と関連する遺伝子発現シグネチャの同定2016

    • Author(s)
      中村誠二, 鈴木勝也, 飯島寛, 羽田裕子, 石澤洋平, 亀田秀人, 天野宏一, 松原謙一, 的場亮, 竹内勤.
    • Organizer
      第31回日本臨床リウマチ学会
    • Place of Presentation
      京王プラザホテル(東京都・新宿区)
    • Year and Date
      2016-10-29
    • Related Report
      2016 Research-status Report
  • [Presentation] RAにおける炎症性サイトカインの制御2016

    • Author(s)
      亀田秀人
    • Organizer
      第37回日本炎症・再生医学会
    • Place of Presentation
      京都市勧業館みやこめっせ(京都府・京都市)
    • Year and Date
      2016-06-17
    • Related Report
      2016 Research-status Report
    • Invited
  • [Presentation] The factors associated with remission induction for patients with rheumatoid arthritis2016

    • Author(s)
      Ito H, Ogura T, Fujisawa Y, Yamashita N, Nakahashi S, Mizushina K, Takenaka S, Imamura M, Kujime R, Hayashi N, Hirata A, Kameda H
    • Organizer
      第60回日本リウマチ学会総会・学術集会
    • Place of Presentation
      パシフィコ横浜(神奈川県・横浜市)
    • Year and Date
      2016-04-22
    • Related Report
      2016 Research-status Report
  • [Presentation] Are the patient-reported pain and stiffness at each joint level clinically relevant in the evaluation of patients with rheumatoid arthritis?2016

    • Author(s)
      Hirata A, Ogura T, Hayashi N, Takenaka S, Ito H, Mizushina K, Fujisawa Y, Imamura M, Yamashita N, Nakahashi S, Kujime R, Kameda H
    • Organizer
      第60回日本リウマチ学会総会・学術集会
    • Place of Presentation
      パシフィコ横浜(神奈川県・横浜市)
    • Year and Date
      2016-04-22
    • Related Report
      2016 Research-status Report
  • [Presentation] Clinical significance of patient-reported pain and stiffness at each joint level in the evaluation of patients with rheumatoid arthritis.2015

    • Author(s)
      Hirata A, Ogura T, Norihide H, Takenaka S, Ito H, Mizushina K, Fujisawa Y, Imamura M, Yamashita N, Kameda H.
    • Organizer
      9th Annual Scientific meeting of American College of Rheumatology
    • Place of Presentation
      San Francisco, USA
    • Year and Date
      2015-11-10
    • Related Report
      2015 Research-status Report
    • Int'l Joint Research
  • [Presentation] 関節リウマチにおけるサイトカインの役割2015

    • Author(s)
      亀田秀人
    • Organizer
      第36回日本炎症・再生医学会
    • Place of Presentation
      虎ノ門ヒルズフォーラム( 東京都港区)
    • Year and Date
      2015-07-21
    • Related Report
      2015 Research-status Report
    • Invited
  • [Presentation] Concordance between joint symptom/swelling/tenderness and ultrasonography (US) synovitis in rheumatoid arthritis: Which clinical finding is more relevant to US synovitis than others?2015

    • Author(s)
      Hirata A, Ogura T, Hayashi N, Fujisawa Y, Nakahashi S, Mizushina K, Imamura M, Takenaka S, Ito H, Kameda H.
    • Organizer
      Annual European Congress of Rheumatology (EULAR 2015)
    • Place of Presentation
      Rome, Italy
    • Year and Date
      2015-06-11
    • Related Report
      2015 Research-status Report
    • Int'l Joint Research
  • [Presentation] Concordance between joint symptom/swelling/tenderness and US synovitis: Which clinical finding is more relevant to US?2015

    • Author(s)
      Hirata A, Ogura T, Hayashi N, Takenaka S, Ito H, Mizushina K, Nakahashi S, Fujisawa Y, Kameda H.
    • Organizer
      第59回日本リウマチ学会総会・学術集会
    • Place of Presentation
      名古屋国際会議場( 愛知県名古屋市)
    • Year and Date
      2015-04-23
    • Related Report
      2015 Research-status Report
  • [Remarks] 東邦大学医療センター大橋病院膠原病リウマチ科 学術活動

    • URL

      http://www.lab.toho-u.ac.jp/med/ohashi/kogen/research/index.html

    • Related Report
      2016 Research-status Report 2015 Research-status Report

URL: 

Published: 2015-04-16   Modified: 2020-03-30  

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