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Assessment of relevance of blood levels of drugs in the monitoring rheumatic autoimmune diseases: safety, effectiveness and adherence to therapy

Grant number: 15/03756-4
Support Opportunities:Research Projects - Thematic Grants
Duration: March 01, 2017 - February 28, 2023
Field of knowledge:Health Sciences - Medicine - Medical Clinics
Principal Investigator:Eloisa Silva Dutra de Oliveira Bonfá
Grantee:Eloisa Silva Dutra de Oliveira Bonfá
Host Institution: Hospital das Clínicas da Faculdade de Medicina da USP (HCFMUSP). Secretaria da Saúde (São Paulo - Estado). São Paulo , SP, Brazil
Pesquisadores principais:
Clovis Artur Almeida da Silva ; Nádia Emi Aikawa ; Sandra Gofinet Pasoto
Associated researchers:Alberto José da Silva Duarte ; Ana Cristina de Medeiros Ribeiro ; Carla Gonçalves Schahin Saad ; Eduardo Ferreira Borba Neto ; Esper Georges Kallás ; Gilberto de Nucci ; Luis Felipe das Chagas e Silva de Carvalho ; Pedro Carlos Carricondo ; Rosa Maria Rodrigues Pereira ; Valdemir Melechco Carvalho ; Vilma dos Santos Trindade Viana
Associated grant(s):17/03983-6 - Liquid chromatography coupled to mass spectrometry (2015/03756-4), AP.EMU
Associated scholarship(s):22/09565-0 - Post-Covid-19 syndrome in patients with autoimmune rheumatological diseases, BP.IC
22/09566-6 - Immunogenicity and safety of booster doses of CoronaVac vaccine in patients with autoimmune rheumatologic diseases patients, BP.IC
21/08455-3 - Immunogenicity and safety of Coronavac vaccine in patients with autoimmune rheumatologic diseases: primary Sjörgren syndrome, BP.IC
+ associated scholarships 21/06613-0 - Immunogenicity and safety of CoronaVac vaccine in patients with autoimmune rheumatic diseases: rheumatoid arthritis, BP.IC
21/06615-3 - Immunogenicity and safety of CoronaVac vaccine in patients with autoimmune rheumatologic diseases: Juvenile systemic erythemesus lupus, BP.IC
21/06616-0 - Validation of dry sample devices (Dried Blood Spot) for the therapeutic monitoring of hydroxychloroquine in rheumatic diseases, BP.IC
20/11677-5 - Analysis of the immune profile of saliva and serum of patients with primary Sjögren's Syndrome, BP.IC
20/09367-8 - Analysis of blood hydroxychlorochine levels in patients with primary Sjogren Syndrome and possible correlation with the disease activity, BP.DD
20/02625-1 - Assessment of relevance of blood levels of drugs in the monitoring rheumatic autoimmune diseases: safety, effectiveness and adherence to therapy, BP.TT
19/21211-6 - Salivary hydroxychloroquine levels: relevance in juvenile systemic lupus erythematosus (JSLE) disease activity and renal disease activity in adult systemic lupus erythematosus, BP.IC
19/21173-7 - Evaluation of the treatment of cutaneous lupus erythematosus with thalidomide: clinical, laboratory and histological factors associated with clinical response and adverse effects, BP.IC
19/17272-0 - Relevance of monitoring blood levels compared to salivar levels of drugs used in rheumatic autoimmune diseases: adherence and understanding the possible underlying mechanisms involved in effectiveness and in adverse effects, BP.PD
18/21594-0 - Analysis of the immune profile of saliva and serum of patients with primary Sjögren's syndrome, BP.IC
18/09937-9 - Analysis of the immune profile of saliva and serum of patients with primary Sjogren's Syndrome, BP.DD
17/14352-7 - Assessment of relevance of blood levels of drugs in the monitoring rheumatic autoimmune diseases: safety, effectiveness and adherence to therapy, BP.PD
17/11516-9 - Assessment of relevance of blood levels of drugs in the monitoring rheumatic autoimmune diseases: safety, effectiveness and adherence to therapy, BP.PD
17/11854-1 - Assessment of serum levels of anti-tumor necrosis factor (anti-TNF) and anti-drug antibodies (ADA) in patients with chronic inflammatory arthritis: ankylosing spondylitis and psoriatic arthritis, BP.IC
17/11644-7 - Blood and salivary levels of hydroxychloroquine: relevance in juvenile systemic lupus erythematosus disease (JSLE), in kidney disease in adult SLE activity and in alpha-interferon / TNF production by plasmacytoid dendritic cells, BP.TT
17/07964-6 - Evaluation of serum levels of anti-tumor necrosis factor (antiTNF) and anti-drug (ada) antibodies in patients with chronic inflammatory arthritis - juvenile idiopathic arthritis, BP.IC
17/07966-9 - Assessment of serum levels of anti-tumor necrosis factor (anti-TNF) and anti-drug antibodies (ADA) in patients with chronic inflammatory arthritis: ankylosing spondylitis and psoriatic arthritis, BP.IC - associated scholarships

Abstract

No drug treatment is completely free of risk and lack of response, adverse events and poor adherence may affect its effectiveness. There is also a large inter-individual variability in response to treatments with regard to efficacy and toxicity, and for many drugs, there is also a period of weeks to months to establish its efficacy. Within this context, this project aims to evaluate the importance of monitoring blood levels and salivary drug used in rheumatic autoimmune diseases in the monitoring of adherence to therapy. In addition, this project intends to use the monitoring of drug levels, based on pharmacokinetic studies and pharmacokinetics/pharmacodynamics modeling, to broaden the understanding of the possible cellular, tissue and immunological mechanisms involved in efficacy and adverse effects of these drugs with the prospect of reducing the damage and maintain therapeutic efficacy. The high-performance liquid chromatography (HPLC) coupled to mass spectrometry, which will be used to evaluate hydroxychloroquine, thalidomide, glucocorticoids, is considered the gold standard technology to qualitative and quantitative analysis of drugs in blood and its comparison with the dosage in the saliva is an improvement in simplification of the process. The implementation of this methodology dedicated to research in our center, with the necessary training of human resources, will enable the standardization and availability of this advanced technology to other muldisciplinary projects in various areas of science. For biological agents the focus will be on the understanding the loss of efficacy and the possible role of anti-TNF antibodies using ELISA capture methodology.This thematic project will be divided into four sections with their respective sub-projects according to the medications that will be studied: hydroxychloroquine, thalidomide, biologic agents and glucocorticoids. (AU)

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Scientific publications (88)
(References retrieved automatically from Web of Science and SciELO through information on FAPESP grants and their corresponding numbers as mentioned in the publications by the authors)
BALMANT, BIANCA D.; TORRINHAS, RAQUEL S.; ROCHA, ILANNA M.; FONSECA, DANIELLE C.; FORMIGA, FRANCISCO F. C.; BONFA, ELOISA S. D. O.; BORBA, EDUARDO F.; WAITZBERG, DAN L.. SARS-CoV-2 infection, gut dysbiosis, and heterogeneous clinical results of hydroxychloroquine on COVID-19 therapy & mdash;Is there a link?. NUTRITION, v. 85, . (18/16162-3, 15/03756-4)
IZABEL MANTOVANI BUSCATTI; JULIANA RUSSO SIMON; VIVIANNE SARAIVA LEITAO VIANA; TAMIMA MOHAMAD ABOU ARABI; VITOR CAVALCANTI TRINDADE; ANA CAROLINA CORTEZ MAIA; LARA REGINA CAVALCANTE MELO; BIANCA PIRES IHARA; NADIA EMI AIKAWA; CLOVIS ARTUR SILVA. Dor abdominal intermitente na vasculite por IgA. Revista Paulista de Pediatria, v. 40, . (15/03756-4)
CLOVIS ARTUR SILVA; VITOR CAVALCANTI TRINDADE; AMANDA MONTEIRO DA CRUZ; BRUNA PACCOLA BLANCO; JOÃO FERNANDO VECCHI SANTOS; ALEXANDRE ARCHANJO FERRARO; VICENTE ODONE-FILHO; UENIS TANNURI; WERTHER BRUNOW CARVALHO; MAGDA CARNEIRO-SAMPAIO; et al. Profile of health professionals who completed a master’s, doctoral, or post-doctoral degree in one Brazilian pediatric program. Clinics, v. 75, . (15/03756-4)
BALBI, VERENA A.; MONTENEGRO, BARBARA; PITTA, ANA C.; SCHMIDT, ANA R.; FARHAT, SYLVIA C.; COELHO, LAILA P.; FERREIRA, JULIANA C. O.; PEREIRA, ROSA M. R.; TERRERI, MARIA T.; SAAD-MAGALHAES, CLAUDIA; et al. Autoimmune hepatitis in 847 childhood- onset systemic lupus erythematosus population: a multicentric cohort study. ADVANCES IN RHEUMATOLOGY, v. 58, . (15/03756-4)
SHIMABUCO, ANDREA Y.; GONCALVES, CELIO R.; MORAES, JULIO C. B.; WAISBERG, MARIANA G.; RIBEIRO, ANA CRISTINA DE M.; SAMPAIO-BARROS, PERCIVAL D.; GOLDENSTEIN-SCHAINBERG, CLAUDIA; BONFA, ELOISA; SAAD, CARLA G. S.. Factors associated with ASDAS remission in a long-term study of ankylosing spondylitis patients under tumor necrosis factor inhibitors. ADVANCES IN RHEUMATOLOGY, v. 58, . (15/03756-4)
BUSCATTI, IZABEL M.; ABRAO, HENRIQUE M.; KOZU, KATIA; MARQUES, VICTOR L. S.; GOMES, ROBERTA C.; SALLUM, ADRIANA M. E.; SILVA, CLOVIS A.. Characterization of scrotal involvement in children and adolescents with IgA vasculitis. ADVANCES IN RHEUMATOLOGY, v. 58, . (15/03756-4)
FERREIRA, GABRIELA R. V.; TOMIOKA, RENATO B.; AIKAWA, NADIA E.; LEON, ELAINE P.; MACIEL, GUSTAVO A. R.; SERAFINI, PAULO C.; BARACAT, EDMUND C.; GOLDENSTEIN-SCHAINBERG, CLAUDIA; PEREIRA, ROSA M. R.; BONFA, ELOISA; et al. Ovarian reserve in young juvenile idiopathic arthritis patients. MODERN RHEUMATOLOGY, v. 29, n. 3, p. 447-451, . (15/03756-4, 14/14806-0)
BRUNNER, HERMINE I.; HOLLAND, MICHAEL; BERESFORD, MICHAEL W.; ARDOIN, STACY P.; APPENZELLER, SIMONE; SILVA, CLOVIS A.; FLORES, FRANCISCO; GOILAV, BEATRICE; WENDERFER, SCOTT E.; LEVY, DEBORAH M.; et al. American College of Rheumatology Provisional Criteria for Global Flares in Childhood-Onset Systemic Lupus Erythematosus. ARTHRITIS CARE & RESEARCH, v. 70, n. 6, p. 813-822, . (15/03756-4)
FIOROT, FERNANDA J.; ISLABAO, ALINE G.; PEREIRA, ROSA M.; TERRERI, MARIA T.; SAAD-MAGALHAES, CLAUDIA; NOVAK, V, GLAUCIA; MOLINARI, BEATRIZ C.; SAKAMOTO, ANA P.; AIKAWA, NADIA E.; CAMPOS, LUCIA M.; et al. Disease presentation of 1312 childhood-onset systemic lupus erythematosus: influence of ethnicity. CLINICAL RHEUMATOLOGY, v. 38, n. 10, p. 2857-2863, . (15/03756-4)
SILVA, CLOVIS A.; TERRERI, MARIA T.; BONFA, ELOISA; SAAD-MAGALHAES, CLAUDIA. Pediatric rheumatic disease patients: time to extend the age limit of adolescence?. ADVANCES IN RHEUMATOLOGY, v. 58, . (15/03756-4)
CAROLINE GOUVEIA BUFF PASSONE; SANDRA JOSEFINA GRISI; SYLVIA COSTA FARHAT; THAIS DELLA MANNA; ANTONIO CARLOS PASTORINO; RENATA ANTUNES ALVENO; CAROLINE VASCONCELOS SÁ MIRANDA; AURORA ROSARIA WAETGE; MARIANA NUTTI CORDON; VICENTE ODONE-FILHO; et al. COMPLEXIDADE DA DOENÇA CRÔNICA PEDIÁTRICA: ESTUDO TRANVERSAL COM 16.237 PACIENTES SEGUIDOS POR MÚLTIPLAS ESPECIALIDADES MÉDICAS. Revista Paulista de Pediatria, v. 38, . (15/03756-4)
CLOVIS ARTUR SILVA. REDUÇÃO DA ADERÊNCIA AO TRATAMENTO MEDICAMENTOSO EM CRIANÇAS E ADOLESCENTES COM DOENÇAS REUMÁTICAS AUTOIMUNES. Revista Paulista de Pediatria, v. 37, n. 2, p. 138-139, . (15/03756-4)
ISLABA, ALINE G.; MOTA, LICIA M. H.; RIBEIRO, MARIA CUSTODIA M.; ARABI, TAMIMA M.; CIVIDATTI, GEORGIANA N.; QUEIROZ, LIGIA B.; ANDRADE, DANIELI C.; SAKAMOTO, ANA P.; TRINDADE, VITOR C.; NOVAK, GLAUCIA V.; et al. Childhood-onset systemic lupus erythematosus-related antiphospholipid syndrome: A multicenter study with 1519 patients. AUTOIMMUNITY REVIEWS, v. 19, n. 12, . (15/03756-4)
BENATTI, FABIANA B.; MIYAKE, CINTIA N. H.; DANTAS, WAGNER S.; ZAMBELLI, VANESSA O.; SHINJO, SAMUEL K.; PEREIRA, ROSA M. R.; SILVA, MARIA ELIZABETH R.; SA-PINTO, ANA LUCIA; BORBA, EDUARDO; BONFA, ELOISA; et al. Exercise Increases Insulin Sensitivity and Skeletal Muscle AMPK Expression in Systemic Lupus Erythematosus: A Randomized Controlled Trial. FRONTIERS IN IMMUNOLOGY, v. 9, . (11/08302-0, 15/03756-4, 11/24093-2, 17/02546-1)
PRADO, L. L.; GONCALVES, C. R.; VIANA, V. T.; SAAD, C. G. S.; BONFA, E.. Anti-alpha-enolase antibodies in Behcet's disease: a marker of mucocutaneous and articular disease activity?. CLINICAL AND EXPERIMENTAL RHEUMATOLOGY, v. 36, n. 6, 115, p. S28-S32, . (15/03756-4)
FERREIRA, V, GABRIELA R.; TOMIOKA, RENATO B.; QUEIROZ, LIGIA B.; KOZU, KATIA; AIKAWA, NADIA E.; SALLUM, ADRIANA M. E.; SERAFINI, PAULO; TACLA, MARICY; BARACAT, EDMUND C.; PEREIRA, ROSA M. R.; et al. Lower genital tract infections in young female juvenile idiopathic arthritis patients. ADVANCES IN RHEUMATOLOGY, v. 59, n. 1, . (15/03756-4, 14/14806-0)
ALVENO, RENATA A.; MIRANDA, V, CAROLINE; PASSONE, CAROLINE G.; WAETGE, AURORA R.; HOJO, ELZA S.; FARHAT, SYLVIA C. L.; ODONE-FILHO, VICENTE; TANNURI, UENIS; CARVALHO, WERTHER B.; CARNEIRO-SAMPAIO, MAGDA; et al. Pacientes pediátricos crônicos em clínicas ambulatoriais: estudo em um hospital universitário da América Latina. Jornal de Pediatria, v. 94, n. 5, p. 539-545, . (15/03756-4)
BRUNELLI, JULIANA BARBOSA; SILVA, CLOVIS ALMEIDA; PASOTO, SANDRA GOFINET; SCHAHIN SAA, CARLA GONCALVES; KOZU, KATIA TOMIE; GOLDENSTEIN-SCHAINBERG, CLAUDIA; LEON, ELAINE PIRES; VENDRAMINI, MARGARETE B. G.; FONTOURA, NICOLE; BONFA, ELOISA; et al. Anti-adalimumab antibodies kinetics: an early guide for juvenile idiopathic arthritis (JIA) switching. CLINICAL RHEUMATOLOGY, . (15/03756-4)
SILVA, CLOVIS ARTUR; TRINDADE, VITOR CAVALCANTI; DA CRUZ, AMANDA MONTEIRO; BLANCO, BRUNA PACCOLA; VECCHI SANTOS, JOAO FERNANDO; FERRARO, ALEXANDRE ARCHANJO; ODONE-FILHO, VICENTE; TANNURI, UENIS; CARVALHO, WERTHER BRUNOW; CARNEIRO-SAMPAIO, MAGDA; et al. Profile of health professionals who completed a master's, doctoral, or post-doctoral degree in one Brazilian pediatric program. Clinics, v. 75, . (15/03756-4)
DINIS, VALQUIRIA G.; VIANA, VILMA T.; LEON, ELAINE P.; SILVA, CLOVIS A.; SAAD, CARLA G.; MORAES, JULIO C.; BONFA, ELOISA S.; MEDEIROS-RIBEIRO, ANA C.. Abatacept induced long-term non-progressive reduction in gamma-globulins and autoantibodies: dissociation from disease activity control. CLINICAL RHEUMATOLOGY, v. 39, n. 6, p. 1747-1755, . (15/03756-4)
YUKI, EMILY FIGUEIREDO NEVES; SOARES, RENATA; KUPA, LEONARD DE VINCI KANDA; HEISE, CARLOS OTTO; AIKAWA, NADIA EMI; ARNONE, MARCELO; ROMITI, RICARDO; PEDROSA, TATIANA DO NASCIMENTO; SILVA, CLOVIS ARTUR ALMEIDA DA; BONFA, ELOISA; et al. One-year prospective nerve conduction study of thalidomide neuropathy in lupus erythematosus: Incidence, coasting effect and drug plasma levels. Lupus, v. 30, n. 6, . (15/03756-4, 19/17272-0, 17/14352-7)
IHARA, BIANCA P.; STRABELLI, CLAUDIA A. A.; SIMON, JULIANA R.; VIANA, VIVIANNE S. L.; SALLUM, ADRIANA M. E.; KOZU, KATIA T.; AIKAWA, NADIA E.; LEAL, GABRIELA N.; PEREIRA, MARIA F. B.; MARQUES, HELOISA H.; et al. Laboratory-confirmed pediatric COVID-19 in patients with rheumatic diseases: A case series in a tertiary hospital. Lupus, . (15/03756-4)
REINAN TAVARES CAMPOS; LORENA VASCONCELOS MESQUITA MARTINIANO; AMANDA KERLYN SANTOS LIRIO; KALESA ELIAS DE ARAUJO SOUZA; NATALIA ROSE; JULIANA MARTINS MONTEIRO DIAS; ANTÔNIO CARLOS ALVES CARDOSO; SYLVIA COSTA FARHAT; CLOVIS ARTUR SILVA. Violência não sexual contra crianças e adolescentes: um estudo em um hospital universitário e terciário da América Latina. Revista Paulista de Pediatria, v. 40, . (15/03756-4)
MARIANA MACHADO FORTI NASTRI; BENITO LOURENÇO; LIGIA BRUNI QUEIROZ; LUIZ EDUARDO VARGAS DA SILVA; DANIELA MENCARONI RODRIGUES LOURENÇO; ANA PAULA BELTRAN MOSCHIONE CASTRO; CLOVIS ARTUR SILVA; ANTONIO CARLOS PASTORINO. Idiopathic musculoskeletal pain, musculoskeletal pain syndromes, and use of electronic devices in adolescents with asthma. Jornal de Pediatria, v. 98, n. 3, p. 270-275, . (15/03756-4)
PATRICIA MORENO GRANGEIRO; MOISÉS DE FREITAS LAURENTINO; FERNANDA GÉA DE LUCENA GOMES; DANIELA SIMONE ALVAREZ; CÉSAR AUGUSTO MOREIRA; NATÁLIA ANGÉLICA DE SOUZA; JENNIFER MACENA BALBINO; CANDIDO LEONELLI; RICARDO MARCONDES MACÉA; CLOVIS ARTUR ALMEIDA DA SILVA. TELEATENDIMENTO A CRIANÇAS E ADOLESCENTES COM DEFICIÊNCIAS FÍSICAS DURANTE A PANDEMIA COVID-19. Acta Ortopédica Brasileira, v. 30, . (15/03756-4)
LIVIA LINDOSO; CAMILLA ASTLEY; LIGIA BRUNI QUEIROZ; BRUNO GUALANO; ROSA MARIA RODRIGUES PEREIRA; UENIS TANNURI; LÚCIA MARIA MATTEI DE ARRUDA CAMPOS; BENITO LOURENÇO; RICARDO KATSUYA TOMA; KARINA MEDEIROS; et al. Physical and mental health impacts during COVID-19 quarantine in adolescents with preexisting chronic immunocompromised conditions. Jornal de Pediatria, v. 98, n. 4, p. 350-361, . (15/03756-4)
MOISÉS DE FREITAS LAURENTINO; LIVIA LINDOSO; CAMILLA ASTLEY; SOFIA SIMÃO MARTINS LAVORATO; BIANCA PIRES IHARA; DANDARA CARVALHO CASADO DE LIMA; BRUNO GUALANO; LÍGIA BRUNI QUEIROZ; ROSA MARIA RODRIGUES PEREIRA; GUILHERME VANONI POLANCZYK; et al. Impacto da COVID-19 no funcionamento físico e mental de adolescentes com deficiência em organização não governamental esportiva. Revista Paulista de Pediatria, v. 41, . (15/03756-4)
ROSA M.R. PEREIRA; MARILIA A. DAGOSTIN; VALERIA F. CAPARBO; LUCAS P. SALES; SANDRA G. PASOTO; CLOVIS A. SILVA; EMILY F.N. YUKI; CARLA G.S. SAAD; ANA C. MEDEIROS-RIBEIRO; LEONARD V.K. KUPA; et al. Anti-SARS-CoV-2 inactivated vaccine in patients with ANCA-associated vasculitis: Immunogenicity, safety, antibody decay and the booster dose. Clinics, v. 78, . (15/03756-4, 18/09937-9, 19/17272-0, 20/09367-8, 21/08455-3)
ASTLEY, CAMILLA; CLEMENTE, GLEICE; TERRERI, MARIA TERESA; CARNEIRO, CAMILA G.; LIMA, MARCOS S.; BUCHPIGUEL, CARLOS ALBERTO; LEAO FILHO, HILTON; PINTO, ANA LUCIA DE SA; SILVA, CLOVIS ARTUR; ARRUDA CAMPOS, LUCIA MARIA; et al. Home-Based Exercise Training in Childhood-Onset Takayasu Arteritis: A Multicenter, Randomized, Controlled Trial. FRONTIERS IN IMMUNOLOGY, v. 12, . (15/03756-4, 17/07358-9, 17/13552-2)
CHALHOUB, NATHALIE E.; WENDERFER, SCOTT E.; LEVY, DEBORAH M.; ROUSTER-STEVENS, KELLY; AGGARWAL, AMITA; SAVANI, I, SONIA; RUTH, NATASHA M.; ARKACHAISRI, THASCHAWEE; QIU, TINGTING; MERRITT, ANGELA; et al. nternational Consensus for the Dosing of Corticosteroids in Childhood-Onset Systemic Lupus Erythematosus With Proliferative Lupus Nephriti. ARTHRITIS & RHEUMATOLOGY, v. 74, n. 2, . (15/03756-4)
BALBI, VERENA ANDRADE; SILVA, CLOVIS ARTUR; PEDROSA, TATIANA NASCIMENTO; RODRIGUES PEREIRA, ROSA MARIA; DE ARRUDA CAMPOS, LUCIA MARIA; LEON, ELAINE PIRES; DUARTE, NILO; CARVALHO, VALDEMIR MELECHCO; PASOTO, SANDRA GOFINT; DO ROSARIO, DEBORA CORDEIRO; et al. ydroxychloroquine blood levels predicts flare in childhood-onset lupus nephriti. Lupus, v. 31, n. 1, . (17/14352-7, 15/03756-4)
CLAUDINO FORMIGA, FRANCISCO FELLIPE; SILVA, CLOVIS ARTUR; PEDROSA, TATIANA DO NASCIMENTO; AIKAWA, NADIA EMI; PASOTO, SANDRA GOFINET; GARCIA, CRISTIANA COUTO; VIDAL CAPAO, ARTUR SILVA; DE OLIVEIRA MARTINS, VICTOR ADRIANO; TONACIO DE PROENCA, ADRIANA CORACINI; FULLER, RICARDO; et al. Influenza A/Singapore (H3N2) component vaccine in systemic lupus erythematosus: A distinct pattern of immunogenicity. Lupus, v. 30, n. 12, . (18/09937-9, 17/14352-7, 10/10749-0, 15/03756-4, 18/16162-3)
BERTOGLIO, ISABELA MARIA; DE LUCENA VALIM, JULIANA MIRANDA; DAFFRE, DANIELLE; AIKAWA, NADIA EMI; SILVA, CLOVIS ARTUR; BONFA, ELOISA; UGOLINI-LOPES, MICHELLE REMIAO. Poor Prognosis of COVID-19 Acute Respiratory Distress Syndrome in Lupus Erythematosus: Nationwide Cross-Sectional Population Study Of 252 119 Patients. ACR OPEN RHEUMATOLOGY, . (15/03756-4)
NEVES YUKI, EMILY FIGUEIREDO; SILVA, CLOVIS A.; AIKAWA, NADIA E.; ROMITI, RICARDO; HEISE, CARLOS OTTO; BONFA, ELOISA; PASOTO, SANDRA GOFINET. Thalidomide and Lenalidomide for Refractory Systemic/Cutaneous Lupus Erythematosus Treatment A Narrative Review of Literature for Clinical Practice. JCR-JOURNAL OF CLINICAL RHEUMATOLOGY, v. 27, n. 6, p. 248-259, . (15/03756-4)
REINAN T. CAMPOS; LIVIA LINDOSO; RENAN A. DE SOUSA; ALBERTO C. HELITO; BIANCA P. IHARA; CLAUDIA A.A. STRABELLI; LEVI M.V. PARADELAS; BEATRIZ O.L. CARNEIRO; MARIA PAULA R. CARDOSO; JEAN PAULO V. DE SOUZA; et al. Emotional, hyperactivity and inattention problems in adolescents with immunocompromising chronic diseases during the COVID-19 pandemic. Clinics, v. 78, . (15/03756-4)
ISLABAO, ALINE GARCIA; TRINDADE, VITOR CAVALCANTI; DA MOTA, LICIA MARIA HENRIQUE; ANDRADE, DANIELI CASTRO OLIVEIRA; SILVA, CLOVIS ARTUR. Managing Antiphospholipid Syndrome in Children and Adolescents: Current and Future Prospects. PEDIATRIC DRUGS, v. 24, n. 1, . (15/03756-4)
ANDREA YUKIE SHIMABUCO; ANA CRISTINA DE MEDEIROS-RIBEIRO; RENATA MIOSSI; KARINA ROSSI BONFIGLIOLI; JULIO CESAR BERTACINI DE MORAES; CELIO ROBERTO GONÇALVES; PERCIVAL DEGRAVA SAMPAIO-BARROS; CLAUDIA GOLDENSTEIN-SCHAINBERG; FERNANDO HENRIQUE CARLOS DE SOUZA; LEANDRO LARA DO PRADO; et al. Ankylosing spondylitis and psoriatic arthritis: revisiting screening of latent tuberculosis infection and its follow-up during anti-tumor necrosis factor therapy in an endemic area. Clinics, v. 75, . (15/03756-4)
BRAIAN L.A. SOUSA; MAGDA SAMPAIO-CARNEIRO; WERTHER B. DE CARVALHO; CLOVIS A. SILVA; ALEXANDRE A. FERRARO. Differences among Severe Cases of Sars-CoV-2, Influenza, and Other Respiratory Viral Infections in Pediatric Patients: Symptoms, Outcomes and Preexisting Comorbidities. Clinics, v. 75, . (15/03756-4, 14/50489-9)
FERREIRA, JULIANA C. O. A.; TRINDADE, VITOR C.; ESPADA, GRACIELA; MOREL, ZOILO; BONFA, ELOISA; MAGALHAES, CLAUDIA S.; SILVA, CLOVIS ARTUR. Epidemiology and management practices for childhood-onset systemic lupus erythematosus patients: a survey in Latin America. CLINICAL RHEUMATOLOGY, v. 37, n. 12, p. 3299-3307, . (15/03756-4)
USUBA, FANY SOLANGE; SCHAHIN SAAD, CARLA GONCALVES; AIKAWA, NADIA EMI; NOVAES, PRISCILA; BERTACINI MORAES, JULIO CESAR; SANTO, RUTH MIYUKI; CARVALHO, JOZELIO FREIRE; BONFA, ELOISA; ALVES, MILTON RUIZ. Improvement of conjunctival cytological grade and tear production in Ankylosing Spondylitis patients under TNF inhibitors: a long-term follow-up. SCIENTIFIC REPORTS, v. 10, n. 1, . (15/03756-4)
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