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OTIS Autoimmune Diseases in Pregnancy Study OTIS ANNUAL RESEARCH MEETING JUNE 2010 Background Project began in 2000 with one sponsor, Sanofi- Aventis, to prospectively follow women exposed to leflunomide for the treatment of rheumatoid arthritis The Project is currently funded by eight pharmaceutical companies Prospective, observational cohort study Coordinating center is at the University of California, San Diego Purpose The purpose of the research study is to evaluate the risks to the developing fetus from autoimmune diseases and the safety of medications used to treat these diseases during pregnancy. Study Participation Self-enrollment 3-4 phone interviews (intake, 20wk, 32wk, outcome) Medical records pertaining to the pregnancy and outcome of the pregnancy Free non-invasive pediatric exam Total Enrollment to Date Total as of June 7, 2010 June 2009 to May 2010 Enrolled 1325 278 Outcome 1161 252 Live birth 1022 225 Dysmorphological Exam 652 134 AI Cohort Study Totals Group Total Enrolled Recruitment Goal 1 100 Adalimumab (Humira) 149 120 Etanercept (Enbrel) 288 300 Leflunomide Methotrexate Diseased Controls 72 9 336 200 760 Non-Diseased Controls Total Cohort 251 1106 460 1940 Abatacept (Orencia) Recruitment Source Health-care Professional No. Enrolled N (%) 552 (41.7) TIS 366 (27.6) Other 263 (19.8) Internet 144 (10.9) Marketing Plans 2010 Scientific Meetings: 16 trade shows Quarterly Mailings and Email Updates Journal Advertisements Internet Advertisements Who Should be Referred? Groups Criteria Abatacept (Orencia) Any pregnancy related call regarding Abatacept (Orencia) Adalimumab (Humira) Any pregnancy related call regarding Adalimumab (Humira) Etanercept (Enbrel) Exposed to Etanercept anytime during the current pregnancy (post LMP) Leflunomide Pregnant women who have taken Leflunomide within the past two years Methotrexate Pregnant women with exposure to Methotrexate for the treatment of RA Diseased Controls Pregnant women with RA, AS, PsA, PsO, and Crohn’s Disease Non-Diseased Controls Pregnant women who are < 20 weeks gestation How to Refer? Toll-free number at 877-311-8972 to refer patient OR provide the patient our toll-free number Contact via email at [email protected] Fax a referral sheet to OTIS which is found on our website at www.otispregnancy.org