Marika Kvarnström
About me
Consultant (Senior Physician) at Academic Specialist Center, Center for Rheumatology and Studieenheten, Stockholm Health Services, Region Stockholm, Sweden
Education:
1994: Medicine Doctor (M.D) Umeå University, Umeå
1996: Licensed Physician
2002: Licensed Specialist in Internal Medicine
2005: Licensed Specialist in Rheumatology
2014: PhD, Karolinska Institutet
Conducted clinical trials as PI from 2015
Principal Investigator for 12 clinical trials
10 sponsored studies and 2 academic studies.
National Coordinating Investigator for 8 sponsored studies
Co-Investigator for 30 studies from 2018 to present
List see below
Research
Clinical Trials
Rheumatology
Autoimmunity
Sjögren´s Disease
Principal Investigator in the following Clinical Trials:
- 1. UCB SS0004: Phase 2, multicenter, double-blind, placebo-controlled, 12-week proof-of-concept study to assess the efficacy, safety, and tolerability of UCB5857 in subjects with primary Sjögren's Syndrome, EudraCT number 2014-004523-51, at the Rheumatology Clinic´s Research unite, Karolinska University Hospital, sponsor UCB, National Coordinating Investigator Marika Kvarnström, IMP: UCB5857, duration 2015-2017
- 2. Medimmune: A Phase 2a study to evaluate the efficacy and safety of AMG 557/MEDI5872 in Primary Sjögren's Syndrome, EudraCT number is missing, at the Rheumatology Clinics´ Research unite, Karolinska University Hospital, sponsor Medimmune, National Coordinating Investigator Marika Kvarnström, IMP: AMG 557/MEDI5872, duration 2016-2018.
- 3. BMS IM101603: A Phase 3 Randomized, Double-Blind, Placebo-Controlled Study to Evaluate the Efficacy and Safety of Subcutaneous Abatacept in Adults with Active Primary Sjogren’s Syndrome, EudraCT number 2016-001948-19, at the Rheumatology Clinics´ Research unite, Karolinska University Hospital, sponsor BMS, National Coordinating Investigator Marika Kvarnström, IMP abatacept, duration 2017-2020.
- 4. GSK 201842: Phase 3, A randomized, double blind (sponsor open), comparative, multi-center study to evaluate the safety and efficacy of subcutaneous belimumab (GSK1550188) and intravenous rituximab co-administration in subjects with primary Sjögren’s syndrome, EudraCT number: 2015-00400-26, at Karolinska Trial Alliance, Karolinska University Hospital, sponsor GSK, IMP belilumab och rituximab, duration 2016-2018.
- 5. TWINSS. Phase 2. Clinical Trial Protocol CCFZ533B2201. A 48-week, 6-arm, randomized, double-blind, placebo controlled multicenter trial to assess the safety and efficacy of multiple CFZ533 doses administered subcutaneously in two distinct populations of patients with Sjögren’s Syndrome (TWINSS). EudraCT number: 2018-004476-35, at Academic Specialist Center, Center for Rheumatology, Stockholm Health Services, Region Stockholm, sponsor Novartis, National Coordinating Investigator Marika Kvarnström, IMP iscalimab, duration 2021-2022.
- 6. TWINSS-ES. Phase 2b. Clinical Trial Protocol CCFZ533B2201E1, A TWINSS extension trial to evaluate the safety and tolerability of CFZ533 (iscalimab) at two dose levels administered subcutaneously in patients with Sjögren’s Syndrome, EudraCT number: 2020-001942-20, at Academic Specialist Center, Center for Rheumatology, Stockholm Health Services, Region Stockholm, sponsor Novartis, National Coordinating Investigator Marika Kvarnström, IMP iscalimab, duration 2022-2023.
- 7. NECESSITY, Phase 3, New Clinical End-points in patients with primary Sjögren’s Syndrome: an Interventional Trial based on stratifying patients, EudraCT No: 2019-002470-32, at Academic Specialist Center, Center for Rheumatology, Stockholm Health Services, Region Stockholm, sponsor AP-HP, National Coordinating Investigator Marika Kvarnström, IMPs: Hydroxychloroquine, Leflunomide and mycophenolate mofetil, duration 2022-2026 (ongoing).
- 8. NEPTUNUS-2, Phase 3, Clinical Trial Protocol CVAY736A2302, A randomized, double-blind, placebo controlled, 3-arm multicenter phase 3 study to assess the efficacy and safety of ianalumab in patients with active Sjögren’s syndrome, EudraCT number: 2021-005687-22, at Academic Specialist Center, Center for Rheumatology, Stockholm Health Services, Region Stockholm, sponsor Novartis, National Coordinating Investigator Marika Kvarnström, IMP ianalumab, duration 2022-(ongoing).
- 9. BHV3000-404, Phase 4, A Phase 4 Randomized, Double-blind, Placebo-controlled Study to Evaluate the Efficacy and Safety of Rimegepant in Episodic Migraine Prevention with Multiple Dosing Regimens, EudraCT number: 2021-005239-22, at Academic Specialist Center, Studieenheten, Stockholm Health Services, Region Stockholm, sponsor: Biohaven Pharmaceuticals Holding Company Limited, National Coordinating Investigator Marika Kvarnström, IMP: BHV-3000 (rimegepant), duration 2023-2024.
- 10. BRONCHIOLE. Beta-blockeRs tO patieNts with CHronIc Obstructive puLmonary diseasE (BRONCHIOLE), Phase 4, (randomized 1:1 in a non-blinded fashion, to either usual care and intervention with a beta-1-antagonist), EudraCT no: 2017-001507-76, at Academic Specialist Center, Studieenheten, Stockholm Health Services, Region Stockholm, sponsor: Örebro University, School of Medical Sciences, Department of Cardiology, Örebro, IMP: metoprolol, duration 2023-2024.
- 11. NEPTUNUS-2-ES Phase 3, Clinical Trial Protocol CVAY736A2301E1, A randomized, double-blind, 2-arm NEPTUNUS extension study to assess the long-term safety and efficacy of ianalumab in patients with Sjögren’s syndrome, EudraCT number: 2022-502966-26, at Academic Specialist Center, Center for Rheumatology, Stockholm Health Services, Region Stockholm, sponsor Novartis, National Coordinating Investigator Marika Kvarnström, IMP ianalumab, duration 2024-(ongoing).
- 12. LIPIGON, A phase 2 randomised, double-blind, placebo-controlled trial to evaluate safety and local tolerability of four weekly administrations of A24110He in subjects with type 2 diabetes mellitus and elevated triglyceride plasma concentrations, EudraCT number: 2023-509091-42-00, at Academic Specialist Center, Studieenheten, Stockholm Health Services, Region Stockholm, sponsor: Lipigon Pharmaceuticals AB, IMP: A24110He, duration: 2024-(ongoing).
Teaching
1989-1991: Teaching Assistant 20% 1 Jan 1989 to 31 May 1989, 1 Aug 1989 to 31 May 1990 and 1 Aug 1990 to 31 May 1991 at the Department of Histology and Cell Biology, Umeå University Umeå, Sweden
2008-2009: Teaching Assistant 30% 1 Sep 2008 to 30 May 2009 at the Rheumatology Clinic, Karolinska University Hospital.
2021-2023: Teaching Assistant at CFR – responsible for medical students
Selected publications
- Article: ARTHRITIS & RHEUMATOLOGY. 2025;77(2):212-225
Articles
- Article: RHEUMATOLOGY. 2024;:keae693
- Article: SCANDINAVIAN JOURNAL OF RHEUMATOLOGY. 2023;52(2):208-216
- Article: JOURNAL OF AUTOIMMUNITY. 2023;134:102951
- Article: RHEUMATOLOGY. 2022;62(1):243-255
- Article: ARTHRITIS & RHEUMATOLOGY. 2022;74(11):1842-1850
- Article: SCANDINAVIAN JOURNAL OF GASTROENTEROLOGY. 2022;57(10):1250-1256
- Article: ARTHRITIS & RHEUMATOLOGY. 2022;74(8):1440-1450
- Article: NATURE COMMUNICATIONS. 2022;13(1):4287
- Article: CLINICAL AND EXPERIMENTAL RHEUMATOLOGY. 2021;39(6):166-174
- Article: RHEUMATOLOGY. 2021;60(10):4558-4567
- Article: RHEUMATOLOGY. 2021;60(3):1445-1455
- Article: RHEUMATOLOGY. 2021;60(3):1364-1375
- Article: RHEUMATOLOGY. 2021;60(2):837-848
- Journal article: PANCREATOLOGY. 2020;20:s86-s87
- Article: RMD OPEN. 2020;6(3):e001402
- Article: RHEUMATOLOGY. 2020;59(9):2350-2359
- Article: RHEUMATOLOGY. 2020;59(7):1651-1661
- Article: CLINICAL AND EXPERIMENTAL RHEUMATOLOGY. 2020;38(4):85-94
- Article: JOURNAL OF RHEUMATOLOGY. 2020;47(6):865-875
- Article: RMD OPEN. 2020;6(1):e000995
- Article: JOURNAL OF INTERNAL MEDICINE. 2019;286(4):458-468
- Article: JOURNAL OF INTERNAL MEDICINE. 2019;285(6):670-680
- Article: CLINICAL AND EXPERIMENTAL RHEUMATOLOGY. 2019;37(3):97-106
- Article: ARTHRITIS RESEARCH & THERAPY. 2019;21(1):62
- Article: FRONTIERS IN IMMUNOLOGY. 2019;10:1029
- Article: CLINICAL AND EXPERIMENTAL IMMUNOLOGY. 2018;192(3):259-270
- Article: CLINICAL AND EXPERIMENTAL RHEUMATOLOGY. 2018;36(3):102-112
- Article: SCANDINAVIAN JOURNAL OF IMMUNOLOGY. 2018;87(5):e12662
- Article: LUPUS SCIENCE & MEDICINE. 2018;5(1):e000260
- Article: CLINICAL IMMUNOLOGY. 2017;183:304-315
- Article: ANNALS OF THE RHEUMATIC DISEASES. 2017;76(10):1755-1763
- Article: BIOLOGY OF SEX DIFFERENCES. 2017;8(1):25
- Article: ANNALS OF THE RHEUMATIC DISEASES. 2017;76(6):1042-1050
- Article: PLOS GENETICS. 2017;13(6):e1006820
- Article: BIOLOGY OF SEX DIFFERENCES. 2017;8:16
- Journal article: ANNALS OF THE RHEUMATIC DISEASES. 2015;74:102
- Article: SCANDINAVIAN JOURNAL OF RHEUMATOLOGY. 2015;44(2):135-142
- Article: HUMAN MOLECULAR GENETICS. 2015;24(2):582-596
- Article: CLINICAL AND EXPERIMENTAL IMMUNOLOGY. 2014;177(1):244-252
- Article: NATURE GENETICS. 2013;45(11):1284-1292
- Article: SCANDINAVIAN JOURNAL OF IMMUNOLOGY. 2013;78(5):447-454
- Article: GENES AND IMMUNITY. 2013;14(4):234-237
- Article: LUPUS. 2013;22(5):477-485
- Journal article: ANNALS OF THE RHEUMATIC DISEASES. 2012;71:678
- Article: ANNALS OF THE RHEUMATIC DISEASES. 2012;71(6):981-988
- Article: ANNALS OF THE RHEUMATIC DISEASES. 2011;70(7):1327-1329
- Article: GENES AND IMMUNITY. 2011;12(2):100-109
- Article: PLOS ONE. 2010;5(12):e14212
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All other publications
- Meeting abstract: ANNALS OF THE RHEUMATIC DISEASES. 2024;83:877-878
- Meeting abstract: ANNALS OF THE RHEUMATIC DISEASES. 2024;83:42-43
- Meeting abstract: ANNALS OF THE RHEUMATIC DISEASES. 2024;83:38-39
- Meeting abstract: ANNALS OF THE RHEUMATIC DISEASES. 2024;83:39-41
- Meeting abstract: ANNALS OF THE RHEUMATIC DISEASES. 2024;83:878-879
- Meeting abstract: ARTHRITIS & RHEUMATOLOGY. 2024;76:1855-1858Genetic Architecture Divergence in Sjogren's Disease Subphenotypes and Populations: Genome-wide Association Study of Ro/SSA plus and Ro/SSA-Cases in European Populations
- Preprint: BIORXIV. 2023;BIORXIV
- Corrigendum: NATURE COMMUNICATIONS. 2023;14(1):598
- Corrigendum: NATURE COMMUNICATIONS. 2022;13(1):6519
- Meeting abstract: CLINICAL AND EXPERIMENTAL RHEUMATOLOGY. 2022;40(12):57INFLUENCE OF EPIDEMIOLOGY AND ETHNICITY ON SYSTEMIC EXPRESSION OF PRIMARY SJOGREN SYNDROME AT DIAGNOSIS: WORLDWIDE PATTERNS IN 14,836 PATIENTS (2022 SJOGREN BIG DATA PROJECT)
- Meeting abstract: CLINICAL AND EXPERIMENTAL RHEUMATOLOGY. 2022;40(12):93KEY FEATURES AT DIAGNOSIS OF PRIMARY SJOGREN SYNDROME IN 15,652 PATIENTS: 2022 SJOGREN BIG DATA PROJECT
- Letter: ANNALS OF THE RHEUMATIC DISEASES. 2020;79(2):307-308
- Meeting abstract: ANNALS OF THE RHEUMATIC DISEASES. 2019;78:1692-1693
- Meeting abstract: ANNALS OF THE RHEUMATIC DISEASES. 2019;78:138
- Meeting abstract: ANNALS OF THE RHEUMATIC DISEASES. 2019;78:416-417
- Meeting abstract: ANNALS OF THE RHEUMATIC DISEASES. 2019;78:1736-1737
- Meeting abstract: ARTHRITIS & RHEUMATOLOGY. 2019;71A Phase 2a Study of MEDI5872 (AMG557), a Fully Human Anti-ICOS Ligand Monoclonal Antibody in Patients with Primary Sjogren's Syndrome
- Meeting abstract: ARTHRITIS & RHEUMATOLOGY. 2019;71Systemic Manifestations of Primary Sjogren Syndrome out of the ESSDAI Classification: Prevalence and Clinical Relevance in a Large International, Multi-ethnic Cohort of Patients
- Letter: ANNALS OF THE RHEUMATIC DISEASES. 2018;77(12):1840-1842
- Meeting abstract: 2018;:a44.2-a4a45
- Meeting abstract: CLINICAL AND EXPERIMENTAL RHEUMATOLOGY. 2018;36(3):S246-S247Genetic basis and clinical evidence for two variants of primary Sjogren's syndrome with distinct outcomes
- Meeting abstract: CLINICAL AND EXPERIMENTAL RHEUMATOLOGY. 2018;36(3):S289Immune activation following seasonal influenza vaccination in patients with primary Sjogren's syndrome
- Meeting abstract: CLINICAL AND EXPERIMENTAL RHEUMATOLOGY. 2018;36(3):S330Cigarette smoking is a risk factor for developing primary Sjogren's syndrome with Ro/SSA and La/SSB autoantibodies
- Meeting abstract: CLINICAL AND EXPERIMENTAL RHEUMATOLOGY. 2018;36(3):S331-S332Primary Sjogren's syndrome increases the risk of cardiovascular events, with the highest risk in SSA/SSB autoantibody positive patients
- Meeting abstract: CLINICAL AND EXPERIMENTAL RHEUMATOLOGY. 2018;36(3):S248-S249Infections predispose to developing primary Sjogren's syndrome
- Meeting abstract: ARTHRITIS & RHEUMATOLOGY. 2018;70How Immunological Profile Drives Clinical Phenotype of Primary Sjogren's Syndrome at Diagnosis: Analysis of 10.500 Patients (Sjogren Big Data Project)
- Meeting abstract: ARTHRITIS & RHEUMATOLOGY. 2018;70Clinical Correlations and Expression Pattern of the Autoimmunity Susceptibility Factor Diora-1 in Primary Sjogren's Syndrome
- Preprint: ARXIV. 2017
- Meeting abstract: ANNALS OF THE RHEUMATIC DISEASES. 2017;76:886-887
- Meeting abstract: ANNALS OF THE RHEUMATIC DISEASES. 2017;76:464-465
- Meeting abstract: ANNALS OF THE RHEUMATIC DISEASES. 2017;76:311
- Meeting abstract: ANNALS OF THE RHEUMATIC DISEASES. 2017;76:309-310
- Meeting abstract: ANNALS OF THE RHEUMATIC DISEASES. 2017;76:885
- Meeting abstract: ARTHRITIS & RHEUMATOLOGY. 2017;69Immune Response to Seasonal Flu Vaccination in Patients with Primary Sjogren's Syndrome
- Meeting abstract: SCANDINAVIAN JOURNAL OF IMMUNOLOGY. 2017;86(4):327Immune response to seasonal flu vaccination in patients with primary Sjogren's syndrome
- Meeting abstract: ARTHRITIS & RHEUMATOLOGY. 2017;69Difference in Clinical Presentation between Female and Male Patients with Primary Sjogren's Syndrome at Diagnosis and in Long-Term Follow-up
- Meeting abstract: SCANDINAVIAN JOURNAL OF IMMUNOLOGY. 2017;86(4):324Expression of CXCR5 is decreased in the periphery of patients with primary Sjogren's syndrome
- Meeting abstract: ARTHRITIS & RHEUMATOLOGY. 2017;69Patients with Secondary Sjogren's Syndrome to SLE Are Characterized By Typical Autoantibodies and a Pro-Inflammatory State
- Meeting abstract: ARTHRITIS & RHEUMATOLOGY. 2017;69Comparison of Classification Criteria for Sjogren's Syndrome from 2002 and 2016 in an Incident Cohort Diagnosed 2007 to 2011 from Stockholm County Sweden
- Meeting abstract: ANNALS OF THE RHEUMATIC DISEASES. 2016;75:772
- Meeting abstract: ANNALS OF THE RHEUMATIC DISEASES. 2016;75:314-315
- Meeting abstract: ANNALS OF THE RHEUMATIC DISEASES. 2016;75:430-431
- Meeting abstract: ARTHRITIS & RHEUMATOLOGY. 2016;68Sjogren Big Data Project: Influence of Geolocation on the Phenotypic Expression at Diagnosis in 8310 Patients (North-to-South Gradient)
- Meeting abstract: ARTHRITIS & RHEUMATOLOGY. 2016;68Expression of the Chemokine Receptor CXCR5 Is Decreased in the Periphery of Patients with Primary Sjogren's Syndrome
- Meeting abstract: ARTHRITIS & RHEUMATOLOGY. 2016;68Genome-Wide Association Study Identifies Novel Sjogren's Syndrome Risk Loci in the Regions of NAB1, TYK2, and PTTG1-mir146a
- Meeting abstract: SCANDINAVIAN JOURNAL OF RHEUMATOLOGY. 2016;45:39-40The TNF-α/p-albumin ratio: a suggested biomarker for disease activity in SLE
- Meeting abstract: ARTHRITIS & RHEUMATOLOGY. 2016;68How Does Primary Sjogren Syndrome Present in Biopsy-Proven Patients without Circulating Ro/La Autoantibodies? Characteristics at Diagnosis of 2073 Patients from the SjoGren Big Data Project
- Meeting abstract: ARTHRITIS & RHEUMATOLOGY. 2016;68Isolated Anti-La/SS-B Positivity in Patients Diagnosed with Primary Sjogren Syndrome: Analysis of 222 Patients from the Sjogren Big Data Cohort
- Meeting abstract: ANNALS OF THE RHEUMATIC DISEASES. 2015;74:1009
- Meeting abstract: ANNALS OF THE RHEUMATIC DISEASES. 2015;74:578
- Meeting abstract: ANNALS OF THE RHEUMATIC DISEASES. 2015;74:A50
- Meeting abstract: ARTHRITIS & RHEUMATOLOGY. 2015;67The Ratio Between TNF-a and P-Albumin - a Suggested Measure of Disease Activity in SLE
- Meeting abstract: ARTHRITIS & RHEUMATOLOGY. 2015;67Sjogren's Syndrome in Male Patients Presents with Higher Autoantibody Levels and More Extraglandular Manifestations
- Meeting abstract: ARTHRITIS & RHEUMATOLOGY. 2015;67Identification of Novel Sjogren's Syndrome Risk Loci in the Regions of TNFAIP3 and PRDM1
- Meeting abstract: SCANDINAVIAN JOURNAL OF IMMUNOLOGY. 2015;81(5):397Comparison between Multiplex and Routine Clinical Immunology Analysis of Antibodies Against SSA and SSB
- Meeting abstract: ARTHRITIS & RHEUMATOLOGY. 2015;67Big Data International Primary Sjogren Syndrome Registry: Baseline Characterization and Diagnostic Approach in 6047 Patients Fulfilling the 2002 AE Criteria
- Meeting abstract: SCANDINAVIAN JOURNAL OF IMMUNOLOGY. 2015;81(5):444Characterization of Baseline Systemic Activity Using the New ClinESSDAI in the Big Data Sjogren Project Cohort: Analysis in 3316 Patients
- Meeting abstract: SCANDINAVIAN JOURNAL OF IMMUNOLOGY. 2015;81(5):441-442Clinical and Immunological Characterization at Diagnosis of 5041 Patients with Primary Sjogren Syndrome Fulfilling the 2002 AE Classification Criteria: The Big Data International Sjogren Project
- Meeting abstract: SCANDINAVIAN JOURNAL OF RHEUMATOLOGY. 2014;43:87-88An NFKB1 gene promoter polymorphism is associated with primary Sjogren's syndrome
- Meeting abstract: ARTHRITIS & RHEUMATOLOGY. 2013;65:S634-S635Endosomal TLR Triggering Of B Cells In Sjogren's Syndrome Induces Increased Plasma Cells Differentiation, Ig Class Switch and Immunoglobulin Production
- Meeting abstract: ANNALS OF THE RHEUMATIC DISEASES. 2012;71:A81
- Meeting abstract: ANNALS OF THE RHEUMATIC DISEASES. 2012;71:A40
- Meeting abstract: ARTHRITIS & RHEUMATOLOGY. 2012;64(10):S758Hyperammaglobulinemia in Primary Sjogren's Syndrome Is Induced by Triggering of TLR7 and 9
- Meeting abstract: SCANDINAVIAN JOURNAL OF IMMUNOLOGY. 2012;76(2):198No Association of Primary Sjogren's Syndrome with Fcγ?Receptor Gene Variants
- Meeting abstract: SCANDINAVIAN JOURNAL OF IMMUNOLOGY. 2010;72(3):273-274Ring and B-Box Autoantibody Titers in SLE Patients with Ro52 Autoantibodies
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Employments
- Consultant (Senior Physician), Academic Specialist Center, Center for Rheumatology and Studieenheten, Stockholm Health Care Services, 2020-
- Affiliated to Research, Department of Medicine, Karolinska Institutet, 2023-2025
- Senior Physician, Phase 1 unit, Karolinska University Hospital, 2020-2020
- Senior Physician, Karolinska Trial Alliance Phase 1 unit, Karolinska University Hospital, 2018-2020
- Specialist Physician, Deputy Senior Physician and Senior Physician, , Rheumatology Clinic, Karolinska University Hospital, 2005-2018
- : Resident in Rheumatology, LiV, Internal Medicine Clinic, Karlstad, 2002-2005
- Resident in Internal Medicin, , LiV, Internal Medicine Clinic, Kristinehamn, 2001-2002
- Internship, Landstinget I Värmland (LiV), Karlstad, 1995-1996
- Teaching Assistant 20%, Histology and Cell Biology, Umeå University, 1989-1990
Degrees and Education
- Degree Of Doctor Of Philosophy, Department of Medicine, Solna, Karolinska Institutet, 2014