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The DOI matches its Crossref record; 25 of the 25 references it cites were found in a registry or an index.

Drug Retention Rate and Predictive Factors of Drug Survival for Interleukin-1 Inhibitors in Systemic Juvenile Idiopathic Arthritis

Open access
Sota, Jurgen, Insalaco, Antonella, Cimaz, Rolando, Alessio, Maria, Cattalini, Marco, Gallizzi, Romina, Maggio, Maria Cristina, Lopalco, Giuseppe, La Torre, Francesco, Fabiani, Claudia, Pardeo, Manuela, Olivieri, Alma Nunzia, Sfriso, Paolo, Salvarani, Carlo, Gaggiano, Carla, Grosso, Salvatore, Bracaglia, Claudia, De Benedetti, Fabrizio, Rigante, Donato, Cantarini, Luca·2019·Frontiers in Pharmacology

Abstract

Background and objectives: few studies have reported the drug retention rate (DRR) of biologic drugs in juvenile idiopathic arthritis (JIA), and none of them has specifically investigated the DRR of interleukin (IL)-1 inhibitors on systemic JIA (sJIA). This study aims to describe IL-1 inhibitors DRR and evaluate predictive factors of drug survival based on data from a real-world setting concerning sJIA. Methods: Medical records from sJIA patients treated with anakinra (ANA) and canakinumab (CAN) were retrospectively analyzed from 15 Italian tertiary referral centers. Results: Seventy seven patients were enrolled for a total of 86 treatment courses. The cumulative retention rate of the IL-1 inhibitors at 12-, 24-, 48- and 60-months of follow-up was 79.9%, 59.5%, 53.5% and 53.5% respectively, without any statistically significant differences between ANA and CAN (p=0.056), and between patients treated in monotherapy compared to the subgroup co-administered with conventional immunosuppressors (p=0.058). On the contrary, significant differences were found between biologic-naive patients and those previously treated with biologic drugs (p=0.038) and when distinguishing according to adverse events (AEs) occurrence (p=0.04). In regression analysis, patients pre-treated with other biologics (HR=3.357 [C.I. 1.341-8.406], p=0.01) and those experiencing AEs (HR=2.970 [C.I. 1.186-7.435], p=0.020) were associated with a higher hazard ratio of IL-1 inhibitors withdrawal. The mean treatment delay was significantly higher among patients discontinuing IL-1 inhibitors (p=0.0002). Conclusions: Our findings suggest an excellent overall DRR for both ANA and CAN that might be further augmented by paying attention to AEs and employing these agents as first-line biologics in the early stages.

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Research works printed but not linked: 3

  1. Davies, 2017, Mortality rates are increased in patients with systemic juvenile idiopathic arthritis., Arch. Dis. Child., 102, 206, 10.1136/archdischild-2016-311571 · doi:10.1136/archdischild-2016-311571
  2. Dewoolkar, 2017, Course, outcome and complications in children with systemic onset juvenile idiopathic arthritis., Indian J. Pediatr., 84, 294, 10.1007/s12098-017-2293-5 · doi:10.1007/s12098-017-2293-5
  3. Tynjälä, 2009, Drug survival of the first and second course of anti-tumour necrosis factor agents in juvenile idiopathic arthritis., Ann. Rheum. Dis., 68, 552, 10.1136/ard.2007.087130 · doi:10.1136/ard.2007.087130

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Metadata

Authors
Sota, J., Insalaco, A., Cimaz, R., Alessio, M., Cattalini, M., Gallizzi, R., Maggio, M. C., Lopalco, G., La Torre, F., Fabiani, C., Pardeo, M., Olivieri, A. N., Sfriso, P., Salvarani, C., Gaggiano, C., Grosso, S., Bracaglia, C., De Benedetti, F., Rigante, D., & Cantarini, L.
Venue
Frontiers in Pharmacology
Published
2019-01-08
Volume
9
Pages
1526-1526
ISSN
1663-9812 (ISSN-L)
OpenAlex
W2909739147
Cited by
616
References
25
FWCI
90.80
Type
journal article
Language
en
Open access
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CoChat. (2026). Citation check: Drug Retention Rate and Predictive Factors of Drug Survival for Interleukin-1 Inhibitors in Systemic Juvenile Idiopathic Arthritis. https://app.cochat.ai/papers/10.3389/fphar.2018.01526
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Sota, J., Insalaco, A., Cimaz, R., Alessio, M., Cattalini, M., Gallizzi, R., Maggio, M. C., Lopalco, G., La Torre, F., Fabiani, C., Pardeo, M., Olivieri, A. N., Sfriso, P., Salvarani, C., Gaggiano, C., Grosso, S., Bracaglia, C., De Benedetti, F., Rigante, D., & Cantarini, L. (2019). Drug Retention Rate and Predictive Factors of Drug Survival for Interleukin-1 Inhibitors in Systemic Juvenile Idiopathic Arthritis. Frontiers in Pharmacology. https://doi.org/10.3389/fphar.2018.01526

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.