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Efficacy and safety profile of anti-interleukin-1 treatment in Behçet's disease: a multicenter retrospective study.
- Source :
-
Clinical rheumatology [Clin Rheumatol] 2016 May; Vol. 35 (5), pp. 1281-6. Date of Electronic Publication: 2015 Jul 10. - Publication Year :
- 2016
-
Abstract
- Growing data have provided encouraging results on the use of interleukin (IL)-1 inhibitors in Behçet's disease (BD). This study was aimed at reporting the largest experience with anti-IL-1 agents in BD patients. We evaluated 30 BD patients receiving treatment with anti-IL-1 agents. The primary aims of the study were to evaluate the efficacy of anakinra (ANA) and canakinumab (CAN) in a cohort of BD. The secondary aims were to evaluate the overall safety profile of the treatments, explore the timing of response to therapy and any adjustment of dosage and frequency of drugs studied, and investigate predictive factors of response to therapy. The frequency of first line therapy was 90 % with ANA and 10 % with CAN. The overall number of subjects in complete remission after 12 months of therapy with anti-IL-1 drugs was 13: 6 maintained the initial therapy regimen, 1 maintained the same initial anti-IL-1 drug with further therapeutic adjustments, and the remaining 6 shifted from ANA to CAN. Among them, 3 used CAN for at least 12 months without therapeutic adjustments, 1 had therapeutic adjustments, and 3 had an overall history of a 12-month complete remission. Adverse events (AEs) were reported in 15 % patients who received ANA, represented in all cases by local cutaneous reactions, while no AE were observed in patients who received CAN; we did not observe any serious AEs (SAEs) during the follow-up period. Our data have confirmed that the use of anti-IL-1β drugs is efficacious and safe with an overall acceptable retention on treatment.
- Subjects :
- Adult
Antibodies, Monoclonal adverse effects
Antibodies, Monoclonal, Humanized
Antirheumatic Agents adverse effects
Female
Humans
Interleukin 1 Receptor Antagonist Protein adverse effects
Male
Middle Aged
Remission Induction
Retrospective Studies
Treatment Outcome
Young Adult
Antibodies, Monoclonal therapeutic use
Antirheumatic Agents therapeutic use
Behcet Syndrome drug therapy
Interleukin 1 Receptor Antagonist Protein therapeutic use
Subjects
Details
- Language :
- English
- ISSN :
- 1434-9949
- Volume :
- 35
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Clinical rheumatology
- Publication Type :
- Academic Journal
- Accession number :
- 26156661
- Full Text :
- https://doi.org/10.1007/s10067-015-3004-0