Evidence map›Paper›PMID 28968868›Full record

ArticleRheumatology (Oxford, England)2017

International multi-centre study of pregnancy outcomes with interleukin-1 inhibitors.

Taryn Youngstein, Patrycja Hoffmann, Ahmet Gül, Thirusha Lane, Rene Williams, Dorota M Rowczenio, Huri Ozdogan, Serdal Ugurlu, John Ryan, Len Harty and 9 more

Open access · bronzeAbstract readMulticenter Study
In one paragraph

Article in Rheumatology (Oxford, England), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 7 pooled it
11.4field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

45 citing papers in PubMed, 7 syntheses or guidelines pooled it, 118 citations in OpenAlex.

  1. Guideline
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  9. Interleukin-1 receptor type 1 inhibition improves blood pressure, fetal growth and immune balance in placental ischemic rats.American journal of physiology. Regulatory, integrative and comparative physiology · 2025
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  15. Novel Treatments in Refractory Recurrent Pericarditis.Pharmaceuticals (Basel, Switzerland) · 2024
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

19 authors at 9 institutions in 7 countries.

Taryn YoungsteinNational Amyloidosis Centre, University College London Medical School, London, UK.
Patrycja HoffmannNational Human Genome Research Institute, National Institute of Health, Bethesda, MD, USA.
Ahmet GülDivision of Rheumatology, Istanbul Faculty of Medicine.
Thirusha LaneNational Amyloidosis Centre, University College London Medical School, London, UK.
Rene WilliamsNational Amyloidosis Centre, University College London Medical School, London, UK.
Dorota M RowczenioNational Amyloidosis Centre, University College London Medical School, London, UK.
Huri OzdoganDivision of Rheumatology, Department of Internal Medicine, Cerrahpasa Medical School, Istanbul University, Istanbul, Turkey.
Serdal UgurluDivision of Rheumatology, Department of Internal Medicine, Cerrahpasa Medical School, Istanbul University, Istanbul, Turkey.
John RyanDepartment of Rheumatology, Cork University Hospital, Cork, Ireland.
Len HartyDepartment of Rheumatology, Cork University Hospital, Cork, Ireland.
Sean RimintonDepartment of Immunology, Concord Hospital, Sydney, Australia.
Alex P HeadleyDepartment of Immunology, Concord Hospital, Sydney, Australia.
Joachim RoeslerDepartment of Paediatric Immunology, University Hospital Carl Gustav Carus, Dresden.
Norbert BlankDivision of Rheumatology, University of Heidelberg, Heidelberg.
Jasmin B Kuemmerle-DeschnerDivision of Pediatric Rheumatology, Department of Pediatrics, University Hospital Tuebingen, Germany.
Anna SimonGeneral Internal Medicine, Raboud University, Nijmegen, Netherlands.
Adrian S WoolfManchester Academic Health Sciences Centre, Royal Manchester Children's Hospital, Manchester, UK.
Philip N HawkinsNational Amyloidosis Centre, University College London Medical School, London, UK.
Helen J LachmannNational Amyloidosis Centre, University College London Medical School, London, UK.
University College London · GBIstanbul University · TRConcord Repatriation General Hospital · AUCork University Hospital · IEHeidelberg University · DENational Human Genome Research Institute · USRadboud University Nijmegen · NLRoyal Manchester Children's Hospital · GBUniversity Hospital Carl Gustav Carus · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To provide outcome data concerning pregnancies exposed to the Interleukin-1 (IL-1) inhibitors prior to conception in both men and women, during pregnancy and breast feeding. Methods: Retrospective data were collected from members of the International Society for Systemic Autoinflammatory diseases and collated in a single centre. A uniform data collection sheet was used to obtain standardized data including maternal age and diagnosis, type, duration of and response to IL-1 blockade, pregnancy duration, delivery, mode of feeding and neonatal development. Results: There were 31 maternal-exposed pregnancies from seven countries and we report the first data on paternal exposure: six to anakinra and five to canakinumab, with no negative outcomes. We also report the first data on canakinumab-exposed pregnancies: eight pregnancies that resulted in the delivery of seven healthy infants of normal gestational age and birthweight. There were 23 anakinra-exposed pregnancies resulting in the birth of 21 healthy infants, and one baby with unilateral renal agenesis and ectopic neurohypophysis. There were two first trimester miscarriages affecting a mother with active disease. There were no serious neonatal infections. Fourteen infants were breast fed with no complications. There were no reports of developmental delay, with follow-up of up to 10 years (median 18 months). Conclusion: This series substantially increases the published experience of IL-1 blockade and reproduction including the first data on canakinumab and on paternal exposure to these agents. Data are generally reassuring, although the case of renal agenesis is the second reported in an anakinra-exposed pregnancy.

Indexed as

AdultAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedAntirheumatic AgentsAutoimmune DiseasesBirth WeightBreast FeedingFemaleGestational AgeHumansInfant, NewbornInterleukin-1Interleukin 1 Receptor Antagonist ProteinMaleMaternal ExposurePaternal ExposureAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedAntirheumatic AgentscanakinumabInterleukin-1Interleukin 1 Receptor Antagonist Proteinadult onset stills diseaseanakinraautoinflammatory diseasebiologic therapiescanakinumabCAPSfamilial Mediterranean feverinterleukin-1 inhibitorspregnancyTRAPS

Identifiers

PMID28968868
PMCPMC6251516
OpenAlexW2747489075

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.