Evidence map›Paper›PMID 29622022›Full record

Trial reportPediatric rheumatology online journal2018

IL-6 blockade in systemic juvenile idiopathic arthritis - achievement of inactive disease and remission (data from the German AID-registry).

M Bielak, E Husmann, N Weyandt, J-P Haas, B Hügle, G Horneff, U Neudorf, T Lutz, E Lilienthal, T Kallinich and 10 more

Open access · goldAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in Pediatric rheumatology online journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
3.1field-weighted citation impact, top 8% 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

18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 39 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Trial
  4. Real-World Tocilizumab Use in Pediatric Inpatients.The journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG · 2025
    Article
  5. Systematic Review of Adverse Events of IL-1 and IL-6 Inhibitor Use in Pediatrics.The journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG · 2025
    Article
  6. Review
  7. Article
  8. Article
  9. Molecular Biomarkers in Perthes Disease: A Review.Diagnostics (Basel, Switzerland) · 2023
    Review
  10. Haptoglobin in Juvenile Idiopathic Arthritis.Pediatric rheumatology online journal · 2022
    Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
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

20 authors at 14 institutions in 1 country.

M BielakDepartment of Pediatric Rheumatology, University Children's Hospital Essen, Hufelandstr. 55, 45147, Essen, Germany.
E HusmannDepartment of Pediatric Rheumatology, University Children's Hospital Essen, Hufelandstr. 55, 45147, Essen, Germany.
N WeyandtDepartment of Pediatric Rheumatology, University Children's Hospital Essen, Hufelandstr. 55, 45147, Essen, Germany.
J-P HaasGerman Center for Pediatric and Adolescent Rheumatology, Garmisch-Partenkirchen, Germany.
B HügleGerman Center for Pediatric and Adolescent Rheumatology, Garmisch-Partenkirchen, Germany.
G HorneffDepartment of Pediatrics, Asklepios Clinic Sankt Augustin, Centre for Pediatric Rheumatology, Sankt Augustin, Germany.
U NeudorfDepartment of Pediatric Rheumatology, University Children's Hospital Essen, Hufelandstr. 55, 45147, Essen, Germany.
T LutzCenter for Pediatric and Adolescent Medicine/Pediatric Rheumatology, University Hospital Heidelberg, Heidelberg, Germany.
E LilienthalDepartment of Pediatrics, Ruhr-University Bochum, Bochum, Germany.
T KallinichDepartment of Pediatric Pneumology and Immunology and Center for Chronically Sick Children of the Charité, Charité University Medicine Berlin, Berlin, Germany.
K TenbrockDepartment of Pediatric Pneumology, Allergology and Immunology, RWTH Aachen University, Aachen, Germany.
R BerendesDepartment of Pediatric Rheumatology, St. Marien's Children's Hospital Landshut, Landshut, Germany.
T NiehuesHELIOS Children's Hospital Krefeld, Pediatric Immunology and Rheumatology, Krefeld, Germany.
H WittkowskiDepartment of Pediatric Rheumatology and Immunology, University of Münster, Münster, Germany.
E Weißbarth-RiedelDepartment of Pediatric Rheumatology, University Children's Hospital Hamburg-Eppendorf, Hamburg, Germany.
G HeubnerChildren's Hospital Dresden-Neustadt, Dresden, Germany.
P OommenDepartment of Pediatric Oncology, Hematology and Clinical Immunology, Center for Child and Adolescent Health, Medical Faculty, Heinrich-Heine-University Düsseldorf, Düsseldorf, Germany.
J KlotscheGerman Rheumatism Research Centre Berlin, Berlin, Germany.
Dirk FoellDepartment of Pediatric Rheumatology and Immunology, University of Münster, Münster, Germany.
E LainkaDepartment of Pediatric Rheumatology, University Children's Hospital Essen, Hufelandstr. 55, 45147, Essen, Germany. elke.lainka@uni-due.de.
Essen University Hospital · DEGerman Center for Pediatric and Adolescent Rheumatology · DEUniversity of Münster · DEAsklepios Klinik Sankt Augustin · DECharité - Universitätsmedizin Berlin · DEGerman Rheumatism Research Centre · DEHeidelberg University · DEHeinrich Heine University Düsseldorf · DEHelios Klinikum Krefeld · DERuhr University Bochum · DERWTH Aachen University · DEStädtisches Klinikum Dresden · DEUniversität Hamburg · DEUniversity of Applied Sciences Landshut · DE

Funding

BMBF 01GM1512D
6 · The paper itself

Abstract

backgroundSystemic juvenile idiopathic arthritis (sJIA) is a complex disease with an autoinflammatory component of unknown etiology related to the innate immune system. A major role in the pathogenesis has been ascribed to proinflammatory cytokines like interleukin-6 (IL-6), and effective drugs inhibiting their signaling are being developed. This study evaluates sJIA patients treated with the IL-6 inhibitor tocilizumab (TCZ) concerning clinical response rate, disease course and adverse effects in a real-life clinical setting.

methodsIn 2009 a clinical and research consortium was established, including an online registry for autoinflammatory diseases (AID) ( https://aid-register.de ). Data for this retrospective TCZ study were documented by 13 centers.

resultsFrom 7/2009 to 4/2014, 200 patients with sJIA were recorded in the AID-registry. Out of these, 46 (19 m, 27 f, age 1-18 years) received therapy with TCZ. Long term treatment (median 23 months) has been documented in 24/46 patients who were evaluated according to Wallace criteria (active disease 6/24, inactive disease 5/24, remission 13/24 cases). Under observation co-medication were used in 40/46 cases. Adverse events were reported in 11/46 patients. The clinical response rate (no clinical manifestation, no increased inflammation parameters) within the first 12 weeks of treatment was calculated to be 35%.

conclusionOut of 200 sJIA children reported in the German AID-registry, 46 were treated with TCZ, showing a clinical response rate of 35% during the first 12 weeks, and inactive disease and/or remission under medication in 75% after one year. Adverse events were seen in 24% and severe adverse events in 4%.

trial registrationThe AID-Registry is funded by the BMBF (01GM08104, 01GM1112D, 01GM1512D).

Indexed as

Interleukin-6 InhibitorsAdolescentAntibodies, Monoclonal, HumanizedArthritis, JuvenileChildChild, PreschoolFemaleGermanyHumansMaleRegistriesRemission InductionRetrospective StudiesTreatment OutcomeYoung AdultAntibodies, Monoclonal, HumanizedInterleukin-6 InhibitorstocilizumabAutoinflammatory diseaseInterleukin-6Proinflammatory cytokinesSystemic juvenile idiopathic arthritisTocilizumab

Identifiers

PMID29622022
PMCPMC5887199
OpenAlexW2801327004

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.