Evidence map›Paper›PMID 30799530›Full record

SynthesisRheumatology international2019

The right place of interleukin-1 inhibitors in the treatment of Behçet's syndrome: a systematic review.

Alessandra Bettiol, Elena Silvestri, Gerardo Di Scala, Amedeo Amedei, Matteo Becatti, Claudia Fiorillo, Giuseppe Lopalco, Carlo Salvarani, Luca Cantarini, Alessandra Soriano and 1 more

Open access · greenAbstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Rheumatology international, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
6.8field-weighted citation impact, top 3% 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

24 citing papers in PubMed, 49 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Article
  5. Review
  6. Review
  7. Neutrophilic Dermatoses: a Clinical Update.Current dermatology reports · 2022
    Review
  8. New insights on multigenic autoinflammatory diseases.Therapeutic advances in musculoskeletal disease · 2022
    Review
  9. Article
  10. Article
  11. Rare Diseases of the Orbit.Laryngo- rhino- otologie · 2021
    Review
  12. Article
  13. Recent Insights into the Management of Behçet Syndrome.Journal of inflammation research · 2021
    Review
  14. Review
  15. Review
  16. Review
  17. Review
  18. The off-label use of anakinra in pediatric systemic autoinflammatory diseases.Therapeutic advances in musculoskeletal disease · 2020
    Review
  19. Behçet's Disease in Children: Diagnostic and Management Challenges.Therapeutics and clinical risk management · 2020
    Review
  20. Review
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

11 authors at 5 institutions in 1 country.

Alessandra BettiolDepartment of Neuroscience Psychology, Drug Research and Child Health (NEUROFARBA), University of Firenze, Florence, Italy.
Elena SilvestriDepartment of Experimental and Clinical Medicine, University of Firenze, Florence, Italy.
Gerardo Di ScalaDepartment of Experimental and Clinical Medicine, University of Firenze, Florence, Italy.
Amedeo AmedeiDepartment of Experimental and Clinical Medicine, University of Firenze, Florence, Italy.
Matteo BecattiDepartment of Experimental and Clinical Biomedical Sciences "Mario Serio", University of Firenze, Florence, Italy.
Claudia FiorilloDepartment of Experimental and Clinical Biomedical Sciences "Mario Serio", University of Firenze, Florence, Italy.
Giuseppe LopalcoDepartment of Emergency and Organ Transplantation, Rheumatology Unit, University of Bari, Bari, Italy.
Carlo SalvaraniRheumatology Unit, Istituto di Ricovero e Cura a CarattereScientifico, Reggio Emilia, Azienda USL di Reggio Emilia, Università di Modena e Reggio Emilia, Modena, Italy.
Luca CantariniResearch Center of Systemic Autoinflammatory Diseases and Behçet's Disease Clinic, Department of Medical Sciences, Surgery and Neurosciences, University of Siena, Siena, Italy.
Alessandra SorianoRheumatology Unit, Istituto di Ricovero e Cura a CarattereScientifico, Reggio Emilia, Azienda USL di Reggio Emilia, Università di Modena e Reggio Emilia, Modena, Italy.
Giacomo EmmiDepartment of Experimental and Clinical Medicine, University of Firenze, Florence, Italy. giacomo.emmi@unifi.it.ORCID http://orcid.org/0000-0001-9575-8321
University of Florence · ITAzienda Sanitaria Unità Locale di Reggio Emilia · ITAzienda Ospedaliero-Universitaria Careggi · ITUniversity of Bari Aldo Moro · ITUniversity of Siena · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Behçet's syndrome (BS) is a chronic (auto)-inflammatory disorder characterized by different clusters of symptoms, including mucocutaneous and ocular involvements. Interleukin-1 inhibitors anakinra (ANA), canakinumab (CAN), and gevokizumab (GEV) represent a promising therapeutic alternative in BS. To date, evidence on the use of ANA, CAN, and GEV is mainly based on small isolated studies or case series, and the real place of anti-IL1 agents in the treatment of BS is still unclear. We performed a systematic review of current evidence on the efficacy and safety of anti-IL1 agents in BS. The PubMed search yielded a total of 398 references, from which we retrieved 24 studies for inclusion (4 clinical trials, 6 observational studies, 14 case reports, case series or letters to the editor). Four studies evaluated the overall efficacy of IL-1 inhibitors, 15 studies focused on the specific efficacy of ANA, whereas efficacy of CAN and GEV was evaluated in 8 and 3 studies, respectively. Both ANA and CAN were associated with good control of mucocutaneous and ocular manifestations. ANA resulted effective also for osteoarticular manifestations. GEV was studied only for ocular manifestations, but gave contrasting results. Discordant evidence supports the use of ANA and CAN in pediatric setting and for first-line treatment of general BS manifestations. Most frequent side effects were local or diffuse cutaneous reactions and injection site reactions, particularly for ANA treatment. Blocking the IL-1 pathway could be an effective therapeutic strategy in particular BS involvements.

Indexed as

Antibodies, Monoclonal, HumanizedAntirheumatic AgentsBehcet SyndromeHumansInterleukin 1 Receptor Antagonist ProteinTreatment OutcomeAntibodies, Monoclonal, HumanizedAntirheumatic AgentscanakinumabgevokizumabInterleukin 1 Receptor Antagonist ProteinAnakinraBehçet’s syndromeCanakinumabGevokizumabInterleukin-1

Identifiers

PMID30799530
OpenAlexW2917080291

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.