Evidence map›Paper›PMID 32562029›Full record

ReviewCurrent cardiology reports2020

Novel Pharmacotherapies for Recurrent Pericarditis: Current Options in 2020.

Enrico Tombetti, Alice Mulè, Silvia Tamanini, Luca Matteucci, Enrica Negro, Antonio Brucato, Carla Carnovale

Open access · bronzeAbstract readReview
In one paragraph

Review in Current cardiology reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
5.2field-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

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 46 citations in OpenAlex.

  1. Pooled it
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  6. Article
  7. Article
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  15. Management of Idiopathic Viral Pericarditis in the Pediatric Population.The journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG · 2022
    Article
  16. Article
  17. Review
  18. Emerging Therapies for Recurrent Pericarditis: Interleukin-1 inhibitors.Journal of the American Heart Association · 2021
    Review
  19. A case report: symptomatic pericarditis post-COVID-19 vaccination.European heart journal. Case reports · 2021
    Article
  20. 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

7 authors at 2 institutions in 1 country.

Enrico TombettiDepartment of Biomedical and Clinical Sciences, Università di Milano, Fatebenefratelli Hospital, Milan, Italy.
Alice MulèInternal Medicine, Fatebefratelli Hospital, Milan, Italy.
Silvia TamaniniInternal Medicine, Fatebefratelli Hospital, Milan, Italy.
Luca MatteucciInternal Medicine, Fatebefratelli Hospital, Milan, Italy.
Enrica NegroInternal Medicine, Fatebefratelli Hospital, Milan, Italy.
Antonio BrucatoDepartment of Biomedical and Clinical Sciences, Università di Milano, Fatebenefratelli Hospital, Milan, Italy.
Carla CarnovaleUnit of Clinical Pharmacology, Department of Biomedical and Clinical Sciences L. Sacco, "Luigi Sacco" University Hospital, Università di Milano, Via GB Grassi 74, 20157, Milan, Italy. carla.carnovale@unimi.it.ORCID 0000-0002-4107-196X
Fatebenefratelli Hospital · ITLuigi Sacco Hospital · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Recent advances have shown impressive results by anti-interleukin 1 (IL-1) agents in refractory idiopathic recurrent pericarditis. PURPOSE OF REVIEW: We critically discuss the current state of the art of therapy of relapsing pericarditis, with a focus on new pharmacological approaches and on specific clinical settings such as pregnancy, pediatric patients, and secondary forms of relapsing pericarditis. RECENT

findingsAntagonism of the IL-1 is highly effective in idiopathic recurrent pericarditis with autoinflammatory features. Currently, available anti-IL-1 agents are anakinra and canakinumab. Rilonacept is another IL-1 antagonist, currently studied in the phase-3 clinical trial RHAPSODY. Available data suggest similar efficacy and safety profiles of these three agents, although only anakinra has been tested in randomized clinical trials. These agents have slightly different pharmacological properties, being canakinumab a specific IL-1ß antagonist while anakinra and rilonacept are unselective IL-1α and IL-1ß blockers. To date, there is no evidence that specificity against IL-1ß affects safety and efficacy in patients with relapsing pericarditis, although it has been proposed that unspecific blockage might be useful in severe disease. Anakinra is the first anti-IL-1 agent with well-documented efficacy and safety in adult and pediatric patients with idiopathic relapsing pericarditis. Other anti-IL-1 agents are currently under study. Future research should clarify the optimal duration of therapy and tapering schedule of treatment with these agents. Moreover, biomarkers would be required to understand which patients will benefit from early administration of IL-1 blockers due to refractoriness to conventional therapy and which others will suffer from recurrences during the tapering of these agents. Lastly, future studies should focus on the subjects with the autoimmune or the pauci-inflammatory phenotype of idiopathic refractory pericarditis.

Indexed as

PericarditisAdultBiomarkersChildHumansInterleukin-1Interleukin 1 Receptor Antagonist ProteinRecurrenceBiomarkersInterleukin-1Interleukin 1 Receptor Antagonist ProteinAnakinraAnti-IL-1 drugsInflammatory refractory pericarditisRecurrent pericarditis

Identifiers

PMID32562029
PMCPMC7303578
OpenAlexW3036713653

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.