Evidence map›Paper›PMID 33278336›Full record

ReviewArthritis care & research2022

Children With Enthesitis-Related Arthritis and Possible Benefits From Treatments for Adults With Spondyloarthritis.

Pamela F Weiss, Robert C Fuhlbrigge, Emily von Scheven, Daniel J Lovell, Robert A Colbert, Hermine I Brunner, PRCSG Advisory Council and the CARRA Executive Committee

Abstract readReview
In one paragraph

Review in Arthritis care & research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
  2. Trial
  3. Review
  4. Article
  5. Article
  6. Review
  7. Review
  8. Article
  9. Review
  10. Article
  11. Review
  12. Article
  13. Spondyloarthritides: Theories and beyond.Frontiers in pediatrics · 2022
    Review
  14. Advances in Juvenile Spondyloarthritis.Current rheumatology reports · 2021
    Review
  15. Review
  16. Secukinumab Therapy in Refractory Juvenile Idiopathic Arthritis.Journal of investigative medicine high impact case reports
    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.

Pamela F WeissChildren's Hospital of Philadelphia, Perlman School of Medicine at the University of Pennsylvania School of Medicine, Philadelphia.ORCID 0000-0002-9724-0443
Robert C FuhlbriggeChildren's Hospital Colorado, University of Colorado School of Medicine, Aurora.
Emily von SchevenUniversity of California, San Francisco.
Daniel J LovellCincinnati Children's Hospital Medical Center, University of Cincinnati, Cincinnati, Ohio.ORCID 0000-0003-1604-0130
Robert A ColbertNIH/National Institute of Arthritis, Musculoskeletal, and Skin Diseases, Bethesda, Maryland.
Hermine I BrunnerCincinnati Children's Hospital Medical Center, University of Cincinnati, Cincinnati, Ohio.ORCID 0000-0001-9478-2987
PRCSG Advisory Council and the CARRA Executive Committee

Funding

Pathogenic Mechanisms in SpondyloarthritisZIAAR041184 · NIAMS · NATIONAL INSTITUTE OF ARTHRITIS AND MUSCULOSKELETAL AND SKIN DISEASES · PI COLBERT, ROBERT · 2009 to 2025
$47.6M
Pediatric musculOskeletal & RheumaTology Innovation COre center (PORTICO)P30AR076316 · NIAMS · CINCINNATI CHILDRENS HOSP MED CTR · PI BRUNNER, HERMINE I · 2019 to 2023
$3.4M
Refining entry criteria and outcome measures for children with axial disease and spondyloarthritis: preparation for clinical trialsR01AR074098 · NIAMS · CHILDREN'S HOSP OF PHILADELPHIA · PI WEISS, PAMELA FITCH · 2019 to 2021
$678k
National Institute of Arthritis, Musculoskeletal, and Skin Diseases Intramural Research Program Z01-AR-041184NIAMS NIH HHS P30 AR076316NIAMS NIH HHS P30-AR-076316-01NIAMS NIH HHS R01 AR074098NIH/National Institute of Arthritis, Musculoskeletal, and Skin Diseases R01-AR-074098
6 · The paper itself

Abstract

This review will summarize clinical, genetic, and pathophysiologic characteristics that are shared between children with enthesitis-related arthritis (ERA) with axial involvement and adults with nonradiographic (and in some cases radiographic) axial spondyloarthritis (SpA), as well as between children with ERA and primarily peripheral disease manifestations and adults with peripheral SpA. Due to the differences in classification criteria for children with ERA and adults with axial and peripheral SpA, the US Food and Drug Administration (FDA) granted automatic full waivers of studies in children for new medications for "axial spondyloarthropathies including ankylosing spondylitis" up until July 2020. Thus, although current juvenile idiopathic arthritis treatment guidelines recommend the use of biologic disease-modifying antirheumatic drugs as part of the early treatment for patients with ERA, none of the FDA-approved therapies for peripheral SpA or nonradiographic axial SpA (certolizumab pegol, ixekizumab, and secukinumab) have been studied or are labeled for use in children with ERA. Considering the similarities between adult SpA and ERA in terms of etiology, genetics, pathogenesis, and clinical manifestations summarized in this review, medications approved for axial SpA or peripheral SpA should also be studied in children with active ERA involving axial or peripheral joints, respectively, with the intent to achieve labeling for use in children. Considering the current lack of effective FDA-approved therapies for ERA, the FDA should also consider requiring pediatric studies for medications that have already been approved for the treatment of adults with SpA.

Indexed as

Antirheumatic AgentsArthritis, JuvenileSpondylarthritisSpondylarthropathiesSpondylitis, AnkylosingAdultChildHumansAntirheumatic Agents

Identifiers

PMID33278336
PMCPMC8178413

What OpenQuestion holds

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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.