Evidence map›Paper›PMID 34001647›Full record

ArticleRMD open2021

Long-term safety and effectiveness of canakinumab therapy in patients with cryopyrin-associated periodic syndrome: results from the β-Confident Registry.

Ulrich A Walker, Hugh H Tilson, Philip N Hawkins, Tom van der Poll, Stephanie Noviello, Jeremy Levy, Eleni Vritzali, Hal M Hoffman, Jasmin B Kuemmerle-Deschner, CACZ885D2401 Study Investigators

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in RMD open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01213641 (An Open-label, Long-term, Prospective, Observational Study to Monitor the Safety and Effectiveness of Ilaris in CAPS Patients), which is not on this map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.5field-weighted citation impact, top 17% 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.

NCT01213641 completednot on this map

An Open-label, Long-term, Prospective, Observational Study to Monitor the Safety and Effectiveness of Ilaris in CAPS Patients

TypeobservationalSponsorNovartis PharmaceuticalsRan2009 to 2015Enrolled288ConditionsCryopyrin-associated Periodic Syndromes (CAPS), Familial Cold Autoinflam Syn (FCAS), Muckle-wells Syn (MWS), Neonatal Onset Multisystem Inflam Disease (NOMID)
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 23 citations in OpenAlex.

  1. Article
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  3. Article
  4. Review
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  6. Observational
  7. Article
  8. Case report: Novel compound heterozygousFrontiers in immunology · 2024
    Article
  9. Review
  10. Review
  11. Interleukin-1 Antagonists for the Treatment of Recurrent Pericarditis.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2022
    Review
  12. Review
  13. 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

10 authors at 7 institutions in 4 countries.

Ulrich A WalkerDepartment of Rheumatology, University Hospital Basel, Basel, Switzerland ulrich.walker@usb.ch.ORCID 0000-0002-9183-550X
Hugh H TilsonGillings School of Global Public Health, University of North Carolina, Chapel Hill, North Carolina, USA.
Philip N HawkinsUniversity College London, London, UK.
Tom van der PollAmsterdam Medical Center, University of Amsterdam, Amsterdam, The Netherlands.
Stephanie NovielloNovartis Pharmaceuticals Corporation, East Hanover, New Jersey, USA.
Jeremy LevyNovartis Pharma AG, Basel, Switzerland.
Eleni VritzaliNovartis Pharma AG, Basel, Switzerland.
Hal M HoffmanUniversity of California San Diego, San Diego, California, USA.
Jasmin B Kuemmerle-DeschnerDivision of Pediatric Rheumatology, Department of Paediatrics and Autoinflammation Reference Center Tuebingen, University Hospital Tuebingen, Tübingen, Germany.ORCID 0000-0002-6365-6598
CACZ885D2401 Study Investigators
Novartis (Switzerland) · CHAmsterdam University Medical Centers · NLNovartis (United States) · USUniversity College London · GBUniversity Hospital of Basel · CHUniversity of California San Diego · USUniversity of North Carolina at Chapel Hill · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo report the long-term safety and effectiveness of canakinumab, a fully human anti-interleukin 1β monoclonal antibody, in patients with cryopyrin-associated periodic syndromes (CAPS), including familial cold autoinflammatory syndrome (FCAS), Muckle-Wells syndrome (MWS) and neonatal-onset multisystem inflammatory disease (NOMID), in a real-world setting.

methodsFrom December 2009 to December 2015, the β-Confident Registry prospectively enrolled patients with CAPS and non-CAPS conditions who received canakinumab per routine care and were prospectively followed for up to 6 years. The registry protocol did not mandate specific visits or procedures; however, all observed adverse events (AEs) and serious adverse events (SAEs) had to be recorded. Canakinumab effectiveness was evaluated by Physician's Global Assessment (PGA).

resultsOf 288 patients enrolled, 3 were excluded due to missing informed consent. Among the remaining 285 patients, 243 (85.3%) were patients with CAPS and 42 (14.7%) had atypical CAPS (6.3%) or other conditions (8.4%). The median age was 26.6 years. Based on PGA, 58 of 123 (47.2%) patients with CAPS had no disease activity at 48 months, and 65 of 123 (52.8%) experienced mild/moderate disease activity at 48 months. Among CAPS phenotypes, AE incidence rates per 100 patient-years were lowest for FCAS (73.1; 95% CI 60.3 to 87.8) compared with those with MWS (105.0; 95% CI 97.2 to 113.2) or NOMID (104.6; 95% CI 86.6 to 125.2). One hundred twenty-eight SAEs were reported in 68 patients with CAPS (incidence rate/100 patient-years, 14.0; 95% CI 11.6 to 16.6). One death (metastatic rectal adenocarcinoma in a patient with MWS) was reported.

conclusionsThe response to canakinumab was sustained for up to 6 years. Canakinumab demonstrated a favourable safety profile over long-term treatment in patients with CAPS. TRIAL REGISTRATION NUMBER: NCT01213641.

Indexed as

Cryopyrin-Associated Periodic SyndromesAdultAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedHumansRegistriesAntibodies, MonoclonalAntibodies, Monoclonal, Humanizedcanakinumabbiological therapycryopyrin-associated periodic syndromesinflammation

Identifiers

PMID34001647
PMCPMC8130749
OpenAlexW3163633969

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.