Evidence map›Paper›PMID 37067688›Full record

ArticleArthritis & rheumatology (Hoboken, N.J.)2023

Therapeutic Development in Polyarticular Course Juvenile Idiopathic Arthritis: Extrapolation, Dose Selection, and Clinical Trial Design.

Laura E Schanberg, Lily Yeruk Mulugeta, Bolanle Akinlade, Hermine I Brunner, Jianmeng Chen, Robert A Colbert, Vincent Delgaizo, Marc R Gastonguay, Rachel Glaser, Lisa Imundo and 13 more

Open access · bronzeAbstract read
In one paragraph

Article in Arthritis & rheumatology (Hoboken, N.J.), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 12% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Review
  5. Review
  6. Review
  7. 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

23 authors at 14 institutions in 3 countries.

Laura E SchanbergDuke Clinical Research Institute, Duke University School of Medicine, Durham, North Carolina.ORCID 0000-0002-1913-6472
Lily Yeruk MulugetaCenter for Drug Evaluation and Research, US Food and Drug Administration, Silver Spring, Maryland.
Bolanle AkinladeRegeneron Pharmaceuticals, Inc., Tarrytown, New York.
Hermine I BrunnerCincinnati Children's Hospital Medical Center, Cincinnati, Ohio.ORCID 0000-0001-9478-2987
Jianmeng ChenCenter for Drug Evaluation and Research, US Food and Drug Administration, Silver Spring, Maryland.
Robert A ColbertIntramural Research Program, National Institute of Arthritis and Musculoskeletal and Skin Diseases, NIH, Bethesda, Maryland.ORCID 0000-0001-6237-4575
Vincent DelgaizoCARRA, Inc., Washington, DC.
Marc R GastonguayMetrum Research Group, Tariffville, Connecticut.
Rachel GlaserCenter for Drug Evaluation and Research, US Food and Drug Administration, Silver Spring, Maryland.
Lisa ImundoColumbia University Irving Medical Center, New York, New York.
Daniel J LovellCincinnati Children's Hospital Medical Center, Cincinnati, Ohio.ORCID 0000-0003-1604-0130
Jocelyn H LeuJanssen Research and Development, Spring House, Pennsylvania.
Nael M MostafaAbbVie, North Chicago, Illinois.ORCID 0000-0003-3065-768X
Robert M NelsonJohnson & Johnson, New Brunswick, New Jersey.
Peter A NigrovicDivision of Immunology, Boston Children's Hospital, Department of Pediatrics, Harvard Medical School and Division of Rheumatology, Inflammation, and Immunity, Brigham and Women's Hospital, Department of Medicine, Harvard Medical School, Boston, Massachusetts.ORCID 0000-0002-2126-3702
Nikolay P NikolovCenter for Drug Evaluation and Research, US Food and Drug Administration, Silver Spring, Maryland.ORCID 0000-0003-0382-6134
Lisa G RiderEnvironmental Autoimmunity Group, Clinical Research Branch, National Institute of Environmental Health Sciences, NIH, Bethesda, Maryland.ORCID 0000-0002-6912-2458
Rebecca RothwellCenter for Drug Evaluation and Research, US Food and Drug Administration, Silver Spring, Maryland.ORCID 0000-0002-8856-3136
Chandrahas SahajwallaCenter for Drug Evaluation and Research, US Food and Drug Administration, Silver Spring, Maryland.
Renu SinghGilead Sciences, Foster City, California.
Vikram SinhaNovartis Pharmaceutical Corporation, One Health Plaza, East Hanover NJ, 07936, USA.
Carolyn L YanceyCenter for Drug Evaluation and Research, US Food and Drug Administration, Silver Spring, Maryland.
Lynne YaoCenter for Drug Evaluation and Research, US Food and Drug Administration, Silver Spring, Maryland.
United States Food and Drug Administration · USCincinnati Children's Hospital Medical Center · USNational Institutes of Health · USAbbVie (United States) · USAccademia di Belle Arti di Carrara · ITBrigham and Women's Hospital · USColumbia University Irving Medical Center · USDuke University · USGilead Sciences (United States) · USJohnson & Johnson (United States) · USMetrum Research Group (United States) · USNovartis (United States) · USRegeneron (United States) · USSpringhouse · US

Funding

Pathogenic Mechanisms in SpondyloarthritisZIAAR041184 · NIAMS · NATIONAL INSTITUTE OF ARTHRITIS AND MUSCULOSKELETAL AND SKIN DISEASES · PI COLBERT, ROBERT · 2009 to 2025
$47.6M
Assessment, Therapy and Prevention Of Autoimmune DiseaseZIAES101081 · NIEHS · NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH SCIENCES · PI RIDER, LISA · 2009 to 2025
$17.6M
Assessment, Therapy and Prevention Of Autoimmune DiseaseZ01ES101081 · NIEHS · NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH SCIENCES · PI MILLER, FREDERICK · 2002 to 2008
$2.2M
Intramural NIH HHS Z01 ES101081Intramural NIH HHS ZIA AR041184
6 · The paper itself

Abstract

objectiveStakeholders met to address persistent challenges facing the development of therapeutics for polyarticular juvenile idiopathic arthritis (pJIA), which result in fewer approved therapies for children with pJIA than adults with rheumatoid arthritis (RA) and long lag times from adult RA approval to pediatric labeling. Ensuring that new medications are authorized in a timely manner to meet the needs of JIA patients worldwide is critically important to multiple stakeholders.

methodsThe Food and Drug Administration in collaboration with the University of Maryland Center for Regulatory Science and Innovation held a public workshop entitled "Accelerating Drug Development for pJIA" on October 2, 2019, to address challenges surrounding access to new medications for children and adolescents with pJIA. Regulatory, academic, and industry stakeholders, as well as patient representatives, participated in the workshop, which consisted of 4 sessions, including panel discussions.

resultsThe workshop facilitated broad public discussion of challenges facing the development of pJIA therapeutics, highlighting areas of need and outlining opportunities to expedite development, while underscoring the necessity of close collaboration between all stakeholders, including patients and families.

conclusionThis report summarizes key aspects of the workshop, including the appropriate application of innovative approaches to the development of pJIA therapeutics, including extrapolation, to address current challenges and provide timely access to newer safe and effective treatments. Long-term safety assessment is of pressing concern to stakeholders and cannot be fully extrapolated from adult studies but requires consistent postmarketing long-term follow-up.

Indexed as

Arthritis, JuvenileArthritis, RheumatoidAdolescentAdultChildClinical Trials as TopicDrug DevelopmentHumansTreatment Outcome

Identifiers

PMID37067688
PMCPMC12412629
OpenAlexW4366083277

What OpenQuestion holds

Textmetadata
LicenceTDM
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.