Evidence map›Paper›PMID 37491293›Full record

SynthesisArthritis research & therapy2023

Interleukin-1β inhibitors for the management of acute gout flares: a systematic literature review.

Naomi Schlesinger, Michael H Pillinger, Lee S Simon, Peter E Lipsky

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Arthritis research & therapy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed
9.9field-weighted citation impact, top 1% 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

39 citing papers in PubMed, 50 citations in OpenAlex.

  1. Trial
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  7. Article
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  12. Is Gout an Autoinflammatory Disease?Current rheumatology reports · 2026
    Review
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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

4 authors at 3 institutions in 1 country.

Naomi SchlesingerDivision of the Rheumatology at the Spencer Fox Eccles School of Medicine, University of Utah, Harold J, Ardella T, and Helen T Stevenson Presidential Endowed Chair of Rheumatology, Salt Lake City, UT, 84132, USA. Naomi.Schlesinger@hsc.utah.edu.
Michael H PillingerThe Division of Rheumatology, NYU Grossman School of Medicine, New York, USA.
Lee S SimonSDG, LLC, Cambridge, MA, USA.
Peter E LipskyAMPEL BioSolutions, LLC, Charlottesville, VA, USA.
Ampel BioSolutions (United States) · USNew York University · USUniversity of Utah · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe objective of this systematic review was to assess the effects of interleukin-1β (IL-1β) inhibitors on gout flares.

methodsStudies published between 2011 and 2022 that evaluated the effects of IL-1β inhibitors in adult patients experiencing gout flares were eligible for inclusion. Outcomes including pain, frequency and intensity of gout flares, inflammation, and safety were assessed. Five electronic databases (Pubmed/Medline, Embase, Biosis/Ovid, Web of Science and Cochrane Library) were searched. Two independent reviewers performed study screening, data extraction and risk of bias assessments (Cochrane Risk of Bias Tool 2 for randomised controlled trials [RCTs] and Downs and Black for non-RCTs). Data are reported as a narrative synthesis.

resultsFourteen studies (10 RCTs) met the inclusion criteria, with canakinumab, anakinra, and rilonacept being the three included IL-1β inhibitors. A total of 4367 patients with a history of gout were included from the 14 studies (N = 3446, RCTs; N = 159, retrospective studies [with a history of gout]; N = 762, post hoc analysis [with a history of gout]). In the RCTs, canakinumab and rilonacept were reported to have a better response compared to an active comparator for resolving pain, while anakinra appeared to be not inferior to an active comparator for resolving pain. Furthermore, canakinumab and rilonacept reduced the frequency of gout flares compared to the comparators. All three medications were mostly well-tolerated compared to their comparators.

conclusionIL-1β inhibitors may be a beneficial and safe medication for patients experiencing gout flares for whom current standard therapies are unsuitable. REVIEW PROTOCOL REGISTRATION: PROSPERO ID: CRD42021267670.

Indexed as

Arthritis, GoutyGoutAdultHumansInterleukin-1betaInterleukin 1 Receptor Antagonist ProteinInterleukin InhibitorsInterleukin-1betaInterleukin 1 Receptor Antagonist ProteinInterleukin InhibitorsAnakinraCanakinumabGout flareInterleukin-1βRandomised controlled trialsRilonacept

Identifiers

PMID37491293
PMCPMC10367374
OpenAlexW4385233762

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.