Evidence map›Paper›PMID 37996934›Full record

ArticlePediatric rheumatology online journal2023

Is it possible to extend the dose interval of canakinumab treatment in children with familial Mediterranean fever? PeRA group experience.

Gülşah Kavrul Kayaalp, Şengül Çağlayan, Fatma Gül Demirkan, Vafa Guliyeva, Gülçin Otar Yener, Kübra Öztürk, Ferhat Demir, Semanur Özdel, Mustafa Çakan, Hafize Emine Sönmez and 2 more

Open access · goldAbstract read
In one paragraph

Article in Pediatric rheumatology online journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.2field-weighted citation impact, top 40% 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

3 citing papers in PubMed, 1 citations in OpenAlex.

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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

12 authors at 7 institutions in 1 country.

Gülşah Kavrul KayaalpDepartment of Pediatric Rheumatology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.ORCID http://orcid.org/0000-0001-7490-7076
Şengül ÇağlayanDepartment of Pediatric Rheumatology, University of Health Sciences, Umraniye Research and Training Hospital, Istanbul, Turkey.ORCID http://orcid.org/0000-0003-3014-5692
Fatma Gül DemirkanDepartment of Pediatric Rheumatology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.ORCID http://orcid.org/0000-0001-9950-2489
Vafa GuliyevaDepartment of Pediatric Rheumatology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.ORCID http://orcid.org/0000-0002-1663-015X
Gülçin Otar YenerDepartment of Pediatric Rheumatology, Sanliurfa Research and Training Hospital, Sanliurfa, Turkey.ORCID http://orcid.org/0000-0003-2575-6309
Kübra ÖztürkDepartment of Pediatric Rheumatology, Goztepe Prof. Dr. Süleyman Yalçın Research and Training Hospital, Istanbul Medeniyet University, Istanbul, Turkey.ORCID http://orcid.org/0000-0003-0466-0228
Ferhat DemirDepartment of Pediatric Rheumatology, Acıbadem Health Groups Hospital, Istanbul, Turkey.ORCID http://orcid.org/0000-0001-9801-925X
Semanur ÖzdelDepartment of Pediatric Rheumatology, University of Health Sciences, Ankara Dr. Sami Ulus Research and Training Hospital, Ankara, Turkey.ORCID http://orcid.org/0000-0001-5602-4595
Mustafa ÇakanDepartment of Pediatric Rheumatology, University of Health Sciences, Umraniye Research and Training Hospital, Istanbul, Turkey.ORCID http://orcid.org/0000-0002-1034-6406
Hafize Emine SönmezDepartment of Pediatric Rheumatology, Kocaeli University Faculty of Medicine, Kocaeli, Turkey.ORCID http://orcid.org/0000-0002-9186-3068
Betül SözeriDepartment of Pediatric Rheumatology, University of Health Sciences, Umraniye Research and Training Hospital, Istanbul, Turkey.ORCID http://orcid.org/0000-0002-5079-5644
Nuray Aktay AyazDepartment of Pediatric Rheumatology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey. nurayaktay@gmail.com.ORCID http://orcid.org/0000-0003-3594-7387
Istanbul University · TRÜmraniye Eğitim ve Araştırma Hastanesi · TRAcıbadem University · TRDr Sami Ulus Çocuk Sağlığı ve Hastalıkları Eğitim ve Araştırma Hastanesi · TRIstanbul Medeniyet University · TRKocaeli Üniversitesi · TRŞanlıurfa Mehmet Akif İnan Eğitim ve Araştırma Hastanesi · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is no clear data on the optimal duration of treatment with anti-interleukin-1 drugs in colchicine-resistant familial Mediterranean fever patients, as well as on the dose interval. This study aimed to assess patients whose canakinumab dose interval was adjusted according to a specific protocol, with the objective of evaluating the effectiveness of implementing this protocol for the patient care.

methodsThe files of 45 patients whose canakinumab treatment interval was opened with a standard protocol previously determined by the Delphi method were retrospectively reviewed.

resultsCanakinumab treatment was initiated once a month for all patients. In the sixth month of canakinumab treatment, a dose interval extension was introduced; however, 7 patients (15.5%) experienced an attack, and consequently, no further interval extension was administered to them. For 29 patients, the dose interval was successfully extended to once every three months, as they remained attack-free for a year after the first interval extension. Nine patients continued receiving the drug every 2 months, as they had not yet completed one year since the first extension. The study found no significant correlation between experiencing an attack during the dose interval extension protocol and the number, duration of attacks, or autoinflammatory diseases activity index score.

conclusionExtending treatment intervals with canakinumab in colchicine-resistant familial Mediterranean fever shows promise for favorable outcomes.

Indexed as

Familial Mediterranean FeverAntibodies, Monoclonal, HumanizedChildColchicineHumansRetrospective StudiesTreatment OutcomeAntibodies, Monoclonal, HumanizedcanakinumabColchicineAnti IL-1CanakinumabFamilial Mediterranean Fever

Identifiers

PMID37996934
PMCPMC10666318
OpenAlexW4388945740

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.