Evidence map›Paper›PMID 40018478›Full record

ArticleCureus2025

Biological Agents' Adverse Events in Jordanian Childhood Rheumatic Diseases: A Single-Center Experience.

Motasem O Alsuweiti, Heba Q Alma'aitah, Hamza M Alnsour, Bushra A Alwraikat, Ali I Alzyoud, Mohammed Nobani, Raed M Alzyoud

Abstract read
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Tocilizumab for Non-Infectious Uveitis: A Systematic Review.Journal of inflammation research · 2025
    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

7 authors.

Motasem O AlsuweitiImmunology, Allergy and Rheumatology, Royal Medical Services, Queen Rania Children's Hospital, Amman, JOR.
Heba Q Alma'aitahImmunology, Allergy and Rheumatology, Royal Medical Services, Queen Rania Children's Hospital, Amman, JOR.
Hamza M AlnsourImmunology, Allergy and Rheumatology, Royal Medical Services, Queen Rania Children's Hospital, Amman, JOR.
Bushra A AlwraikatOphthalmology, Royal Medical Services, Princess Haya Military Hospital, Ajloun, JOR.
Ali I AlzyoudPediatric Dentistry, Royal Medical Services, Prince Hashem bin Abdullah Military Hospital, Aqaba, JOR.
Mohammed NobaniImmunology, Allergy and Rheumatology, Royal Medical Services, Queen Rania Children's Hospital, Amman, JOR.
Raed M AlzyoudImmunology, Allergy and Rheumatology, Royal Medical Services, Queen Rania Children's Hospital, Amman, JOR.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Rheumatic diseases encompass a heterogeneous group of autoimmune and autoinflammatory disorders affecting joints, muscles, and connective tissue, with juvenile idiopathic arthritis (JIA) being the most prevalent among children. The introduction of biological agents in the treatment of childhood rheumatic diseases has significantly improved outcomes and quality of life. However, there is limited data on the use of biological agents in Jordanian children with these conditions. This study aims to evaluate the clinical indications for initiating biological agents and investigate the safety profile of biological therapy in Jordanian children. This retrospective study was conducted at Queen Rania Children's Hospital, including children (under 14 years of age) diagnosed with rheumatic diseases between January 2019 and December 2023. Data collected and reviewed included demographic characteristics, diagnosis, concomitant use of disease-modifying conventional synthetic antirheumatic drugs (csDMARD), indications for starting biological agents, age at initiation of therapy, and reported side effects during treatment. A total of 177 patients (57.6% females) with various rheumatic disorders were treated with biological therapy. The mean age at diagnosis was 7 years (range: 1-7 years), while the mean age at therapy initiation was 8.6 years (range: 4.2-14 years). JIA was the most common diagnosis in 110 patients (62%), followed by non-infectious uveitis in 18 patients (10.1%) and autoinflammatory disorders in 17 patients (9.6%). Concomitant therapy with DMARDs and corticosteroids was employed in 92.6% of cases (164 patients). A total of 290 biological treatments were administered, including infliximab (93; 32%), etanercept (71; 24.4%), adalimumab (48; 16.5%), tocilizumab (41; 14.1%), and anakinra (13; 4.4%). In 66 patients (37.2%), the biological agent was switched, primarily due to inefficacy (56 patients, 84.7%) or adverse events (10 patients, 15.3%). A total of 64 adverse events (36.1%) were reported, the most common being infections (29; 45.3%), local reactions (11; 17.1%), and infusion-related reactions (10; 15.6%). This retrospective study highlights the importance of evaluating the efficacy and safety of biological agents in treating childhood rheumatic diseases. The findings can help optimize treatment strategies and improve patient outcomes.

Indexed as

adverse eventsbiological therapypediatric rheumatologyqueen rania children's hospitalrheumatic diseases

Identifiers

PMID40018478
PMCPMC11866462

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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.