Skip to main content
. 2015 Feb 20;79(3):379–394. doi: 10.1111/bcp.12406

Table 1.

Description of the end-points used in paediatric rheumatology clinical trials 8,9

Criteria Components Definitions of end-points used
PedACR criteria for determining the magnitude of the treatment response in juvenile idiopathic arthritis Core set measures:
  1. Physician's global assessment of disease activity (10 cm visual analog scale)

  2. Patient and/or parent global assessment of overall wellbeing

  3. Number of active joints

  4. Number of joints with limited range of movement

  5. Disability index [childhood health assessment questionnaire (CHAQ) score]

  6. Erythrocyte sedimentation rate

  • PedACR30 response is frequently used to assess treatment response in paediatric rheumatology clinical trials. A significant clinical response to treatment is defined as improvement of ≥30% in at least three of the six criteria, without worsening of ≥30% in no more than one criterion

  • PedACR50, 70, 90 response is defined as improvement of ≥50, ≥70, ≥90% in at least three of the six criteria, Without worsening by ≥50, ≥70, ≥90% in no more than one criterion

  • Disease flare can be defined using the PedACR criteria and is defined as three of the six core set variables worsening by ≥30%, with no more than one of the six improving by ≥30%

Inactive disease
  • No joints with active arthritis

  • No fever, rash, serositis, splenomegaly or generalized lymphadenopathy attributable to juvenile idiopathic arthritis

  • No active uveitis

  • Normal erythrocyte sedimentation rate or C-reactive protein

  • No disease activity according to the doctor's evaluation

Clinical remission
  • On medication – criteria for inactive disease met for 6 months on treatment

  • Off medication – criteria for inactive disease met for 12 months off treatment

Abbreviation is as follows: PedACR, paediatric American College of Rheumatology criteria.