Table 1.
Clinical features of patients and response to tocilizumab
Sample code | 37-5 | 37-7 | 50-2 | 50-4 | 51-1 | 51-3 | 53-2 | 53-4 |
Sample type | N | N | P, N | P, N | P, N | P, N | P, N | P, N |
Conditions | Pre-TOC | 12 weeks TOC | Pre-TOC | 12 weeks TOC | Pre-TOC | 12 weeks TOC | Pre-TOC | 12 weeks TOC |
Ethnicity | Caucasian | Caucasian | Asian | Caucasian | ||||
Gender | Male | Female | Male | Female | ||||
Age at onset (AAO) | 7 years | 9 years | 14 years | 4 years | ||||
Disease duration | 3.4 years | 7 years | 10 months | 9 months | ||||
Fever | Yes | No | No | No | No | No | Yes | No |
Rash | Yes | No | No | No | No | No | No | No |
Total WCC (lymphocytes) x 109/L | 22.22 (1.36) | 10.76 (4.99) | 10.51 (1.28) | 5.58 (2.67) | N/D | 5.84 (2.52) | 13.98 (4.80) | 8.09 (4.03) |
CRP (mg/l), 0-20 normal range | 84 | <5 | 24 | <5 | 13.6 | <3 | 56 | <5 |
ESR (mm/h), 0–10 normal range | 65 | <1 | 29 | 3 | N/D | 1 | 35 | <1 |
Joint active | 6 | 0 | 22 | 10 | 6 | 0 | 51 | 0 |
Joint limited motion | 6 | 0 | 30 | 12 | 7 | 0 | 49 | 3 |
Parental VAS | N/D | 0 | 6.8 | 1 | 2.8 | 0.4 | 5 | 2.2 |
Physician VAS | 5 | 0 | 8 | 4 | 3 | 1 | 8 | 0.4 |
CHAQ | 1.75 | 0 | 1.5 | 0.38 | 0 | 0 | 1.13 | 0.5 |
ACR | - | 90 | - | 90 | - | 90 | - | 90 |
The demographics, clinical and laboratory parameters of the patients whose peripheral blood was used in this study are shown. For each patient, baseline measurements were taken before starting tocilizumab (TOC) treatment, and 12 weeks later. Normal range for total white cell count (WCC) is 4.5–13.5 × 109/L and for lymphocytes 1.5–7 × 109/L. The different types of samples taken/analysed were: PBMC = P; and Neutrophils = N. There are 3 paired samples for PBMC (P) and 4 for neutrophils (N). Response to treatment was determined by ACR90 response definition of improvement in juvenile arthritis [47], plus normalisation of the erythrocyte sedimentation rate (ESR) and C reactive protein (CRP). N/D not determined, VAS visual analogue score, CHAQ child health assessment questionnaire, ACR American College of Rheumatology