Table 10.
Studies on AOSD patients treated with interleukin-1 (IL-1) inhibitors published in the past.
| Lequerré et al., 2008 | Laskari et al., 2011 | Nordström et al., 2012 | Giampietro et al., 2013 | Gerfaud-Valentin et al., 2014b | Cavalli et al., 2015 | Ortiz-Sanjuán et al., 2015 | Rossi-Semerano et al., 2015 | |
|---|---|---|---|---|---|---|---|---|
| N° patients | 15 | 25 | 12 | 28 | 6 | 20 | 41 | 35 |
| N° patients Complete response (Remission∗) | 11 (73.3%) | 20 (80%) | 6 (50%) | 15 (53.5%) | 5 (83.3%) | 14 (70%) | 14 (34.1%) | 16 (45.7%) |
| N° patients Partial response∗∗ | 2 (13.3%) | 4 (16%) | N/A | 4 (14.2%) | 0 | 2 (10%) | 14 (34.1%) | – |
| N° patients Not effective∗∗∗ | 2 (13.3%) | 1 (4%) | 1 | 6 (21.4%) | 1 (16.6%) | 4 (20%) | 7 (17.07%) | 14 (40%) |
| Discontinued for reasons other than remission/AE | – | – | – | 1 (3.5%) (pregnancy) | – | – | 1 (2.4%) (pregnancy) | 2 (5.7%) (at patient’s request) |
| Steroid dosages reduced | Yes | Yes | Yes | Yes | Yes | Yes | Yes | N/A |
| AE | 2 (13.3%) Cutaneous reactions | 3 (12%) Cutaneous reactions | 11 (91.6%) Cutaneous reactions | 2 (7.1%) Cutaneous reactions | 0 | 2 (10%) Cutaneous reactions | 8 (19.5%) Cutaneous reactions | 3 (8.5%) Infections (pneumonia, 1 VZV reactivation, MAS and infection) |
| 7 (28%) Infections (2 RTI, 3 UTI, 1 GE, 1 tissue abscess) | 2 (10%) VZV Reactivation | 4 (9.7%) Infections (1 osteomyelitis, 1 RTI, 2 UTI, 1 VZV reactivation) 1 (2.4%) Leukopenia 1 (2.4%) myopahy | ||||||
The times therapy efficacy were evaluated were different in the various studies. ∗Remission: no fever (<37°C), no increase in inflammatory markers (ESR, CRP or ferritin), no tender or swollen joints. ∗∗Partial response: clinical improvement without complete symptom improvement or complete normalization of inflammatory markers. ∗∗∗Not effective: AOSD symptoms were unmodified during ANA treatment, including primary or secondary failure. RTI = respiratory tract infection; UTI, urinary tract infection; GE, gastroenteritis; VZV, varicella zoster virus; MAS, macrophage activation syndrome.