Table 1.
Summary of findings of studies investigating the influence of immunosuppressive treatment on humoral vaccine responses in children and adolescents with JARD in comparison to control children (results from last follow-up time-point of each study)
| HAV | HBV | HPV | Diphtheria | Tetanus | Influenza A/H1N1 | Influenza A/H3N2 | Influenza B | MenC | Pneumococcus | Measles | Mumps | Rubella | Varicella | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Enthesitis-related arthritis | ||||||||||||||
| GMT | ↓43 | ↓43 | ||||||||||||
| SPR | = 43 | = 43 | ||||||||||||
| Juvenile dermatomyositis | ||||||||||||||
| GMT | = 23 | |||||||||||||
| SPR | = 42 | = 23 | ||||||||||||
| SCR | ↓23 | |||||||||||||
| Juvenile idiopathic arthritis | ||||||||||||||
| GMT | ↓13 | ↓16 | = 44 | ↓30 | ↓30 |
↑28 ↓31 = 12,22,29 |
↓28 = 12,29,31 |
↓28,31 = 12,29 |
↓26 = 20 |
↓38 = 19 |
↑30,45 ↓14* = 14° |
↑45 ↓30 = 14 |
↑45 ↓30 = 14 |
|
| SPR |
↓35 = 13 |
↓16 | ↓30 | ↓30 | = 12,22,29,31,46 |
↑46 = 12,29,31 |
↓31,46 = 12,29 |
= 19,38 |
↑30‡ = 30† |
↓30† = 30‡ |
↓30† = 30‡ |
|||
| SCR | = 13 |
↓22,28,46 = 12,29,31 |
↑46 ↓28 = 12,29,31 |
↑46 ↓28,31 = 12,29 |
= 19 | |||||||||
| Systemic lupus erythematosus | ||||||||||||||
| GMT | ↓34 |
↓36§ = 15,36¶ |
↓21 | = 36 | = 47 | |||||||||
| SPR | = 34 | ↓21 | ||||||||||||
| SCR | ↓21 | |||||||||||||
| Juvenile autoimmune rheumatic disease | ||||||||||||||
| GMT | = 48 | ↓40 |
↓32 = 18,33,37 |
= 33,37 |
↑37 = 33 |
= 40 | = 40 | = 24,25,39 | ||||||
| SPR |
↓32 = 18,33 |
= 33 | = 33 | = 39 | ||||||||||
| SCR |
↓32 = 18,33,37 |
= 33,37 | = 33,37 | |||||||||||
GMT geometric mean titre, HAV hepatitis A virus, HBV hepatitis B virus, HPV human papillomavirus, MenC meningococcus C, SCR seroconversion rate, SPR seroprotection rate
¶Active systemic lupus erythematosus
§Inactive systemic lupus erythematosus
°Methotrexate ± etanercept > 4 years after mumps - measles rubella vaccination
‡One dose of monovalent measles vaccine followed by measles-mumps-rubella vaccination
†Two doses of measles-mumps-rubella vaccination