The off-label use of anakinra in pediatric systemic autoinflammatory diseases.

anakinra anti-IL-1 inhibitors autoinflammatory diseases children interleukin-1

Journal

Therapeutic advances in musculoskeletal disease
ISSN: 1759-720X
Titre abrégé: Ther Adv Musculoskelet Dis
Pays: England
ID NLM: 101517322

Informations de publication

Date de publication:
2020
Historique:
received: 22 04 2020
accepted: 26 08 2020
entrez: 5 11 2020
pubmed: 6 11 2020
medline: 6 11 2020
Statut: epublish

Résumé

Interleukin 1 (IL-1), a central mediator of innate immunity, is considered a master cytokine of local and systemic inflammation. IL-1 has emerged as pivotal in the pathogenesis of autoinflammatory diseases (AIDs), and blockade of its pathway has become a crucial target for therapy. Anakinra (ANA), a recombinant IL-1β receptor antagonist, was the first anti-IL-1 agent employed in clinical practice. ANA is currently approved for the treatment of rheumatoid arthritis, systemic juvenile idiopathic arthritis, adult-onset Still's disease, and cryopyrin-associated autoinflammatory syndrome. It has also been successfully used for off-label treatment of various monogenic, polygenic, or undefined etiology systemic AIDs. This review describes currently available evidence for the off-label use of ANA in pediatric rheumatologic diseases. Specifically, the use of ANA in Kawasaki disease, idiopathic recurrent pericarditis, Behçet disease, monogenic AIDs, undifferentiated AIDs, chronic non-bacterial osteomyelitis, macrophage activation syndrome, and febrile infection-related epilepsy, in terms of its safety and efficacy. In selected pediatric rheumatic disorders, the off-label administration of ANA appears to be effective and safe. In order to control severe and/or relapsing disease, ANA should be considered as a valuable treatment option in children suffering from rare inflammatory diseases. However, currently available data consist of retrospective studies and short case series; thus, randomized controlled trials and larger series with long-term follow up are mandatory to better assess the efficacy and cost effectiveness of ANA in these challenging patients.

Identifiants

pubmed: 33149772
doi: 10.1177/1759720X20959575
pii: 10.1177_1759720X20959575
pmc: PMC7580132
doi:

Types de publication

Journal Article Review

Langues

eng

Pagination

1759720X20959575

Informations de copyright

© The Author(s), 2020.

Déclaration de conflit d'intérêts

Conflict of interest statement: The authors declare that there is no conflict of interest.

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Auteurs

Valerio Maniscalco (V)

Rheumatology Unit, Meyer Children's University Hospital, Florence, Italy.

Sarah Abu-Rumeileh (S)

Rheumatology Unit, Meyer Children's University Hospital, Florence, Italy.

Maria Vincenza Mastrolia (MV)

Rheumatology Unit, Meyer Children's University Hospital, Florence, Italy.

Edoardo Marrani (E)

Rheumatology Unit, Meyer Children's University Hospital, Florence, Italy.

Ilaria Maccora (I)

Rheumatology Unit, Meyer Children's University Hospital, Florence, Italy.

Ilaria Pagnini (I)

Rheumatology Unit, Meyer Children's University Hospital, Florence, Italy.

Gabriele Simonini (G)

Rheumatology Unit, Meyer Children's University Hospital, Viale Gaetano Pieraccini, 24, Firenze, Toscana 50139, Italy.

Classifications MeSH