Autoinflammatory & rare systemic diseases

Canakinumab treatment real world evidence in 3 monogenic periodic fever syndromes in 2009–2022: an interim analysis using the French JIR cohort database

Arthritis Res TherPublished Registry-based cohort study

Authors' conclusion

This interim analysis showed a good maintenance of canakinumab treatment 2 years after initiation and confirmed its safety profile in real-life practice in France in patients diagnosed with FMF, MKD and TRAPS.

Study context

Population
French patients diagnosed with Familial Mediterranean Fever (FMF), Mevalonate Kinase Deficiency (MKD) or TRAPS and treated with canakinumab, from the JIR cohort (multicentre international registry of juvenile inflammatory rheumatic diseases)
Participants
31 / 26 / 7
Exposure
FMF vs MKD vs TRAPS
  • FMFn = 31
  • MKDn = 26
  • TRAPSn = 7
Outcome
Patients still on canakinumab treatment
Follow-up
2 years after initiation
Methodological detailsreal-world evidence, multicentre, interim analysis
  • Real-world evidence
  • Multicentre
  • Interim analysis

Main finding

As reported in the abstract

Observational data: associations, not effects.

Further findings

Treatment patterns (dose and frequency)

Most initiated at recommended dose of 2 mg/kg or 150 mg
Less than half of FMF and MKD patients initiated at recommended frequency (every 4 weeks)
Dose per injection globally unchanged over treatment; some adjustments of dose intervals

Safety

Patients with a severe adverse event
6
Severe adverse events possibly related to canakinumab
3

Original publication

Canakinumab treatment real world evidence in 3 monogenic periodic fever syndromes in 2009–2022: an interim analysis using the French JIR cohort database. Arthritis Res Ther. Published 8 April 2024. doi:10.1186/s13075-024-03316-7

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