Pediatric rheumatology

Clinical outcomes and safety of anakinra in the treatment of multisystem inflammatory syndrome in children: a single center observational study

Pediatr Rheumatol Online JPublished Retrospective cohort study

Authors' conclusion

Anakinra treatment, which was co-administered with IVIG primarily in patients with severe MIS-C, was associated with improvements in fever and cardiac function, and demonstrated a favorable side-effect profile.

Study context

Population
All multisystem inflammatory syndrome in children (MIS-C) patients diagnosed at a children's hospital, May 15 to November 15, 2020confirmed MIS-C
Participants
46 patients
Exposure
Intravenous immunoglobulin (IVIG) plus anakinra vs IVIG monotherapy
  • IVIG + anakinran = 32
Outcome
Fever and cardiac function in IVIG + anakinra (with or without CS)
Methodological detailssingle-centre, observational
  • Single-centre
  • Observational

Main finding

As reported in the abstract

IVIG + anakinra group enriched in CV shock phenotype
p = 0.02

Observational data: associations, not effects.

Safety

No significant adverse events were observed

Original publication

Clinical outcomes and safety of anakinra in the treatment of multisystem inflammatory syndrome in children: a single center observational study. Pediatr Rheumatol Online J. Published 31 July 2023. doi:10.1186/s12969-023-00858-z

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