Pediatric rheumatology

Effect of interleukin-1 antagonist on growth of children with colchicine resistant or intolerant Familial Mediterranean Fever (FMF)

Pediatr Rheumatol Online JPublished Retrospective cohort study

Authors' conclusion

Treatment with anti-IL-1 agents in children with FMF is effective and safe and may potentiate long-term growth.

Study context

Population
Pediatric FMF patients followed in one centre; 22 treated with anakinra (36.3%) and/or canakinumab (90.9%)22 treated with IL-1 blockers
Participants
646 patients
Exposure
Height and weight percentiles before vs after anti-IL-1 treatment
  • After treatmentn = 22
Outcome
Long-term body weight and height trajectories (height and weight percentiles before and after treatment)
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

Height percentile, before vs after anti-IL-1 treatment

Significant increase in height percentile following treatment

19.6 ± 16% vs. 30.8 ± 23%

Observational data: associations, not effects.

Further findings

Body weight percentile, before vs after anti-IL-1 treatment — Significant increase in body weight percentile following treatment · 29.5 ± 30% vs. 39.1 ± 36%
29.5 ± 30% vs. 39.1 ± 36% · P = 0.043

Original publication

Effect of interleukin-1 antagonist on growth of children with colchicine resistant or intolerant FMF. Pediatr Rheumatol Online J. Published 9 January 2023. doi:10.1186/s12969-022-00784-6

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