Pediatric rheumatology

Local injection of infliximab into calcinosis lesions in patients with juvenile dermatomyositis (JDM): a clinical trial

Pediatr Rheumatol Online JPublished Single-arm clinical trial

Authors' conclusion

The results suggest that the direct administration of infliximab into the calcinosis lesions of patients with JDM could be a safe and effective treatment approach.

Study context

Population
Patients with JDM and calcinosis lesions
Participants
5 patients
Comparison
Local injection of infliximab into calcinosis lesions; lesion size before vs after treatment
  • Infliximabn = 5
Outcome
Lesion dimensions (length and width), monitored weekly; radiographic assessment before intervention and after final injection
Follow-up
Week 16
Methodological detailsGeneralized Estimating Equation (GEE) analysis
  • GEE analysis

Main finding

As reported in the abstract

Lesion size per visit (GEE)

Mean reduction in lesion length per visit

2.66%

Mean reduction in lesion width per visit

3.32%

Further findings

Radiographic lesion length, initial visit vs last visit

Range Initial visit 6.00-25.50 mm · Last visit 0-23.00 mm

Radiographic lesion width, initial visit vs last visit

Range Initial visit 2.00-16.00 mm · Last visit 0-13.00 mm

Safety

No specific side effects related to the treatment were reported

Original publication

Local injection of infliximab into calcinosis lesions in patients with juvenile dermatomyositis (JDM): a clinical trial. Pediatr Rheumatol Online J. Published 2 January 2024. doi:10.1186/s12969-023-00941-5

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