Autoinflammatory & rare systemic diseases

Long-term remission and monocyclic course in Still’s disease patients starting canakinumab early: data from the international AutoInflammatory Disease Alliance (AIDA) network registry

Semin Arthritis RheumPublished Registry-based cohort study

Main finding · Treatment discontinuation due to long-term remission (logistic regression)Result — go to the resultOR for treatment discontinuation due to long-term remission 4.83 95% CI 1.08–23.19

Authors' conclusion

Early canakinumab initiation is associated with treatment discontinuation due to long-term remission and appears linked to a greater frequency of a monocyclic disease course.

Study context

Population
Patients with Still's disease (SD) treated with canakinumab, international AIDA Network registry
Participants
190 patients
Exposure
Canakinumab started ≤3 months vs >3 months from disease onset
  • ≤3 monthsn = 35
  • >3 monthsn = 155reference
Outcome
Treatment discontinuation due to long-term remission, GC sparing effect and frequency of monocyclic disease course
Methodological detailsinternational registry, logistic regression analysis
  • International registry
  • Logistic regression analysis

Main finding

As reported in the abstract

Treatment discontinuation due to long-term remission (logistic regression)

OR for treatment discontinuation due to long-term remission

4.83

95% CI 1.08–23.19

P = 0.04

≤3 monthsvs >3 months
OR for treatment discontinuation due to long-term remission 4.83 (95% CI 1.08–23.19); P = 0.04

Observational data: associations, not effects.

Further findings

Reduction in GC use · month 3

P = 0.0001

Reduction in GC use · month 6

P = 0.004

Monocyclic disease course

P < 0.0001

OutcomeRRR (95% CI)P value
Monocyclic vs chronic-articular and polycyclic course, with start ≤3 monthsMonocyclic vs chronic-articular course4.43 (1.12–17.60)P = 0.034
Monocyclic vs chronic-articular and polycyclic course, with start ≤3 monthsMonocyclic vs polycyclic course8.97 (1.29–62.3)P = 0.03

Original publication

Long-term remission and monocyclic course in Still’s disease patients starting canakinumab early: data from the international AIDA network registry. Semin Arthritis Rheum. Published 20 June 2026. doi:10.1016/j.semarthrit.2026.153030

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