Pediatric rheumatology

Safety and effectiveness of intravenous abatacept for polyarticular-course juvenile idiopathic arthritis: An all-case postmarketing surveillance study

Pediatr Rheumatol Online JPublished Postmarketing surveillance study

An erratum to this article was published (Pediatr Rheumatol Online J, 12 Mar 2025 ↗)

Authors' conclusion

Abatacept is effective in polyarticular-course JIA, particularly in RF-positive patients, and in restoring a child's growth. Additionally, the incidence of ADRs is similar to that observed in the clinical trial.

Study context

Population
Japanese pediatric patients with refractory polyarticular-course juvenile idiopathic arthritis (JIA), February 2018 to August 202014.6% males, 85.4% females
Participants
82 patients
Outcome
Real-world safety and effectiveness of abatacept
Follow-up
52 weeks
Methodological detailsall-case, real-world, 52-week follow-up
  • All-case
  • Real-world
  • 52-week follow-up

Main finding

As reported in the abstract

Incidence of adverse drug reactions

22.0%

Incidence of serious adverse drug reactions

2.4%

JADAS-27 low disease activity or less achieved during the study period

64.7%

Further findings

JADAS-27 scores in rheumatoid factor (RF)-positive polyarticular JIA, baseline vs 24 or 52 weeks

Significant difference between baseline and 24 or 52 weeks

Height and weight standard deviation scores (SDS)

Tended to improve during abatacept treatment

Safety

Adverse drug reactions (ADRs) · 52-week follow-up

Incidence of ADRs
22.0%

Serious ADRs · 52-week follow-up

Incidence of serious ADRs
2.4%

Original publication

Safety and effectiveness of intravenous abatacept for polyarticular-course juvenile idiopathic arthritis: An all-case postmarketing surveillance study. Pediatr Rheumatol Online J. Published 19 February 2025. doi:10.1186/s12969-025-01069-4

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