Autoinflammatory & rare systemic diseases

Systematic review on the use of biologics in adult-onset still's disease

Semin Arthritis RheumPublished Systematic review

Authors' conclusion

Safety data from all included studies showed that bDMARDs appear to be a safe alternative to conventional DMARDs.

Study context

Population
Patients with adult-onset Still's disease (AOSD)3 randomised controlled trials (RCTs) · 1 retrospective case series · 17 case series
Comparison
Biologic disease modifying anti-rheumatic drugs (bDMARDs) vs conventional DMARDs or placebo
Outcome
Efficacy and safety of bDMARDs

Pooled result

As reported in the abstract

Efficacy of bDMARDs
  • Lack of common assessment criteria; treatment efficacy across studies could not be compared
  • Uncontrolled retrospective case series suggested bDMARDs have an effect in AOSD, without comparative data vs other interventions or between bDMARDs
  • Evidence that bDMARDs could reduce steroid dose

Safety

bDMARDs appear to be a safe alternative to conventional DMARDs

Original publication

Systematic review on the use of biologics in adult-onset still's disease. Semin Arthritis Rheum. Published 17 November 2022. doi:10.1016/j.semarthrit.2022.152139

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