Skip to content


Pediatric Rheumatology

Open Access

Open label multicenter study of once weekly Etanercept 0.8 mg/kg in active polyarticular Juvenile idiopathic arthritis (JIA)

  • G Horneff1,
  • K Minden2,
  • I Foeldvari3,
  • J Kuemmerle-Deschner4,
  • A Thon5,
  • H Girschick6 and
  • HI Huppertz7
Pediatric Rheumatology20086(Suppl 1):P39

Published: 15 September 2008


MethotrexateEtanerceptJuvenile Idiopathic ArthritisLeflunomideConcomitant Treatment


In Europe Etanercept is licensed for the treatment of resistant polyarticular JIA at a dosage of 0.4 mg/kg bw. twice weekly in children older than 4 years.


To evaluate the safety and efficacy of Etanercept once weekly 0.8 mg/kg up to 50 mg in a formal trial.


At each study site an independent ethics committee approved the protocol, and each patient's parent gave written informed consent (EudraCT No. 2007-000255-34). 20 patients 4 to 17 years old were included and received 0.8 mg/kg bw. of etanercept subcutaneously once weekly for 12 weeks "Active" polyarticular disease was defined by the presence of five or more active joints. PedACR30/50/70 criteria were calculated.

Safety assessments were based on adverse events (AE) reported.


15 of 20 JIA patients, 16 girls and 4 boys, mean age 12.9 years, disease duration 4.1 years, already have completed the 12 week study period. The mean dosage was 0.80 +/- 0.04 mg/kg Etanercept. Concomitant treatments were kept stable 3 months before and throughout the study and consisted of NSAID (n = 20), prednisone (n = 4), methotrexate (n = 12), leflunomide (n = 2), sulfsalazine (n = 1). A PedACR 30/50/70 response was reached by 73%/26%/10% of patients after 4 weeks, 86%/73%/40% after 8 weeks and 92%/92%/79% after 12 weeks of treatment. There were 33 AEs but no SAE: 9 minor infections 12 injection site reactions and 12 other AEs. There was no drop out.


These data indicate that once weekly application of Etanercept at double dosage of 0.8 mg/kg bodyweight up to 50 mg per injection is safe and efficacious in polyarticular JIA patients.

Authors’ Affiliations

Asklepios Clinic, Sankt Augustin, Germany
Charite, Berlin, Germany
Private office, Hamburg, Germany
University Hospital, Tuebingen, Germany
University Hospital, Hannover, Germany
University Hospital, Wuerzburg, Germany
Prof. Hess Kinderklinik, Bremen, Germany


© Horneff et al; licensee BioMed Central Ltd. 2008

This article is published under license to BioMed Central Ltd.