- Poster presentation
- Open Access
Switching to an alternative biological agent in juvenile idiopathic arthritis (I)
- A Remesal,
- S Murias,
- MI Gonzalez,
- I Tarjuelo and
- R Merino
© Remesal et al; licensee BioMed Central Ltd. 2011
- Published: 14 September 2011
- Adverse Event
- Retrospective Study
- Current Treatment
Juvenile idiophatic arthritis (JIA) is a heterogeneous disease and it’s associated with an increased use of various biological agents in recent years.
Describe changes in treatment with biological agents in JIA patients.
This is a retrospective study of 109 JIA patients from a tertiary centre. Variables included were: age, disease duration, sex, antinuclear antibodies (ANA), HLA B27, Rheumatoid Factor (RF), uveitis and data of systemic AIJ. Current and previous biological agents, reasons for change and adverse events were also recorded.
The sample included 83 girls and 26 boys aged 10 ± 4.4 (2.4-19.6) with a disease duration of 5 ± 3.4 (0.1- 17) years. The initial biological agent was etanercept (ETA) in 87 cases, adalimumab (ADA) in 9, anakinra (AK) in 12 and infliximab (IFX) in 1. Twenty-eight patients switched to a second biological agent, 7 to a third and 2 to a fourth. Switching was due to inefficacy since adverse events were mild or moderate.
Patient characteristics and biological agent treatment
HLA B27 (+)
Data of s-JIA
Switching to a second biological agent was necessary in 26% of patients. Only 6% of patients switched to a third, and 2% to a fourth.
The results indicate that etanercept was chosen in patients with ANA positives, adalimumab in cases with uveitis and anakinra and tocilizumab in those with systemic symptoms.
This article is published under license to BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.