What are the immunological consequences of long-term use of biological therapies for juvenile idiopathic arthritis?

Abstract:

:This review summarizes the immunological consequences of biological therapies used in juvenile idiopathic arthritis (JIA). For every frequently used biological agent the characteristics are clearly specified (molecular target, isotype, registered indication for JIA, route of administration, half-life, contraindication, very common side effects, expected time of response and average cost in the first year). The emphasis of this review is on the immunological side effects that have been encountered for every separate agent in JIA populations. For each agent these adverse events have been calculated as incidence per 100 patient-years for the following categories: serious infections, tuberculosis, malignancies, response to vaccination, new-onset autoimmune diseases and development of anti-drug antibodies. There are large differences in side effects between various agents and there is a clear need for an international and standardized collection of post-marketing surveillance data of biologicals in the vulnerable group of JIA patients. Such an international pharmacovigilance database, called Pharmachild, has now been started.

journal_name

Arthritis Res Ther

authors

Swart JF,de Roock S,Wulffraat NM

doi

10.1186/ar4213

subject

Has Abstract

pub_date

2013-01-01 00:00:00

pages

213

issue

3

eissn

1478-6354

issn

1478-6362

pii

ar4213

journal_volume

15

pub_type

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