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Therapeutic response of patients with adult Still’s disease to biologic agents: multicenter results in Japan

Objective The efficacy of biologics in treating adult Still’s disease (ASD) is suggested, but the information is still lacking and the validation is insufficient. To determine the efficacy of several biologic agents in refractory ASD in Japan, a multicenter survey was performed. Method Clinical data...

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Published in:Modern rheumatology 2012-09, Vol.22 (5), p.712-719
Main Authors: Suematsu, Rie, Ohta, Akihide, Matsuura, Emi, Takahashi, Hiroki, Fujii, Takao, Horiuchi, Takahiko, Minota, Seiji, Ishigatsubo, Yoshiaki, Ota, Toshiyuki, Takei, Shuji, Soejima, Sachiko, Inoue, Hisako, Koarada, Syuichi, Tada, Yoshifumi, Nagasawa, Kohei
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cited_by cdi_FETCH-LOGICAL-c383t-79a98b1d369160891dcf0bc511c4bd425caa66ba8e6c43133f41de591ff951063
cites cdi_FETCH-LOGICAL-c383t-79a98b1d369160891dcf0bc511c4bd425caa66ba8e6c43133f41de591ff951063
container_end_page 719
container_issue 5
container_start_page 712
container_title Modern rheumatology
container_volume 22
creator Suematsu, Rie
Ohta, Akihide
Matsuura, Emi
Takahashi, Hiroki
Fujii, Takao
Horiuchi, Takahiko
Minota, Seiji
Ishigatsubo, Yoshiaki
Ota, Toshiyuki
Takei, Shuji
Soejima, Sachiko
Inoue, Hisako
Koarada, Syuichi
Tada, Yoshifumi
Nagasawa, Kohei
description Objective The efficacy of biologics in treating adult Still’s disease (ASD) is suggested, but the information is still lacking and the validation is insufficient. To determine the efficacy of several biologic agents in refractory ASD in Japan, a multicenter survey was performed. Method Clinical data on 16 ASD patients who had been treated with at least 1 of the biological agents (total 24 occasions) were collected retrospectively. Results Infliximab was used in 9 cases, etanercept in 4, and tocilizumab in 11. Half of the patients that had been treated initially with infliximab or etanercept were changed to another biologics. Tocilizumab was effective in cases switched from another 2 drugs. Tocilizumab showed efficacy in treating both systemic and arthritic symptoms and showed apparent steroid-sparing effect and the highest continuation rate. Conclusion Tocilizumab may be a promising biologic agent in refractory ASD.
doi_str_mv 10.1007/s10165-011-0569-6
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To determine the efficacy of several biologic agents in refractory ASD in Japan, a multicenter survey was performed. Method Clinical data on 16 ASD patients who had been treated with at least 1 of the biological agents (total 24 occasions) were collected retrospectively. Results Infliximab was used in 9 cases, etanercept in 4, and tocilizumab in 11. Half of the patients that had been treated initially with infliximab or etanercept were changed to another biologics. Tocilizumab was effective in cases switched from another 2 drugs. Tocilizumab showed efficacy in treating both systemic and arthritic symptoms and showed apparent steroid-sparing effect and the highest continuation rate. 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Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Modern rheumatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Suematsu, Rie</au><au>Ohta, Akihide</au><au>Matsuura, Emi</au><au>Takahashi, Hiroki</au><au>Fujii, Takao</au><au>Horiuchi, Takahiko</au><au>Minota, Seiji</au><au>Ishigatsubo, Yoshiaki</au><au>Ota, Toshiyuki</au><au>Takei, Shuji</au><au>Soejima, Sachiko</au><au>Inoue, Hisako</au><au>Koarada, Syuichi</au><au>Tada, Yoshifumi</au><au>Nagasawa, Kohei</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Therapeutic response of patients with adult Still’s disease to biologic agents: multicenter results in Japan</atitle><jtitle>Modern rheumatology</jtitle><stitle>Mod Rheumatol</stitle><addtitle>Mod Rheumatol</addtitle><date>2012-09-01</date><risdate>2012</risdate><volume>22</volume><issue>5</issue><spage>712</spage><epage>719</epage><pages>712-719</pages><issn>1439-7595</issn><eissn>1439-7609</eissn><abstract>Objective The efficacy of biologics in treating adult Still’s disease (ASD) is suggested, but the information is still lacking and the validation is insufficient. To determine the efficacy of several biologic agents in refractory ASD in Japan, a multicenter survey was performed. Method Clinical data on 16 ASD patients who had been treated with at least 1 of the biological agents (total 24 occasions) were collected retrospectively. Results Infliximab was used in 9 cases, etanercept in 4, and tocilizumab in 11. Half of the patients that had been treated initially with infliximab or etanercept were changed to another biologics. Tocilizumab was effective in cases switched from another 2 drugs. Tocilizumab showed efficacy in treating both systemic and arthritic symptoms and showed apparent steroid-sparing effect and the highest continuation rate. Conclusion Tocilizumab may be a promising biologic agent in refractory ASD.</abstract><cop>Japan</cop><pub>Springer Japan</pub><pmid>22160845</pmid><doi>10.1007/s10165-011-0569-6</doi><tpages>8</tpages></addata></record>
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ispartof Modern rheumatology, 2012-09, Vol.22 (5), p.712-719
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source Oxford Journals Online
subjects Adolescent
Adult
Antibodies, Monoclonal - therapeutic use
Antibodies, Monoclonal, Humanized - therapeutic use
Antirheumatic Agents - therapeutic use
Arthritis
C-Reactive Protein - analysis
Child
Drug Substitution
Drug therapy
Effectiveness
Etanercept
Female
Ferritins - blood
Humans
Immunoglobulin G - therapeutic use
Infliximab
Kaplan-Meier Estimate
Male
Medicine
Medicine & Public Health
Middle Aged
Monoclonal antibodies
Original Article
Orthopedics
Patients
Receptors, Tumor Necrosis Factor - therapeutic use
Retrospective Studies
Rheumatology
Still's Disease, Adult-Onset - blood
Still's Disease, Adult-Onset - drug therapy
Treatment Outcome
Young Adult
title Therapeutic response of patients with adult Still’s disease to biologic agents: multicenter results in Japan
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