NextGen 2024: Weaning meds when disease is controlled Session Part 1

NextGen 2024: Weaning meds when disease is controlled Session Part 1

@SJIA_Foundation
@SJIA_Foundation
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2 weeks ago 101

NextGen 2024: Weaning meds when disease is controlled Session Part 1

@SJIA_Foundation2 weeks ago

Biomarker-Guided Treatment-And-Stop-Strategy for 
Recombinant IL-1Receptor Antagonist (anakinra) i…
1/17
sJIA treatment
2. Nigrovic Arthritis Rheum 2014 
• Biological treatment targeting the IL1 (anakin…
2/17
3. Vastert et al. Arthritis Rheum 2014, 
4. Ter Haar et al. Arthritis Rheum 2019
Utrecht protocol…
3/17
• New-onset therapy naïve SJIA patients (PRINTO criteria6
)
• 6 centers in the Netherlands betwee…
4/17
Baseline cohort characteristics
Total number of participants 66
Number of participants interventi…
5/17
• CID after 3 months of rIL-1RA mono-therapy 
• National multicenter setting = historic single cen…
6/17
Conclusions
• The Utrecht protocol, starting rIL-1RA early as first-line treatment in new-onset SJ…
7/17
How do we make use of all datapoints?
8/17
9/17
10/17
11/17
Non-linear mixed effects modeling
12/17
Cytokine modeling
13/17
Macrophage Activation Syndrome
• 17% (11/66) of patients developed 
MAS in the follow-up of ESTIS…
14/17
Sytze De Roock
Gerda Den Engelsman
Marc Jansen
Johannes Roth Joost Swart
Thomas Vogl Petra Hiss…
15/17
Discussion
16/17
Anakinra side-effects:
Local reaction at injection site (redness, itching)
generally, appear with…
17/17


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