Anakinra in Myositis
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Purpose
To investigate the effect of the interleukin-1 (IL-1) blocking agent, anakinra, in patients with treatment-resistant inflammatory myopathies.
Patients and methods: Fifteen patients with refractory polymyositis (PM), dermatomyositis (DM), or inclusion body myositis (IBM) were treated with 100 mg anakinra subcutaneously per day during 12 months. Outcome measures included myositis disease activity score with improvement defined according to The International Myositis Assessment and Clinical Studies Group (IMACS) and for muscle performance the functional index of myositis (FI). In addition repeat muscle biopsies were performed
| Condition | Intervention | Phase |
|---|---|---|
|
Polymyositis Dermatomyositis Inclusion Body Myositis |
Drug: Anakinra |
Phase 2 Phase 3 |
| Study Type: | Interventional |
| Study Design: | Intervention Model: Single Group Assignment Primary Purpose: Treatment |
| Official Title: | Anakinra in Patients With Refractory Idiopathic Inflammatory Myopathies |
Eligibility| Ages Eligible for Study: | 18 Years to 80 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
Men and women aged 18 to 80 years with diagnosis of PM, DM or IBM based Peter and Bohan's and Grigg's criteria. All patients had to be capable of giving informed consent. Other inclusion criteria were muscle strength and/or function reduced at least 20 % below predicted values as measured by functional index (FI) [45-47] and failure to respond to treatment with high-dose glucocorticoids (0.75 mg/kg/day for at least one month) in combination with azathioprine and/or methotrexate for at least two months.
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Exclusion Criteria:
serious infections such as hepatitis, pneumonia, pyelonephritis in the previous 3 months; history of opportunistic infections such as tuberculosis, drug resistant atypical mycobacterium, active pneumocystis carinii, active cytomegalovirus infection; documented HIV infection; alcoholism, alcoholic liver disease or other chronic liver disease; chest x-ray suggestive of active tuberculosis; and pregnant, nursing mothers or patients with planned pregnancy within one and a half years of enrolment.
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Contacts and Locations
More Information
No publications provided
| Responsible Party: | Ingrid Lundberg, Karolinska University Hospital |
| ClinicalTrials.gov Identifier: | NCT01165008 History of Changes |
| Other Study ID Numbers: | KS 01, 03-144 |
| Study First Received: | July 16, 2010 |
| Last Updated: | July 16, 2010 |
| Health Authority: | Sweden: Medical Products Agency |
Additional relevant MeSH terms:
|
Polymyositis Dermatomyositis Myositis Myositis, Inclusion Body Muscular Diseases Musculoskeletal Diseases Neuromuscular Diseases |
Nervous System Diseases Connective Tissue Diseases Skin Diseases Interleukin 1 Receptor Antagonist Protein Antirheumatic Agents Therapeutic Uses Pharmacologic Actions |
ClinicalTrials.gov processed this record on May 19, 2013