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CLINICAL CASE: USE OF CANAKINUMAB IN A PATIENT WITH SYSTEMIC JUVENILE IDIOPATHIC ARTHRITIS RESISTANT TO IMMUNOSUPPRESSANTS AND GENETICALLY ENGINEERED BIOPHARMACEUTICALS

https://doi.org/10.15690/pf.v11i2.965

Abstract

The article presents a case of successful use of an interleukin-1 monoclonal antibody drug (canakinumab) for severe systemic juvenile idiopathic arthritis refractory to treatment with classic immunosuppressants and genetically engineered biopharmaceuticals with a different mode of action. Canakinumab treatment shortly provided reduction in clinical and laboratory parameters of the disease activity, life quality improvement, development of an inactive disease stage and allowed reducing the prednisolone dose by 90% and avoiding intravenous and intraarticular administration of glucocorticoids.

About the Authors

E. I. Alexeeva
Scientific Center of Children’s Health, Moscow Sechenov First Moscow State Medical University
Russian Federation
PhD, Professor, head of the SCCH rheumatology department, dean of the Faculty of Pediatrics at Sechenov First MSMU


R. V. Denisova
Scientific Center of Children’s Health, Moscow, Russian Federation
Russian Federation


T. V. Sleptsova
Scientific Center of Children’s Health, Moscow, Russian Federation
Russian Federation


T. M. Bzarova
Scientific Center of Children’s Health, Moscow, Russian Federation
Russian Federation


K. B. Isaeva
Scientific Center of Children’s Health, Moscow, Russian Federation
Russian Federation


E. V. Mitenko
Scientific Center of Children’s Health, Moscow, Russian Federation
Russian Federation


E. G. Chistyakova
Scientific Center of Children’s Health, Moscow, Russian Federation Sechenov First Moscow State Medical University, Russian Federation
Russian Federation


A. M. Chomakhidze
Scientific Center of Children’s Health, Moscow, Russian Federation
Russian Federation


N. I. Taybulatov
Scientific Center of Children’s Health, Moscow, Russian Federation
Russian Federation


A. N. Fetisova
Scientific Center of Children’s Health, Moscow, Russian Federation
Russian Federation


O. L. Lomakina
Scientific Center of Children’s Health, Moscow, Russian Federation
Russian Federation
Scientific Center of Children’s Health, Moscow, Russian Federation


S. I. Valieva
Scientific Center of Children’s Health, Moscow, Russian Federation
Russian Federation


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Review

For citations:


Alexeeva E.I., Denisova R.V., Sleptsova T.V., Bzarova T.M., Isaeva K.B., Mitenko E.V., Chistyakova E.G., Chomakhidze A.M., Taybulatov N.I., Fetisova A.N., Lomakina O.L., Valieva S.I. CLINICAL CASE: USE OF CANAKINUMAB IN A PATIENT WITH SYSTEMIC JUVENILE IDIOPATHIC ARTHRITIS RESISTANT TO IMMUNOSUPPRESSANTS AND GENETICALLY ENGINEERED BIOPHARMACEUTICALS. Pediatric pharmacology. 2014;11(2):88-94. https://doi.org/10.15690/pf.v11i2.965

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ISSN 1727-5776 (Print)
ISSN 2500-3089 (Online)