Group 1 | Group 2 | ||
---|---|---|---|
Anakinra (n = 12) | Placebo (n = 12) | ||
Response | Number of responders (%) | p Value* | |
Primary objective (modified ACRpedi 30)† | 8 (67) | 1 (8) | 0.003 |
Systemic symptoms responders† | 8 (67) | 1 (8) | 0.003 |
Primary objectives used in other trials | |||
ACRpedi 30 responders | 11 (92) | 7 (58) | 0.059 |
ACRpedi 30 and no fever‡ | 11 (92) | 6 (50) | 0.025 |
ACRpedi 30, no fever and CRP <15 mg/l§ | 10 (83) | 3 (25) | 0.004 |
Modified ACRpedi 50, 70 and 100 response† | |||
Modified ACRpedi 50 responders | 7 (58) | 0 | 0.005 |
Modified ACRpedi 70 responders | 5 (42) | 0 | 0.038 |
Modified ACRpedi 100 responders | 0 | 0 | 1 |
Response to individual variables | Mean variation from D1 to M1 (%) | p Value¶ | |
---|---|---|---|
CRP | −71 | −16 | 0.001 |
ESR | −64 | −18 | 0.002 |
SAA | −70 | −2 | <0.001 |
Number of active joints | −46 | −18 | 0.040 |
Number of joints with LOM | −36 | −20 | 0.148 |
CHAQ | −37 | −9 | 0.236 |
Physician's disease activity assessment** | −63 | −20 | 0.002 |
Parent/patient's global assessment** | −36 | −23 | 0.544 |
Parent/patient's assessment of pain** | −29 | −21 | 0.219 |
↵* χ2 Test.
↵† Body temperature <38°C for more than 7 days, CRP and ESR normalised or decreased by at least 50% (=systemic symptoms responders) and also, in responders to the trial primary objective, ACRpedi 30, 50, 70 or 100 (whichever level is indicated) response compared with D1.
↵‡ Body temperature <38°C for more than 7 days and ACRpedi 30 response compared with D1.
↵§ Body temperature <38°C for more than 7 days, CRP <15 mg/l and ACRpedi 30 response compared with D1 as in a recent trial with the anti-interleukin 6 receptor antibody tocilizumab.
↵¶ Mann–Whitney test.
↵** Using a visual analogue scale (0–100 mm).
ACRpedi 30, American College of Rheumatology Pediatric 30 response; CHAQ, Childhood Health Assessment Questionnaire; CRP, C-reactive protein; ESR, erythrocyte sedimentation rate; LOM, joints with limitation of passive motion; SAA, serum amyloid A.