Abstract

Canakinumab is a recombinant monoclonal fully human antibody against Interleukin-1β and approved for the treatment of CAPS in many countries including Europe and the US. Current dose recommendations are 150 mg (body weight >40 kg) respectively 2 mg/kg body weight (15 to 40 kg) every 8 weeks but yield insufficient response in some individuals, especially in children and patients with severe phenotypes [1].

Highlights

  • Canakinumab is a recombinant monoclonal fully human antibody against Interleukin-1b and approved for the treatment of CAPS in many countries including Europe and the US

  • In this study we analyzed the response to daily practice canakinumab treatment regimens in CAPS patients with focus on age, mutation and clinical presentation and the necessity and effect of dose adjustment

  • In 30 patients (44%) canakinumab dose and/or application interval was increased above the standard regimen (2/3 NOMID, 3/4 MWS/NOMID)

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Summary

Introduction

Canakinumab is a recombinant monoclonal fully human antibody against Interleukin-1b and approved for the treatment of CAPS in many countries including Europe and the US. F Hofer1, T Endres1, B Kortus-Götze2, N Blank3, E Weißbarth-Riedel4, C Schütz5, T Kallinich6, K Krause7, C Rietschel8, G Horneff9, J Kuemmerle-Deschner1* Current dose recommendations are 150 mg (body weight >40 kg) respectively 2 mg/kg body weight (15 to 40 kg) every 8 weeks but yield insufficient response in some individuals, especially in children and patients with severe phenotypes [1]. Objectives In this study we analyzed the response to daily practice (in contrast to trial condition) canakinumab treatment regimens in CAPS patients with focus on age, mutation and clinical presentation and the necessity and effect of dose adjustment.

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