Injection-site reactions upon Kineret (anakinra) administration: experiences and explanations

被引:101
作者
Kaiser, Christina [1 ]
Knight, Ann [2 ]
Nordstrom, Dan [3 ]
Pettersson, Tom [3 ]
Fransson, Jonas [1 ]
Florin-Robertsson, Ebba [1 ]
Pilstrom, Bjorn [1 ]
机构
[1] Swedish Orphan Biovitrum AB, S-11276 Stockholm, Sweden
[2] Univ Uppsala Hosp, Dept Rheumatol, S-75185 Uppsala, Sweden
[3] Univ Helsinki, Cent Hosp, Div Rheumatol & Internal Med, FIN-00290 Helsinki, Finland
关键词
Anakinra; Kineret; Injection-site reactions; INTERLEUKIN-1 RECEPTOR ANTAGONIST; ACTIVE RHEUMATOID-ARTHRITIS; PLACEBO-CONTROLLED TRIAL; SUBCUTANEOUS INJECTIONS; DOUBLE-BLIND; SAFETY; METHOTREXATE; DISEASE; MULTICENTER; DRUGS;
D O I
10.1007/s00296-011-2096-3
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Anakinra (Kineret), a recombinant form of human interleukin-1 (IL-1) receptor antagonist, is approved for the treatment of rheumatoid arthritis (RA) in combination with methotrexate. Kineret is self-administered by daily subcutaneous injections in patients with active RA. The mechanism of action of anakinra is to competitively inhibit the local inflammatory effects of IL-1. Kineret is generally safe and well tolerated and the only major treatment-related side effects that appear are skin reactions at the injection site. Due to the relatively short half-life of anakinra, daily injection of the drug is required. This, in combination with the comparably high rates of injection-site reactions (ISRs) associated with the drug, can become a problem for the patient. The present review summarises published data concerning ISRs associated with Kineret and provides some explanations as to their cause. The objective is also to present some clinical experiences of how the ISRs can be managed.
引用
收藏
页码:295 / 299
页数:5
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