PMID- 37662020 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230928 IS - 2327-2236 (Electronic) IS - 2326-697X (Print) IS - 2326-697X (Linking) VI - 1 IP - 2 DP - 2013 TI - A Retrospective Patient Chart Review and Survey in Patients with Cryopyrin-associated Periodic Syndromes Treated with Anakinra. PG - 123-133 LID - 10.36469/9860 [doi] AB - Background: Cryopyrin-associated periodic syndromes (CAPS) is a group of rare autoinflammatory diseases. Little is known about the burden of disease, patients' views on treatment, and adverse events (AEs) with current therapy. Objectives: The main study objective was to quantify the patients' burden of disease in terms of flares and resource use and to characterize patient symptomatology and tolerability of treatment with anakinra. A secondary objective included comparing chart review and patient recall of symptoms and AEs. Methods: A retrospective medical chart review and concurrent online patient survey was conducted in four European countries. Data 12 months prior to initiation of/during anakinra treatment were entered into web-based case report forms by study groups. Results: Forty-two patients received/were receiving anakinra as primary treatment for at least 12 months. Patients experienced a 79.5% reduction in flares after commencing anakinra treatment. During the past 12 months on anakinra, four of five (80%) patients who recalled experiencing flares reported cancelling social activities and staying home as the most common courses of action. Most common AEs were injection site pain upon treatment initiation and weight gain. According to patient recall, 12 of 21 patients (57.1%) discontinued anakinra to enter another clinical trial; of the 12, eight (38%) specifically discontinued anakinra only for that reason, and four patients cited entering a clinical trial as one of many reasons for discontinuing anakinra. Conclusions: To our knowledge, this is the most comprehensive survey of patient experience with CAPS. Although improved, CAPS treatment remains suboptimal and a significant burden is placed upon patients, caregivers, and the healthcare system. With new agents available, it will be important to compare outcomes in patients using all therapeutic options. FAU - Lachmann, Helen J AU - Lachmann HJ AD - UCL Medical School, London, UK. FAU - Arnold, Renee J G AU - Arnold RJG AD - Arnold Consultancy & Technology LLC, New York, NY USA; Mount Sinai School of Medicine, New York, NY USA. FAU - Gattorno, Marco AU - Gattorno M AD - UO Pediatria II, G. Gaslini Scientific Institute, Italy. FAU - Kone-Paut, Isabelle AU - Kone-Paut I AD - Pediatric Rheumatology, CEREMAI, Hopital Kremlin Bicetre, University of Paris SUD, France. FAU - Ferreira, Alberto AU - Ferreira A AD - Novartis Pharma AG, Basel, Switzerland. FAU - Kummerle-Deschner, Jasmin AU - Kummerle-Deschner J AD - Division of Pediatric Rheumatology, Department of Pediatrics University Hospital Tubingen, Germany. LA - eng PT - Journal Article DEP - 20130821 PL - United States TA - J Health Econ Outcomes Res JT - Journal of health economics and outcomes research JID - 101648581 PMC - PMC10471388 OTO - NOTNLM OT - anakinra OT - caps OT - cryopyrin-associated periodic syndromes OT - flares OT - observational OT - perceptions OT - retrospective EDAT- 2013/08/21 00:00 MHDA- 2013/08/21 00:01 PMCR- 2013/08/21 CRDT- 2023/09/04 04:35 PHST- 2013/08/21 00:01 [medline] PHST- 2013/08/21 00:00 [pubmed] PHST- 2023/09/04 04:35 [entrez] PHST- 2013/08/21 00:00 [pmc-release] AID - 9860 [pii] AID - 10.36469/9860 [doi] PST - epublish SO - J Health Econ Outcomes Res. 2013 Aug 21;1(2):123-133. doi: 10.36469/9860. eCollection 2013.