title: Canakinumab for the treatment of familial Mediterranean fever.
abstract: Familial Mediterranean fever (FMF) is the most frequent of all hereditary autoinflammatory syndromes. It is characterized by recurrent attacks of fever and serositis. If not treated it may be complicated with AA amyloidosis. It is caused by mutations in the MEFV gene that encodes pyrin which is involved in the regulation of IL-1β. The mainstay of treatment is colchicine, however a subset of patients requires an alternative treatment either due to inadequate response or intolerance. The accumulating data indicates that anti IL-1 drugs are effective in treating colchicine resistant FMF cases and improving their quality of life. Areas covered: This review focuses on canakinumab, a fully human anti IL-1β antibody, treatment in FMF. Expert commentary: Canakinumab became the first approved therapy by the Food and Drug Administration for FMF very recently, which highlights its importance as the alternative treatment in FMF.
authors.affiliation: a Division of Rheumatology, Department of Internal Medicine , Cerrahpasa Medical Faculty, Istanbul University , Fatih , Istanbul , Turkey.
authors.forename: Huri
authors.initials: H
authors.lastname: Ozdogan
authors.affiliation: a Division of Rheumatology, Department of Internal Medicine , Cerrahpasa Medical Faculty, Istanbul University , Fatih , Istanbul , Turkey.
authors.forename: Serdal
authors.initials: S
authors.lastname: Ugurlu
mesh_terms: D000911:Antibodies, Monoclonal / Q000627:therapeutic use*; D061067:Antibodies, Monoclonal, Humanized; D002986:Clinical Trials as Topic; D010505:Familial Mediterranean Fever / Q000188:drug therapy* / Q000235:genetics; D006801:Humans; D053583:Interleukin-1beta / Q000276:immunology*; D009154:Mutation / Q000235:genetics; D000071198:Pyrin / Q000235:genetics; D016896:Treatment Outcome; D014481:United States; D014486:United States Food and Drug Administration
chemical_list: D000911:Antibodies, Monoclonal; D061067:Antibodies, Monoclonal, Humanized; D053583:Interleukin-1beta; C000604192:MEFV protein, human; D000071198:Pyrin; C541220:canakinumab
keywords: Anti IL-1 drugs; Canakinumab; IL-1β; colchicine-resistant familial Mediterranean fever; familial Mediterranean fever; hereditary periodic fever syndromes