Brik Riva
Department of Pediatrics and Pediatric Rheumatology Service, Ruth Rappaport Children Hospital, Rambam Medical Center, Haifa.
Harefuah. 2017 Oct;156(10):659-662.
Juvenile Idiopathic Arthritis (JIA) includes a group of systemic inflammatory disorders of unknown etiology for which no curative treatment currently exists. The traditional treatment for these disorders which includes the use of NSAIDs and disease modifying anti-rheumatic drugs (DMRADs) is only effective in a subset of patients. Recent advances in understanding the pathophysiology of the inflammatory response, have led to the development of a new class of medications, termed biologic agents which are capable of selectively inhibiting the principal mediators of inflammation. The introduction of biologic drugs has opened a new era in the treatment of rheumatic disorders in children. In this review we describe the characteristics of the currently available biologic agents in Israel, and the updated information regarding indications, efficacy and the safety of these drugs in pediatric patients. Disclosure: Consultant and participating in clinical trials for Novartis com.
青少年特发性关节炎(JIA)包括一组病因不明的全身性炎症性疾病,目前尚无治愈方法。这些疾病的传统治疗方法包括使用非甾体抗炎药(NSAIDs)和改善病情抗风湿药(DMRADs),仅对一部分患者有效。在理解炎症反应病理生理学方面的最新进展,促使了一类新型药物的开发,这类药物被称为生物制剂,能够选择性抑制炎症的主要介质。生物药物的引入开启了儿童风湿性疾病治疗的新时代。在本综述中,我们描述了以色列目前可用的生物制剂的特点,以及这些药物在儿科患者中的适应证、疗效和安全性的最新信息。披露:担任诺华公司顾问并参与其临床试验。