Efficacy of Anakinra in Pericarditis: A Systematic Review

Cureus. 2022 Oct 3;14(10):e29862. doi: 10.7759/cureus.29862. eCollection 2022 Oct.

Abstract

Inflammation of the pericardium is referred to as pericarditis, which can cause sharp chest pain and has a high chance of recurrence even after treatment. This review will explore anakinra, which is an interleukin-1 receptor antagonist, as a potential new treatment for pericarditis. The systematic review was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines by searching PubMed and GoogleScholar from the years 2012 to 2022. After applying inclusion and exclusion criteria, thorough screening, and quality appraisal, a total of eleven studies were included in the review; eight case reports and three clinical trials. All studies showed that 100 mg/day of anakinra caused a remarkable improvement in patient outcomes. In addition, the pericarditis resolved quicker and had a lower chance of recurrence in comparison to conventional therapy.

Keywords: anakinra; anti-interleukin-1 treatment; idiopathic pericarditis; interleukin-1 inhibitor; recurrent pericarditis; treatment resistant pericarditis.

Publication types

  • Review