{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T21:21:57Z","timestamp":1789852917515,"version":"4.0.1"},"reference-count":48,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2013,10,21]],"date-time":"2013-10-21T00:00:00Z","timestamp":1382313600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Therapeutic Advances in Musculoskeletal"],"published-print":{"date-parts":[[2013,12]]},"abstract":"<jats:p>The cryopyrin-associated periodic syndrome (CAPS) is a very rare disease. It is estimated that there are 1\u20132 cases for every 1 million people in the US and 1 in every 360,000 in France. However, many patients are diagnosed very late or not at all, meaning the real prevalence is likely to be higher. CAPS encompasses the three entities of familial cold auto-inflammatory syndrome (FCAS), Muckle\u2013Wells syndrome (MWS), and neonatal-onset multisystem inflammatory disease (NOMID)\/chronic infantile neurologic, cutaneous and articular (CINCA) syndrome. They have in common a causative mutation in the NLRP3 gene. The altered gene product cryopyrin leads to activation of the inflammasome which in turn is responsible for excessive production of interleukin (IL)-1\u03b2. IL-1\u03b2 causes the inflammatory manifestations in CAPS. These appear as systemic inflammation including fever, headache or fatigue, rash, eye disease, progressive sensorineural hearing loss, musculoskeletal manifestations and central nervous system (CNS) symptoms (NOMID\/CINCA only). With the advent of IL-1 Inhibitors, safe and effective therapeutic options became available for this devastating disease. To prevent severe and possible life-threatening disease sequelae, early and correct diagnosis and immediate initiation of therapy are mandatory in most patients. Canakinumab is a fully human monoclonal IgG1 anti-IL-1\u03b2 antibody. It provides selective and prolonged IL-1\u03b2 blockade and has demonstrated a rapid (within hours), complete and sustained response in most CAPS patients without any consistent pattern of side effects. Long-term follow-up trials have demonstrated sustained efficacy, safety and tolerability. Canakinumab is approved by the US Food and Drug Administration for FCAS and MWS and by European Medicines Agency for treatment of all three phenotypes of CAPS.<\/jats:p>","DOI":"10.1177\/1759720x13502629","type":"journal-article","created":{"date-parts":[[2013,10,21]],"date-time":"2013-10-21T21:21:11Z","timestamp":1382390471000},"page":"315-329","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":50,"title":["Canakinumab in patients with cryopyrin-associated periodic syndrome: an update for clinicians"],"prefix":"10.1177","volume":"5","author":[{"given":"Jasmin B.","family":"Kuemmerle-Deschner","sequence":"first","affiliation":[{"name":"Division of Pediatric Rheumatology, Department of Pediatrics, University Children\u2019s Hospital Tuebingen, Hoppe-Seyler-Strasse 1, 72076 Tuebingen, 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