Fertility in male patients with seronegative spondyloarthropathies treated with infliximab

Abstract Objectives The majority of patients with ankylosing spondylitis (AS) and psoriatic arthritis (PsA) are affected during their peak reproductive years. Tumor necrosis factor (TNF)α plays a pivotal role in the pathogenesis of both diseases. Today, anti-TNFα blockers are an essential treatment...

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Veröffentlicht in:Joint, bone, spine : revue du rhumatisme bone, spine : revue du rhumatisme, 2013-01, Vol.80 (1), p.34-37
Hauptverfasser: Saougou, Ioanna, Markatseli, Theodora E, Papagoras, Charalampos, Kaltsonoudis, Evripidis, Voulgari, Paraskevi V, Drosos, Alexandros A
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container_issue 1
container_start_page 34
container_title Joint, bone, spine : revue du rhumatisme
container_volume 80
creator Saougou, Ioanna
Markatseli, Theodora E
Papagoras, Charalampos
Kaltsonoudis, Evripidis
Voulgari, Paraskevi V
Drosos, Alexandros A
description Abstract Objectives The majority of patients with ankylosing spondylitis (AS) and psoriatic arthritis (PsA) are affected during their peak reproductive years. Tumor necrosis factor (TNF)α plays a pivotal role in the pathogenesis of both diseases. Today, anti-TNFα blockers are an essential treatment for these patients. To identify male patients who achieved pregnancy development during their management with anti-TNFα blockers (infliximab). Methods We reviewed the data of 65 patients with AS and 30 patients with PsA who were followed-up in our rheumatology outpatients clinic and they were on infliximab therapy between January 2001 and December 2010. Results We identified overall seven male patients with AS and three male patients with PsA who had fathered 14 healthy infants. Moreover, we recognized one man with PsA who was on infliximab and on concomitant therapy with MTX at the time of conception, whose wife had to proceed to therapeutic abortion due to congenital abnormalities of the fetus (hydrocephalia), while she was on the first trimester of pregnancy. Conclusions We described male patients with AS and PsA who demonstrated no fertility problems while they were on infliximab treatment. The data designated in this report provide some supportive evidence for the safe use of infliximab in male patients who are affected of those inflammatory diseases during their peak reproductive years.
doi_str_mv 10.1016/j.jbspin.2012.03.004
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Tumor necrosis factor (TNF)α plays a pivotal role in the pathogenesis of both diseases. Today, anti-TNFα blockers are an essential treatment for these patients. To identify male patients who achieved pregnancy development during their management with anti-TNFα blockers (infliximab). Methods We reviewed the data of 65 patients with AS and 30 patients with PsA who were followed-up in our rheumatology outpatients clinic and they were on infliximab therapy between January 2001 and December 2010. Results We identified overall seven male patients with AS and three male patients with PsA who had fathered 14 healthy infants. Moreover, we recognized one man with PsA who was on infliximab and on concomitant therapy with MTX at the time of conception, whose wife had to proceed to therapeutic abortion due to congenital abnormalities of the fetus (hydrocephalia), while she was on the first trimester of pregnancy. Conclusions We described male patients with AS and PsA who demonstrated no fertility problems while they were on infliximab treatment. The data designated in this report provide some supportive evidence for the safe use of infliximab in male patients who are affected of those inflammatory diseases during their peak reproductive years.</description><identifier>ISSN: 1297-319X</identifier><identifier>EISSN: 1778-7254</identifier><identifier>DOI: 10.1016/j.jbspin.2012.03.004</identifier><identifier>PMID: 22575067</identifier><language>eng</language><publisher>France: Elsevier SAS</publisher><subject>Abortion ; Adult ; Ankylosing spondylitis ; Anti-Inflammatory Agents, Non-Steroidal - adverse effects ; Anti-Inflammatory Agents, Non-Steroidal - pharmacology ; Anti-Inflammatory Agents, Non-Steroidal - therapeutic use ; Antibodies, Monoclonal - adverse effects ; Antibodies, Monoclonal - pharmacology ; Antibodies, Monoclonal - therapeutic use ; Arthritis ; Data processing ; Development ; Fertility ; Fetuses ; Humans ; Infants ; Infertility, Male - chemically induced ; Inflammatory diseases ; Infliximab ; Internal Medicine ; Joint diseases ; Male ; Male fertility ; Monoclonal antibodies ; Pregnancy ; Psoriatic arthritis ; Rheumatology ; Spermatogenesis - drug effects ; Spine ; Spondylarthropathies - drug therapy ; Spondyloarthropathies ; spondyloarthropathy ; Tumor necrosis factor ; Tumor necrosis factor- alpha ; Tumor Necrosis Factor-alpha - antagonists &amp; inhibitors</subject><ispartof>Joint, bone, spine : revue du rhumatisme, 2013-01, Vol.80 (1), p.34-37</ispartof><rights>Société française de rhumatologie</rights><rights>2012 Société française de rhumatologie</rights><rights>Copyright © 2012 Société française de rhumatologie. Published by Elsevier SAS. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c450t-302d8dab55d632b62cb575db898df064788e90039b47e8f3dda0ede49a28545f3</citedby><cites>FETCH-LOGICAL-c450t-302d8dab55d632b62cb575db898df064788e90039b47e8f3dda0ede49a28545f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jbspin.2012.03.004$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3548,27922,27923,45993</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22575067$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Saougou, Ioanna</creatorcontrib><creatorcontrib>Markatseli, Theodora E</creatorcontrib><creatorcontrib>Papagoras, Charalampos</creatorcontrib><creatorcontrib>Kaltsonoudis, Evripidis</creatorcontrib><creatorcontrib>Voulgari, Paraskevi V</creatorcontrib><creatorcontrib>Drosos, Alexandros A</creatorcontrib><title>Fertility in male patients with seronegative spondyloarthropathies treated with infliximab</title><title>Joint, bone, spine : revue du rhumatisme</title><addtitle>Joint Bone Spine</addtitle><description>Abstract Objectives The majority of patients with ankylosing spondylitis (AS) and psoriatic arthritis (PsA) are affected during their peak reproductive years. Tumor necrosis factor (TNF)α plays a pivotal role in the pathogenesis of both diseases. Today, anti-TNFα blockers are an essential treatment for these patients. To identify male patients who achieved pregnancy development during their management with anti-TNFα blockers (infliximab). Methods We reviewed the data of 65 patients with AS and 30 patients with PsA who were followed-up in our rheumatology outpatients clinic and they were on infliximab therapy between January 2001 and December 2010. Results We identified overall seven male patients with AS and three male patients with PsA who had fathered 14 healthy infants. Moreover, we recognized one man with PsA who was on infliximab and on concomitant therapy with MTX at the time of conception, whose wife had to proceed to therapeutic abortion due to congenital abnormalities of the fetus (hydrocephalia), while she was on the first trimester of pregnancy. Conclusions We described male patients with AS and PsA who demonstrated no fertility problems while they were on infliximab treatment. The data designated in this report provide some supportive evidence for the safe use of infliximab in male patients who are affected of those inflammatory diseases during their peak reproductive years.</description><subject>Abortion</subject><subject>Adult</subject><subject>Ankylosing spondylitis</subject><subject>Anti-Inflammatory Agents, Non-Steroidal - adverse effects</subject><subject>Anti-Inflammatory Agents, Non-Steroidal - pharmacology</subject><subject>Anti-Inflammatory Agents, Non-Steroidal - therapeutic use</subject><subject>Antibodies, Monoclonal - adverse effects</subject><subject>Antibodies, Monoclonal - pharmacology</subject><subject>Antibodies, Monoclonal - therapeutic use</subject><subject>Arthritis</subject><subject>Data processing</subject><subject>Development</subject><subject>Fertility</subject><subject>Fetuses</subject><subject>Humans</subject><subject>Infants</subject><subject>Infertility, Male - chemically induced</subject><subject>Inflammatory diseases</subject><subject>Infliximab</subject><subject>Internal Medicine</subject><subject>Joint diseases</subject><subject>Male</subject><subject>Male fertility</subject><subject>Monoclonal antibodies</subject><subject>Pregnancy</subject><subject>Psoriatic arthritis</subject><subject>Rheumatology</subject><subject>Spermatogenesis - drug effects</subject><subject>Spine</subject><subject>Spondylarthropathies - drug therapy</subject><subject>Spondyloarthropathies</subject><subject>spondyloarthropathy</subject><subject>Tumor necrosis factor</subject><subject>Tumor necrosis factor- alpha</subject><subject>Tumor Necrosis Factor-alpha - antagonists &amp; 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Markatseli, Theodora E ; Papagoras, Charalampos ; Kaltsonoudis, Evripidis ; Voulgari, Paraskevi V ; Drosos, Alexandros A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c450t-302d8dab55d632b62cb575db898df064788e90039b47e8f3dda0ede49a28545f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Abortion</topic><topic>Adult</topic><topic>Ankylosing spondylitis</topic><topic>Anti-Inflammatory Agents, Non-Steroidal - adverse effects</topic><topic>Anti-Inflammatory Agents, Non-Steroidal - pharmacology</topic><topic>Anti-Inflammatory Agents, Non-Steroidal - therapeutic use</topic><topic>Antibodies, Monoclonal - adverse effects</topic><topic>Antibodies, Monoclonal - pharmacology</topic><topic>Antibodies, Monoclonal - therapeutic use</topic><topic>Arthritis</topic><topic>Data processing</topic><topic>Development</topic><topic>Fertility</topic><topic>Fetuses</topic><topic>Humans</topic><topic>Infants</topic><topic>Infertility, Male - chemically induced</topic><topic>Inflammatory diseases</topic><topic>Infliximab</topic><topic>Internal Medicine</topic><topic>Joint diseases</topic><topic>Male</topic><topic>Male fertility</topic><topic>Monoclonal antibodies</topic><topic>Pregnancy</topic><topic>Psoriatic arthritis</topic><topic>Rheumatology</topic><topic>Spermatogenesis - drug effects</topic><topic>Spine</topic><topic>Spondylarthropathies - drug therapy</topic><topic>Spondyloarthropathies</topic><topic>spondyloarthropathy</topic><topic>Tumor necrosis factor</topic><topic>Tumor necrosis factor- alpha</topic><topic>Tumor Necrosis Factor-alpha - antagonists &amp; inhibitors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Saougou, Ioanna</creatorcontrib><creatorcontrib>Markatseli, Theodora E</creatorcontrib><creatorcontrib>Papagoras, Charalampos</creatorcontrib><creatorcontrib>Kaltsonoudis, Evripidis</creatorcontrib><creatorcontrib>Voulgari, Paraskevi V</creatorcontrib><creatorcontrib>Drosos, Alexandros A</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Calcium &amp; Calcified Tissue Abstracts</collection><jtitle>Joint, bone, spine : revue du rhumatisme</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Saougou, Ioanna</au><au>Markatseli, Theodora E</au><au>Papagoras, Charalampos</au><au>Kaltsonoudis, Evripidis</au><au>Voulgari, Paraskevi V</au><au>Drosos, Alexandros A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Fertility in male patients with seronegative spondyloarthropathies treated with infliximab</atitle><jtitle>Joint, bone, spine : revue du rhumatisme</jtitle><addtitle>Joint Bone Spine</addtitle><date>2013-01-01</date><risdate>2013</risdate><volume>80</volume><issue>1</issue><spage>34</spage><epage>37</epage><pages>34-37</pages><issn>1297-319X</issn><eissn>1778-7254</eissn><abstract>Abstract Objectives The majority of patients with ankylosing spondylitis (AS) and psoriatic arthritis (PsA) are affected during their peak reproductive years. Tumor necrosis factor (TNF)α plays a pivotal role in the pathogenesis of both diseases. Today, anti-TNFα blockers are an essential treatment for these patients. To identify male patients who achieved pregnancy development during their management with anti-TNFα blockers (infliximab). Methods We reviewed the data of 65 patients with AS and 30 patients with PsA who were followed-up in our rheumatology outpatients clinic and they were on infliximab therapy between January 2001 and December 2010. Results We identified overall seven male patients with AS and three male patients with PsA who had fathered 14 healthy infants. Moreover, we recognized one man with PsA who was on infliximab and on concomitant therapy with MTX at the time of conception, whose wife had to proceed to therapeutic abortion due to congenital abnormalities of the fetus (hydrocephalia), while she was on the first trimester of pregnancy. Conclusions We described male patients with AS and PsA who demonstrated no fertility problems while they were on infliximab treatment. The data designated in this report provide some supportive evidence for the safe use of infliximab in male patients who are affected of those inflammatory diseases during their peak reproductive years.</abstract><cop>France</cop><pub>Elsevier SAS</pub><pmid>22575067</pmid><doi>10.1016/j.jbspin.2012.03.004</doi><tpages>4</tpages></addata></record>
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subjects Abortion
Adult
Ankylosing spondylitis
Anti-Inflammatory Agents, Non-Steroidal - adverse effects
Anti-Inflammatory Agents, Non-Steroidal - pharmacology
Anti-Inflammatory Agents, Non-Steroidal - therapeutic use
Antibodies, Monoclonal - adverse effects
Antibodies, Monoclonal - pharmacology
Antibodies, Monoclonal - therapeutic use
Arthritis
Data processing
Development
Fertility
Fetuses
Humans
Infants
Infertility, Male - chemically induced
Inflammatory diseases
Infliximab
Internal Medicine
Joint diseases
Male
Male fertility
Monoclonal antibodies
Pregnancy
Psoriatic arthritis
Rheumatology
Spermatogenesis - drug effects
Spine
Spondylarthropathies - drug therapy
Spondyloarthropathies
spondyloarthropathy
Tumor necrosis factor
Tumor necrosis factor- alpha
Tumor Necrosis Factor-alpha - antagonists & inhibitors
title Fertility in male patients with seronegative spondyloarthropathies treated with infliximab
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