Causal mediation analysis of the relationship of canakinumab's effect against subsequent gout flares and high-sensitivity C-reactive protein in CANTOS.
Kazuki YoshidaRobert J GlynnHyon K ChoiBrendan M EverettYi LiJean G MacFadyenPaul M RidkerDaniel H SolomonPublished in: Arthritis care & research (2021)
The first 3-month reduction in hsCRP was not a good biomarker for canakinumab's protective effect on future gout flares in the overall cohort. Among prevalent gout patients, there may be a potential role for early hsCRP reduction as a biomarker for IL-1β inhibitors' future gout flare benefit.