Heart failure & cardiomyopathies

Interleukin-1 Blockade in Heart Failure: An On-Treatment and Off-Treatment Cardiorespiratory Fitness Analysis

ESC Heart FailPublished Pooled analysis of patients with heart failure (HF) treated with anakinra

Authors' conclusion

These data validate IL-1 as an active and dynamic modulator of cardiac function and cardiorespiratory fitness in HF.

Study context

Population
Patients with HF; 37 (51%) females, 52 (71%) Black-African-American46 with off-treatment data
Participants
73 patients
Comparison
On-treatment with anakinra vs baseline, and off-treatment after cessation
  • Off-treatmentn = 46
Outcome
Changes in cardiorespiratory fitness and cardiac function on-treatment with anakinra and off-treatment
Methodological detailson-treatment and off-treatment, before-after
  • On-treatment and off-treatment
  • Before-after

Pooled result

As reported in the abstract

VO2peak (on-treatment) · 4 [2-12] weeks

P < 0.001

Further pooled results

OutcomeOn-treatmentOff-treatmentP value
hs-CRP (on-treatment) · 4 [2-12] weeksOn-treatment vs Baselinemedian 1.4 (IQR 0.8–3.4) mg/L— not stated in the abstractP < 0.001
VO2peak (off-treatment, n=46) · 12 [4-12] weeks after cessationOff-treatment vs On-treatment · off-treatment analysis · median, mL/kg/min16.2 (IQR 14.0–18.4)14.9 (IQR 11.5–17.8)P = 0.017
CRP (off-treatment, n=46) · 12 [4-12] weeks after cessationOff-treatment vs On-treatment · off-treatment analysis · median1.5 (IQR 1.0–3.4)5.9 (IQR 1.8–13.1)P = 0.001

— not stated in the abstract

  • hs-CRP (on-treatment): Baseline median 6.2 (IQR 3.3–15.4) mg/L

Original publication

Interleukin-1 Blockade in Heart Failure: An On-Treatment and Off-Treatment Cardiorespiratory Fitness Analysis. ESC Heart Fail. Published 4 July 2023. doi:10.1002/ehf2.14460

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