Randomized controlled study to evaluate the efficacy of adalimumab in patients with different forms of refractory uveitis
Purpose: TNF alpha inhibitors have revolutionized the care of vision-threatening uveitis. This study evaluated the efficacy of adalimumab (ADA) for the treatment of refractory noninfectious uveitis.Design: Randomized, prospective, controlled, two-center clinical trialMethods: Patients with active uv...
Gespeichert in:
| Hauptverfasser: | , , , , , |
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| Dokumenttyp: | Article (Journal) |
| Sprache: | Englisch |
| Veröffentlicht: |
2018
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| In: |
Ocular immunology and inflammation
Year: 2017, Jahrgang: 26, Heft: 7, Pages: 1015-1022 |
| ISSN: | 1744-5078 |
| DOI: | 10.1080/09273948.2017.1411518 |
| Online-Zugang: | Verlag, Volltext: http://dx.doi.org/10.1080/09273948.2017.1411518 Verlag, Volltext: https://doi.org/10.1080/09273948.2017.1411518 |
| Verfasserangaben: | Friederike Mackensen, MD, Carsten Heinz, MD, Eva Jakob, MD, Viviane Grewing, MD, Hanns-Martin Lorenz, MD, Arnd Heiligenhaus, MD, Regina Max, MD, and Matthias D. Becker, MD, PhD |
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| 245 | 1 | 0 | |a Randomized controlled study to evaluate the efficacy of adalimumab in patients with different forms of refractory uveitis |c Friederike Mackensen, MD, Carsten Heinz, MD, Eva Jakob, MD, Viviane Grewing, MD, Hanns-Martin Lorenz, MD, Arnd Heiligenhaus, MD, Regina Max, MD, and Matthias D. Becker, MD, PhD |
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| 520 | |a Purpose: TNF alpha inhibitors have revolutionized the care of vision-threatening uveitis. This study evaluated the efficacy of adalimumab (ADA) for the treatment of refractory noninfectious uveitis.Design: Randomized, prospective, controlled, two-center clinical trialMethods: Patients with active uveitis despite combined oral low-dose prednisolone and immunosuppression were randomized for additional ADA with corticosteroids in a fixed tapering regime, or corticosteroids only. Primary outcome measure at three months was improved best-corrected visual acuity (BCVA; >2 lines). In case of treatment failure, switch to the other arm was possible.Results: Twenty-five patients (10 ADA, 15 controls) were included. BCVA increased with ADA by > 2 lines in 6/10 patients (60%; mean increase of 0.23 logMAR), but in only 2/15 from controls (13%, mean increase of 0.04 logMAR, Fisher´s exact test p = 0.00221).Conclusions: The results show superiority of ADA over controls in severe ocular inflammation including anterior uveitis. | ||
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