Evidence map›Paper›PMID 19198869›Full record

ArticleGraefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie2009

Intravenous daclizumab for recalcitrant ocular inflammatory disease.

Pooja Bhat, Rene A Castañeda-Cervantes, Priyanka P Doctor, C Stephen Foster

Abstract read
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In one paragraph

Article in Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
5.4field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 31 citations in OpenAlex.

  1. Review
  2. Optimising drug therapy for non-infectious uveitis.International ophthalmology · 2019
    Review
  3. Update in treatment of uveitic macular edema.Drug design, development and therapy · 2019
    Review
  4. Review
  5. Clinical trials in noninfectious uveitis.International ophthalmology clinics · 2015
    Review
  6. Review
  7. Pharmacotherapy for uveitis: current management and emerging therapy.Clinical ophthalmology (Auckland, N.Z.) · 2014
    Review
  8. Review
  9. Systemic treatment of vitreous inflammation.Mediators of inflammation · 2012
    Review
  10. Long-term daclizumab therapy for the treatment of noninfectious ocular inflammatory disease.Canadian journal of ophthalmology. Journal canadien d'ophtalmologie · 2011
    Article
  11. Key role for IL-21 in experimental autoimmune uveitis.Proceedings of the National Academy of Sciences of the United States of America · 2011
    Article
  12. Anti-inflammatory treatment of uveitis with biologicals: new treatment options that reflect pathogenetic knowledge of the disease.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2010
    Review
  13. Challenges of childhood uveitis.Sultan Qaboos University medical journal · 2009
    Article
  14. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Pooja BhatMassachusetts Eye Research and Surgery Institution, 5 Cambridge Center, 8th Floor, Cambridge, MA 02142, USA. pbhat@mersi.us
Rene A Castañeda-Cervantes
Priyanka P Doctor
C Stephen Foster
Massachusetts Eye Research and Surgery Institute · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo evaluate outcomes of patients with recalcitrant ocular inflammation treated with intravenous daclizumab.

methodsRetrospective case-series. Seventeen patients (33 eyes) with ocular inflammation who had failed several previous systemic immunomodulatory therapies were included in this study. Daclizumab was infused intravenously at a dose of 1 mg per kilogram every 2 weeks. The dose and intervals were adjusted according to control of inflammation off systemic and/or topical corticosteroid therapy. Control of ocular inflammation without corticosteroid therapy was the primary efficacy end point.

resultsThe mean patient age at the commencement of daclizumab therapy was 34.8(range 8-64 years). Three patients were less than 16 years of age at the initiation of therapy. The duration of drug use was 23.6 +/- 15.7 months (range 8-68 months), and the time to control inflammation was 9.8 +/- 11.3 weeks, which was achieved in 15 patients (88.2%). Flare-up rate was 44 per 100 person-years follow-up. Fifteen of 33 eyes (45%) had an improvement in the visual acuity, 13 eyes (39.3%) had stable acuities, and five eyes (15%) had a worsening of their acuities. Two patients (14%) exhibited worsening of ocular inflammation, and were declared as treatment failures. Side effects associated with daclizumab included nausea, fatigue and muscle aches.

conclusionDaclizumab is effective in controlling inflammation in patients with stubborn non-infectious ocular inflammation. It has a corticosteroid-sparing effect, can be used as long-term therapy in children and adults, and is capable of inducing durable remission.

Indexed as

AdolescentAdultAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedChildDaclizumabFemaleFollow-Up StudiesGlucocorticoidsHumansImmunoglobulin GImmunosuppressive AgentsInfusions, IntravenousMaleMiddle AgedRetrospective StudiesAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedDaclizumabGlucocorticoidsImmunoglobulin GImmunosuppressive Agents

Identifiers

PMID19198869
OpenAlexW2056568086

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.