Evidence map›Paper›PMID 21423146›Full record

ArticleEye (London, England)2011

Mycophenolate mofetil monotherapy in the management of paediatric uveitis.

P Y Chang, G P Giuliari, M Shaikh, P Thakuria, D Makhoul, C S Foster

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Eye (London, England), 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05540743 (The Efficacy of Anti-TNF Alpha Agents in the Treatment of JIA- Associated Uveitis in a Pediatric Cohort), which is not on this map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
3.8field-weighted citation impact, top 7% 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.

NCT05540743 phase4unknown statusnot on this mapstarted 2022, after this paper: background citation

The Efficacy of Anti-TNF Alpha Agents in the Treatment of JIA- Associated Uveitis in a Pediatric Cohort

TypeinterventionalSponsorKasr El Aini HospitalRan2022 to 2024Enrolled250ConditionsJuvenile Idiopathic Arthritis Associated UveitisArmsbiologic DMARDs
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 56 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. An Update on Treatment of Pediatric Chronic Non-Infectious Uveitis.Current treatment options in rheumatology · 2017
    Article
  9. Morphological assessment of the retina in uveitis.Journal of ophthalmic inflammation and infection · 2016
    Article
  10. Juvenile idiopathic arthritis-associated uveitis.Pediatric rheumatology online journal · 2016
    Review
  11. Uveitis associated with juvenile idiopathic arthritis.Nature reviews. Rheumatology · 2015
    Review
  12. [Therapy of intermediate uveitis].Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft · 2014
    Article
  13. Review
  14. Paediatric use of mycophenolate mofetil.British journal of clinical pharmacology · 2013
    Review
  15. Article
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

6 authors at 1 institution in 1 country.

P Y ChangMassachusetts Eye Research and Surgery Institution, Cambridge, MA, USA.
G P Giuliari
M Shaikh
P Thakuria
D Makhoul
C S Foster
Massachusetts Eye Research and Surgery Institute · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate effectiveness and safety of mycophenolate mofetil (MMF) monotherapy in paediatric autoimmune uveitis.

methodsWe reviewed medical records of patients, 18 years of age or younger, with autoimmune uveitis treated with MMF at our practice from 2005 to 2009. The dose and duration of MMF therapy, inflammation status, visual acuity, previous immunomodulatory therapies, and adverse effects were recorded. In addition, the following subgroups were defined: (1) Durable Disease Control: patients whose uveitis remained quiescent for at least 2 years on MMF monotherapy, with no more than two flare-ups successfully treated with an increase in MMF dosage and/or a short course (<1 month) of corticosteroids; (2) Short-term Inflammation Control: patients whose uveitis remained quiescent for less than 2 years, with no more than one flare-up successfully treated with an increase in MMF dosage and/or a short course of corticosteroids, or who initially achieved inflammation control but discontinued MMF because of significant adverse effects.

resultsA total of 38 out of 52 patients (73.1%) obtained inflammation control following 2 months of MMF monotherapy, achieving ≤ 0.5+ grading in anterior chamber cell/flare and vitreous haze. In the cross-sectional analysis, 25 patients (48.1%) met the criteria for Durable Disease Control, and 13 others (25.0%) qualified for Short-term Inflammation Control. Visual acuity remained stable or improved in 94.2% of the study population. Six patients (11.5%) discontinued MMF because of significant adverse effects, the most common of which was gastrointestinal disturbances.

conclusionMMF monotherapy appears to be an effective and safe treatment in paediatric autoimmune uveitis.

Indexed as

AdolescentChildChild, PreschoolFemaleGastrointestinal DiseasesHumansImmunosuppressive AgentsMaleMycophenolic AcidRetrospective StudiesUveitisVisual AcuityImmunosuppressive AgentsMycophenolic Acid

Identifiers

PMID21423146
PMCPMC3171236
OpenAlexW2117696239

What OpenQuestion holds

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Registered trials

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.