Evidence map›Paper›PMID 27630374›Full record

Trial reportTransactions of the American Ophthalmological Society2016

The Effect of Different Dosing Schedules of Intravitreal Sirolimus, a Mammalian Target of Rapamycin (mTOR) Inhibitor, in the Treatment of Non-Infectious Uveitis (An American Ophthalmological Society Thesis).

Quan Dong Nguyen, Mohammad Ali Sadiq, Mohamed Kamel Soliman, Aniruddha Agarwal, Diana V Do, Yasir J Sepah

Open access · greenAbstract readClinical Trial, Phase IIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Transactions of the American Ophthalmological Society, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
3.7field-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.

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

17 citing papers in PubMed, 29 citations in OpenAlex.

  1. Trial
  2. Noninfectious uveitis: Management with biologic agents.Indian journal of ophthalmology · 2026
    Review
  3. Review
  4. Cellular Recycling Gone Wrong: The Role of Dysregulated Autophagy and Hyperactive mTORC1 in the Pathogenesis of Sarcoidosis.Sarcoidosis, vasculitis, and diffuse lung diseases : official journal of WASOG · 2023
    Article
  5. Article
  6. Intraocular therapy in noninfectious uveitis.Journal of ophthalmic inflammation and infection · 2021
    Review
  7. Update on the Management of Uveitic Macular Edema.Journal of clinical medicine · 2021
    Review
  8. Refractory Sarcoidosis: A Review.Therapeutics and clinical risk management · 2020
    Review
  9. Article
  10. In vivo and in vitro toxicity evaluation of liposome-encapsulated sirolimus.International journal of retina and vitreous · 2019
    Article
  11. Review
  12. Update in treatment of uveitic macular edema.Drug design, development and therapy · 2019
    Review
  13. Review
  14. The Eyes Have it: A Rheumatologist's View of Uveitis.Arthritis & rheumatology (Hoboken, N.J.) · 2018
    Review
  15. Review
  16. Review
  17. 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

6 authors at 1 institution in 1 country.

Quan Dong NguyenOcular Imaging Research and Reading Center (OIRRC), Omaha, Nebraska, USA.
Mohammad Ali SadiqOcular Imaging Research and Reading Center (OIRRC), Omaha, Nebraska, USA.
Mohamed Kamel SolimanOcular Imaging Research and Reading Center (OIRRC), Omaha, Nebraska, USA.
Aniruddha AgarwalOcular Imaging Research and Reading Center (OIRRC), Omaha, Nebraska, USA.
Diana V DoOcular Imaging Research and Reading Center (OIRRC), Omaha, Nebraska, USA.
Yasir J SepahOcular Imaging Research and Reading Center (OIRRC), Omaha, Nebraska, USA.
Advanced Imaging Research (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo determine if two different doses of intravitreal sirolimus, an mTOR inhibitor, can decrease inflammation and is safe in eyes with non-infectious posterior, intermediate, or panuveitis in the Sirolimus as a Therapeutic Approach UVEitis: Protocol-2 (SAVE-2) Study.

methodsSAVE-2 is a prospective randomized, phase II, open-label interventional clinical trial conducted at 4 clinical centers in the United States. Eligible subjects were randomized into one of two treatments. Group 1 received 440µg of intravitreal sirolimus in study eyes on days 0, 30, 60, 90, 120, and 150; group 2 received 880µg of intravitreal sirolimus on days 0, 60, and 120. Fellow eyes were also eligible to receive sirolimus (of opposite dose to that of study eye). Primary endpoint of the study was at month 6 (M6).

results24 subjects have been randomized in SAVE-2 and are included in the analysis. Vitreous haze decreased by ≥2 steps in 63.6% and 50% of patients in groups 1 and 2, respectively at M6 (p=0.695). Mean change in best-corrected visual acuity for subjects was +3.66 and -2.91 ETDRS letters in group 1 and 2, respectively. Among subjects with macular edema at baseline (n=13), the mean change in foveal thickness was -89.42µm in group 1 and +81.5µm in group 2 at M6.

conclusionsBoth low and high doses of intravitreal sirolimus were found to decrease vitreous haze in eyes with non-infectious uveitis. Low dose (440µg) sirolimus administered monthly may be more efficacious in reducing uveitic macular edema than high dose (880µg) administered every 2 months.

Indexed as

Dose-Response Relationship, DrugDrug Administration ScheduleFemaleFollow-Up StudiesHumansImmunosuppressive AgentsMaleMiddle AgedOphthalmologyProspective StudiesSirolimusSocieties, MedicalTime FactorsTomography, Optical CoherenceTOR Serine-Threonine KinasesTreatment OutcomeImmunosuppressive AgentsMTOR protein, humanSirolimusTOR Serine-Threonine Kinases

Identifiers

PMID27630374
PMCPMC5012855
OpenAlexW2534106669

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.