Evidence map›Paper›PMID 32157555›Full record

ArticleInflammopharmacology2020

Adalimumab effectively controls both anterior and posterior noninfectious uveitis associated with systemic inflammatory diseases: focus on Behçet's syndrome.

Elena Silvestri, Alice Bitossi, Alessandra Bettiol, Giacomo Emmi, Maria Letizia Urban, Irene Mattioli, Gerardo Di Scala, Daniela Bacherini, Giuseppe Lopalco, Vincenzo Venerito and 9 more

Open access · greenAbstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Inflammopharmacology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 9% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Behçet's Disease Uveitis.Journal of clinical medicine · 2023
    Review
  6. Article
  7. Review
  8. Article
  9. Pediatric uveitis: Role of the pediatrician.Frontiers in pediatrics · 2022
    Review
  10. Behçet Disease: An Update for Dermatologists.American journal of clinical dermatology · 2021
    Review
  11. Review
  12. Review
  13. Experimental Therapeutic Solutions for Behcet's Disease.Journal of experimental pharmacology · 2021
    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

19 authors at 4 institutions in 1 country.

Elena SilvestriDepartment of Experimental and Clinical Medicine, University of Firenze, 50134, Florence, Italy.
Alice BitossiDepartment of Surgery and Translational Medicine, Eye Clinic, University of Firenze, 50134, Florence, Italy.
Alessandra BettiolDepartment of Neurosciences, Psychology, Drug Research and Child Health (NEUROFARBA), University of Firenze, 50139, Florence, Italy. alessandra.bettiol@unifi.it.
Giacomo EmmiDepartment of Experimental and Clinical Medicine, University of Firenze, 50134, Florence, Italy.
Maria Letizia UrbanDepartment of Experimental and Clinical Medicine, University of Firenze, 50134, Florence, Italy.
Irene MattioliDepartment of Experimental and Clinical Medicine, University of Firenze, 50134, Florence, Italy.
Gerardo Di ScalaDepartment of Experimental and Clinical Medicine, University of Firenze, 50134, Florence, Italy.
Daniela BacheriniDepartment of Surgery and Translational Medicine, Eye Clinic, University of Firenze, 50134, Florence, Italy.
Giuseppe LopalcoDepartment of Emergency and Organ Transplantation (DETO), Rheumatology Unit, University of Bari, 70121, Bari, Italy.
Vincenzo VeneritoDepartment of Emergency and Organ Transplantation (DETO), Rheumatology Unit, University of Bari, 70121, Bari, Italy.
Florenzo IannoneDepartment of Emergency and Organ Transplantation (DETO), Rheumatology Unit, University of Bari, 70121, Bari, Italy.
Antonio VitaleResearch Center of Systemic Autoinflammatory Diseases and Behçet's Disease and Rheumatology-Ophthalmology Collaborative Uveitis Center, Department of Medical Sciences, Surgery and Neurosciences, University of Siena, 53100, Siena, Italy.
Gian Marco TosiOphthalmology Unit of the Department of Medicine, Surgery and Neuroscience, University of Siena, 53100, Siena, Italy.
Stanislao RizzoOphtalmology, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168, Rome, Italy.
Claudia FabianiResearch Center of Systemic Autoinflammatory Diseases and Behçet's Disease and Rheumatology-Ophthalmology Collaborative Uveitis Center, Department of Medical Sciences, Surgery and Neurosciences, University of Siena, 53100, Siena, Italy.
Luca CantariniResearch Center of Systemic Autoinflammatory Diseases and Behçet's Disease and Rheumatology-Ophthalmology Collaborative Uveitis Center, Department of Medical Sciences, Surgery and Neurosciences, University of Siena, 53100, Siena, Italy.
Gianni VirgiliDepartment of Surgery and Translational Medicine, Eye Clinic, University of Firenze, 50134, Florence, Italy.
Lorenzo VannozziDepartment of Surgery and Translational Medicine, Eye Clinic, University of Firenze, 50134, Florence, Italy.
Domenico PriscoDepartment of Experimental and Clinical Medicine, University of Firenze, 50134, Florence, Italy.
University of Florence · ITUniversity of Siena · ITUniversity of Bari Aldo Moro · ITAgostino Gemelli University Polyclinic · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo compare the efficacy of Adalimumab (ADA) in noninfectious anterior uveitis (AU) and posterior segment (PS) involvement, associated with different conditions, with a focus on Behçet's syndrome (BS).

methodsIn this retrospective, multicenter post-hoc study, we evaluated the efficacy of ADA in terms of ocular control and relapses in 96 patients with AU and PS uveitis, either idiopathic (IU) or associated with BS or with other systemic disorders (OSD) (Juvenile Idiopathic Arthritis, Psoriatic Arthritis, Ankylosing Spondylitis, Vogt-Koyanagi-Harada, Inflammatory Bowel Disease), followed in three tertiary referral centers.

resultsNinety-six patients (45 AU; 51 PS uveitis) were included. Eleven had IU, 58 BS, and 27 OSD. All patients with AU achieved complete long-term ocular control. In PS uveitis, 89%, 67% and 100% of patients with BS, IU and OSD achieved ocular control at the last follow-up (> 12 months), respectively. The lowest ocular relapse rate occurred in patients with AU with BS (1/13) or IU (0/2). ADA accounted for long-term disease control, and no predictors of ocular control and relapse were identified; particularly, ocular relapses seemed not related to systemic ones. Macular edema resolved in 75% and 67% of PS uveitis with BS and IU, respectively.

conclusionsADA controls both anterior and posterior uveitis, with an efficacy similar in IU, BS and OSD patients. In BS, the efficacy of ADA seems to be independent of demographic and clinical characteristics, and ocular relapses mostly occurred independently from systemic ones. Based on our results, ADA may represent a valid alternative in anterior refractory uveitis.

Indexed as

AdalimumabAdolescentAdultArthritis, JuvenileBehcet SyndromeFemaleHumansInflammationMaleRetrospective StudiesUveitisYoung AdultAdalimumabAdalimumabAnterior uveitisBehçet’s syndromeMacular edemaOcular relapsesUveitis

Identifiers

PMID32157555
OpenAlexW3010729556

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.