Evidence map›Paper›PMID 34419092›Full record

ArticlePediatric rheumatology online journal2021

Golimumab in juvenile idiopathic arthritis-associated uveitis unresponsive to Adalimumab.

Sofia Lanz, Gerald Seidel, Andrea Skrabl-Baumgartner

Open access · goldAbstract read
In one paragraph

Article in Pediatric rheumatology online journal, 2021. 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
4.3field-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, 28 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Article
  5. Review
  6. A clearer vision: insights into juvenile idiopathic arthritis-associated uveitis.Proceedings (Baylor University. Medical Center) · 2024
    Article
  7. Review
  8. An Overview of Pediatric Uveitis.Turkish archives of pediatrics · 2023
    Article
  9. Review
  10. Pediatric uveitis: Role of the pediatrician.Frontiers in pediatrics · 2022
    Review
  11. Review
  12. Article
  13. Juvenile idiopathic arthritis and associated uveitis: A review of pathogenesis, diagnosis, and management.Saudi journal of ophthalmology : official journal of the Saudi Ophthalmological Society
    Article
  14. 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

3 authors at 1 institution in 1 country.

Sofia LanzDivision of General Pediatrics, Department of Pediatrics and Adolescent Medicine, Medical University Graz, Graz, Austria.
Gerald SeidelDepartment of Ophthalmology, Medical University Graz, Graz, Austria.
Andrea Skrabl-BaumgartnerDivision of General Pediatrics, Department of Pediatrics and Adolescent Medicine, Medical University Graz, Graz, Austria. andrea.skrabl-baumgartner@medunigraz.at.ORCID http://orcid.org/0000-0001-7797-3124
Medical University of Graz · AT

Funding

Merck Sharp and Dohme MISP ID 59252
6 · The paper itself

Abstract

objectiveTo assess the efficacy of golimumab (GLM) as a treatment option for juvenile idiopathic arthritis (JIA)-associated uveitis refractory to adalimumab (ADA).

methodsRetrospective single-centre study including patients with JIA receiving GLM for active uveitis after failing ADA. JIA- and uveitis-related data, including intraocular inflammation, best-corrected visual acuity, corticosteroid-sparing potential, and ocular complications were evaluated at start of GLM treatment, at 1 month and 3 months, and every 3 months thereafter during GLM administration. We further investigated the association of response to GLM with primary and secondary failure of ADA treatment.

resultsTen patients were studied, all female (17 affected eyes, mean age 14.3 + 6.7 yrs., mean follow-up 25.2 + 21.7 mos). Two patients were switched to GLM because of primary non-response to ADA. Eight were switched because of loss of response (LOR). In 5 of the latter LOR was associated with neutralizing anti-ADA-antibodies. Response to GLM was observed in all 8 patients with LOR, while the 2 patients with primary non-response to ADA also did not respond to GLM. Three of the 8 responders experienced LOR. At the end of follow-up 4 of the 5 remaining responders had achieved complete response. One had achieved partial response.

conclusionGLM is an efficacious therapeutic option in patients who experience LOR to ADA. Our data indicate that patients without primary response to ADA should be rather switched to a biologic agent with a different mode of action instead of further blocking the TNF-alpha pathway.

Indexed as

AdalimumabUveitisAdolescentAntibodies, MonoclonalArthritis, JuvenileAustriaBiological ProductsBiomarkers, PharmacologicalChildDrug MonitoringDrug SubstitutionDuration of TherapyFemaleHumansImmunologic TestsMaleAdalimumabAntibodies, MonoclonalBiological ProductsBiomarkers, PharmacologicalgolimumabTumor Necrosis Factor InhibitorsAdalimumabGolimumabJuvenile idiopathic arthritisRefractory uveitisTreatment failure

Identifiers

PMID34419092
PMCPMC8380315
OpenAlexW3195611064

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.