Evidence map›Paper›PMID 34632076›Full record

ArticleBMJ open ophthalmology2021

Adalimumab in patients with vision-threatening uveitis: real-world clinical experience.

Timothy Lee Tang Lee Say, Verlyn Yang, Jacob M Fingret, Sophia Zagora, Richard Symes, Christine Younan, Elisa Eleanor Cornish, Nitin Verma, Anthony Sammel, Denis Wakefield and 2 more

Open access · goldAbstract read
In one paragraph

Article in BMJ open ophthalmology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.9field-weighted citation impact, top 15% 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

10 citing papers in PubMed, 17 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Observational
  5. Article
  6. Article
  7. Observational
  8. Article
  9. Pediatric uveitis: Role of the pediatrician.Frontiers in pediatrics · 2022
    Review
  10. Adalimumab treatment for chronic recurrent Vogt-Koyanagi-Harada disease with sunset glow fundus: A multicenter study.Saudi journal of ophthalmology : official journal of the Saudi Ophthalmological Society
    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

12 authors at 5 institutions in 1 country.

Timothy Lee Tang Lee Say *Sydney Hospital and Sydney Eye Hospital, Sydney, New South Wales, Australia.ORCID 0000-0001-6392-791X
Verlyn Yang *Royal Hobart Hospital, Hobart, Tasmania, Australia.ORCID 0000-0002-8353-3667
Jacob M FingretSydney Hospital and Sydney Eye Hospital, Sydney, New South Wales, Australia.
Sophia ZagoraSydney Hospital and Sydney Eye Hospital, Sydney, New South Wales, Australia.
Richard SymesSydney Hospital and Sydney Eye Hospital, Sydney, New South Wales, Australia.
Christine YounanSydney Hospital and Sydney Eye Hospital, Sydney, New South Wales, Australia.
Elisa Eleanor CornishSydney Hospital and Sydney Eye Hospital, Sydney, New South Wales, Australia.ORCID 0000-0003-3898-8811
Nitin VermaRoyal Hobart Hospital, Hobart, Tasmania, Australia.
Anthony SammelSydney Hospital and Sydney Eye Hospital, Sydney, New South Wales, Australia.
Denis WakefieldSaint Vincent's Hospital, Darlinghurst, New South Wales, Australia.
Deborah SpedenRoyal Hobart Hospital, Hobart, Tasmania, Australia.
Peter J McCluskeySydney Hospital and Sydney Eye Hospital, Sydney, New South Wales, Australia.
The University of Sydney · AUSydney Hospital · AUUniversity of Tasmania · AURoyal Hobart Hospital · AUUNSW Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesBiologics are rapidly emerging as an effective vision saving addition to systemic uveitis therapy. The aim of this multicentre retrospective study is to review the outcomes of a large group of patients treated with adalimumab.

methodsA retrospective chart review of patients with refractory non-infectious, active uveitis treated with adalimumab was conducted. The main outcome measures were ability to reduce prednisolone dose, ability to control uveitis, final visual acuity and time to treatment failure.

resultsForty-six patients with uveitis, treated with adalimumab were included in the study. The most common anatomical uveitis phenotype was panuveitis (n=17, 37.0%). The most common diagnosis was idiopathic uveitis (n=19, 41.3%). At their latest review (mean: 4.46 years; median 4.40 years), 35 (76.1%) patients were able to discontinue corticosteroids, 11 (23.9%) patients were able to taper to <7.5 mg/day and only 1 (2.2%) patient required 10 mg of prednisone. The mean visual acuity at the latest follow-up of the worse eye was logarithm of the minimum angle of resolution (logMAR) 0.42 (SD 0.72), while the mean visual acuity of the better eye was logMAR 0.19 (SD 0.34). Of the 89 eyes, 21 (23.6%) eyes improved by at least 2 lines, 5 eyes (5.6%) deteriorated by ≥2 lines while vision was unchanged in the remaining 63 (70.8%) eyes. The time to recurrence was 1 in 12.47 person-years for adalimumab, with a 17.4% (8 patient) relapse rate. There were no serious adverse events.

conclusionsThis study highlights the efficacy of adalimumab in patients with vision-threatening non-infectious uveitis, preserving vision and allowing reduction of corticosteroid dose.

Indexed as

drugsimmunologyinflammationvision

Identifiers

PMID34632076
PMCPMC8477319
OpenAlexW3204590294

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.