Evidence map›Paper›PMID 37043141›Full record

ArticleOphthalmology and therapy2023

Clinical Outcomes of Topical 0.1% Ciclosporin Cationic Emulsion Used on Label in Children with Vernal Keratoconjunctivitis.

Giuseppe Giannaccare, Costanza Rossi, Massimiliano Borselli, Chiara Bonzano, Giovanna Carnovale Scalzo, Massimo Nicolò, Vincenzo Scorcia, Carlo Enrico Traverso, Aldo Vagge

Open access · goldAbstract read
In one paragraph

Article in Ophthalmology and therapy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 22% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Vernal Keratoconjunctivitis: A Systematic Review.Clinical reviews in allergy & immunology · 2023
    Pooled it
  2. Article
  3. 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

9 authors at 2 institutions in 1 country.

Giuseppe GiannaccareDepartment of Ophthalmology, University Magna Graecia of Catanzaro, Catanzaro, Italy. giuseppe.giannaccare@unicz.it.ORCID http://orcid.org/0000-0003-2617-0289
Costanza RossiDepartment of Ophthalmology, University Magna Graecia of Catanzaro, Catanzaro, Italy.
Massimiliano BorselliDepartment of Ophthalmology, University Magna Graecia of Catanzaro, Catanzaro, Italy.
Chiara BonzanoIRCCS Polyclinic Hospital San Martino, Genoa, Italy.
Giovanna Carnovale ScalzoDepartment of Ophthalmology, University Magna Graecia of Catanzaro, Catanzaro, Italy.
Massimo NicolòIRCCS Polyclinic Hospital San Martino, Genoa, Italy.
Vincenzo ScorciaDepartment of Ophthalmology, University Magna Graecia of Catanzaro, Catanzaro, Italy.
Carlo Enrico TraversoIRCCS Polyclinic Hospital San Martino, Genoa, Italy.
Aldo VaggeIRCCS Polyclinic Hospital San Martino, Genoa, Italy.
Magna Graecia University · ITOspedale Policlinico San Martino · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe purpose of this short article is to report the clinical outcomes of topical 0.1% ciclosporin cationic emulsion (CsA-CE) used on label in children with vernal keratoconjunctivitis (VKC).

methodsIn this prospective, non-comparative, observational study children affected by active severe VKC were treated for at least 12 months with topical 0.1% CsA-CE. The drug was instilled in both eyes 4 times daily. Data collected from medical charts for the baseline visit (T0) and 1-year follow-up visit (T1) included symptomatic score (0-15), clinical score (0-15), side effects, rescue therapy (need and total number of courses with 0.1% dexamethasone 4 times daily for 5 days), ocular complications and tolerability (visual analog scale [0-100]).

resultsData from 25 children (20 boys, 5 girls; mean [± standard deviation] age 8.40 ± 2.54 years) were included in the study. Of the 25 patients, 23 (92%) used 0.1% CsA-CE eye drops as per label recommendations, including four patients who had prematurely stopped using topical galenic CsA due to side effects. Symptomatic and clinical scores decreased significantly after treatment, with the mean symptomatic score decreasing from 9.76 ± 1.27 at T0 to 3.80 ± 1.08 at T1, and the mean clinical score decreasing from 9.20 ± 1.32 at T0 to 3.44 ± 1.00 at T1; both P < 0.0001). Five patients (20%) required at least one course of rescue medication (mean 3.4 ± 4.8 courses/year). No patients experienced ocular complications during the study, and treatment tolerability was very high (mean score 89.40 ± 5.46).

conclusionOur findings confirm that topical CsA-CE is an effective on-label option for children with VKC in the real-life setting. In our pediatric patient population, CsA-CE provided good clinical outcomes with a limited need for rescue medication, and it was well tolerated by almost all patients, including those who were intolerant to galenic formulations.

Indexed as

Allergic keratoconjunctivitisCationic emulsionCiclosporinVerkaziaVernal keratoconjunctivitis

Identifiers

PMID37043141
PMCPMC10164196
OpenAlexW4365135989

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.