Evidence map›Paper›PMID 37700264›Full record

ArticlePediatric rheumatology online journal2023

Subcutaneous tocilizumab in the management of non-infectious uveitis in children: a brief report.

Francesca Burlo, Cristina Tumminelli, Serena Pastore, Gabriele Stocco, Debora Curci, Marianna Lucafò, Alberto Tommasini, Andrea Taddio

Open access · goldAbstract read
In one paragraph

Article in Pediatric rheumatology online journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.7field-weighted citation impact, top 16% 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

6 citing papers in PubMed, 6 citations in OpenAlex.

  1. Biosimilars in Adult and Pediatric Noninfectious Uveitis.Clinical ophthalmology (Auckland, N.Z.) · 2026
    Review
  2. Review
  3. Tocilizumab for Non-Infectious Uveitis: A Systematic Review.Journal of inflammation research · 2025
    Review
  4. Review
  5. Article
  6. A clearer vision: insights into juvenile idiopathic arthritis-associated uveitis.Proceedings (Baylor University. Medical Center) · 2024
    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

8 authors at 2 institutions in 1 country.

Francesca BurloDepartment of Medicine, Surgery, and Health Sciences, University of Trieste, Trieste, Italy.ORCID http://orcid.org/0000-0002-8915-5855
Cristina TumminelliDepartment of Medicine, Surgery, and Health Sciences, University of Trieste, Trieste, Italy.
Serena PastoreInstitute for Maternal and Child Health "IRCCS Burlo Garofolo", Trieste, Italy. serena.pastore@burlo.trieste.it.ORCID http://orcid.org/0000-0003-4697-0777
Gabriele StoccoInstitute for Maternal and Child Health "IRCCS Burlo Garofolo", Trieste, Italy.
Debora CurciInstitute for Maternal and Child Health "IRCCS Burlo Garofolo", Trieste, Italy.
Marianna LucafòDepartment of Life Sciences, University of Trieste, Trieste, Italy.
Alberto TommasiniDepartment of Medicine, Surgery, and Health Sciences, University of Trieste, Trieste, Italy.
Andrea TaddioDepartment of Medicine, Surgery, and Health Sciences, University of Trieste, Trieste, Italy.
University of Trieste · ITIRCCS Materno Infantile Burlo Garofolo · IT

Funding

Ministero della Salute Ministero della Salute
6 · The paper itself

Abstract

backgroundTocilizumab is a humanized monoclonal antibody that acts as an IL-6 receptor antagonist. Intravenous tocilizumab is considered an option for children with anti-TNF refractory juvenile idiopathic arthritis-associated uveitis. In contrast, the potential of subcutaneous drug use with this indication is more controversial. Due to the decreased availability of intravenous tocilizumab during the COVID-19 pandemic, we started using the subcutaneous formulation of the drug in children with anti-TNF refractory uveitis. The study analyzes the serum concentration of tocilizumab and its clinical response in patients with anti-TNF refractory uveitis who started or switched to subcutaneous administration from intravenous use.

methodsFive patients with non-infectious uveitis were treated with subcutaneous tocilizumab. Ocular inflammation was evaluated on slit lamp examination during clinical control. Serum tocilizumab concentrations were determined by ELISA.

resultsThe mean blood concentration of tocilizumab was 61.4 µg/mL (range 2.7-137.0.), with higher values than levels recorded in adult patients with rheumatoid arthritis treated with intravenous tocilizumab. Three patients entered clinical remission. One patient developed a mild relapse and was treated with topical steroids. Only one patient did not respond to therapy. The medication was well tolerated without severe infection or other adverse events.

conclusionOur results support a possible role of subcutaneous tocilizumab in anti-TNF refractory uveitis.

Indexed as

COVID-19UveitisAdultAntibodies, Monoclonal, HumanizedChildCOVID-19 Drug TreatmentHumansPandemicsTumor Necrosis Factor InhibitorsAntibodies, Monoclonal, HumanizedtocilizumabTumor Necrosis Factor InhibitorsArthritisBiological therapiesChildrenInflammationSerumTocilizumabUveitis

Identifiers

PMID37700264
PMCPMC10496382
OpenAlexW4386705350

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.