Evidence map›Paper›PMID 37848676›Full record

ArticleEye (London, England)2024

Infliximab in chronic non-infectious paediatric uveitis refractory to previous biologic therapy.

E O Kreps, S J Epps, A Consejo, A D Dick, C M Guly, A V Ramanan

Open access · hybridAbstract read
In one paragraph

Article in Eye (London, England), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
4.5field-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

11 citing papers in PubMed, 16 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Review
  5. Article
  6. Article
  7. Review
  8. Review
  9. Review
  10. Review
  11. 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

6 authors at 5 institutions in 3 countries.

E O KrepsDepartment of Ophthalmology, Ghent University Hospital, Ghent, Belgium.
S J EppsBristol Eye Hospital, University Hospitals Bristol and Weston, Lower Maudlin Street, Bristol, BS1 2LX, United Kingdom.
A ConsejoDepartment of Applied Physics, University of Zaragoza, Zaragoza, Spain.
A D DickBristol Eye Hospital, University Hospitals Bristol and Weston, Lower Maudlin Street, Bristol, BS1 2LX, United Kingdom.ORCID 0000-0002-0742-3159
C M GulyBristol Eye Hospital, University Hospitals Bristol and Weston, Lower Maudlin Street, Bristol, BS1 2LX, United Kingdom.
A V RamananPaediatric Rheumatology, Bristol Royal Hospital for Children and Translational Health Sciences, University of Bristol, Upper Maudlin Street, Bristol, BS2 8BJ, United Kingdom. a.ramanan@bristol.ac.uk.
Bristol Eye Hospital · GBBristol Royal Hospital for Children · GBGhent University Hospital · BEUniversidad de Zaragoza · ESUniversity of Bristol · GB

Funding

Medical Research Council MR/R013926/1
6 · The paper itself

Abstract

objectivesTo examine the outcome of infliximab treatment in patients with non-infectious paediatric uveitis who have previously failed biologic treatment.

methodsA retrospective cohort study was performed at Bristol Eye Hospital, UK. Paediatric patients with chronic non-infectious uveitis who had been switched to infliximab due to inadequate uveitis control were identified. Two separate groups were evaluated: group 1 consisted of 20 children (36 eyes) who had been switched to infliximab following treatment failure with adalimumab (=in-class switching), while group 2 (5 patients; 9 eyes) included those who had been switched to infliximab from a non-TNF antagonist after failing several biologics (=across-class switching). The change in anterior chamber (AC) activity between baseline and 6- and 24-months follow-up was the primary outcome measure.

resultsA statistically significant reduction in AC activity was found between baseline and 6-months follow-up (RE: p = 0.002; LE: p < 0.001) and between baseline and 24-months follow-up (RE: p = 0.016; LE: p = 0.011) in group 1. No statistically significant difference was found for either eye in the number of steroid eye drops needed between time points or the difference in visual acuity in time. In group 2, analysis of change of AC activity, number of steroid eye drops and visual acuity failed to reach statistical significance. Treatment failure occurred in four patients (20% of group 1) and adverse events developed in six patients including three patients with acute infusion reactions.

conclusionsThis study supports the efficacy and safety of infliximab in adalimumab-refractory patients with paediatric non-infectious uveitis.

Indexed as

UveitisAdalimumabBiological TherapyChildHumansInfliximabOphthalmic SolutionsRetrospective StudiesSteroidsTreatment OutcomeTumor Necrosis Factor-alphaAdalimumabInfliximabOphthalmic SolutionsSteroidsTumor Necrosis Factor-alpha

Identifiers

PMID37848676
PMCPMC10965986
OpenAlexW4387696579

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.