Efficacy and safety of adalimumab in Behçet’s disease-related uveitis: a multicenter retrospective observational study

Claudia Fabiani, Antonio Vitale, Giacomo Emmi, Lorenzo Vannozzi, Giuseppe Lopalco, Silvana Guerriero, Ida Orlando, Rossella Franceschini, Daniela Bacherini, Luca Cimino, Alessandra Soriano, Bruno Frediani, Mauro Galeazzi, Florenzo Iannone, Gian Marco Tosi, Carlo Salvarani, Luca Cantarini

Research output: Contribution to journalArticle

Abstract

The study aim was to evaluate the efficacy of adalimumab (ADA) in a large series of Behçet’s disease (BD)-related uveitis. We performed a multicenter retrospective observational study including 40 selected patients (66 eyes) receiving ADA. Clinical data were retrospectively analyzed at baseline, at 3 and 12 months of treatment. Primary end point was reduction of ocular inflammatory flares. Secondary end points were improvement of best corrected visual acuity (BCVA), reduction of macular thickness measured by optical coherence tomography (OCT), reduction in the occurrence of vasculitis assessed by fluorescein angiography (FA), and evaluation of statistically significant differences between patients treated with ADA monotherapy and those undergoing ADA plus DMARDs and in patients firstly treated with ADA compared to patients previously administered with other biologics; ADA steroid sparing effect was also evaluated. During the first 12 months of ADA therapy, the number of flares significantly decreased from 200 flares/100 patients/year to 8.5 flares/100 patients/year (p < 0.0001). Similarly, BCVA improved if compared to baseline (7.4 ± 2.9 versus 8.5 ± 2.1, p = 0.03). OCT findings significantly improved showing a mean reduction of central macular thickness (CMT) of 27.27 ± 42.8 μm at the end of follow-up (p < 0.006). FA identified retinal vasculitis in 22 cases at baseline (55%), 8 (20%) cases after 3 months, and in only one (2.5%) case at 12-month follow-up. FA improvement was highly significant at 3- and 12-month follow-up if compared to baseline (p < 0.0001 and p = 0.006, respectively). ADA is highly effective and safe for the treatment of BD-related uveitis, providing a long-term control of ocular inflammation.

Original languageEnglish
Pages (from-to)1-7
Number of pages7
JournalClinical Rheumatology
DOIs
Publication statusAccepted/In press - Nov 16 2016

Keywords

  • Adalimumab
  • Behçet’s disease
  • TNF-α inhibition
  • Treatment
  • Uveitis

ASJC Scopus subject areas

  • Rheumatology

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    Fabiani, C., Vitale, A., Emmi, G., Vannozzi, L., Lopalco, G., Guerriero, S., Orlando, I., Franceschini, R., Bacherini, D., Cimino, L., Soriano, A., Frediani, B., Galeazzi, M., Iannone, F., Tosi, G. M., Salvarani, C., & Cantarini, L. (Accepted/In press). Efficacy and safety of adalimumab in Behçet’s disease-related uveitis: a multicenter retrospective observational study. Clinical Rheumatology, 1-7. https://doi.org/10.1007/s10067-016-3480-x