RT Journal Article
T1 Comparative Study of Infliximab Versus Adalimumab in Refractory Uveitis due to Behçet's Disease: National Multicenter Study of 177 Cases
A1 Atienza Mateo, Belén
A1 Pato, Esperanza
A1 Díaz Valle, David
A1 López Longo, Francisco Javier
A1 Blanco, Ricardo
AB Objective: To compare the efficacy of infliximab (IFX) versus adalimumab (ADA) as a first-line biologic drug over 1 year of treatment in a large series of patients with refractory uveitis due to Behçet's disease (BD). Methods: We conducted an open-label multicenter study of IFX versus ADA for BD-related uveitis refractory to conventional nonbiologic treatment. IFX or ADA was chosen as the first-line biologic agent based on physician and patient agreement. Patients received 3–5 mg/kg intravenous IFX at 0, 2, and 6 weeks and every 4–8 weeks thereafter, or 40 mg subcutaneous ADA every other week without a loading dose. Ocular parameters were compared between the 2 groups. Results: The study included 177 patients (316 affected eyes), of whom 103 received IFX and 74 received ADA. There were no significant baseline differences between treatment groups in main demographic features, previous therapy, or ocular sign severity. After 1 year of therapy, we observed an improvement in all ocular parameters in both groups. However, patients receiving ADA had significantly better outcomes in some parameters, including improvement in anterior chamber inflammation (92.31% versus 78.18% for IFX; P = 0.06), improvement in vitritis (93.33% versus 78.95% for IFX; P = 0.04), and best-corrected visual acuity (mean ± SD 0.81 ± 0.26 versus 0.67 ± 0.34 for IFX; P = 0.001). A nonsignificant difference was seen for macular thickness (mean ± SD 250.62 ± 36.85 for ADA versus 264.89 ± 59.74 for IFX; P = 0.15), and improvement in retinal vasculitis was similar between the 2 groups (95% for ADA versus 97% for IFX; P = 0.28). The drug retention rate was higher in the ADA group (95.24% versus 84.95% for IFX; P = 0.042). Conclusion: Although both IFX and ADA are efficacious in refractory BD-related uveitis, ADA appears to be associated with better outcomes than IFX after 1 year of follow-up.
PB Wiley
SN 2326-5205
YR 2019
FD 2019-12-10
LK https://hdl.handle.net/20.500.14352/112850
UL https://hdl.handle.net/20.500.14352/112850
LA eng
NO Atienza‐Mateo, Belén, et al. «Comparative Study of Infliximab Versus Adalimumab in Refractory Uveitis Due to Behçet’s Disease: National Multicenter Study of 177 Cases». Arthritis & Rheumatology, vol. 71, n.o 12, diciembre de 2019, pp. 2081-89. DOI.org (Crossref), https://doi.org/10.1002/art.41026.
DS Docta Complutense
RD 6 abr 2025