Table 1.
Characteristics of the included studies
Study, Year | Intervention | Number of participants | Age (in years) | Measured outcomes | ||
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Control | Monoclonal antibody | Control | Monoclonal antibody | |||
Li 2017 | Rituximab Vs (A) Iodine-131, (B) Iodine-131 and Methylprednisolone | A=72, B=70 | 75 | (A) 49.1±9.3, (B) 50.3±10.0 | 48.1±10.0 | Hyperthyroidism treatment outcomes, orbital volumetric analysis through CT imaging, proptosis, eyelid width, soft tissue swelling, conjunctival hyperemia, intraocular pressure, visual acuity, CAS, serum Th1 and Th2 cytokine levels, and adverse events. |
Salvi 2015 | Rituximab Vs Methylprednisolone | 16 | 15 | 50.4±11.4 | 51.9±13.1 | CAS, proptosis, lid fissure, diplopia and eye muscle motility, and quality of life score, number of therapeutic responses, disease reactivation, and surgical procedures required during follow-up. |
Stan 2015 | Rituximab Vs Placebo | 10 | 11 | 61.8±11.0 | 57.6±12.7 | CAS, success and failure rates, proportions showing clinically significant improvement in proptosis, lid fissure width, diplopia score, lagophthalmos and disease severity, orbital fat/muscle volume and quality-of-life. |
Douglas 2020 | Teprotumumab Vs Placebo | 42 | 41 | 48.9±13.0 | 51.6±12.6 | Proptosis response, CAS, diplopia response, and Graves’ophthalmopathy-specific quality-of-life (GO-QOL). |
Smith 2017 | Teprotumumab Vs Placebo | 44 | 43 | 54.2±13.0 | 51.6±10.6 | CAS, proptosis, GO-QOL questionnaire, and adverse events. |
Perez- Moreiras 2018 | Tocilizumab Vs Placebo | 17 | 15 | 45.07 (IQR=38.9-50.5) | 47.5 (IQR=41.1-57.4) | CAS, patient global assessment (PtGA) of pain, quality of life evaluated by the generic SF-36 and GO-QoL, adverse events, death, and clinically significant changes in vital signs and laboratory tests. |
QOL: Quality of life, PtGA: Patient global assessment, CAS: Clinical activity score, GO-QoL: Graves’ ophthalmopathy-specific QOL, IQR: Interquartile range, CT: Computed tomography