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. 2014 Jun 30;2014:107421. doi: 10.1155/2014/107421

Table 2.

Studies reporting on patients with Behçet's disease treated with tocilizumab and ustekinumab.

First author (reference, year) N pts Main BS clinical and laboratory features HLA-B51 Previous biologic agents with causes of withdrawal Dosage and eventual cotherapies Followup Outcome
Hirano (2012) [51] 1 Mucosal involvement, EN, and uveitis NR IFX: loss of efficacy TCZ 8 mg/kg every 4 weeks 12 months VA improvement and resolution of EN and genital aphtosis. Partial improvement of oral aphtosis

Shapiro (2012) [52] 1 Mucosal and neurologic involvement, bilateral uveitis, and cutaneous vasculitis NR IFX: concomitant onset of IgA nephropathy TCZ 8 mg/kg every 4 weeks
+ PDN 30–60 mg/day
7 months CR after the 2nd infusion; PDN was tapered off; complete resolution of ocular, neurological, and skin manifestations; oral ulcers recurred

Urbaniak (2012) [53] 1 Mucosal and neurologic involvement, EN, DVT, and thrombophlebitis NR IFX: worsening of the gait disturbance and relapse of myelitis TCZ 8 mg/kg every 4 weeks
+ AZA 150 mg/day
+ PDN 1 mg/kg/day
8 months Improvement of clinical signs and symptoms; after the 4th infusion TCZ was discontinued due to a scrotal abscess

Caso (2013) [54] 1 Fever, mucosal involvement, myalgia, bilateral uveitis, optic neuritis, EN, SPR, and increase of inflammatory markers overlapping with refractory pemphigus foliaceus Positive IFX and ADA: inefficacy;
ANA: loss of efficacy
TCZ 480 mg every 4 weeks 14 months CR with improvement of inflammatory markers within few days

Redondo-Pachón (2013) [55] 1 Mucosal involvement, EN, iridocyclitis, secondary amyloidosis, and increase of CRP Positive None TCZ 8 mg/kg every 4 weeks
+ colchicine 1 mg/day
12 months CR with decrease of proteinuria and CRP after the 2nd infusion.

Diamantopoulos (2013) [56] 2 Mucosal involvement, pseudofolliculitis, and cutaneous vasculitis NR IFX and ETN: short efficacy and ADR (not specified) TCZ 8 mg/kg every 4 weeks
+ AZA 150 mg/day
Unknown Inefficacy; worsening of mouth and genital ulcers
Mucosal involvement, increase of inflammatory markers NR IFX and ADA: incomplete response and ADR (not specified) TCZ 8 mg/kg every 4 weeks 3 months Initial PR with loss of efficacy after the 3rd infusion; recurrence of genital ulcers

Baerveldt (2013) [57] 1 Mucosal involvement, anterior uveitis, arthritis, and pathergy reaction overlapping with psoriasis vulgaris and hidradenitis suppurativa NR None Ustekinumab 45 mg at weeks 0 and 4 and every 12 weeks 36 months CR within few months, clinical improvement of psoriasis

ADA: adalimumab; ADR: adverse reactions; ANA: anakinra; AZA: azathioprine; BD: Behçet's disease; CR: complete remission; CRP: C-reactive protein; DVT: deep venous thrombosis; EN: erythema nodosum; ETN: etanercept; HLA: human leukocyte antigen; IFX: infliximab; MRI: magnetic resonance imaging; MTX: methotrexate; N: number; NR: not reported; pts: patients; PDN: prednisone; PR: partial remission; TCZ: tocilizumab; VA: visual acuity.