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. 2018 Mar 19;12:519–532. doi: 10.2147/OPTH.S128949

Table 4.

Recent studies evaluating the use of adalimumab in sarcoid-associated uveitis

Study Design Etiology of uveitis Outcome
Suhler et al77 Multicenter, open-label, prospective 31 patients, 6/31 (19.3%) sarcoidosis 6/6 clinical responders at 10 weeks, 3/6 secondary failure at 50 weeks
Taylor et al71 Double-blind, placebo-controlled, multinational, Phase III study 217 patients
Sarcoidosis: 8/107 (7%) placebo group, 10/110 (9%) adalimumab group
Adalimumab found to be associated with a lower risk of uveitic flare or visual impairment and with more adverse events and serious adverse events than placebo
Airody et al72 Double-blind, placebo-controlled, multinational, Phase III study 226 patients
Sarcoidosis: 14/111 (13%) placebo group, 18/115 (16%) adalimumab group
Adalimumab significantly reduced the risk of uveitic flare or loss of visual acuity in patients with inactive, uninfectious intermediate, posterior, or panuveitis
Riancho-Zarrabeitia et al78 Open-label, multicenter, retrospective study 17 patients with sarcoid uveitis (10 received adalimumab, 7 infliximab) Anti-TNFα therapy effective in sarcoid uveitis patients refractory to conventional immunosuppressive therapy; infliximab and adalimumab allowed substantial reduction in prednisone dose, despite having failed standard therapy
Mercier et al79 Monocentric observational retrospective study 21 patients
Sarcoidosis: 2/21 (9.5%)
Anti-TNFα therapy effective on macular edema with a statistically significant reduction of MMT at M3, M6, and M12; regarding sarcoidosis, difficult to interpret, because only two patients were involved
Erckens et al80 Prospective case series 26 sarcoidosis patients with refractory posterior uveitis Intraocular inflammatory signs showed improvement in 22 patients (85%) and stabilization in four patients (15%); at 12 months, no recurrences were reported in those successfully treated