Table 4.
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 |