A 10-year follow-up of infliximab monotherapy for refractory uveitis in Behçet’s syndrome
Abstract Infliximab (IFX) was the first biologic introduced for refractory uveitis treatment in Behçet’s syndrome (BS). However, there have been few reports on the safety and efficacy of IFX monotherapy over follow-up periods of more than 10 years. This retrospective study evaluated the 10-year safe...
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2020
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oai:doaj.org-article:c2c6986109f94e438d98391d829b7e872021-12-02T13:58:25ZA 10-year follow-up of infliximab monotherapy for refractory uveitis in Behçet’s syndrome10.1038/s41598-020-78718-z2045-2322https://doaj.org/article/c2c6986109f94e438d98391d829b7e872020-12-01T00:00:00Zhttps://doi.org/10.1038/s41598-020-78718-zhttps://doaj.org/toc/2045-2322Abstract Infliximab (IFX) was the first biologic introduced for refractory uveitis treatment in Behçet’s syndrome (BS). However, there have been few reports on the safety and efficacy of IFX monotherapy over follow-up periods of more than 10 years. This retrospective study evaluated the 10-year safety and efficacy of IFX monotherapy compared to IFX combination therapies with colchicine or corticosteroid for refractory uveitis in BS patients. Monotherapy was performed in 30 eyes of 16 patients while combination therapies were performed in 20 eyes of 11 patients. Continuation of IFX occurred in 70.3% of enrolled patients for 10 years without any significant difference noted in the retention rate between the monotherapy and combination therapies (p = 0.86). Reduction of ocular inflammatory attacks and improvement of best corrected visual acuity occurred in the monotherapy group after 10 years, which was equivalent to that for the combination therapies. Although adverse events (AEs) or therapy discontinuation occurred during the initial 5 years in both therapies, no AEs were observed for either therapy after 6 years. Our results suggested that IFX monotherapy proved to be effective and not inferior to combination therapies over a 10-year follow-up. Although loss of response and AEs may be noticed during the initial 5-year period, a safe and effective continuation can be expected thereafter.Noe HoriguchiKoju KamoiShintaro HorieYuko IwasakiHisako Kurozumi-KarubeHiroshi TakaseKyoko Ohno-MatsuiNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 10, Iss 1, Pp 1-10 (2020) |
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Medicine R Science Q Noe Horiguchi Koju Kamoi Shintaro Horie Yuko Iwasaki Hisako Kurozumi-Karube Hiroshi Takase Kyoko Ohno-Matsui A 10-year follow-up of infliximab monotherapy for refractory uveitis in Behçet’s syndrome |
| description |
Abstract Infliximab (IFX) was the first biologic introduced for refractory uveitis treatment in Behçet’s syndrome (BS). However, there have been few reports on the safety and efficacy of IFX monotherapy over follow-up periods of more than 10 years. This retrospective study evaluated the 10-year safety and efficacy of IFX monotherapy compared to IFX combination therapies with colchicine or corticosteroid for refractory uveitis in BS patients. Monotherapy was performed in 30 eyes of 16 patients while combination therapies were performed in 20 eyes of 11 patients. Continuation of IFX occurred in 70.3% of enrolled patients for 10 years without any significant difference noted in the retention rate between the monotherapy and combination therapies (p = 0.86). Reduction of ocular inflammatory attacks and improvement of best corrected visual acuity occurred in the monotherapy group after 10 years, which was equivalent to that for the combination therapies. Although adverse events (AEs) or therapy discontinuation occurred during the initial 5 years in both therapies, no AEs were observed for either therapy after 6 years. Our results suggested that IFX monotherapy proved to be effective and not inferior to combination therapies over a 10-year follow-up. Although loss of response and AEs may be noticed during the initial 5-year period, a safe and effective continuation can be expected thereafter. |
| format |
article |
| author |
Noe Horiguchi Koju Kamoi Shintaro Horie Yuko Iwasaki Hisako Kurozumi-Karube Hiroshi Takase Kyoko Ohno-Matsui |
| author_facet |
Noe Horiguchi Koju Kamoi Shintaro Horie Yuko Iwasaki Hisako Kurozumi-Karube Hiroshi Takase Kyoko Ohno-Matsui |
| author_sort |
Noe Horiguchi |
| title |
A 10-year follow-up of infliximab monotherapy for refractory uveitis in Behçet’s syndrome |
| title_short |
A 10-year follow-up of infliximab monotherapy for refractory uveitis in Behçet’s syndrome |
| title_full |
A 10-year follow-up of infliximab monotherapy for refractory uveitis in Behçet’s syndrome |
| title_fullStr |
A 10-year follow-up of infliximab monotherapy for refractory uveitis in Behçet’s syndrome |
| title_full_unstemmed |
A 10-year follow-up of infliximab monotherapy for refractory uveitis in Behçet’s syndrome |
| title_sort |
10-year follow-up of infliximab monotherapy for refractory uveitis in behçet’s syndrome |
| publisher |
Nature Portfolio |
| publishDate |
2020 |
| url |
https://doaj.org/article/c2c6986109f94e438d98391d829b7e87 |
| work_keys_str_mv |
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1718392227339698176 |