Ten-Year Retention Rate of Infliximab in Patients with Behcet's Disease-Related Uveitis

被引:40
作者
Fabiani, Claudia [1 ]
Sota, Jurgen [2 ,3 ]
Vitale, Antonio [2 ,3 ]
Emmi, Giacomo [4 ]
Vannozzi, Lorenzo [5 ]
Bacherini, Daniela [5 ]
Lopalco, Giuseppe [6 ]
Guerriero, Silvana [7 ]
Venerito, Vincenzo [6 ]
Orlando, Ida [2 ,3 ]
Franceschini, Rossella [8 ]
Fusco, Fiorella [8 ]
Frediani, Bruno [2 ,3 ]
Galeazzi, Mauro [2 ,3 ]
Iannone, Florenzo [6 ]
Tosi, Gian Marco [8 ]
Cantarini, Luca [2 ,3 ]
机构
[1] Humanitas Clin & Res Ctr, Dept Ophthalmol, Via Manzoni 56, I-20089 Rozzano, MI, Italy
[2] Univ Siena, Dept Med Sci Surg & Neurosci, Res Ctr Syst Autoinflammatory Dis, Siena, Italy
[3] Univ Siena, Dept Med Sci Surg & Neurosci, Behcets Dis & Rheumatol Ophthalmol Collaborat Uve, Siena, Italy
[4] Univ Florence, Dept Expt & Clin Med, Florence, Italy
[5] Univ Florence, Dept Surg & Translat Med, Eye Clin, Florence, Italy
[6] Univ Bari, Interdisciplinary Dept Med, Rheumatol Unit, Bari, Italy
[7] Univ Bari, Dept Ophthalmol & Otolaryngol, Bari, Italy
[8] Univ Siena, Ophthalmol & Neurosurg Dept, Siena, Italy
关键词
Behcet's disease; drug retention rate; infliximab; treatment; uveitis; LONG-TERM EFFICACY; REFRACTORY UVEORETINITIS; PROGNOSTIC-FACTORS; TNF-ALPHA; MULTICENTER; ADALIMUMAB; EXPERIENCE; ATTACKS;
D O I
10.1080/09273948.2017.1391297
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
Purpose: To evaluate the 10-year drug retention rate of infliximab (IFX) in Behcet's disease (BD)-related uveitis, the effect of a concomitant use of disease modifying anti-rheumatic drugs (DMARDs) on drug survival and differences according to the lines of biologic treatment. Methods: Cumulative survival rates were studied using the Kaplan-Meier plot, while the Log-rank (Mantel-Cox) test was used to compare survival curves. Results: Forty patients (70 eyes) were eligible for analysis. The drug retention rates at 12-, 24-, 60- and 120-month follow-up were 89.03%, 86.16%, 75.66% and 47.11% respectively. No differences were identified according to the use of concomitant DMARDs (p = 0.20), while a statistically significant difference was observed in relation to the different lines of IFX treatment (p = 0.014). Visual acuity improved from baseline to the last follow-up visit (p = 0.047) and a corticosteroid-sparing effect was observed (p < 0.0001). Conclusions: IFX retention rate in BD-uveitis is excellent and is not affected by concomitant DMARDs.
引用
收藏
页码:34 / 39
页数:6
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