1. Efficacy and Safety of Tocilizumab in the Management of Non-Infectious Uveitis Failed with Conventional Immunomodulatory and Anti-TNFα Therapies.
- Author
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Uludag G, Karaca I, Akhavanrezayat A, Yasar C, Matsumiya W, Pham BH, Halim MS, Trong Tuong Than N, Sepah YJ, Do DV, and Nguyen QD
- Subjects
- Humans, Male, Female, Adolescent, Young Adult, Retrospective Studies, Child, Treatment Outcome, Tomography, Optical Coherence, Uveitis drug therapy, Uveitis diagnosis, Antibodies, Monoclonal, Humanized therapeutic use, Visual Acuity physiology, Fluorescein Angiography, Tumor Necrosis Factor-alpha antagonists & inhibitors
- Abstract
Purpose: To determine the outcomes of intravenous (IV) tocilizumab (TCZ) in patients with non-infectious uveitis who failed with conventional immunomodulatory and anti-TNFα therapies., Methods: Records of seven patients with non-infectious uveitis treated with monthly IV TCZ (4-10 mg/kg) or biweekly IV TCZ (8 mg/kg) were reviewed. Outcome measures were changes in visual acuity, anterior chamber cell and flare grade, vitreous haze, central subfield thickness (CST), and fluorescein angiography (FA) score., Results: Ten eyes of seven patients received TCZ therapy. Median age of patients was 14 (range, 7-24) years. Median duration of TCZ therapy was 15 (range, 5-32) months. Mean CST reduced from 373 ± 101.0 μm to 298.2 ± 40.3 μm. Mean FA score reduced from 12.5 ± 4.3 to 3.6 ± 2.6. One patient developed elevated liver transaminases., Conclusion: IV TCZ is a potentially effective and safe therapeutic option for the management of refractory non-infectious uveitis.
- Published
- 2024
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