2026-04-17T05:50:45Zhttps://recercat.cat/oai/request

oai:recercat.cat:2445/2168672025-11-19T19:06:01Zcom_2072_1057col_2072_478858col_2072_478917

00925njm 22002777a 4500 dc Raad, Fatima author Luque, Paula author Garcia Ledo, Sofia author Alda Lozano, Alicia author Llorens Bellés, Víctor author Espejo, Antonio author Heras, Henar author Santana, Lucia author Trapiella, Luis author Fanlo, Patricia author Adán Civera, Alfredo author Espinosa Garriga, Gerard author Navarrete, Nuria author 2024-12-02T13:13:16Z 2025-05-01T05:10:09Z 2024-05-01 2024-11-27T12:03:56Z ObjectiveTo describe the efficacy and safety of adalimumab for the treatment of non-infectious uveitis (NIU) in four Uveitis Units from tertiary Spanish hospitals. MethodsMulticenter and retrospective clinical cohort study including all patients with NIU treated with adalimumab from January 2012 to October 2022 in four uveitis units was performed. Efficacy was measured with the number of relapses, ocular inflammation and reduction in immunosuppression and corticosteroid dosage before and after adalimumab use. We collected data regarding adverse effects and examined the immunogenicity of adalimumab. ResultsOne hundred and twenty-two patients (59% females), with a mean age of 48.6 years (SD = 14.8) accounting for 217 eyes were included. The majority (92.6%) were Caucasian. Uveitis analyzed were predominantly panuveitis (34.7%), bilateral (77.9%), acute (41.5%), and non-granulomatous (90%). Most of them were immune mediated (42.6%), and the main reason to initiate adalimumab was refractory disease (96.7%). The analysis was statistically significant due to the reduction in the number of immunosuppressive drugs as well as the dose of oral corticosteroids and the number of relapses during follow-up (p < 0.001). The decrease in ocular inflammation parameters and the improvement in visual acuity (p < 0.05) were also significant. There were no deaths due to the drug and only one reported case of serious infection. In total, 10.9% of 73 patients tested developed anti-adalimumab antibodies and 4.1% lupus-like. ConclusionsWe consider adalimumab as a leading drug in the treatment of NIU with high safety and efficacy. Uveïtis Anticossos monoclonals Terapèutica Uveitis Monoclonal antibodies Therapeutics Adalimumab for the Treatment of Non-Infectious Uveitis: A Real Life Experience