TY - JOUR T1 - Safety and Efficacy of Infliximab and Adalimumab for Refractory Uveitis in Juvenile Idiopathic Arthritis: 1-year Followup Data from the Italian Registry JF - The Journal of Rheumatology JO - J Rheumatol SP - 74 LP - 79 DO - 10.3899/jrheum.120583 VL - 40 IS - 1 AU - MARIA E. ZANNIN AU - CAROLINA BIROLO AU - VALERIA M. GERLONI AU - ELISABETTA MISEROCCHI AU - IRENE PONTIKAKI AU - MARIA P. PAROLI AU - CLAUDIA BRACAGLIA AU - ALISON SHARDLOW AU - FULVIO PARENTIN AU - ROLANDO CIMAZ AU - GABRIELE SIMONINI AU - FERNANDA FALCINI AU - FABRIZIA CORONA AU - STEFANIA VIOLA AU - RICCARDO DE MARCO AU - LUCIANA BREDA AU - FRANCESCO LA TORRE AU - FABIO VITTADELLO AU - GIORGIA MARTINI AU - FRANCESCO ZULIAN Y1 - 2013/01/01 UR - http://www.jrheum.org/content/40/1/74.abstract N2 - Objective. To evaluate safety and efficacy of adalimumab (ADA) and infliximab (IFX) for the treatment of juvenile idiopathic arthritis-related anterior uveitis (JIA-AU). Methods. Starting January 2007, patients with JIA-AU treated with IFX and ADA were managed by a standard protocol and data were entered into the National Italian Registry (NIR). At baseline, all patients were refractory to standard immunosuppressive treatment and/or were corticosteroid-dependent. Data recorded every 3 months included uveitis course, number/type of ocular complications, drug-related adverse events (AE), treatment change or withdrawal, and laboratory measures. Data of patients treated for at least 1 year were retrieved from the NIR and analyzed using descriptive statistics. Treatment efficacy was based on change in uveitis course and in number of ocular complications. Results. Up to December 2009, data for 108 patients with JIA-AU treated with anti-tumor necrosis factor-α agents were recorded in the NIR and data from 91, with at least 12 months’ followup, were included in the study. Forty-eight patients were treated with IFX, 43 with ADA. Forty-seven patients (55.3%) achieved remission of AU, 28 (32.9%) had recurrent AU, and 10 (11.8%) maintained a chronic course. A higher remission rate was observed with ADA (67.4% vs 42.8% with IFX; p = 0.025). Ocular complications decreased from 0.47 to 0.32 per subject. Five patients experienced resolution of structural complications. No patient reported serious AE; 8 (8.8%) experienced 11 minor AE (9 with IFX, 2 with ADA). Conclusion. IFX and ADA appear to be effective and safe for treatment of refractory JIA-related uveitis, with a better performance of ADA in the medium-term period. ER -