Rapid and Sustained Efficacy of Golimumab in the Treatment of Multirefractory Uveitis Associated with Behçet's Disease

Ocul Immunol Inflamm. 2019;27(1):58-63. doi: 10.1080/09273948.2017.1351573. Epub 2017 Oct 5.

Abstract

Purpose: To evaluate golimumab (GOL) efficacy in the management of Behçet's disease (BD)-related uveitis.

Methods: We retrospectively collected data from 5 patients (8 eyes) with at least two recent relapses of uveitis, treated with GOL at the standard dose of 50 mg every 4 weeks.

Results: A complete control of intraocular inflammation was observed in 7/8 eyes (87.5%) at 12-month follow-up. The number of relapses 12 months before and after GOL initiation was 11 and 1, respectively. At baseline, four eyes had active retinal vasculitis (RV). At 3-month follow-up evaluation RV resolved in all eyes. Mean Best Corrected Visual Acuity was 6.93 ± 4.34 at baseline and 7.32 ± 3.87 at 12-months follow-up.

Conclusion: We confirm GOL efficacy in reducing intraocular inflammation in BD, both in term of reduction in the number of uveitis relapses and in achieving a prompt resolution of active RV.

Keywords: Behçet’s disease; golimumab; intraocular inflammation; retinal vasculitis; uveitis.

MeSH terms

  • Adult
  • Antibodies, Monoclonal / therapeutic use*
  • Behcet Syndrome / diagnosis
  • Behcet Syndrome / drug therapy*
  • Behcet Syndrome / physiopathology
  • Female
  • Fluorescein Angiography
  • Humans
  • Male
  • Middle Aged
  • Recurrence
  • Retrospective Studies
  • Treatment Outcome
  • Uveitis / diagnosis
  • Uveitis / drug therapy*
  • Uveitis / physiopathology
  • Visual Acuity / physiology

Substances

  • Antibodies, Monoclonal
  • golimumab