A Systematic Review of Clinical Trials in Uveitis: Lessons Learned

Ophthalmic Epidemiol. 2023 Oct;30(5):445-452. doi: 10.1080/09286586.2022.2131837. Epub 2022 Oct 6.

Abstract

Purpose: Clinical trials in uveitis have led to the expansion of therapeutic options for the management of non-infectious uveitis. The purpose of this systematic review is to investigate why some clinical trials have yielded successful results and regulatory approval of new therapies, and some have not.

Methods: A systematic literature search of the Pubmed/MEDLINE database and clinicaltrials.gov was performed from 2006 to 2021, according to the PRISMA guidelines. Phase III clinical trials of systemic and local therapies in adults with non-infectious intermediate, posterior, and panuveitis were included.

Results: A total of 79 clinical trials were collected from ClinicalTrials.gov and PubMed/MEDLINE database search. Based on the inclusion and exclusion criteria, 14 clinical trials were included.

Conclusion: This review summarizes the study design, outcome measures, and results of recent phase III trials in non-infectious uveitis, in the interest of understanding limitations and rethinking new methods of defining endpoints in clinical trial design.

Keywords: clinical trials; intermediate uveitis; non-infectious; outcome measures; panuveitis; phase 3; posterior uveitis; treatment.

Publication types

  • Systematic Review
  • Review
  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Humans
  • Outcome Assessment, Health Care
  • Panuveitis* / drug therapy
  • Uveitis* / drug therapy
  • Visual Acuity