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Efficacy and safety of golimumab in the treatment of refractory non-infectious uveitis
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Qiang Zhou, Yong Tao*
Medical Journal of Chinese People’s Liberation Army | 2021, 46(7) : 673 - 677
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Medical Journal of Chinese People’s Liberation Army | 2021, 46(7): 673-677
Clinical Research
Efficacy and safety of golimumab in the treatment of refractory non-infectious uveitis
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Qiang Zhou, Yong Tao*
Affiliations
  • Department of Ophthalmology, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, China
Published: 2021-07-28 doi: 10.11855/j.issn.0577-7402.2021.07.06
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Objective To explore the short-term efficacy and safety of golimumab (GLM) for treatment of refractory non-infectious uveitis. Methods Nonrandomized retrospective case series. Forty-six patients in Department of Ophthalmology Beijing Chaoyang Hospital from October 2018 to December 2019 with different types of uveitis that were resistant to treatment with previous immunosuppressors were included in this study. All the patients were treated with GLM (50 mg every four weeks) during at least 3 months. Clinical evaluation and treatment-related side effects were assessed in all included patients. Results At the end of follow up, ocular inflammation was controlled or relieved in 34 patients, the response rate was 73.91%.There was a statistically significant improvement in mean best corrected visual acuity (0.22 vs. 0.26, P=0.002). GLM therapy achieved complete control of inflammation in 9 patients (19.57%). GLM was continuously used in 17 patients (36.96%) without inflammation recurrence, including single GLM treatment in 14 patients, and combination with conventional immunosuppressors in 3 patients. The types of conventional immunosuppressors [M(Q1, Q3)] decreased from 2(2, 3) to 1(1, 2) (P<0.001) after GLM treatment. The dosage of prednisone decreased from 38 mg/d [(30, 45) mg/d] at baseline to 8 mg/d [(5, 15) mg/d](P<0.001). The systemic adverse effects associated with GLM therapy were observed in 4 patients, including bacterial pneumonia in 1 patient, anaphylactic reaction in 2 patients, and transaminase elevation in 1 patient. Conclusion GLM can effectively reduce the recurrence of non-infectious refractory uveitis, improve patients' vision, and reduce the combined use of glucocorticoid and immunosuppressors.

uveitis  /  golimumab  /  biological agents  /  anti-TNF drugs
Qiang Zhou, Yong Tao. Efficacy and safety of golimumab in the treatment of refractory non-infectious uveitis[J]. Medical Journal of Chinese People’s Liberation Army, 2021 , 46 (7) : 673 -677 . DOI: 10.11855/j.issn.0577-7402.2021.07.06
  • National Natural Science Foundation of China(82070948)
  • Scientific Research Program of Beijing Municipal Commission of Education(KM202010025020)
Year 2021 volume 46 Issue 7
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Article Info
doi: 10.11855/j.issn.0577-7402.2021.07.06
  • Receive Date:2021-03-11
  • Online Date:2025-12-20
  • Published:2021-07-28
Article Data
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History
  • Received:2021-03-11
  • Revised:2021-05-16
Funding
National Natural Science Foundation of China(82070948)
Scientific Research Program of Beijing Municipal Commission of Education(KM202010025020)
Affiliations
    Department of Ophthalmology, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, China

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表12种不同金属材料的力学参数

Family
属数
Number of
genus
种数
Number of
species
占总种数比例
Percentage of
total species (%)

Genus
种数
Number of
species
占总种数比例
Percentage of total
species (%)
鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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