Efficacious switching from subcutaneous to intravenous tocilizumab in patients with non-infectious non-anterior uveitis

Abstract Purpose The efficacy of tocilizumab in refractory chronic noninfectious uveitis has been previously reported, but no data comparing intravenous and subcutaneous tocilizumab in uveitis are available. Results We report a case series of patients with chronic noninfectious uveitis with incomple...

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Main Authors: Mathilde Leclercq, Paul Goupillou, Hélène Gomez, Marc Muraine, Ygal Benhamou, Nicolas Girszyn, Julie Gueudry
Format: Article
Language:English
Published: SpringerOpen 2023-07-01
Series:Journal of Ophthalmic Inflammation and Infection
Subjects:
Online Access:https://doi.org/10.1186/s12348-023-00336-3
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author Mathilde Leclercq
Paul Goupillou
Hélène Gomez
Marc Muraine
Ygal Benhamou
Nicolas Girszyn
Julie Gueudry
author_facet Mathilde Leclercq
Paul Goupillou
Hélène Gomez
Marc Muraine
Ygal Benhamou
Nicolas Girszyn
Julie Gueudry
author_sort Mathilde Leclercq
collection DOAJ
description Abstract Purpose The efficacy of tocilizumab in refractory chronic noninfectious uveitis has been previously reported, but no data comparing intravenous and subcutaneous tocilizumab in uveitis are available. Results We report a case series of patients with chronic noninfectious uveitis with incomplete efficacy of subcutaneous tocilizumab, improved after switching to intravenous routes. Improvement of visual acuity was observed with intravenous tocilizumab for all patients. Half of the patients could stop corticosteroids. Rapid efficacy of intravenous tocilizumab was observed, between 2 and 3 months. Conclusion In uveitis, tocilizumab administration could be optimized by a switching from a subcutaneous to an intravenous administration route.
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spelling doaj.art-4c86375494de4aa9a4037d24f411ed872023-07-23T11:22:27ZengSpringerOpenJournal of Ophthalmic Inflammation and Infection1869-57602023-07-011311610.1186/s12348-023-00336-3Efficacious switching from subcutaneous to intravenous tocilizumab in patients with non-infectious non-anterior uveitisMathilde Leclercq0Paul Goupillou1Hélène Gomez2Marc Muraine3Ygal Benhamou4Nicolas Girszyn5Julie Gueudry6CHU Rouen, Internal Medicine Department, CHU Charles NicolleOphthalmology Department, CHU RouenCHU Rouen, Internal Medicine Department, CHU Charles NicolleOphthalmology Department, CHU RouenCHU Rouen, Internal Medicine Department, CHU Charles NicolleCHU Rouen, Internal Medicine Department, CHU Charles NicolleOphthalmology Department, CHU RouenAbstract Purpose The efficacy of tocilizumab in refractory chronic noninfectious uveitis has been previously reported, but no data comparing intravenous and subcutaneous tocilizumab in uveitis are available. Results We report a case series of patients with chronic noninfectious uveitis with incomplete efficacy of subcutaneous tocilizumab, improved after switching to intravenous routes. Improvement of visual acuity was observed with intravenous tocilizumab for all patients. Half of the patients could stop corticosteroids. Rapid efficacy of intravenous tocilizumab was observed, between 2 and 3 months. Conclusion In uveitis, tocilizumab administration could be optimized by a switching from a subcutaneous to an intravenous administration route.https://doi.org/10.1186/s12348-023-00336-3UveitisTocilizumabBody weightSubcutaneousDrug monitoring
spellingShingle Mathilde Leclercq
Paul Goupillou
Hélène Gomez
Marc Muraine
Ygal Benhamou
Nicolas Girszyn
Julie Gueudry
Efficacious switching from subcutaneous to intravenous tocilizumab in patients with non-infectious non-anterior uveitis
Journal of Ophthalmic Inflammation and Infection
Uveitis
Tocilizumab
Body weight
Subcutaneous
Drug monitoring
title Efficacious switching from subcutaneous to intravenous tocilizumab in patients with non-infectious non-anterior uveitis
title_full Efficacious switching from subcutaneous to intravenous tocilizumab in patients with non-infectious non-anterior uveitis
title_fullStr Efficacious switching from subcutaneous to intravenous tocilizumab in patients with non-infectious non-anterior uveitis
title_full_unstemmed Efficacious switching from subcutaneous to intravenous tocilizumab in patients with non-infectious non-anterior uveitis
title_short Efficacious switching from subcutaneous to intravenous tocilizumab in patients with non-infectious non-anterior uveitis
title_sort efficacious switching from subcutaneous to intravenous tocilizumab in patients with non infectious non anterior uveitis
topic Uveitis
Tocilizumab
Body weight
Subcutaneous
Drug monitoring
url https://doi.org/10.1186/s12348-023-00336-3
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