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Middle East African Journal of Ophthalmology Middle East African Journal of Ophthalmology
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REVIEW ARTICLE
Year : 2010  |  Volume : 17  |  Issue : 4  |  Page : 290-296

Adalimumab (Humira TM ) in ophthalmology: A review of the literature


1 The Eye Clinic-Ospedali Riuniti Umberto I-G.M. Lancisi-G. Salesi, Ancona, Italy
2 The Eye Clinic-Ospedali Riuniti Umberto I-G.M. Lancisi-G. Salesi, Ancona; Polytechnic University of Marche, Ancona, Italy

Correspondence Address:
Piergiorgio Neri
Via Conca 71, 60020 Torrette, Ancona
Italy
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-9233.71588

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Tumor Necrosis Factor alpha (TNF-α) is a pleiotropic cytokine which plays a primary role in the induction of inflammation in autoimmune diseases. The newest anti-TNF-α agent is adalimumab (Humira, Abbott Pharmaceutical Inc.), a human-derived antibody. This review summarizes the characteristics of adalimumab, highlighting its clinical use in systemic and ocular inflammatory disorders, and the possible therapeutic strategies. Adalimumab has been successfully used for the treatment of rheumatoid arthritis, ankylosing spondylitis, and psoriasis arthritis. More recently, adalimumab has shown promising qualities in controlling intraocular inflammations, even though this has been used prevalently as a rescue therapy for unresponsive cases. This biologic agent was also used in pediatric cases, showing a good safety and efficacy profile. Albeit no direct comparison with other biologics has been done, and adalimumab seems to be equivalent to the other anti-TNF-α, the switching to adalimumab can offer a better uveitic control. Adalimumab is a promising drug for the treatment of uveitis, even though further studies are needed on its application as a primary therapy in uveitis.


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