Related Experiment Video
Updated: Jul 15, 2026

Determination of the Relative Potency of an Anti-TNF Monoclonal Antibody (mAb) by Neutralizing TNF Using an In Vitro Bioanalytical Method
Published on: September 16, 2017
[Anti-TNFalpha treatment of juvenile uveitis]
Hans Callø Fledelius1, Susan M Nielsen, Kamilla Rothe Nissen
1Rigshospitalet, Øjenafdelingen, København Ø.
Insights
Anti-tumor necrosis factor alpha (TNFα) treatment effectively reduced uveitis activity in 11 children with juvenile idiopathic arthritis (JIA) and related conditions. Early intervention with anti-TNFα agents like infliximab may prevent long-term ocular complications.
Area of Science:
- Ophthalmology
- Rheumatology
- Immunology
Context:
- Juvenile idiopathic arthritis (JIA) frequently causes uveitis.
- Severe uveitis requires aggressive treatment to prevent vision loss.
- Conventional therapies may be insufficient for sight-threatening uveitis.
Purpose:
- To evaluate the efficacy of anti-tumor necrosis factor alpha (anti-TNFα) therapy in pediatric patients with severe uveitis.
- To assess treatment outcomes in patients with JIA-associated uveitis and Blau's syndrome.
- To compare the effectiveness of infliximab and etanercept in managing uveitis.
Summary:
- Eleven children with severe uveitis, including nine with JIA and two with Blau's syndrome, received anti-TNFα treatment.
- All patients experienced reduced uveitis activity, with outcomes linked to visual acuity and decreased use of immunosuppressants.
- Infliximab demonstrated superiority over etanercept in treating uveitis.
Impact:
- Anti-TNFα therapy is effective in managing severe uveitis associated with JIA and other inflammatory conditions.
- Early initiation of anti-TNFα treatment can prevent long-term ocular complications and preserve vision.
- Findings support early use of anti-TNFα agents for active uveitis unresponsive to standard treatments.
Introduction:
To present our experience with anti-TNFalpha treatment of juvenile idiopatic arthritis (JIA) associated uveitis.
Materials And Methods:
All 11 children with severe uveitis were monitored between 2001 and 2005. Nine of the children had JIA and a set of twins had a rare hereditary granulomatous disease, Blau's syndrome. The patients were selected and the reason for starting anti-TNFalpha treatment was an insufficient response in the arthritis or uveitis to previous therapy.
Results:
In all patients the anti-TNFalpha treatment reduced the activity of uveitis. The response to treatment was related to 1) visual acuity and 2) the reduction of systemic immune-suppressing agents. All 11 children are still on anti-TNFalpha treatment.
Conclusion:
Anti-TNFalpha was effective in treating uveitis in all 11 patients. In patients with active uveitis associated JIA not responding to corticosteroids and methotrexate and with declined vision the trend is to start anti-TNFalpha treatment early in the inflammatory disease to prevent long term complications to the eyes. The results indicate a superiority of infliximab over Eternacept in the treatment of uveitis.
Related Concept Videos
Drugs for Treatment of Crohn's Disease in IBD Using Biologic Agents: Anti-TNF
Open Angle Glaucoma: Treatment
Drugs such as carbonic anhydrase inhibitors, α2- and...
Inflammatory Bowel Disease IV: Pharmacological Management
Pharmacologic...
Drugs for Treatment of Crohn's Disease in IBD Using Immunomodulatory Agents
Angle Closure Glaucoma: Treatment
Drugs for Treatment of Crohn's Disease in IBD Using Glucocorticoids