Comparison of CD4 Counts with Mycophenolate Mofetil versus Methotrexate from the First-line Antimetabolites as Steroid-sparing Treatment (FAST) Uveitis Trial.


Journal

Ocular immunology and inflammation
ISSN: 1744-5078
Titre abrégé: Ocul Immunol Inflamm
Pays: England
ID NLM: 9312169

Informations de publication

Date de publication:
02 Jan 2022
Historique:
pubmed: 12 8 2020
medline: 17 3 2022
entrez: 12 8 2020
Statut: ppublish

Résumé

Sub-analysis of the FAST Trial comparing change in CD4 (∆CD4) from baseline through 12 months in uveitis patients treated with mycophenolate mofetil (MMF) and methotrexate (MTX). Patients were randomly allocated to 1.5 g twice daily MMF or 25 mg weekly MTX. Individuals with CD4 counts at baseline, 6 months (or treatment failure prior), and 12 months (or treatment failure between 6 and 12 months) were included. The association between treatment and ∆CD4 (cells/μL) was analyzed using multivariable linear regression. There was no significant difference in ∆CD4 between MMF and MTX at 6 months (-31.7 cells/μL for MMF compared to MTX; 95% CI: -358.2 to 294.8, There was no significant difference in ∆CD4 between MMF and MTX from baseline to 12 months, suggesting that MMF does not confer additional risk of CD4 lymphopenia in uveitic patients.ClinicalTrials.gov Identifier: NCT01829295.

Identifiants

pubmed: 32779952
doi: 10.1080/09273948.2020.1774906
pmc: PMC7876156
mid: NIHMS1599753
doi:

Substances chimiques

Antimetabolites 0
Immunosuppressive Agents 0
Steroids 0
Mycophenolic Acid HU9DX48N0T
Methotrexate YL5FZ2Y5U1

Banques de données

ClinicalTrials.gov
['NCT01829295']

Types de publication

Journal Article Randomized Controlled Trial

Langues

eng

Sous-ensembles de citation

IM

Pagination

198-202

Subventions

Organisme : NEI NIH HHS
ID : U10 EY021125
Pays : United States

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Auteurs

Christina L Kong (CL)

F.I. Proctor Foundation, University of California, San Francisco, San Francisco, CA, USA.

Nicole K Kelly (NK)

F.I. Proctor Foundation, University of California, San Francisco, San Francisco, CA, USA.

Miel Sundararajan (M)

Department of Ophthalmology, University of California, San Francisco, San Francisco, CA, USA.

S R Rathinam (SR)

Uvea Services, Aravind Eye Hospitals and Postgraduate Institute of Ophthalmology, Madurai, India.

John A Gonzales (JA)

F.I. Proctor Foundation, University of California, San Francisco, San Francisco, CA, USA.
Department of Ophthalmology, University of California, San Francisco, San Francisco, CA, USA.

Radhika Thundikandy (R)

Uvea Services, Aravind Eye Hospitals and Postgraduate Institute of Ophthalmology, Madurai, India.

Rajesh Vedhanayaki (R)

Uvea Services, Aravind Eye Hospitals and Postgraduate Institute of Ophthalmology, Madurai, India.

Anuradha Kanakath (A)

Uvea Services, Aravind Eye Hospitals and Postgraduate Institute of Ophthalmology, Coimbatore, India.

Bala Murugan (B)

Uvea Services, Aravind Eye Hospitals and Postgraduate Institute of Ophthalmology, Pondicherry, India.

Thuy Doan (T)

F.I. Proctor Foundation, University of California, San Francisco, San Francisco, CA, USA.
Department of Ophthalmology, University of California, San Francisco, San Francisco, CA, USA.

Debra Goldstein (D)

Department of Ophthalmology, Northwestern University, Chicago, IL, USA.

Hassan A Al-Dhibi (HA)

Division of Vitreoretinal Surgery and Uveitis, King Khaled Eye Specialist Hospital, Riyadh, Kingdom of Saudi Arabia.

Nisha R Acharya (NR)

F.I. Proctor Foundation, University of California, San Francisco, San Francisco, CA, USA.
Department of Ophthalmology, University of California, San Francisco, San Francisco, CA, USA.
Department of Epidemiology and Biostatistics, University of California, San Francisco, San Francisco, CA, USA.

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