Review Article

Anti-TNF-Alpha Therapy and Systemic Vasculitis

Table 5

Open label and randomized controlled trials performed in BD with cutaneous, intestinal, and central nervous system involvements.

ReferencesType of involvement/design/anti-TNF-α therapyNumber of patientsMain objectivesFollow-upMain resultsSide effects

Melikoglu et al. [66]Cutaneous/randomized controlled trial/ETN versus placebo40 (20 ETN/20 placebo)(i) Pathergy response and monourate sodium status
(ii) frequencies of mucocutaneous manifestations
4 weeks(i) No differences between the two groups
(ii) decrease of frequency of mucocutaneous manifestations
No serious side effects

Iwata et al. [67]Entero-Behcet/open label trial/IFX10Clinical manifestations CT-scan12 monthsRapid and dramatic improvement for all the patientsNo serious side effects

Kikuchi et al. [69]Neuro-Behcet/open label trial/IFX5Clinical manifestations brain magnetic resonance imaging24 weeksImprovement in 3 patientsOne pneumocystis pneumonia

Giardina et al. [70]Neuro-Behcet/open label trial/IFX21Clinical manifestations (CR/PR)54 weeks85% of CR 9% of PRNo serious side effects

CR: complete remission; PR: partial remission.