301
Views
12
CrossRef citations to date
0
Altmetric
Drug Evaluations

Sirolimus for the treatment of noninfectious uveitis

, MD, FEBO & , MD

Bibliography

  • Papers of special note have been highlighted as of special interest (•)to readrs.
  • Gritz DC, Wong IG. Incidence and prevalence of uveitis in Northern California; the Northern California Epidemiology of Uveitis Study. Ophthalmology. 2004;17:491–500.
  • De Smet MD, Taylor SR, Bodaghi B, et al. Understanding uveitis: the impact of research on visual outcomes. Prog Retin Eye Res. 2011;30:452–470.

• Comprehensive review on current progress and medical needs in the field.

• Comprehensive review on current progress and medical needs in the field.

  • Jabs DA, Rosenbaum JT, Foster CS, et al. Guidelines for the use of immunosuppressive drugs in patients with ocular inflammatory disorders: recommendations of an expert panel. Am J Ophthalmol. 2000;130:492–513.
  • Yates WB, Vajdic CM, Na R, et al., et al. Malignancy risk in patients with inflammatory eye disease treated with systemic immunosuppressive therapy: a tertiary referral cohort study. Ophthalmology. 2015;122:265–273.
  • Uchiyama E, Papaliodis GN, Lobo AM, et al. Side-effects of anti-inflammatory therapy in uveitis. Semin Ophthalmol. 2014;29:456–467.
  • Hazirolan D, Pleyer U. Think global–act local: intravitreal drug delivery systems in chronic noninfectious uveitis. Ophthalmic Res. 2013;49:59–65.

• Current status on intravitreal implant and inserts and its pros and cons.

  • Kempen JH, Altaweel MM, Holbrook JT, et al. Randomized comparison of systemic antiinflammatory therapy versus fluocinolone acetonide implant for intermediate, posterior, and panuveitis: the multicenter uveitis steroid treatment trial. Ophthalmology. 2011;118:1916–1926.

• Important long-term prospective comparison on intravitreal versus systemic steroid treatment.

  • Nguyen QD, Hatef E, Kayen B, et al. A cross-sectional study of the current treatment patterns in noninfectious uveitis among specialists in the United States. Ophthalmology. 2011;118:184–190.
  • Callanan DG, Jaffe GJ, Martin DF, et al. Treatment of posterior uveitis with a fluocinolone acetonide implant: three-year clinical trial results. Arch Ophthalmol. 2008;126:1191–1201.
  • Pavesio C, Zierhut M, Bairi K, et al., Fluocinolone Acetonide Study Group. Evaluation of an intravitreal fluocinolone acetonide implant versus standard systemic therapy in noninfectious posterior uveitis. Ophthalmology. 2010;117:567–575.
  • Williams GA, Haller JA, Kuppermann BD, et al. Dexamethasone DDS Phase II Study Group. Dexamethasone Posterior-Segment Drug Delivery System in the Treatment of Macular Edema Resulting from Uveitis or Irvine-Gass Syndrome. Am J Ophthalmol. 2009;147:1048–1054.
  • Lowder C, Belfort R Jr, Lightman S, et al. Ozurdex HURON Study Group: dexamethasone intravitreal implant for noninfectious intermediate or posterior uveitis. Arch Ophthalmol. 2011;129:545–553.
  • Nguyen QD, Ibrahim MA, Watters A, et al. Ocular tolerability and efficacy of intravitreal and subconjunctival injections of sirolimus in patients with non-infectious uveitis: primary 6-month results of the SAVE Study. J Ophthalmic Inflamm Infect. 2013;3:32.
  • Sehgal S. Rapamune (RAPA, rapamycin, sirolimus): mechanism of action immunosuppressive effect results from blockage of signal transduction and inhibition of cell cycle progression. Clin Biochem. 1998;31:335–340.
  • Shanmuganathan VA, Casely EM, Raj D, et al. The efficacy of sirolimus in the treatment of patients with refractory uveitis. Br J Ophthalmol. 2005;89:666–669.
  • Rapamune (Sirolimus) Oral solution an Tablets, approval in 1999. Philadelphia (PA): Wyeth Pharmacentical Inc. ( Package insert).
  • CYPHER (TM) Sirolimus-e Luting coronary stent on RAPTOR (TM). Approval in 2003, Bridge water (NJ): Cordis Corporation. ( Package insert).
  • Powell JD, Pollizzi KN, Heikamp EB, et al. Regulation of immune responses by mTOR. Annu Rev Immunol. 2012;30:39–68.

• Comprehensive review on immune regulatory effects of sirolimus.

• Basic data of sirolimus pharmacokinetics in an experimental setting

  • Manzano R, Peyman G, Khan P, et al. Testing intravitreal toxicity of rapamycin in rabbit eyes. Arqiuvos Brasileiros De Oftalmologia. 2009;72:18–22.
  • Dugel PU, Blumenkranz MS, Haller JA, et al. A randomized, dose-escalation study of subconjunctival and intravitreal injections of sirolimus in patients with diabetic macular edema. Ophthalmology. 2012;119:124–131.
  • Petrou PA, Cunningham D, Shimel K, et al. Intravitreal sirolimus for the treatment of geographic atrophy: results of a phase I/II clinical trial. Invest Ophth Vis Sci. 2015;56:330–338.
  • Sen HN, Larson TA, Meleth AD, et al. Subconjunctival sirolimus for the treatment of chronic active anterior uveitis: results of a pilot trial. Am J Ophthalmol. 2012;153:1038–1042.
  • Ibrahim MA, Sepah YJ, Watters A, et al. One-year outcomes of the SAVE Study: sirolimus as a therapeutic approach for uveitis. Transl Vis Sci Technol. 2015;4:4.
  • Vigil EM, Sepah YJ, Watters AL, et al. Assesment of changes in quality of life among patients in the SAVE Study – sirolimus as therapeutic approach to uveitis: a randomized study to assess the safety and bioactivity of intravitreal and subconjunctival injections of sirolimus in patients with noninfectious uveitis. J Ophthalmic Inflamm. 2015;5:13.
  • Merrill P, Nguyen QD, Clark WL, et al. The SAKURA Study, a Phase III, multicenter, randomized, double-masked, study of intravitreal injections of DE-109 for the treatment of active, noninfectious uveitis of the posterior segment: baseline ocular disease characteristics. Invest Ophth Vis Sci. 2014;55:109–09.
  • Douglas LC, Yi NY, Davis JL, et al. Ocular toxicity and distribution of subconjunctival and intravitreal rapamycin in horses. J Vet Pharmacol Ther. 2008;31:511–516.
  • Tomkins – Netzer O, Talat L, Bar A, et al. Long – term clinical outcome and causes of vision loss in patients with uveitis. Ophthalmology. 2014;121:2387–2392.
  • Qian Y, Glaser T, Esterberg E, et al. Depression and visual functioning in patients with ocular inflammatory disease. Am J of Ophthalmol. 2012;153:370–78.e2.
  • Pleyer U, Klamann M, Laurent TJ, et al. Fast and successful management of intraocular inflammation with a single intravitreal dexamethasone implant. Ophthalmologica. 2014; Nov 21. [Epub ahead of print].
  • Shen BY, Punjabi OS, Lowder CY, et al. Early treatment response of fluocinolone (retisert) implantation in patients with uveitic macular edema: an optical coherence tomography study. Retina. 2013;33:873–877.
  • Otsuka H, Kawano H, Sonoda S, et al. Particle-induced endophthalmitis: possible mechanisms of sterile endophthalmitis after intravitreal triamcinolone. Invest Ophth Vis Sci. 2013;54:1758–1766.
  • Elsaid N, Somavarapu S, Jackson TL. Cholesterol-poly(ethylene) glycol nanocarriers for the transscleral delivery of sirolimus. Exp Eye Res. 2014;121:121–129.

Reprints and Corporate Permissions

Please note: Selecting permissions does not provide access to the full text of the article, please see our help page How do I view content?

To request a reprint or corporate permissions for this article, please click on the relevant link below:

Academic Permissions

Please note: Selecting permissions does not provide access to the full text of the article, please see our help page How do I view content?

Obtain permissions instantly via Rightslink by clicking on the button below:

If you are unable to obtain permissions via Rightslink, please complete and submit this Permissions form. For more information, please visit our Permissions help page.