Behcet Syndrome, Uveal Disease
Conditions
Keywords
Etanercept, Behcet's syndrome, Behcet's Disease, Ocular Lesions, Uveitis, Retinal Vasculitis
Brief summary
The purpose of this study is to find if Etanercept can improve the outcome of ocular lesions of Behcet's Disease treated with Methotrexate and Prednisolone
Detailed description
To test in a randomized single blind control trial the efficacy of Etanercept in patients with posterior uveitis and/or retinal vasculitis of Behcet's disease treated with Methotrexate and prednisolone
Interventions
In: Arm A, Etanercept-MTX-Prednisolone: Etanercept 50 mg weekly (subcutaneous injection) for 12 months. Methotrexate 15 mg weekly for 12 months. Prednisolone: 30 mg daily, in divided doses, as initial dose. The dose will be reduced and adjusted to the eye's inflammation. Discontinuation if no inflammation with very low doses. In Arm B: Methotrexate 15 mg weekly for 12 months. Prednisolone: 30 mg daily, in divided doses, as initial dose. The dose will be reduced and adjusted to the eye's inflammation. Discontinuation if no inflammation with very low doses.
Sponsors
Study design
Eligibility
Inclusion criteria
* Behcet's Disease according to the International Criteria for Behcet's disease (ICBD) * Active posterior uveitis and/or retinal vasculitis
Exclusion criteria
* Visual acuity inferior to 1/10 on Snellen chart * Being under cytotoxic drugs or having received them in the past 2 months * Not being able to follow the one year treatment and the regular follow ups
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Visual Acuity, Disease Activity Index (DAI) for Posterior Uveitis, DAI for Retinal vasculitis | One Year |
Secondary
| Measure | Time frame |
|---|---|
| DAI for Anterior Uveitis, Total Inflammatory Acitivity Index, Total Adjusted Disease Activity Index | One Year |
Countries
Iran