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Ocul Immunol Inflamm ; 27(3): 484-496, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-29260952

RESUMO

Purpose: To analyse pooled data from 2 similar phase 3 noninferiority studies comparing difluprednate 0.05% versus prednisolone acetate 1% in patients with endogenous anterior uveitis. Methods: Patients received difluprednate alternating with vehicle or prednisolone acetate for 14 days (8 drops/day in both groups), followed by tapering from day 14 to 28. All patients were observed until day 42. Results: More patients on difluprednate than on prednisolone acetate were cleared of anterior chamber cells on day twenty one (71.3% vs 54.7%; p = 0.02); results were similar at the other time points. Treatment withdrawals were higher with prednisolone acetate than difluprednate (19.8% vs 7.4%; log-rank p = 0.02). Study discontinuation due to lack of efficacy was also higher with prednisolone acetate than difluprednate (14.0% vs 0%; p = 0.0002 [pre-specified exploratory analysis]). Conclusions: More difluprednate-treated eyes were quiet following 21 days of treatment, and difluprednate-treated patients were much less likely to be withdrawn from the study because of treatment failure.


Assuntos
Fluprednisolona/análogos & derivados , Prednisolona/análogos & derivados , Uveíte Anterior/tratamento farmacológico , Acuidade Visual , Adulto , Câmara Anterior/diagnóstico por imagem , Anti-Inflamatórios/administração & dosagem , Relação Dose-Resposta a Droga , Método Duplo-Cego , Feminino , Fluprednisolona/administração & dosagem , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Soluções Oftálmicas , Prednisolona/administração & dosagem , Estudos Prospectivos , Resultado do Tratamento , Uveíte Anterior/diagnóstico
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