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Rivas AB, Lopez-Picado A, Calamia V, Carreño E, Cocho L, Cordero-Coma M, Fonollosa A, Francisco Hernandez FM, Garcia-Aparicio A, Garcia-Gonzalez J, Mondejar JJ, Lojo-Oliveira L, Martínez-Costa L, Munoz S, Peiteado D, Pinto JA, Rodriguez-Lozano B, Pato E, Diaz-Valle D, Molina E, Tebar LA, Rodriguez-Rodriguez L. Efficacy, safety and cost-effectiveness of methotrexate, adalimumab or their combination in non-infectious non-anterior uveitis: a protocol for a multicentre, randomised, parallel three arms, active-controlled, phase III open label with blinded outcome assessment study. BMJ Open 2022; 12:e051378. [PMID: 35318229 PMCID: PMC8943738 DOI: 10.1136/bmjopen-2021-051378] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
INTRODUCTION Non-infectious uveitis include a heterogeneous group of sight-threatening and incapacitating conditions. Their correct management sometimes requires the use of immunosuppressive drugs (ISDs), prescribed in monotherapy or in combination. Several observational studies showed that the use of ISDs in combination could be more effective than and as safe as their use in monotherapy. However, a direct comparison between these two treatment strategies has not been carried out yet. METHODS AND ANALYSIS The Combination THerapy with mEthotrexate and adalImumAb for uveitis (CoTHEIA) study is a phase III, multicentre, prospective, randomised, single-blinded with masked outcome assessment, parallel three arms with 1:1:1 allocation, active-controlled, superiority study design, comparing the efficacy, safety and cost-effectiveness of methotrexate, adalimumab or their combination in non-infectious non-anterior uveitis. We aim to recruit 192 subjects. The duration of the treatment and follow-up will last up to 52 weeks, plus 70 days follow-up with no treatment. The complete and maintained resolution of the ocular inflammation will be assessed by masked evaluators (primary outcome). In addition to other secondary measurements of efficacy (quality of life, visual acuity and costs) and safety, we will identify subjects' subgroups with different treatment responses by developing prediction models based on machine learning techniques using genetic and proteomic biomarkers. ETHICS AND DISSEMINATION The protocol, annexes and informed consent forms were approved by the Reference Clinical Research Ethic Committee at the Hospital Clínico San Carlos (Madrid, Spain) and the Spanish Agency for Medicines and Health Products. We will elaborate a dissemination plan including production of materials adapted to several formats to communicate the clinical trial progress and findings to a broad group of stakeholders. The promoter will be the only access to the participant-level data, although it can be shared within the legal situation. TRIAL REGISTRATION NUMBER 2020-000130-18; NCT04798755.
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Affiliation(s)
- Ana Belen Rivas
- Unidad de Investigación Clinica y Ensayos Clínicos, Hospital Clínico San Carlos, IdISSC, Madrid, Spain
- Departamento de Enfermería. Facultad Enfermería, Fisioterapia y Podología, Universidad Complutense de Madrid, Madrid, Spain
| | - Amanda Lopez-Picado
- Unidad de Investigación Clinica y Ensayos Clínicos, Hospital Clínico San Carlos, IdISSC, Madrid, Spain
| | - Valentina Calamia
- Unidad de Proteómica. Grupo de Investigación de Reumatología (GIR), Instituto de Investigación Biomédica de A Coruña, Complexo Hospitalario Universitario de A Coruña, and Universidade da Coruña, A Coruna, Galicia, Spain
| | - Ester Carreño
- Department of Ophthalmology, University Hospital Fundacion Jimenez Diaz, and University Hospital Rey Juan Carlos, Madrid, Madrid, Spain
| | - Lidia Cocho
- Department of Ophthalmology, IOBA (Institute of Applied OphthalmoBiology), University of Valladolid, and Hospital Clínico Universitario de Valladolid, Valladolid, Castilla y León, Spain
| | - Miguel Cordero-Coma
- Uveitis Unit, University Hospital of León, IBIOMED, and University of León, Leon, Spain
| | - Alex Fonollosa
- Department of Ophthalmology, BioCruces Bizkaia Health Research Institute, Cruces University Hospital, University of the Basque Country, Barakaldo, País Vasco, Spain
| | - Felix M Francisco Hernandez
- Department of Rheumatology, Hospital Universitario de Gran Canaria Dr Negrin, Las Palmas de Gran Canaria, Spain
| | | | - Javier Garcia-Gonzalez
- Department of Rheumatology, Hospital Universitario 12 de Octubre, Madrid, Comunidad de Madrid, Spain
| | - Jose Juan Mondejar
- Department of Ophthalmology, Hospital General Universitario de Alicante, Alicante, Comunidad Valenciana, Spain
| | | | - Llucí Martínez-Costa
- Department of Ophthalmology, Hospital Universitario Doctor Peset, Valencia, Spain
| | - Santiago Munoz
- Department of Rheumatology, Hospital Universitario Infanta Sofia, San Sebastian de los Reyes, Madrid, Spain
| | - Diana Peiteado
- Department of Rheumatology, Hospital Universitario La Paz, Madrid, Madrid, Spain
| | - Jose Antonio Pinto
- Department of Rheumatology, Complexo Hospitalario Universitario de A Coruña, A Coruna, Galicia, Spain
| | - Beatriz Rodriguez-Lozano
- Department of Rheumatology, Hospital Universitario de Canarias, Santa Cruz de Tenerife, Canarias, Spain
| | - Esperanza Pato
- Department of Rheumatology, Hospital Clínico San Carlos, IdISSC, Madrid, Madrid, Spain
| | - David Diaz-Valle
- Department of Ophthalmology, Hospital Clínico San Carlos, IdISSC, Madrid, Spain
| | - Elena Molina
- Department of Pathology, Hospital Clínico San Carlos, IdISSC, Madrid, Spain
| | - Luis Alberto Tebar
- Unidad de Investigación Clinica y Ensayos Clínicos, Hospital Clínico San Carlos, IdISSC, Madrid, Spain
| | - Luis Rodriguez-Rodriguez
- Musculoskeletal Pathology Group, Fundacion para la Investigacion Biomedica del Hospital Clinico San Carlos, IdISSC, Madrid, Spain
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Jaffe GJ, Dick AD, Brézin AP, Nguyen QD, Thorne JE, Kestelyn P, Barisani-Asenbauer T, Franco P, Heiligenhaus A, Scales D, Chu DS, Camez A, Kwatra NV, Song AP, Kron M, Tari S, Suhler EB. Adalimumab in Patients with Active Noninfectious Uveitis. N Engl J Med 2016; 375:932-43. [PMID: 27602665 DOI: 10.1056/nejmoa1509852] [Citation(s) in RCA: 390] [Impact Index Per Article: 48.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
BACKGROUND Patients with noninfectious uveitis are at risk for long-term complications of uncontrolled inflammation, as well as for the adverse effects of long-term glucocorticoid therapy. We conducted a trial to assess the efficacy and safety of adalimumab as a glucocorticoid-sparing agent for the treatment of noninfectious uveitis. METHODS This multinational phase 3 trial involved adults who had active noninfectious intermediate uveitis, posterior uveitis, or panuveitis despite having received prednisone treatment for 2 or more weeks. Investigators and patients were unaware of the study-group assignments. Patients were randomly assigned in a 1:1 ratio to receive adalimumab (a loading dose of 80 mg followed by a dose of 40 mg every 2 weeks) or matched placebo. All patients received a mandatory prednisone burst followed by tapering of prednisone over the course of 15 weeks. The primary efficacy end point was the time to treatment failure occurring at or after week 6. Treatment failure was a multicomponent outcome that was based on assessment of new inflammatory lesions, best corrected visual acuity, anterior chamber cell grade, and vitreous haze grade. Nine ranked secondary efficacy end points were assessed, and adverse events were reported. RESULTS The median time to treatment failure was 24 weeks in the adalimumab group and 13 weeks in the placebo group. Among the 217 patients in the intention-to-treat population, those receiving adalimumab were less likely than those in the placebo group to have treatment failure (hazard ratio, 0.50; 95% confidence interval, 0.36 to 0.70; P<0.001). Outcomes with regard to three secondary end points (change in anterior chamber cell grade, change in vitreous haze grade, and change in best corrected visual acuity) were significantly better in the adalimumab group than in the placebo group. Adverse events and serious adverse events were reported more frequently among patients who received adalimumab (1052.4 vs. 971.7 adverse events and 28.8 vs. 13.6 serious adverse events per 100 person-years). CONCLUSIONS In our trial, adalimumab was found to be associated with a lower risk of uveitic flare or visual impairment and with more adverse events and serious adverse events than was placebo. (Funded by AbbVie; VISUAL I ClinicalTrials.gov number, NCT01138657 .).
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Affiliation(s)
- Glenn J Jaffe
- From Duke University, Durham, NC (G.J.J.); University of Bristol, Bristol Eye Hospital, Bristol, and National Institute for Health Research Biomedical Research Centre at Moorfields Eye Hospital and University College London Institute of Ophthalmology, London - both in the United Kingdom (A.D.D.); Université Paris Descartes, Hôpital Cochin, Paris (A.P.B.); Truhlsen Eye Institute, University of Nebraska Medical Center, Omaha (Q.D.N.); Johns Hopkins Medical Institute, Baltimore (J.E.T.); Ghent University Hospital, Ghent, Belgium (P.K.); Laura Bassi Center of Expertise Ocuvac, Medical University of Vienna, Vienna (T.B.-A.); Organización Médica de Investigación, Buenos Aires (P.F.); the Department of Ophthalmology, St. Franziskus-Hospital Münster, Münster (A.H.), University of Duisburg-Essen, Essen (A.H.), and AbbVie Deutschland, Ludwigshafen (A.C., M.K.) - all in Germany; University of Texas Health Science Center, San Antonio (D.S.); Metropolitan Eye Research and Surgery Institute, Palisades Park, NJ (D.S.C.); AbbVie, North Chicago, IL (N.V.K., A.P.S., S.T.); and Casey Eye Institute, Oregon Health and Science University, and VA Portland Health Care System (E.B.S.) - both in Portland
| | - Andrew D Dick
- From Duke University, Durham, NC (G.J.J.); University of Bristol, Bristol Eye Hospital, Bristol, and National Institute for Health Research Biomedical Research Centre at Moorfields Eye Hospital and University College London Institute of Ophthalmology, London - both in the United Kingdom (A.D.D.); Université Paris Descartes, Hôpital Cochin, Paris (A.P.B.); Truhlsen Eye Institute, University of Nebraska Medical Center, Omaha (Q.D.N.); Johns Hopkins Medical Institute, Baltimore (J.E.T.); Ghent University Hospital, Ghent, Belgium (P.K.); Laura Bassi Center of Expertise Ocuvac, Medical University of Vienna, Vienna (T.B.-A.); Organización Médica de Investigación, Buenos Aires (P.F.); the Department of Ophthalmology, St. Franziskus-Hospital Münster, Münster (A.H.), University of Duisburg-Essen, Essen (A.H.), and AbbVie Deutschland, Ludwigshafen (A.C., M.K.) - all in Germany; University of Texas Health Science Center, San Antonio (D.S.); Metropolitan Eye Research and Surgery Institute, Palisades Park, NJ (D.S.C.); AbbVie, North Chicago, IL (N.V.K., A.P.S., S.T.); and Casey Eye Institute, Oregon Health and Science University, and VA Portland Health Care System (E.B.S.) - both in Portland
| | - Antoine P Brézin
- From Duke University, Durham, NC (G.J.J.); University of Bristol, Bristol Eye Hospital, Bristol, and National Institute for Health Research Biomedical Research Centre at Moorfields Eye Hospital and University College London Institute of Ophthalmology, London - both in the United Kingdom (A.D.D.); Université Paris Descartes, Hôpital Cochin, Paris (A.P.B.); Truhlsen Eye Institute, University of Nebraska Medical Center, Omaha (Q.D.N.); Johns Hopkins Medical Institute, Baltimore (J.E.T.); Ghent University Hospital, Ghent, Belgium (P.K.); Laura Bassi Center of Expertise Ocuvac, Medical University of Vienna, Vienna (T.B.-A.); Organización Médica de Investigación, Buenos Aires (P.F.); the Department of Ophthalmology, St. Franziskus-Hospital Münster, Münster (A.H.), University of Duisburg-Essen, Essen (A.H.), and AbbVie Deutschland, Ludwigshafen (A.C., M.K.) - all in Germany; University of Texas Health Science Center, San Antonio (D.S.); Metropolitan Eye Research and Surgery Institute, Palisades Park, NJ (D.S.C.); AbbVie, North Chicago, IL (N.V.K., A.P.S., S.T.); and Casey Eye Institute, Oregon Health and Science University, and VA Portland Health Care System (E.B.S.) - both in Portland
| | - Quan Dong Nguyen
- From Duke University, Durham, NC (G.J.J.); University of Bristol, Bristol Eye Hospital, Bristol, and National Institute for Health Research Biomedical Research Centre at Moorfields Eye Hospital and University College London Institute of Ophthalmology, London - both in the United Kingdom (A.D.D.); Université Paris Descartes, Hôpital Cochin, Paris (A.P.B.); Truhlsen Eye Institute, University of Nebraska Medical Center, Omaha (Q.D.N.); Johns Hopkins Medical Institute, Baltimore (J.E.T.); Ghent University Hospital, Ghent, Belgium (P.K.); Laura Bassi Center of Expertise Ocuvac, Medical University of Vienna, Vienna (T.B.-A.); Organización Médica de Investigación, Buenos Aires (P.F.); the Department of Ophthalmology, St. Franziskus-Hospital Münster, Münster (A.H.), University of Duisburg-Essen, Essen (A.H.), and AbbVie Deutschland, Ludwigshafen (A.C., M.K.) - all in Germany; University of Texas Health Science Center, San Antonio (D.S.); Metropolitan Eye Research and Surgery Institute, Palisades Park, NJ (D.S.C.); AbbVie, North Chicago, IL (N.V.K., A.P.S., S.T.); and Casey Eye Institute, Oregon Health and Science University, and VA Portland Health Care System (E.B.S.) - both in Portland
| | - Jennifer E Thorne
- From Duke University, Durham, NC (G.J.J.); University of Bristol, Bristol Eye Hospital, Bristol, and National Institute for Health Research Biomedical Research Centre at Moorfields Eye Hospital and University College London Institute of Ophthalmology, London - both in the United Kingdom (A.D.D.); Université Paris Descartes, Hôpital Cochin, Paris (A.P.B.); Truhlsen Eye Institute, University of Nebraska Medical Center, Omaha (Q.D.N.); Johns Hopkins Medical Institute, Baltimore (J.E.T.); Ghent University Hospital, Ghent, Belgium (P.K.); Laura Bassi Center of Expertise Ocuvac, Medical University of Vienna, Vienna (T.B.-A.); Organización Médica de Investigación, Buenos Aires (P.F.); the Department of Ophthalmology, St. Franziskus-Hospital Münster, Münster (A.H.), University of Duisburg-Essen, Essen (A.H.), and AbbVie Deutschland, Ludwigshafen (A.C., M.K.) - all in Germany; University of Texas Health Science Center, San Antonio (D.S.); Metropolitan Eye Research and Surgery Institute, Palisades Park, NJ (D.S.C.); AbbVie, North Chicago, IL (N.V.K., A.P.S., S.T.); and Casey Eye Institute, Oregon Health and Science University, and VA Portland Health Care System (E.B.S.) - both in Portland
| | - Philippe Kestelyn
- From Duke University, Durham, NC (G.J.J.); University of Bristol, Bristol Eye Hospital, Bristol, and National Institute for Health Research Biomedical Research Centre at Moorfields Eye Hospital and University College London Institute of Ophthalmology, London - both in the United Kingdom (A.D.D.); Université Paris Descartes, Hôpital Cochin, Paris (A.P.B.); Truhlsen Eye Institute, University of Nebraska Medical Center, Omaha (Q.D.N.); Johns Hopkins Medical Institute, Baltimore (J.E.T.); Ghent University Hospital, Ghent, Belgium (P.K.); Laura Bassi Center of Expertise Ocuvac, Medical University of Vienna, Vienna (T.B.-A.); Organización Médica de Investigación, Buenos Aires (P.F.); the Department of Ophthalmology, St. Franziskus-Hospital Münster, Münster (A.H.), University of Duisburg-Essen, Essen (A.H.), and AbbVie Deutschland, Ludwigshafen (A.C., M.K.) - all in Germany; University of Texas Health Science Center, San Antonio (D.S.); Metropolitan Eye Research and Surgery Institute, Palisades Park, NJ (D.S.C.); AbbVie, North Chicago, IL (N.V.K., A.P.S., S.T.); and Casey Eye Institute, Oregon Health and Science University, and VA Portland Health Care System (E.B.S.) - both in Portland
| | - Talin Barisani-Asenbauer
- From Duke University, Durham, NC (G.J.J.); University of Bristol, Bristol Eye Hospital, Bristol, and National Institute for Health Research Biomedical Research Centre at Moorfields Eye Hospital and University College London Institute of Ophthalmology, London - both in the United Kingdom (A.D.D.); Université Paris Descartes, Hôpital Cochin, Paris (A.P.B.); Truhlsen Eye Institute, University of Nebraska Medical Center, Omaha (Q.D.N.); Johns Hopkins Medical Institute, Baltimore (J.E.T.); Ghent University Hospital, Ghent, Belgium (P.K.); Laura Bassi Center of Expertise Ocuvac, Medical University of Vienna, Vienna (T.B.-A.); Organización Médica de Investigación, Buenos Aires (P.F.); the Department of Ophthalmology, St. Franziskus-Hospital Münster, Münster (A.H.), University of Duisburg-Essen, Essen (A.H.), and AbbVie Deutschland, Ludwigshafen (A.C., M.K.) - all in Germany; University of Texas Health Science Center, San Antonio (D.S.); Metropolitan Eye Research and Surgery Institute, Palisades Park, NJ (D.S.C.); AbbVie, North Chicago, IL (N.V.K., A.P.S., S.T.); and Casey Eye Institute, Oregon Health and Science University, and VA Portland Health Care System (E.B.S.) - both in Portland
| | - Pablo Franco
- From Duke University, Durham, NC (G.J.J.); University of Bristol, Bristol Eye Hospital, Bristol, and National Institute for Health Research Biomedical Research Centre at Moorfields Eye Hospital and University College London Institute of Ophthalmology, London - both in the United Kingdom (A.D.D.); Université Paris Descartes, Hôpital Cochin, Paris (A.P.B.); Truhlsen Eye Institute, University of Nebraska Medical Center, Omaha (Q.D.N.); Johns Hopkins Medical Institute, Baltimore (J.E.T.); Ghent University Hospital, Ghent, Belgium (P.K.); Laura Bassi Center of Expertise Ocuvac, Medical University of Vienna, Vienna (T.B.-A.); Organización Médica de Investigación, Buenos Aires (P.F.); the Department of Ophthalmology, St. Franziskus-Hospital Münster, Münster (A.H.), University of Duisburg-Essen, Essen (A.H.), and AbbVie Deutschland, Ludwigshafen (A.C., M.K.) - all in Germany; University of Texas Health Science Center, San Antonio (D.S.); Metropolitan Eye Research and Surgery Institute, Palisades Park, NJ (D.S.C.); AbbVie, North Chicago, IL (N.V.K., A.P.S., S.T.); and Casey Eye Institute, Oregon Health and Science University, and VA Portland Health Care System (E.B.S.) - both in Portland
| | - Arnd Heiligenhaus
- From Duke University, Durham, NC (G.J.J.); University of Bristol, Bristol Eye Hospital, Bristol, and National Institute for Health Research Biomedical Research Centre at Moorfields Eye Hospital and University College London Institute of Ophthalmology, London - both in the United Kingdom (A.D.D.); Université Paris Descartes, Hôpital Cochin, Paris (A.P.B.); Truhlsen Eye Institute, University of Nebraska Medical Center, Omaha (Q.D.N.); Johns Hopkins Medical Institute, Baltimore (J.E.T.); Ghent University Hospital, Ghent, Belgium (P.K.); Laura Bassi Center of Expertise Ocuvac, Medical University of Vienna, Vienna (T.B.-A.); Organización Médica de Investigación, Buenos Aires (P.F.); the Department of Ophthalmology, St. Franziskus-Hospital Münster, Münster (A.H.), University of Duisburg-Essen, Essen (A.H.), and AbbVie Deutschland, Ludwigshafen (A.C., M.K.) - all in Germany; University of Texas Health Science Center, San Antonio (D.S.); Metropolitan Eye Research and Surgery Institute, Palisades Park, NJ (D.S.C.); AbbVie, North Chicago, IL (N.V.K., A.P.S., S.T.); and Casey Eye Institute, Oregon Health and Science University, and VA Portland Health Care System (E.B.S.) - both in Portland
| | - David Scales
- From Duke University, Durham, NC (G.J.J.); University of Bristol, Bristol Eye Hospital, Bristol, and National Institute for Health Research Biomedical Research Centre at Moorfields Eye Hospital and University College London Institute of Ophthalmology, London - both in the United Kingdom (A.D.D.); Université Paris Descartes, Hôpital Cochin, Paris (A.P.B.); Truhlsen Eye Institute, University of Nebraska Medical Center, Omaha (Q.D.N.); Johns Hopkins Medical Institute, Baltimore (J.E.T.); Ghent University Hospital, Ghent, Belgium (P.K.); Laura Bassi Center of Expertise Ocuvac, Medical University of Vienna, Vienna (T.B.-A.); Organización Médica de Investigación, Buenos Aires (P.F.); the Department of Ophthalmology, St. Franziskus-Hospital Münster, Münster (A.H.), University of Duisburg-Essen, Essen (A.H.), and AbbVie Deutschland, Ludwigshafen (A.C., M.K.) - all in Germany; University of Texas Health Science Center, San Antonio (D.S.); Metropolitan Eye Research and Surgery Institute, Palisades Park, NJ (D.S.C.); AbbVie, North Chicago, IL (N.V.K., A.P.S., S.T.); and Casey Eye Institute, Oregon Health and Science University, and VA Portland Health Care System (E.B.S.) - both in Portland
| | - David S Chu
- From Duke University, Durham, NC (G.J.J.); University of Bristol, Bristol Eye Hospital, Bristol, and National Institute for Health Research Biomedical Research Centre at Moorfields Eye Hospital and University College London Institute of Ophthalmology, London - both in the United Kingdom (A.D.D.); Université Paris Descartes, Hôpital Cochin, Paris (A.P.B.); Truhlsen Eye Institute, University of Nebraska Medical Center, Omaha (Q.D.N.); Johns Hopkins Medical Institute, Baltimore (J.E.T.); Ghent University Hospital, Ghent, Belgium (P.K.); Laura Bassi Center of Expertise Ocuvac, Medical University of Vienna, Vienna (T.B.-A.); Organización Médica de Investigación, Buenos Aires (P.F.); the Department of Ophthalmology, St. Franziskus-Hospital Münster, Münster (A.H.), University of Duisburg-Essen, Essen (A.H.), and AbbVie Deutschland, Ludwigshafen (A.C., M.K.) - all in Germany; University of Texas Health Science Center, San Antonio (D.S.); Metropolitan Eye Research and Surgery Institute, Palisades Park, NJ (D.S.C.); AbbVie, North Chicago, IL (N.V.K., A.P.S., S.T.); and Casey Eye Institute, Oregon Health and Science University, and VA Portland Health Care System (E.B.S.) - both in Portland
| | - Anne Camez
- From Duke University, Durham, NC (G.J.J.); University of Bristol, Bristol Eye Hospital, Bristol, and National Institute for Health Research Biomedical Research Centre at Moorfields Eye Hospital and University College London Institute of Ophthalmology, London - both in the United Kingdom (A.D.D.); Université Paris Descartes, Hôpital Cochin, Paris (A.P.B.); Truhlsen Eye Institute, University of Nebraska Medical Center, Omaha (Q.D.N.); Johns Hopkins Medical Institute, Baltimore (J.E.T.); Ghent University Hospital, Ghent, Belgium (P.K.); Laura Bassi Center of Expertise Ocuvac, Medical University of Vienna, Vienna (T.B.-A.); Organización Médica de Investigación, Buenos Aires (P.F.); the Department of Ophthalmology, St. Franziskus-Hospital Münster, Münster (A.H.), University of Duisburg-Essen, Essen (A.H.), and AbbVie Deutschland, Ludwigshafen (A.C., M.K.) - all in Germany; University of Texas Health Science Center, San Antonio (D.S.); Metropolitan Eye Research and Surgery Institute, Palisades Park, NJ (D.S.C.); AbbVie, North Chicago, IL (N.V.K., A.P.S., S.T.); and Casey Eye Institute, Oregon Health and Science University, and VA Portland Health Care System (E.B.S.) - both in Portland
| | - Nisha V Kwatra
- From Duke University, Durham, NC (G.J.J.); University of Bristol, Bristol Eye Hospital, Bristol, and National Institute for Health Research Biomedical Research Centre at Moorfields Eye Hospital and University College London Institute of Ophthalmology, London - both in the United Kingdom (A.D.D.); Université Paris Descartes, Hôpital Cochin, Paris (A.P.B.); Truhlsen Eye Institute, University of Nebraska Medical Center, Omaha (Q.D.N.); Johns Hopkins Medical Institute, Baltimore (J.E.T.); Ghent University Hospital, Ghent, Belgium (P.K.); Laura Bassi Center of Expertise Ocuvac, Medical University of Vienna, Vienna (T.B.-A.); Organización Médica de Investigación, Buenos Aires (P.F.); the Department of Ophthalmology, St. Franziskus-Hospital Münster, Münster (A.H.), University of Duisburg-Essen, Essen (A.H.), and AbbVie Deutschland, Ludwigshafen (A.C., M.K.) - all in Germany; University of Texas Health Science Center, San Antonio (D.S.); Metropolitan Eye Research and Surgery Institute, Palisades Park, NJ (D.S.C.); AbbVie, North Chicago, IL (N.V.K., A.P.S., S.T.); and Casey Eye Institute, Oregon Health and Science University, and VA Portland Health Care System (E.B.S.) - both in Portland
| | - Alexandra P Song
- From Duke University, Durham, NC (G.J.J.); University of Bristol, Bristol Eye Hospital, Bristol, and National Institute for Health Research Biomedical Research Centre at Moorfields Eye Hospital and University College London Institute of Ophthalmology, London - both in the United Kingdom (A.D.D.); Université Paris Descartes, Hôpital Cochin, Paris (A.P.B.); Truhlsen Eye Institute, University of Nebraska Medical Center, Omaha (Q.D.N.); Johns Hopkins Medical Institute, Baltimore (J.E.T.); Ghent University Hospital, Ghent, Belgium (P.K.); Laura Bassi Center of Expertise Ocuvac, Medical University of Vienna, Vienna (T.B.-A.); Organización Médica de Investigación, Buenos Aires (P.F.); the Department of Ophthalmology, St. Franziskus-Hospital Münster, Münster (A.H.), University of Duisburg-Essen, Essen (A.H.), and AbbVie Deutschland, Ludwigshafen (A.C., M.K.) - all in Germany; University of Texas Health Science Center, San Antonio (D.S.); Metropolitan Eye Research and Surgery Institute, Palisades Park, NJ (D.S.C.); AbbVie, North Chicago, IL (N.V.K., A.P.S., S.T.); and Casey Eye Institute, Oregon Health and Science University, and VA Portland Health Care System (E.B.S.) - both in Portland
| | - Martina Kron
- From Duke University, Durham, NC (G.J.J.); University of Bristol, Bristol Eye Hospital, Bristol, and National Institute for Health Research Biomedical Research Centre at Moorfields Eye Hospital and University College London Institute of Ophthalmology, London - both in the United Kingdom (A.D.D.); Université Paris Descartes, Hôpital Cochin, Paris (A.P.B.); Truhlsen Eye Institute, University of Nebraska Medical Center, Omaha (Q.D.N.); Johns Hopkins Medical Institute, Baltimore (J.E.T.); Ghent University Hospital, Ghent, Belgium (P.K.); Laura Bassi Center of Expertise Ocuvac, Medical University of Vienna, Vienna (T.B.-A.); Organización Médica de Investigación, Buenos Aires (P.F.); the Department of Ophthalmology, St. Franziskus-Hospital Münster, Münster (A.H.), University of Duisburg-Essen, Essen (A.H.), and AbbVie Deutschland, Ludwigshafen (A.C., M.K.) - all in Germany; University of Texas Health Science Center, San Antonio (D.S.); Metropolitan Eye Research and Surgery Institute, Palisades Park, NJ (D.S.C.); AbbVie, North Chicago, IL (N.V.K., A.P.S., S.T.); and Casey Eye Institute, Oregon Health and Science University, and VA Portland Health Care System (E.B.S.) - both in Portland
| | - Samir Tari
- From Duke University, Durham, NC (G.J.J.); University of Bristol, Bristol Eye Hospital, Bristol, and National Institute for Health Research Biomedical Research Centre at Moorfields Eye Hospital and University College London Institute of Ophthalmology, London - both in the United Kingdom (A.D.D.); Université Paris Descartes, Hôpital Cochin, Paris (A.P.B.); Truhlsen Eye Institute, University of Nebraska Medical Center, Omaha (Q.D.N.); Johns Hopkins Medical Institute, Baltimore (J.E.T.); Ghent University Hospital, Ghent, Belgium (P.K.); Laura Bassi Center of Expertise Ocuvac, Medical University of Vienna, Vienna (T.B.-A.); Organización Médica de Investigación, Buenos Aires (P.F.); the Department of Ophthalmology, St. Franziskus-Hospital Münster, Münster (A.H.), University of Duisburg-Essen, Essen (A.H.), and AbbVie Deutschland, Ludwigshafen (A.C., M.K.) - all in Germany; University of Texas Health Science Center, San Antonio (D.S.); Metropolitan Eye Research and Surgery Institute, Palisades Park, NJ (D.S.C.); AbbVie, North Chicago, IL (N.V.K., A.P.S., S.T.); and Casey Eye Institute, Oregon Health and Science University, and VA Portland Health Care System (E.B.S.) - both in Portland
| | - Eric B Suhler
- From Duke University, Durham, NC (G.J.J.); University of Bristol, Bristol Eye Hospital, Bristol, and National Institute for Health Research Biomedical Research Centre at Moorfields Eye Hospital and University College London Institute of Ophthalmology, London - both in the United Kingdom (A.D.D.); Université Paris Descartes, Hôpital Cochin, Paris (A.P.B.); Truhlsen Eye Institute, University of Nebraska Medical Center, Omaha (Q.D.N.); Johns Hopkins Medical Institute, Baltimore (J.E.T.); Ghent University Hospital, Ghent, Belgium (P.K.); Laura Bassi Center of Expertise Ocuvac, Medical University of Vienna, Vienna (T.B.-A.); Organización Médica de Investigación, Buenos Aires (P.F.); the Department of Ophthalmology, St. Franziskus-Hospital Münster, Münster (A.H.), University of Duisburg-Essen, Essen (A.H.), and AbbVie Deutschland, Ludwigshafen (A.C., M.K.) - all in Germany; University of Texas Health Science Center, San Antonio (D.S.); Metropolitan Eye Research and Surgery Institute, Palisades Park, NJ (D.S.C.); AbbVie, North Chicago, IL (N.V.K., A.P.S., S.T.); and Casey Eye Institute, Oregon Health and Science University, and VA Portland Health Care System (E.B.S.) - both in Portland
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