ClinicalTrials.gg
CompletedNCT06310837Updated Sep 15, 2026

Effect of Immunosuppressants With Adalimumab Biosimilars vs Corticosteroids on Noninfectious Uveitis

An interventional study of Adalimumab Biosimilars Injection and Corticosteroid in Uveitis, sponsored by Zhongshan Ophthalmic Center, Sun Yat-sen University. Completed at 1 site in China. Open to participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2026-09-15.

Sponsored by Zhongshan Ophthalmic Center, Sun Yat-sen University · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
128
Allocation
Randomized
Ages
18 Years to 70 Years
Sex
All
01

Study summary

This is a multi-center, prospective, randomized controlled non-inferior clinical study. A total of 120 subjects with non-infectious intermediate, posterior, or panuveitis were enrolled in Zhongshan Ophthalmic Center and three other centers. They were randomly assigned to the experimental group and the control group according to ( 1 : 1 ). We hypothesized that adalimumab biosimilars combined with immunosuppressive agents in the treatment of non-infectious uveitis is not inferior to glucocorticoids combined with immunosuppressive agents, and there are no additional adverse events and safety issues.

Read the detailed description

The study will be followed up in the screening-baseline period and at 4,8,12,18,24,36, and 48 weeks after the start of the study drug. The ETDRS letter number change of the best corrected visual acuity ( BCVA ) at 24 weeks compared with the baseline was used as the main indicator. The last follow-up was performed at 48 weeks.

02

Conditions studied

  • Uveitis

Browse trials for

Keywords

  • Uveitis
  • Corticosteroids
  • Adalimumab biosimilars
03

In context

Uveitis

299 studies on the registry are indexed under Uveitis; 32 are open to participants now.

This study's enrollment of 128 is above the median of 30 across 175 interventional studies indexed under Uveitis.

Browse Uveitis studies →

Lead sponsor

Zhongshan Ophthalmic Center, Sun Yat-sen University is the lead sponsor of 164 studies on the registry; 80 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Age 18 to 70 years old ( including boundary value ), male or female.
  2. At least one eye is diagnosed as noninfectious intermediate uveitis, posterior uveitis or panuveitis.
  3. Subject is on prednisone ≥ 10 mg/day (or equivalent) for at least 2 weeks prior to Screening and remains on the same dose from screening to baseline visit.
  4. At least one eye is diagnosed as active uveitis at baseline;
  5. Subject is voluntary to participate in the study and sign the form.

Exclusion criteria

Exclusion Criteria:

  1. Subject with isolated anterior uveitis.
  2. Subject with prior inadequate response to or intolerance to high-dose (equivalent of prednisone 1 mg/kg/day or 60 to 80 mg/day).
  3. Subject is suspected or diagnosed as infectious uveitis.
  4. Uncontrolled glaucoma or high intraocular pressure, defined as intraocular pressure>25 mmHg after treatment with ≥ 2 anti-glaucoma drugs or evidence of glaucomatous optic nerve injury.
  5. Subject with best corrected visual acuity (BCVA) worse than 20/400 (ETDRS logMAR > 1.34 or \<20 letters) in the better eye.
  6. Subject with other fundus diseases.
  7. Subject with demyelinating diseases.
  8. Subject has a to pupil dilation with mydriatic eyedrops.
  9. Subject with corneal or lens opacity that precludes visualization of the anterior segment and fundus.
  10. Topical corticosteroids and/or topical NSAID>3 drops per day in the 14 days prior to baseline; Dexamethasone/betamethasone or equivalent subconjunctival steroid within 30 days prior to baseline; Parafbulbar, intravitreal (IVT), suprasoroidal, or periocular corticosteroid injections were administered within 60 days prior to baseline; Received IVT anti-VEGF therapies less than 60 days prior to baseline; Dexamethasone (Ozurdex) IVT implant within 6 months prior to baseline; Fluocinolone acetonide IVT implant within 3 years prior to baseline.
  11. Subject with history of prior intraocular surgery within 90 days prior to baseline or any planned (elective) eye surgery within the next 1 year from baseline.
  12. Subject is diagnosised or suspected tuberculosis, virus, virus, , syphilis infection or with other uncontrolled active infections or other infections that would put the subject at uncontrolled risk.
  13. Subject with severe, progressive, or uncontrolled symptoms of renal, hepatic, hematologic, gastrointestinal, pulmonary, cardiovascular, neurological, or cerebral diseases or with malignant tumors or with moderate to severe heart failure and subjects who are considered by the investigator to be at unacceptable risk by participating in the study.
  14. Prior biologic and therapy other than corticosteroids at any time.
  15. Subject with a systemic inflammatory disease that requires continued therapy with oral corticosteroids or a prohibited immunosuppressive agent at Screening or Baseline visits.
  16. Fertile woman who has a positive serum pregnancy test at the screening visit or plans for pregnancy and sperm donation during the trial and within 6 months after the end of the study.
  17. Other subjects who are considered by the investigator to be inappropriated for enrollment.
Terms in these criteria, in plain language(7)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
128 participants (actual)

Study arms

  • Experimental
    ADA+MMF group

    Adalimumab biosimilars with immunosuppressants therapy

    Drug: Adalimumab Biosimilars Injection · Drug: Immunosuppressive Agents

  • Active comparator
    Corticosteroids+MMF group

    Corticosteroids with immunosuppressive therapy;

    Drug: Corticosteroid · Drug: Immunosuppressive Agents

Interventions

  • DrugAdalimumab Biosimilars Injection

    Adalimumab biosimilars: 80 mg was subcutaneously injected for the first time in the first week, and then 40 mg was subcutaneously injected every two weeks from the first week to the 48 th week.

    Also known as: Subcutaneous injection of adalimumab biosimilars

  • DrugCorticosteroid

    Patients received no less than 1 mg / kg.d glucocorticoid at week 0, then implemented according to the standard reduction scheme.

    Also known as: Oral corticosteroids

  • Mycophenolate mofetil 1g bid for more than 3 months, maintenance dose not less than 0.5g bid

    Also known as: Immunosuppressant

06

What researchers measure

Primary outcomes

  1. Change of ETDRS letter count for BCVA at week 24 from baseline

    The best corrected visual acuity of the patient would be examined by the ETDRS visual acuity chart according to the visual acuity examination SOP. Change of ETDRS letter count for BCVA at week 24 from baseline were the main indicator, the outcome at other follow-up time points(Baseline, weeks 4, 8, 12, 18, 36, 48)would also be included in the outcome analysis.

    Time frame: week 24

Secondary outcomes

  1. Proportion of patients with weight gain at week 24 from baseline

    Patients would be instructed to remove shoes and heavy clothing for measurement, and weight gain is defined as a 5% increase from baseline.

    Time frame: week 24

  2. Time of treatment failures

    Treatment failure is defined as an increase in the degree of inflammation in one or more of four areas, including choroidal and/or retinal vasculopathy, macular edema, anterior chamber cell grade, and vitreous opacity grade, assessed by the investigators from week 4 to the end of follow-up.

    Time frame: week 24

  3. Number of treatment failures

    Treatment failure is defined as an increase in the degree of inflammation in one or more of four areas, including choroidal and/or retinal vasculopathy, macular edema, anterior chamber cell grade, and vitreous opacity grade, assessed by the investigators from week 4 to the end of follow-up.

    Time frame: week 24

  4. Change of Visual Functioning Questionnaire- 25 (VFQ-25) composite score from baseline

    The changes of each follow-up time point from the baseline are evaluated according to VFQ-25 visual function evaluation scale.To calculate an overall composite score for the VFQ-25, we will simply average the vision-targeted subscale scores, excluding the general health rating question.(100=best, 0=worst possible score)

    Time frame: week 24

  5. Change of anterior chamber inflammation at week 24 from baseline

    Change of anterior chamber inflammation assessed by research doctors with slit-lamp according to the International Uveitis Organization ( SUN group ) classification criteria.

    Time frame: week 24

  6. Change of vitreous opacity at week 24 from baseline

    Change of vitreous opacity assessed by research doctors with slit-lamp according to the International Uveitis Organization ( SUN group ) classification criteria.

    Time frame: week 24

  7. Change of the retinal and choroidal inflammation at week 24 from baseline

    Change of the retinal and choroidal inflammation assessed by fluorescein angiography.

    Time frame: week 24

  8. Change of the thickness of retina and choroid in macular area at week 24 from baseline

    Change of the thickness of retina and choroid in macular area evaluated by Optical Coherence Tomography (OCT) or Optical Coherence Tomography Angiography (OCTA).

    Time frame: week 24

  9. Occurrence of skin abnormalities at the end of study

    The occurrence of skin abnormalities reported by research doctors based on adverse reaction evaluation criteria (CTCAE v5.0).

    Time frame: week 48

  10. Occurrence of hypertension at the end of study

    The occurrence of hypertension assessed by electronic blood manometer based on adverse reaction evaluation criteria (CTCAE v5.0).

    Time frame: week 48

  11. Occurrence of hyperglycemia at the end of study

    The occurrence of hyperglycemia assessed by venous blood glucose testing based on adverse reaction evaluation criteria (CTCAE v5.0).

    Time frame: week 48

  12. Occurrence of active tuberculosis infection at the end of study

    The occurrence of active tuberculosis infection assessed by pulmonary X-ray examination and tuberculosis bacterial T cell detection and evaluated by research doctors.

    Time frame: week 48

07

Study locations

1 site
  • Shenzhen Eye Hospital
    Shenzhen, Guangdong 518040, China
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Mar 2024 to primary completion in Dec 2025, 21 months.

Of 16 interventional studies with no phase under Uveitis, half reached primary completion within 27 months of starting (the median), counting those still running; a quarter within 9 and three quarters within 49. This study's 21 months is below that.

How these figures are worked out, and which studies are left out of them.

Registered
Feb 20, 2024
First posted
Mar 15, 2024
StartActual
Mar 27, 2024
Primary completionActual
Dec 31, 2025
CompletionActual
Jul 3, 2026
Last update
Sep 15, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 15, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06310837
Collaborators
The Eye Hospital of Wenzhou Medical University, The First Affiliated Hospital of Soochow University, Shandong Eye Hospital, Shenzhen Eye Hospital
Responsible party
Sponsor
First posted
Mar 15, 2024
Start date
Mar 27, 2024
Primary completion
Dec 31, 2025
Completion
Jul 3, 2026
Last update
Sep 15, 2026

Study contacts

Wei Chi
principal investigator · Shenzhen Eye Hospital

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Jul 2026. You cannot join it, but the record below documents what was studied.

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