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        <datestamp>2026-09-30T09:57:27Z</datestamp>
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          <dc:title>Effectiveness of switching from reference adalimumab to biosimilar adalimumab-atto in patients with chronic non-infectious uveitis</dc:title>
          <dc:creator>Ying Qian (482851)</dc:creator>
          <dc:creator>Damien C. Rodger (25143029)</dc:creator>
          <dc:creator>Fang Niu (316587)</dc:creator>
          <dc:creator>Thomas Delate (558504)</dc:creator>
          <dc:creator>Rita L. Hui (25143032)</dc:creator>
          <dc:subject>Medicine</dc:subject>
          <dc:subject>Physiology</dc:subject>
          <dc:subject>Pharmacology</dc:subject>
          <dc:subject>Biotechnology</dc:subject>
          <dc:subject>Sociology</dc:subject>
          <dc:subject>Immunology</dc:subject>
          <dc:subject>Biological Sciences not elsewhere classified</dc:subject>
          <dc:subject>Infectious Diseases</dc:subject>
          <dc:subject>Virology</dc:subject>
          <dc:subject>Uveitis</dc:subject>
          <dc:subject>chronic noninfectious uveitis</dc:subject>
          <dc:subject>adalimumab</dc:subject>
          <dc:subject>biosimilar</dc:subject>
          <dc:subject>adalimumab-atto</dc:subject>
          <dc:description>&lt;p&gt;Limited real-world studies have evaluated outcomes after switching treatment from a reference product (RP) to a biosimilar product in noninfectious uveitis (NIU). The objective of this real-world study was to assess the outcomes of switching from RP adalimumab to biosimilar adalimumab-atto in the United States.&lt;/p&gt; &lt;p&gt;This retrospective pre-post study included adults with NIU who were stable on RP adalimumab, switched to adalimumab-atto, and followed for up to 6 months. Outcomes included the use of systemic and local high-dose corticosteroids, analyzed using interrupted time series analyses, and changes in visual acuity among patients with both pre- and post-switch acuity measurements.&lt;/p&gt; &lt;p&gt;One hundred and ninety patients were included, with a mean age of 50.5 ± 16.0 years, 61.1% female, and a mean disease duration of 6.5 ± 6.3 years prior to switching. There was no statistically significant trend in usage of either systemic or local high-dose corticosteroid after the switch (&lt;i&gt;p&lt;/i&gt; = 0.33 and &lt;i&gt;p&lt;/i&gt; = 0.36, respectively). There was no change in vision acuity (&lt;i&gt;n&lt;/i&gt; = 110, &lt;i&gt;p&lt;/i&gt; = 0.61).&lt;/p&gt; &lt;p&gt;The lack of change in systemic or local high-dose corticosteroid use following the switch from RP adalimumab to adalimumab-atto suggests that the switch may be effective and safe in adult patients with NIU.&lt;/p&gt;</dc:description>
          <dc:date>2026-09-30T09:57:27Z</dc:date>
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          <dc:identifier>10.6084/m9.figshare.34031150.v1</dc:identifier>
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          <dc:rights>CC BY 4.0</dc:rights>
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