Vasculitis & polymyalgia rheumatica

Tumor necrosis factor alpha inhibitors in Behçet’s disease: indications, efficacy, and safety of two widely used agents

Rheumatology (Oxford)Published Retrospective cohort study

Authors' conclusion

Both IFX and ADA were highly effective and well tolerated in severe or refractory BD. ADA provided durable control in mucocutaneous and ocular phenotypes, whereas IFX offered rapid remission in vascular and neurological disease.

Study context

Population
Behçet's disease (BD) patients receiving first anti-TNF therapy, April 2020–2025, single centre
Participants
87 patients
Exposure
Infliximab vs adalimumab as first anti-TNF therapy
  • Infliximab (IFX)n = 45
  • And adalimumab (ADA)n = 42
Outcome
Complete remission (initial)
Methodological detailssingle-centre, real-world
  • Single-centre
  • Real-world

Main finding

As reported in the abstract

Observational data: associations, not effects.

Further findings

Complete remission at last visit

Relapses

Drug retention

Time to relapse

Relapses

Relapses occurred more often and earlier with IFX

Drug retention

Drug retention comparable

Safety

Adverse events

Adverse event rates comparable, ∼16% adverse events

Severe adverse events

No severe events occurred

Original publication

Tumor necrosis factor alpha inhibitors in Behçet’s disease: indications, efficacy, and safety of two widely used agents. Rheumatology (Oxford). Published 13 January 2026. doi:10.1093/rheumatology/keag021

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