Evidence map›Paper›PMID 16151600›Full record

Trial reportJournal of neurology2006

Predictors of long-term clinical response to interferon beta therapy in relapsing multiple sclerosis.

Valentina Tomassini, Andrea Paolillo, Pierluigi Russo, Elisabetta Giugni, Luca Prosperini, Claudio Gasperini, Guido Antonelli, Stefano Bastianello, Carlo Pozzilli

Abstract readClinical TrialComparative Study
PubMed Publisher
In one paragraph

Trial report in Journal of neurology, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 6 pooled it
3.5field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 6 syntheses or guidelines pooled it, 118 citations in OpenAlex.

  1. Pooled it
  2. Guidelines on the clinical use for the detection of neutralizing antibodies (NAbs) to IFN beta in multiple sclerosis therapy: report from the Italian Multiple Sclerosis Study group.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2014
    Guideline
  3. Pooled it
  4. Guidelines from The Italian Neurological and Neuroradiological Societies for the use of magnetic resonance imaging in daily life clinical practice of multiple sclerosis patients.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2013
    Guideline
  5. Guideline
  6. Guideline
  7. Trial
  8. Trial
  9. Trial
  10. Article
  11. Review
  12. Article
  13. Article
  14. Predicting the profile of increasing disability in multiple sclerosis.Multiple sclerosis (Houndmills, Basingstoke, England) · 2019
    Article
  15. Review
  16. Review
  17. Review
  18. Defining Disease Activity and Response to Therapy in MS.Current treatment options in neurology · 2017
    Review
  19. Review
  20. Identifying responders and nonresponders to interferon therapy in multiple sclerosis.Degenerative neurological and neuromuscular disease · 2014
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 1 country.

Valentina TomassiniDept. of Neurological Sciences, La Sapienza University, viale dell'Università, 30, 00185 Rome, Italy.
Andrea Paolillo
Pierluigi Russo
Elisabetta Giugni
Luca Prosperini
Claudio Gasperini
Guido Antonelli
Stefano Bastianello
Carlo Pozzilli
Sapienza University of Rome · ITIRCCS San Camillo Hospital · ITUniversity of Pavia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe aim of this study was to identify clinical, magnetic resonance imaging (MRI) and biological markers predictive of long-term clinical response to interferon beta (IFN beta) therapy in patients with relapsing-remitting multiple sclerosis (RRMS).

methodsSixty-eight patients treated with IFN beta were followed over a 6-year period. Relapse rate and disability progression were evaluated throughout the study. We considered suboptimal clinical response to be either the presence of sustained disability progression, or more than two relapses. Baseline and 12-month demographic, clinical and MRI findings, as well as the development of neutralizing antibodies (NAbs) against IFN beta during the first year of therapy were analyzed as predictors of long-term clinical outcome.

results"Black holes" on MRI were the best baseline predictor of disability progression (odds ratio [OR] 6.8; p < 0.001). At 1 year, both male gender (OR 4.9; p = 0.009) and NAbs (OR 7.3; p = 0.003) were independently associated with a high risk of developing subsequent disability. The presence of gadolinium enhancement, both at baseline (OR 4.7; p = 0.005) and on the 1-year MRI scan (OR 7.9; p = 0.002), was the unique variable associated with the number of relapses over the study period.

conclusionsVariables assessable within the first year of treatment significantly influence relapse rate and disability progression in patients with RRMS treated with IFN beta. These findings may help clinicians to make decisions regarding therapy regimen over time, and highlight the need for a prognostic algorithm.

Indexed as

AdolescentAdultConfidence IntervalsDisability EvaluationDisease ProgressionFemaleHumansInterferon-betaLongitudinal StudiesMagnetic Resonance ImagingMaleMultiple Sclerosis, Relapsing-RemittingNeurologic ExaminationOdds RatioTreatment OutcomeInterferon-beta

Identifiers

PMID16151600
OpenAlexW2082727602

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.