Evidence map›Paper›PMID 19506220›Full record

Trial reportNeurology2009

Effect of statins on clinical and molecular responses to intramuscular interferon beta-1a.

R A Rudick, A Pace, M R S Rani, R Hyde, M Panzara, S Appachi, J Shrock, S L Maurer, P A Calabresi, C Confavreux and 4 more

Open access · bronzeAbstract readClinical Trial
In one paragraph

Trial report in Neurology, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
4.3field-weighted citation impact, top 5% 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

21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 53 citations in OpenAlex.

  1. Pooled it
  2. Statins for multiple sclerosis.The Cochrane database of systematic reviews · 2011
    Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. Trial
  7. Review
  8. Article
  9. Review
  10. Statins in Neuro-ophthalmology.Neuro-ophthalmology (Aeolus Press) · 2021
    Review
  11. Review
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Review
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

14 authors at 1 institution in 2 countries.

R A RudickMellen Center for Treatment and Research in Multiple Sclerosis, Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH 44195, USA. rudickr@ccf.org
A Pace
M R S Rani
R Hyde
M Panzara
S Appachi
J Shrock
S L Maurer
P A Calabresi
C Confavreux
S L Galetta
F D Lublin
E-W Radue
R M Ransohoff
Johns Hopkins University · US

Funding

VIRALLY-INDUCED STAT-1, STAT-3 AND STAT-6M01RR018390 · NCRR · CLEVELAND CLINIC LERNER COM-CWRU · PI CULVER, DANIEL A · 2003 to 2007
$11.0M
TISSUE INJURY AND INFLAMMATION IN MULTIPLE SCLEROSISP01NS038667 · NINDS · CLEVELAND CLINIC LERNER COM-CWRU · PI RANSOHOFF, RICHARD M. · 2000 to 2007
$8.1M
NCRR NIH HHS M01 RR-018390NINDS NIH HHS P01 NS38667
6 · The paper itself

Abstract

backgroundFindings from a small clinical study suggested that statins may counteract the therapeutic effects of interferon beta (IFNbeta) in patients with relapsing-remitting multiple sclerosis (RRMS).

methodsWe conducted a post hoc analysis of data from the Safety and Efficacy of Natalizumab in Combination With IFNbeta-1a in Patients With Relapsing-Remitting Multiple Sclerosis (SENTINEL) study to determine the effects of statins on efficacy of IFNbeta. SENTINEL was a prospective trial of patients with RRMS treated with natalizumab (Tysabri, Biogen Idec, Inc., Cambridge, MA) plus IM IFNbeta-1a (Avonex, Biogen Idec, Inc.) 30 microg compared with placebo plus IM IFNbeta-1a 30 microg. Clinical and MRI outcomes in patients treated with IM IFNbeta-1a only (no-statins group, n = 542) were compared with those of patients taking IM IFNbeta-1a and statins at doses used to treat hyperlipidemia (statins group, n = 40).

resultsNo significant differences were observed between treatment groups in adjusted annualized relapse rate (p = 0.937), disability progression (p = 0.438), number of gadolinium-enhancing lesions (p = 0.604), or number of new or enlarging T2-hyperintense lesions (p = 0.802) at 2 years. More patients in the statins group reported fatigue, extremity pain, muscle aches, and increases in hepatic transaminases compared with patients in the no-statins group. Statin treatment had no ex vivo or in vitro effect on induction of IFN-stimulated genes.

conclusionsStatin therapy does not appear to affect clinical effects of IM interferon beta-1a in patients with relapsing-remitting multiple sclerosis or the primary molecular response to interferon beta treatment.

Indexed as

Adjuvants, ImmunologicAdultCell Line, TumorCentral Nervous SystemDisease ProgressionDrug InteractionsDrug-Related Side Effects and Adverse ReactionsFemaleHumansHydroxymethylglutaryl-CoA Reductase InhibitorsHyperlipidemiasInjections, IntramuscularInterferon-betaInterferon beta-1aJurkat CellsMagnetic Resonance ImagingAdjuvants, ImmunologicHydroxymethylglutaryl-CoA Reductase InhibitorsInterferon-betaInterferon beta-1a

Identifiers

PMID19506220
PMCPMC2837592
OpenAlexW2061238254

What OpenQuestion holds

Texttitle and abstract
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.