Evidence map›Paper›PMID 19838774›Full record

Trial reportJournal of clinical immunology2010

Long-term cerebrospinal fluid and blood lymphocyte dynamics after rituximab for pediatric opsoclonus-myoclonus.

Michael R Pranzatelli, Elizabeth D Tate, Anna L Travelstead, Jerry A Colliver

Registry-linked trialAbstract readClinical Trial
PubMed Publisher
In one paragraph

Trial report in Journal of clinical immunology, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00244361 (A Phase I Clinical Trial of Rituximab for Pediatric Opsoclonus-Myoclonus Syndrome), which is not on this map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.1field-weighted citation impact, top 13% 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.

NCT00244361 phase1 / phase2completednot on this map

A Phase I Clinical Trial of Rituximab for Pediatric Opsoclonus-Myoclonus Syndrome

TypeinterventionalSponsorNational Pediatric Neuroinflammation Organization, Inc.Ran2005 to 2007Enrolled25ConditionsOpsoclonus-myoclonus Syndrome, Opsoclonus, Myoclonus, AtaxiaArmsrituximab
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 29 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Review
  6. Diagnosis and management of paraneoplastic neurologic disorders.Current treatment options in oncology · 2013
    Review
  7. Paraneoplastic neurological syndromes: general treatment overview.Current treatment options in neurology · 2013
    Article
  8. Treatment of paraneoplastic cerebellar degeneration.Current treatment options in neurology · 2013
    Article
  9. Review
  10. Article
  11. Review
  12. Article
  13. Treatment of paraneoplastic neurologic disorders.Current treatment options in neurology · 2010
    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

4 authors at 1 institution in 1 country.

Michael R PranzatelliNational Pediatric Myoclonus Center, Southern Illinois University School of Medicine, Springfield, IL, USA. mpranzatelli@siumed.edu
Elizabeth D Tate
Anna L Travelstead
Jerry A Colliver
Southern Illinois University School of Medicine · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionOpsoclonus-myoclonus syndrome (OMS) is an autoimmune paraneoplastic disorder characterized by B and T cell abnormalities in cerebrospinal fluid (CSF) and propensity for relapse. The study aim was to assess whether rituximab-induced B cell ablation in CSF outlasts repopulation in blood and if there are changes in other lymphocyte subsets. MATERIALS AND

methodsIn 25 children with OMS, the expression of CSF and blood lymphocyte surface antigens was evaluated by flow cytometry before and at intervals after rituximab therapy.

resultsThe reduction in CSF CD27+ memory, CD38+ activated, CD5+, and other B cell subsets was profound (p < 0.0001), comparable across groups (-94%), and sustained over 12-18 months despite repopulation in blood. The observed lag in memory B cell pool recovery in the CSF compared to peripheral blood may be clinically relevant. T cell phenotypic changes involved frequency, not absolute counts, and were transient. Co-treatment with IVIg or ACTH did not significantly alter B cell depletion or repletion. DISCUSSION: These data indicate that rituximab affords long-term protection against CSF B cell expansion in OMS (ClinicalTrials.gov NCT00244361).

Indexed as

AdolescentAntibodies, MonoclonalAntibodies, Monoclonal, Murine-DerivedAntigens, CDB-LymphocytesCell ProliferationCells, CulturedChildChild, PreschoolFemaleFollow-Up StudiesHumansImmunologic MemoryImmunophenotypingInfantLymphocyte SubsetsAntibodies, MonoclonalAntibodies, Monoclonal, Murine-DerivedAntigens, CDRituximab

Identifiers

PMID19838774
OpenAlexW1982148447

What OpenQuestion holds

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Read underepoch 390

Registered trials

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.