Evidence map›Paper›PMID 20455896›Full record

ReviewClinical endocrinology2011

Targeted biological therapies for Graves' disease and thyroid-associated ophthalmopathy. Focus on B-cell depletion with Rituximab.

Laszlo Hegedüs, Terry J Smith, Raymond S Douglas, Claus H Nielsen

Open access · bronzeAbstract readReview
In one paragraph

Review in Clinical endocrinology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
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

18 citing papers in PubMed, 55 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Article
  5. Exophthalmos and multinodular goitre, an unusual combination.Endocrinology, diabetes & metabolism case reports · 2019
    Article
  6. Article
  7. Review
  8. Thyroid-associated Ophthalmopathy.Turkish journal of ophthalmology · 2017
    Review
  9. Article
  10. Article
  11. Rituximab therapy in steroid-resistant severe hypothyroid Grave's ophthalmopathy.Indian journal of endocrinology and metabolism · 2013
    Article
  12. Emerging pharmacotherapy for treatment of Graves' disease.Expert review of clinical pharmacology · 2012
    Article
  13. Article
  14. Article
  15. Autoimmunity and Graves' disease.Clinical pharmacology and therapeutics · 2012
    Review
  16. Article
  17. Article
  18. 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

4 authors at 3 institutions in 4 countries.

Laszlo HegedüsDepartment of Endocrinology and Metabolism, Odense University Hospital, University of Southern Denmark, Denmark. laszlo.hegedus@ouh.regionsyddanmark.dk
Terry J Smith
Raymond S Douglas
Claus H Nielsen
Kellogg's (Canada) · CARegion of Southern Denmark · DKRigshospitalet · DK

Funding

REGULATION OF RETROOCULAR CONNECTIVE TISSUER01EY008976 · NEI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI SMITH, TERRY J · 1993 to 2020
$6.4M
FUNCTIONAL DIVERSITY OF ORBITAL FIBROBLASTSR01EY011708 · NEI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI SMITH, TERRY J · 1997 to 2011
$4.3M
Immunoglobulin Activation of FibroblastsR01DK063121 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI SMITH, TERRY J · 2004 to 2012
$3.2M
Immune Activation of FibroblastsK23EY016339 · NEI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI DOUGLAS, RAYMOND S · 2004 to 2008
$986k
NEI NIH HHS EY011708NEI NIH HHS EY016339NEI NIH HHS EY08976NEI NIH HHS K23 EY016339NEI NIH HHS R01 EY008976NEI NIH HHS R01 EY011708NIDDK NIH HHS DK063121NIDDK NIH HHS R01 DK063121
6 · The paper itself

Abstract

Based on experience from the treatment of other autoimmune diseases and because of the limitations imposed by existing therapeutic options for Graves' disease (GD) and thyroid-associated ophthalmopathy (TAO), rituximab (RTX) was recently proposed as a novel therapy option. Here, we summarize the rationale for using RTX; give an overview of the possible mechanisms of action; and give an account of its effects and side-effects when used in GD and TAO. Scant evidence, originating from only a few methodologically inhomogeneous studies, suggests that RTX may prolong remission for hyperthyroidism over that seen with antithyroid drugs, at least in mild GD. Furthermore, in patients with TAO, who are unresponsive to conventional immunosuppressive therapy, RTX seems efficacious. As we wait for larger-scale randomized studies, RTX, should be considered experimental and reserved for patients who do not respond favourably to conventional therapy. It is the first in what is likely to be a series of new and emerging treatments specifically targeting relevant components of the immune system. Further studies will hopefully lead to improved and better tailored, individualized therapy for GD and especially TAO.

Indexed as

Antibodies, Monoclonal, Murine-DerivedB-LymphocytesGraves DiseaseGraves OphthalmopathyHumansImmunologic FactorsModels, BiologicalRituximabAntibodies, Monoclonal, Murine-DerivedImmunologic FactorsRituximab

Identifiers

PMID20455896
PMCPMC4053536
OpenAlexW1530237942

What OpenQuestion holds

Textmetadata
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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.