Evidence map›Paper›PMID 20697042›Full record

ReviewArchives of neurology2010

Natalizumab and progressive multifocal leukoencephalopathy: what are the causal factors and can it be avoided?

Clemens Warnke, Til Menge, Hans-Peter Hartung, Michael K Racke, Petra D Cravens, Jeffrey L Bennett, Elliot M Frohman, Benjamin M Greenberg, Scott S Zamvil, Ralf Gold and 3 more

Open access · bronzeAbstract readReview
In one paragraph

Review in Archives of neurology, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed
8.5field-weighted citation impact, top 2% 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

51 citing papers in PubMed, 114 citations in OpenAlex.

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  11. Maneuvering Clinical Pathways for Crohn's Disease.Current gastroenterology reports · 2019
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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

13 authors at 10 institutions in 2 countries.

Clemens WarnkeNeurology Section, VA North Texas Health Care System, Medical Service, 4500 S Lancaster Rd, Dallas, TX 75216, USA.
Til Menge
Hans-Peter Hartung
Michael K Racke
Petra D Cravens
Jeffrey L Bennett
Elliot M Frohman
Benjamin M Greenberg
Scott S Zamvil
Ralf Gold
Bernhard Hemmer
Bernd C Kieseier
Olaf Stüve
Heinrich Heine University Düsseldorf · DENanotherapeutics (United States) · USOphthalmology Associates (United States) · USPediatrics and Genetics · USRuhr University Bochum · DETechnical University of Munich · DEThe Ohio State University · USThe University of Texas Southwestern Medical Center · USUniversity of California, San Francisco · USUniversity of Colorado Denver · US

Funding

B cells in CNS autoimmunityR01AI073737 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI ZAMVIL, SCOTT S · 2009 to 2013
$1.9M
Regulatory monocytes in CNS autoimmune diseaseR01NS063008 · NINDS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI ZAMVIL, SCOTT S · 2009 to 2013
$1.3M
NIAID NIH HHS R01 AI073737NINDS NIH HHS R01 NS063008
6 · The paper itself

Abstract

Natalizumab (Tysabri) was the first monoclonal antibody approved for the treatment of relapsing forms of multiple sclerosis (MS). After its initial approval, 3 patients undergoing natalizumab therapy in combination with other immunoregulatory and immunosuppressive agents were diagnosed with progressive multifocal leukoencephalopathy (PML). The agent was later reapproved and its use restricted to monotherapy in patients with relapsing forms of MS. Since reapproval in 2006, additional cases of PML were reported in patients with MS receiving natalizumab monotherapy. Thus, there is currently no convincing evidence that natalizumab-associated PML is restricted to combination therapy with other disease-modifying or immunosuppressive agents. In addition, recent data indicate that risk of PML might increase beyond 24 months of treatment.

Indexed as

Antibodies, MonoclonalAntibodies, Monoclonal, HumanizedHumansImmunotherapyIntegrin alpha4beta1Leukoencephalopathy, Progressive MultifocalNatalizumabAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedIntegrin alpha4beta1Natalizumab

Identifiers

PMID20697042
PMCPMC4157908
OpenAlexW2050459059

What OpenQuestion holds

Textmetadata
LicenceTDM
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.