Evidence map›Paper›PMID 20806993›Full record

ArticleCNS drugs2010

Long-term use of glatiramer acetate by 11 pregnant women with multiple sclerosis: a retrospective, multicentre case series.

Yára D Fragoso, Alessandro Finkelsztejn, Damacio R Kaimen-Maciel, Anderson K Grzesiuk, Andre S Gallina, Josiane Lopes, Nivea M O Morales, Soniza V Alves-Leon, Sandra M G de Almeida

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in CNS drugs, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
3.4field-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

30 citing papers in PubMed, 1 synthesis or guideline pooled it, 65 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Review
  5. Article
  6. Review
  7. Updated Perspectives on the Challenges of Managing Multiple Sclerosis During Pregnancy.Degenerative neurological and neuromuscular disease · 2022
    Review
  8. Review
  9. Article
  10. Sex effects across the lifespan in women with multiple sclerosis.Therapeutic advances in neurological disorders · 2020
    Review
  11. Review
  12. Review
  13. Review
  14. Review
  15. Review
  16. Pregnancy, sex and hormonal factors in multiple sclerosis.Multiple sclerosis (Houndmills, Basingstoke, England) · 2014
    Review
  17. Article
  18. Multiple sclerosis in pregnancy.Continuum (Minneapolis, Minn.) · 2014
    Review
  19. Review
  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

9 authors at 6 institutions in 1 country.

Yára D FragosoDepartment of Neurology, Universidade Metropolitana de Santos and Departamento Regional de Saúde IV, Santos, Sao Paulo, Brazil. yara@bsnet.com.br
Alessandro Finkelsztejn
Damacio R Kaimen-Maciel
Anderson K Grzesiuk
Andre S Gallina
Josiane Lopes
Nivea M O Morales
Soniza V Alves-Leon
Sandra M G de Almeida
Universidade Estadual de Londrina · BRHospital de Clínicas de Porto Alegre · BRHospital Universitário Clementino Fraga Filho · BRUniversidade Federal de Uberlândia · BRUniversidade Federal do Estado do Rio de Janeiro · BRUniversidade Metropolitana de Santos · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGlatiramer acetate is a US FDA category B drug with regard to use by pregnant women with multiple sclerosis (MS). There are no data currently available for the continuous use of glatiramer acetate during pregnancy.

objectiveTo assess the risks and benefits of glatiramer acetate used throughout pregnancy among women with active MS.

designRetrospective and multicentre case series. SETTINGS: Outpatient services of academic and private institutions caring for patients with MS in Brazil. PATIENTS: Eleven women with MS and their children were assessed.

interventionRetrospective evaluation of women with MS who received glatiramer acetate continuously for at least 7 months during pregnancy. This evaluation was performed by the neurologist responsible for the patient. Children aged 1 year and over, born to mothers who received glatiramer acetate during pregnancy, were assessed using the Denver II developmental screening test. MAIN OUTCOME MEASUREMENTS: Obstetric, neonatal and developmental outcomes.

resultsNo drug-related obstetric complications were observed. No specific drug-related malformations, neonatal complications or developmental abnormalities were observed in the children. Postnatal MS relapse rates remained significantly lower than antenatal rates in these patients.

conclusionsNo deleterious effects from glatiramer acetate were observed in these pregnant women with MS or in their offspring. No increment in postnatal relapse rate was observed. However, the use of glatiramer acetate during pregnancy should be restricted to the most difficult cases, in which the benefits clearly outweigh the risks.

Indexed as

AdolescentAdultFemaleGlatiramer AcetateHumansImmunosuppressive AgentsMultiple SclerosisPeptidesPregnancyRetrospective StudiesRisk AssessmentTime FactorsTreatment OutcomeYoung AdultGlatiramer AcetateImmunosuppressive AgentsPeptides

Identifiers

PMID20806993
OpenAlexW64082146

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.