Evidence map›Paper›PMID 20842515›Full record

ArticleClinical rheumatology2013

Case report: successful use of short-term add-on tocilizumab for multirefractory systemic flare of adult-onset Still's disease.

Taio Naniwa, Rei Ito, Maiko Watanabe, Yoshihito Hayami, Shinji Maeda, Kaneshige Sasaki, Shiho Iwagaitsu

Abstract readCase Reports
PubMed Publisher
In one paragraph

Article in Clinical rheumatology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 12% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Review
  8. Review
  9. 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

7 authors at 2 institutions in 1 country.

Taio NaniwaDivision of Rheumatology, Nagoya City University Hospital and Department of Medical Oncology and Immunology, Nagoya City University Graduate School of Medical Sciences, Nagoya, Aichi 467-8601, Japan. tnaniwa@med.nagoya-cu.ac.jp
Rei Ito
Maiko Watanabe
Yoshihito Hayami
Shinji Maeda
Kaneshige Sasaki
Shiho Iwagaitsu
Nagoya City University Hospital · JPNagoya City University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We report on a 64-year-old woman with multirefractory flare of adult-onset Still's disease successfully treated with six-month course of add-on anti-interleukin 6 receptor antibody, tocilizumab. Before administration of tocilizumab, the combination therapy with 80 mg/day of prednisolone and cyclosporine or tacrolimus for five weeks, two courses of pulse methylprednisolone, and high-dose intravenous immunoglobulin could not control the disease. Add-on tocilizumab dramatically improved her disease state and enabled tapering of corticosteroid and tacrolimus. Furthermore remission has been maintained on low-dose corticosteroid and tacrolimus after withdrawal of tocilizumab. This case report suggests that short-term add-on tocilizumab might be a useful therapeutic option for patients with multirefractory flare of polycyclic systemic adult-onset Still's disease.

Indexed as

Antibodies, Monoclonal, HumanizedCyclosporineDose-Response Relationship, DrugDrug Resistance, MultipleDrug Therapy, CombinationFemaleHumansImmunoglobulins, IntravenousImmunologic FactorsMethylprednisoloneMiddle AgedPrednisolonePulse Therapy, DrugRecurrenceRemission InductionStill's Disease, Adult-OnsetAntibodies, Monoclonal, HumanizedCyclosporineImmunoglobulins, IntravenousImmunologic FactorsMethylprednisolonePrednisoloneTacrolimustocilizumab

Identifiers

PMID20842515
OpenAlexW1973967985

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.