Evidence map›Paper›PMID 21692827›Full record

Trial reportBritish journal of clinical pharmacology2012

Influence of methotrexate on infliximab pharmacokinetics and pharmacodynamics in ankylosing spondylitis.

David Ternant, Denis Mulleman, Francine Lauféron, Céline Vignault, Emilie Ducourau, Daniel Wendling, Philippe Goupille, Gilles Paintaud

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in British journal of clinical pharmacology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
2.6field-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

27 citing papers in PubMed, 53 citations in OpenAlex.

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  9. Pharmacokinetic Model Selection for Personalized Infliximab Dosing in IBD.CPT: pharmacometrics & systems pharmacology · 2026
    Article
  10. Consensus on targeted drug therapy for spondyloarthritis.Rheumatology and immunology research · 2023
    Article
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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

8 authors at 4 institutions in 2 countries.

David TernantUniversité François Rabelais de Tours, Tours, France. david.ternant@free.fr
Denis Mulleman
Francine Lauféron
Céline Vignault
Emilie Ducourau
Daniel Wendling
Philippe Goupille
Gilles Paintaud
Université de Tours · FRCancer Genetics (United States) · USCentre Hospitalier Universitaire de Besançon · FRCentre Hospitalier Universitaire de Tours · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsInfliximab, an anti-tumour necrosis factor α monoclonal antibody, has profoundly modified the treatment of several inflammatory diseases. The objective was to assess the influence of methotrexate on the variability of infliximab pharmacokinetics and concentration-effect relationship in axial ankylosing spondylitis (AAS) patients.

methodsTwenty-six patients with AAS were included in a prospective study. They were treated by infliximab 5 mg kg⁻¹ infusions at weeks 0, 2, 6, 12 and 18. Infliximab concentrations were measured before, and 2 and 4 h after each infusion, and at each intermediate visit (weeks 1, 3, 4, 5, 8, 10 and 14). Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) was measured at each visit. Infliximab pharmacokinetics was described using a two-compartment model with first-order distribution and elimination constants. A population approach was used. Infliximab pharmacodynamics was described using the area under the BASDAI curve.

resultsA total of 507 blood samples and 329 BASDAI measurements were collected. The following pharmacokinetic parameters were obtained (interindividual coefficient of variation): volumes of distribution for the central compartment = 2.4 l (9.6%) and peripheral compartment = 1.8 l (26%), systemic clearance = 0.23 l day⁻¹ (22%) and intercompartment clearance = 2.3 l day⁻¹. Methotrexate influenced neither pharmacokinetic nor BASDAI variability.

conclusionsUsing the present dosage, the clinical efficacy of infliximab is only weakly influenced by its serum concentrations. The results do not support the combination of methotrexate with infliximab in ankylosing spondylitis.

Indexed as

Drug InteractionsAdultAntibodies, MonoclonalAnti-Inflammatory AgentsAntirheumatic AgentsDrug Therapy, CombinationFemaleHumansInfliximabMaleMethotrexateMiddle AgedModels, TheoreticalProspective StudiesSpondylitis, AnkylosingTreatment OutcomeAntibodies, MonoclonalAnti-Inflammatory AgentsAntirheumatic AgentsInfliximabMethotrexate

Identifiers

PMID21692827
PMCPMC3248256
OpenAlexW1849982557

What OpenQuestion holds

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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.