Evidence map›Paper›PMID 21953143›Full record

Trial reportArthritis and rheumatism2011

Circulating markers of vascular injury and angiogenesis in antineutrophil cytoplasmic antibody-associated vasculitis.

Paul A Monach, Gunnar Tomasson, Ulrich Specks, John H Stone, David Cuthbertson, Jeffrey Krischer, Linna Ding, Fernando C Fervenza, Barri J Fessler, Gary S Hoffman and 12 more

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Arthritis and rheumatism, 2011. 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
4.7field-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

30 citing papers in PubMed, 1 synthesis or guideline pooled it, 67 citations in OpenAlex.

  1. Interventions for renal vasculitis in adults.The Cochrane database of systematic reviews · 2020
    Pooled it
  2. Trial
  3. Trial
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  11. Observational
  12. Article
  13. Observational
  14. Review
  15. Review
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  17. Article
  18. Endothelial NF-Journal of the American Society of Nephrology : JASN · 2017
    Article
  19. Article
  20. 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

22 authors at 14 institutions in 4 countries.

Paul A MonachBoston University School of Medicine, Boston, Massachusetts 02118, USA.
Gunnar Tomasson
Ulrich Specks
John H Stone
David Cuthbertson
Jeffrey Krischer
Linna Ding
Fernando C Fervenza
Barri J Fessler
Gary S Hoffman
David Ikle
Cees G M Kallenberg
Carol A Langford
Mark Mueller
Philip Seo
E William St Clair
Robert Spiera
Nadia Tchao
Steven R Ytterberg
Yi-Zhong Gu
Ronald D Snyder
Peter A Merkel
Mayo Clinic · USCleveland Clinic · USImmune Tolerance Network · USMerck (Japan) · JPUniversity of South Florida · USBoston University · USDuke University · USHarvard University Press · USHospital for Special Surgery · USJohns Hopkins University · USNational Institutes of Health · USRainbow Health Ontario · CAUniversity of Alabama at Birmingham · USUniversity of Groningen · NL

Funding

Institute for Clinical and Translational Research (UL1)UL1RR025005 · NCRR · JOHNS HOPKINS UNIVERSITY · PI FORD, DANIEL ERNEST · 2007 to 2011
$75.8M
MAYO CLINIC CENTER FOR TRANSLATIONAL SCIENCE ACTIVITIESUL1RR024150 · NCRR · MAYO CLINIC ROCHESTER · PI RIZZA, ROBERT A. · 2006 to 2011
$66.4M
ZD6416 Analgesic--Painful Distal Symmetrical PolyneuropaM01RR001066 · NCRR · MASSACHUSETTS GENERAL HOSPITAL · PI BROWN, EMERY N · 1985 to 2008
$37.4M
YOGA INDUCED CHANGES IN BRAIN GABA LEVELSM01RR000533 · NCRR · BOSTON UNIVERSITY MEDICAL CAMPUS · PI HOLICK, MICHAEL F. · 1985 to 2008
$19.4M
CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR025771 · NCRR · BOSTON UNIVERSITY MEDICAL CAMPUS · PI CENTER, DAVID M. · 2008 to 2011
$17.6M
Data Management and Coordinating Center (DMCC)U54NS064808 · NINDS · UNIVERSITY OF SOUTH FLORIDA · PI KRISCHER, JEFFREY P · 2009 to 2013
$16.5M
VCRC-VF FellowshipU54AR057319 · NIAMS · UNIVERSITY OF PENNSYLVANIA · PI MERKEL, PETER A · 2009 to 2020
$12.5M
VASCULITIS CLINICAL RESEARCH NETWORK (VCRN): RARE DISEASEU54RR019497 · NCRR · BOSTON UNIVERSITY MEDICAL CAMPUS · PI MERKEL, PETER A · 2003 to 2008
$6.1M
IDENTIFICATION AND VALIDATION OF BIOMARKERS FOR VASCULITISRC1AR058303 · NIAMS · BOSTON UNIVERSITY MEDICAL CAMPUS · PI MERKEL, PETER A, MONACH, PAUL A · 2009 to 2010
$1.0M
Development of an ANCA-Vasculitis Index of Damage (AVID)K23AR052820 · NIAMS · JOHNS HOPKINS UNIVERSITY · PI SEO, PHILIP · 2005 to 2009
$661k
Studies in Scleroderma and Cystic Fibrosis OsteoporosisK24AR002224 · NIAMS · BOSTON UNIVERSITY MEDICAL CAMPUS · PI MERKEL, PETER A · 2001 to 2005
$609k
Translational Research in Systemic VasculitisK24AR049185 · NIAMS · JOHNS HOPKINS UNIVERSITY · PI STONE, JOHN H · 2003 to 2006
$351k
NCRR NIH HHS M01 RR000533NCRR NIH HHS M01 RR001066NCRR NIH HHS M01-RR-00533NCRR NIH HHS RR-024150-01NCRR NIH HHS RR-025005NCRR NIH HHS RR-025771NCRR NIH HHS U54 RR019497NCRR NIH HHS U54-RR-019497NCRR NIH HHS UL1 RR024150NCRR NIH HHS UL1 RR025005NCRR NIH HHS UL1 RR025771NIAID NIH HHS N01 AI015416NIAID NIH HHS N01-AI-15416NIAMS NIH HHS 1-RC1-AR-058303NIAMS NIH HHS K23 AR052820NIAMS NIH HHS K23-AR-052820NIAMS NIH HHS K24 AR002224NIAMS NIH HHS K24-AR-02224NIAMS NIH HHS K24 AR049185NIAMS NIH HHS K24-AR-049185NIAMS NIH HHS RC1 AR058303NIAMS NIH HHS U54 AR057319NIAMS NIH HHS U54-AR-057319NINDS NIH HHS NS-064808NINDS NIH HHS U54 NS064808
6 · The paper itself

Abstract

objectiveTo identify biomarkers that distinguish between active antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis (AAV) and remission in a manner superior or complementary to established markers of systemic inflammation.

methodsMarkers of vascular injury and angiogenesis were measured before and after treatment in a large clinical trial in AAV: 163 subjects enrolled in the Rituximab in ANCA-Associated Vasculitis trial were screened for the present study. Serum levels of E-selectin, intercellular adhesion molecule 3 matrix metalloproteinase protein 1 (MMP-1), MMP-3, MMP-9, P-selectin, thrombomodulin, and vascular endothelial growth factor were measured at study screening (time of active disease) and at month 6. Erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP) levels had been measured at the time of the clinical visit. The primary outcome measure was the difference in marker level between screening and month 6 among patients whose disease was in remission (Birmingham Vasculitis Activity Score for Wegener's granulomatosis [BVAS/WG] score of 0) at month 6.

resultsAll patients had severe active vasculitis at screening (mean ± SD BVAS/WG score 8.6 ± 3.2). Among the 123 patients whose disease was clinically in remission at month 6, levels of all markers except E-selectin showed significant declines. MMP-3 levels were also higher among the 23 patients with active disease at month 6 than among the 123 patients whose disease was in remission. MMP-3 levels correlated weakly with ESR and CRP levels.

conclusionMany markers of vascular injury and angiogenesis are elevated in severe active AAV and decline with treatment, but MMP-3 appears to distinguish active AAV from remission better than the other markers studied. Further study of MMP-3 is warranted to determine its clinical utility in combination with conventional markers of inflammation and ANCA titers.

Indexed as

AdultAgedAntibodies, Monoclonal, Murine-DerivedAnti-Neutrophil Cytoplasmic Antibody-Associated VasculitisAntirheumatic AgentsBiomarkersBlood SedimentationCase-Control StudiesC-Reactive ProteinDiagnosis, DifferentialE-SelectinFemaleFollow-Up StudiesHumansMaleMatrix Metalloproteinase 3Antibodies, Monoclonal, Murine-DerivedAntirheumatic AgentsBiomarkersC-Reactive ProteinE-SelectinMatrix Metalloproteinase 3Rituximab

Identifiers

PMID21953143
PMCPMC3227746
OpenAlexW1973965863

What OpenQuestion holds

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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.