Evidence map›Paper›PMID 22566506›Full record

Trial reportArchives of neurology2012

Cellular immune suppression in paraneoplastic neurologic syndromes targeting intracellular antigens.

Dana Orange, Mayu Frank, Suyan Tian, Athanasios Dousmanis, Ronen Marmur, Noreen Buckley, Salina Parveen, Jerome J Graber, Nathalie Blachère, Robert B Darnell

Registry-linked trialAbstract readClinical Trial
In one paragraph

Trial report in Archives of neurology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00378326 (Immunotherapy of the Paraneoplastic Syndromes), which is not on this map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
3.3field-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.

NCT00378326 nacompletednot on this map

Immunotherapy of the Paraneoplastic Syndromes

TypeinterventionalSponsorRockefeller UniversityRan2006 to 2014Enrolled26ConditionsParaneoplastic SyndromesArmsTacrolimus
3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 48 citations in OpenAlex.

  1. Review
  2. Review
  3. Article
  4. Article
  5. Review
  6. Paraneoplastic neurological syndromes: clinical presentations and management.Therapeutic advances in neurological disorders · 2021
    Review
  7. Article
  8. Treating Immune-Related Epilepsy.Current neurology and neuroscience reports · 2018
    Review
  9. Article
  10. Review
  11. Treatment of Cerebellar Ataxia in the Context of Systemic Diseases.Current treatment options in neurology · 2017
    Review
  12. Article
  13. Amphiphysin-positive paraneoplastic myelitis and stiff-person syndrome.Neurology(R) neuroimmunology & neuroinflammation · 2016
    Article
  14. Review
  15. Article
  16. Neuroinflammation: Ways in Which the Immune System Affects the Brain.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2015
    Review
  17. Article
  18. Article
  19. Article
  20. Paraneoplastic neurological syndromes: general treatment overview.Current treatment options in neurology · 2013
    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

10 authors at 4 institutions in 1 country.

Dana OrangeThe Rockefeller University, 1230 York Ave, New York, NY 10065, USA.
Mayu Frank
Suyan Tian
Athanasios Dousmanis
Ronen Marmur
Noreen Buckley
Salina Parveen
Jerome J Graber
Nathalie Blachère
Robert B Darnell
Rockefeller University · USCornell University · USNorthern Westchester Hospital · USWestCon Medical (United States) · US

Funding

TRANSFORMING TRANSLATIONAL SCIENCE AND EDUCATION TO BENEFIT HUMAN HEALTHUL1RR024143 · NCRR · ROCKEFELLER UNIVERSITY · PI COLLER, BARRY · 2006 to 2011
$49.1M
Prostate Cancer ImmunotherapyR01CA093507 · NCI · ROCKEFELLER UNIVERSITY · PI DARNELL, ROBERT B · 2003 to 2007
$3.4M
Transforming Translational Science and Education to Benefit Human HealthKL2TR000151 · NCATS · ROCKEFELLER UNIVERSITY · PI COLLER, BARRY · 2012 to 2015
$2.1M
NCATS NIH HHS KL2 TR000151NCI NIH HHS R01 CA093507NCRR NIH HHS UL1 RR024143
6 · The paper itself

Abstract

BACKGROUND Tumor treatment is the mainstay of therapy for paraneoplastic neurologic disorders (PNDs), but it is only effective in some cases and other treatment options are limited. OBJECTIVE To evaluate the short-term use of a combination of prednisone and tacrolimus for acute neurologic worsening in PND in which intracellular antigens are targeted. DESIGN Retrospective single-center case series of patients with PND treated with tacrolimus. SETTING The Rockefeller University Hospital, a research hospital in New York, New York. PATIENTS Twenty-six patients with PND with high titer (≥1:1000) anti-HuD, anti-Yo, or anti-CRMP5 autoantibodies were enrolled. Patients were referred from Memorial Sloan Kettering Cancer Center or self-referred. Two patients discontinued intervention owing to adverse events. INTERVENTIONS Patients were treated with tacrolimus, 0.15-0.30 mg/kg per day, in 2 divided oral doses with 60 mg per day of oral prednisone, tapered off during 1 to 4 weeks. MAIN OUTCOME MEASURES The primary outcome measure was median survival. Neurologic examinations before and after treatment as well as adverse events are described. RESULTS Median survival time was 52 months from time of diagnosis. Some patients experienced neurologic improvement that was functionally meaningful. The incidence of adverse events was similar to that generally reported with tacrolimus. CONCLUSIONS A short course of prednisone and tacrolimus to target central nervous system T cells in patients with PND with acute neurologic decline in which intracellular antigens are targeted was well tolerated and warrants further study. TRIAL REGISTRATION clinicaltrials.gov Identifier: NCT00378326.

Indexed as

AdultAgedDrug Therapy, CombinationFemaleHumansImmunosuppressive AgentsMiddle AgedParaneoplastic Syndromes, Nervous SystemPrednisoneRetrospective StudiesSurvival RateTacrolimusTreatment OutcomeImmunosuppressive AgentsPrednisoneTacrolimus

Identifiers

PMID22566506
PMCPMC3721351
OpenAlexW2103789340

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.