Evidence map›Paper›PMID 22976553›Full record

ArticleJournal of clinical immunology2013

Treatment of neurological autoimmune diseases with immunoglobulins: first insights from the prospective SIGNS registry.

Martin Stangel, Ulrich Baumann, Michael Borte, Maria Fasshauer, Manfred Hensel, Dörte Huscher, Wilhelm Kirch, David Pittrow, Marcel Reiser, Ralf Gold

Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

Article in Journal of clinical immunology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01287689 (An Open, Uncontrolled, Non-interventional Observational Cohort Outcome Study of Immunoglobulins in 3 Indications), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.8field-weighted citation impact, top 24% 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.

NCT01287689 completednot on this map

An Open, Uncontrolled, Non-interventional Observational Cohort Outcome Study of Immunoglobulins in 3 Indications: Primary and Secondary Immunodeficiencies and Neurological Auto-immune Diseases

Typeobservational_patient_registrySponsorTechnische Universität DresdenRan2010 to 2016Enrolled685ConditionsPrimary Immunodeficiency (PID), Secondary Immunodeficiency (SID), Neurological Autoimmune DiseaseArmsImmunoglobulin G (IgG)
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 8 citations in OpenAlex.

  1. Evaluation of ceftiofur-PHBV microparticles in rats.Drug design, development and therapy · 2014
    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 6 institutions in 1 country.

Martin StangelDepartment of Neurology, Hannover Medical School, Hannover, Germany. stangel.martin@mh-hannover.de
Ulrich Baumann
Michael Borte
Maria Fasshauer
Manfred Hensel
Dörte Huscher
Wilhelm Kirch
David Pittrow
Marcel Reiser
Ralf Gold
Klinikum St. Georg · DEMedizinische Hochschule Hannover · DEPraxis für Hämatologie und Onkologie · DETU Dresden · DEGerman Rheumatism Research Centre · DERuhr University Bochum · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeSeveral immunoglobulin (IG) preparations have been approved for the immunomodulatory treatment of the neurological autoimmune diseases (AID) Guillain-Barré syndrome (GBS), chronic inflammatory demyelinating polyneuropathy (CIDP), and multifocal motor neuropathy (MMN). Although efficacy has been proven in randomised clinical trials, long-term outcome data on drug utilization, effectiveness, tolerability, health related quality of life, and economic variables are lacking.

methodsIn the prospective, observational internet-based SIGNS registry, patients of all age groups are eligible if they have received or are scheduled for IG therapy for neurological AID or primary or severe secondary immunodeficiency.

resultsOf the 306 patients currently included in the database (1 November 2011), 51 have neurological AID (27 males; mean age 56 ± 15 years): 21 CIDP, 7 MMN, 11 multiple sclerosis (MS), 6 myasthenia gravis, 2 myositis, 4 others (no cases of GBS). Mean duration of disease since first symptoms was 7.8 years, and disease duration since diagnosis was 5.9 years. Eight different IG preparations have been reported as current therapy. According to SF-36, patients' quality of life is substantially impaired.

conclusionsPresent data indicate some off-label use of IG (e.g. in MS) in patients with neurological AID. Quality of life in these patients is substantially compromised. Increasing patient numbers and extended follow-up periods will provide data on treatment concepts and disease development in AID patients.

Indexed as

AdultAgedAutoimmune Diseases of the Nervous SystemDisease ProgressionFemaleHumansImmunoglobulinsImmunoglobulins, IntravenousImmunologic FactorsMaleMiddle AgedOff-Label UseQuality of LifeRegistriesTreatment OutcomeImmunoglobulinsImmunoglobulins, IntravenousImmunologic Factors

Identifiers

PMID22976553
OpenAlexW2155959070

What OpenQuestion holds

Textmetadata
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.