Evidence map›Paper›PMID 24497963›Full record

Trial reportPloS one2014

Atorvastatin added to interferon beta for relapsing multiple sclerosis: 12-month treatment extension of the randomized multicenter SWABIMS trial.

Christian P Kamm, Marwan El-Koussy, Sebastian Humpert, Oliver Findling, Yuliya Burren, Guido Schwegler, Filippo Donati, Martin Müller, Felix Müller, Johannes Slotboom and 4 more

Registry-linked trialOpen access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01111656 (SWiss Atorvastatin and Interferon-Beta 1b Trial In Multiple Sclerosis - Follow up Study), which is not on this map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
3.4field-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.

NCT01111656 phase2completednot on this map

SWiss Atorvastatin and Interferon-Beta 1b Trial In Multiple Sclerosis - Follow up Study ("SWABIMS Follow Up-study")

TypeinterventionalSponsorInsel Gruppe AG, University Hospital BernRan2007 to 2010Enrolled28ConditionsRelapsing-remitting Multiple SclerosisArmsInterferon beta-1b group, Interferon beta-1b/Atorvastatin group
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Statins for treatment of chronic liver disease.Current opinion in gastroenterology · 2021
    Review
  4. Article
  5. Review
  6. Review
  7. Article
  8. The Use of Oral Disease-Modifying Therapies in Multiple Sclerosis.Current neurology and neuroscience reports · 2016
    Review
  9. Article
  10. Review
  11. Review
  12. Review
  13. 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

14 authors at 7 institutions in 1 country.

Christian P KammDepartment of Neurology, Inselspital, University Hospital Bern and University of Bern, Bern, Switzerland.
Marwan El-KoussyDepartment of Diagnostic and Interventional Neuroradiology, Inselspital, University Hospital Bern and University of Bern, Bern, Switzerland.
Sebastian HumpertDepartment of Neurology, Inselspital, University Hospital Bern and University of Bern, Bern, Switzerland.
Oliver FindlingDepartment of Neurology, Inselspital, University Hospital Bern and University of Bern, Bern, Switzerland.
Yuliya BurrenDepartment of Diagnostic and Interventional Neuroradiology, Inselspital, University Hospital Bern and University of Bern, Bern, Switzerland.
Guido SchweglerDepartment of Neurology, Cantonal Hospital Aarau, Aarau, Switzerland.
Filippo DonatiDepartment of Neurology, Spitalzentrum Biel, Biel, Switzerland.
Martin MüllerDepartment of Neurology, Cantonal Hospital Lucerne, Luzern, Switzerland.
Felix MüllerDepartment of Neurology, Cantonal Hospital, Muensterlingen, Muensterlingen, Switzerland.
Johannes SlotboomDepartment of Diagnostic and Interventional Neuroradiology, Inselspital, University Hospital Bern and University of Bern, Bern, Switzerland.
Ludwig KapposDepartment of Neurology, University Hospital, University of Basel, Basel, Switzerland.
Yvonne NaegelinDepartment of Neurology, University Hospital, University of Basel, Basel, Switzerland.
Heinrich P MattleDepartment of Neurology, Inselspital, University Hospital Bern and University of Bern, Bern, Switzerland.
SWABIMS Study Group
University Hospital of Bern · CHUniversity Hospital of Basel · CHUniversity of Bern · CHKantonsspital Aarau · CHKantonsspital Münsterlingen · CHSpitalzentrum Centre hospitalier Biel- Bienne · CHUniversity of Lucerne · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStatins have anti-inflammatory and immunomodulatory properties in addition to lipid-lowering effects.

objectivesTo report the 12-month extension of a phase II trial evaluating the efficacy, safety and tolerability of atorvastatin 40 mg/d added to interferon beta-1b (IFNB-1b) in relapsing-remitting multiple sclerosis (RRMS).

methodsIn the randomized, multicenter, parallel-group, rater-blinded core study, 77 RRMS patients started IFNB-1b. At month three they were randomized 1∶1 to receive atorvastatin 40 mg/d or not in addition to IFNB-1b until month 15. In the subsequent extension study, patients continued with unchanged medication for another 12 months. Data at study end were compared to data at month three of the core study.

results27 of 72 patients that finished the core study entered the extension study. 45 patients were lost mainly due to a safety analysis during the core study including a recruitment stop for the extension study. The primary end point, the proportion of patients with new lesions on T2-weighted images was equal in both groups (odds ratio 1.926; 95% CI 0.265-14.0007; p = 0.51). All secondary endpoints including number of new lesions and total lesion volume on T2-weighted images, total number of Gd-enhancing lesions on T1-weighted images, volume of grey and white matter, EDSS, MSFC, relapse rate, number of relapse-free patients and neutralizing antibodies did not show significant differences either. The combination therapy was well tolerated.

conclusionsAtorvastatin 40 mg/day in addition to IFNB-1b did not have any beneficial effects on RRMS compared to IFNB-1b monotherapy over a period of 24 months.

trial registrationClinicalTrials.gov NCT01111656.

Indexed as

Adjuvants, ImmunologicAdultAtorvastatinDrug Therapy, CombinationFemaleHeptanoic AcidsHumansInterferon-betaInterferon beta-1bMaleMiddle AgedMultiple Sclerosis, Relapsing-RemittingPyrrolesSingle-Blind MethodTreatment OutcomeYoung AdultAdjuvants, ImmunologicAtorvastatinHeptanoic AcidsInterferon-betaInterferon beta-1bPyrroles

Identifiers

PMID24497963
PMCPMC3907426
OpenAlexW2082899678

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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.