Evidence map›Paper›PMID 24982902›Full record

ArticleBioMed research international2014

Monitoring drug and antidrug levels: a rational approach in rheumatoid arthritis patients treated with biologic agents who experience inadequate response while being on a stable biologic treatment.

Diana Mazilu, Daniela Opriş, Cecilia Gainaru, Mihaela Iliuta, Natalia Apetrei, Giorgiana Luca, Andreea Borangiu, Tania Gudu, Alexandra Peltea, Laura Groseanu and 6 more

Abstract read
In one paragraph

Article in BioMed research international, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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

18 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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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

16 authors.

Diana MaziluDepartment of Rheumatology and Internal Medicine, "Sfanta Maria" Hospital, Bulevardul Ion Mihalache nr 37-39, 011172 Bucharest, Romania ; "Carol Davila" University of Medicine, Bucharest, Romania.
Daniela OprişDepartment of Rheumatology and Internal Medicine, "Sfanta Maria" Hospital, Bulevardul Ion Mihalache nr 37-39, 011172 Bucharest, Romania ; "Carol Davila" University of Medicine, Bucharest, Romania.
Cecilia Gainaru"Carol Davila" University of Medicine, Bucharest, Romania.
Mihaela Iliuta"Carol Davila" University of Medicine, Bucharest, Romania.
Natalia ApetreiBiology Faculty, Bucharest University, Bucharest, Romania.
Giorgiana LucaBiology Faculty, "Alexandru Ioan Cuza" University, Iasi, Romania.
Andreea BorangiuDepartment of Rheumatology and Internal Medicine, "Sfanta Maria" Hospital, Bulevardul Ion Mihalache nr 37-39, 011172 Bucharest, Romania ; "Carol Davila" University of Medicine, Bucharest, Romania.
Tania GuduDepartment of Rheumatology and Internal Medicine, "Sfanta Maria" Hospital, Bulevardul Ion Mihalache nr 37-39, 011172 Bucharest, Romania.
Alexandra PelteaDepartment of Rheumatology and Internal Medicine, "Sfanta Maria" Hospital, Bulevardul Ion Mihalache nr 37-39, 011172 Bucharest, Romania.
Laura GroseanuDepartment of Rheumatology and Internal Medicine, "Sfanta Maria" Hospital, Bulevardul Ion Mihalache nr 37-39, 011172 Bucharest, Romania ; "Carol Davila" University of Medicine, Bucharest, Romania.
Cosmin ConstantinescuDepartment of Rheumatology and Internal Medicine, "Sfanta Maria" Hospital, Bulevardul Ion Mihalache nr 37-39, 011172 Bucharest, Romania ; "Carol Davila" University of Medicine, Bucharest, Romania.
Ioana SaulescuDepartment of Rheumatology and Internal Medicine, "Sfanta Maria" Hospital, Bulevardul Ion Mihalache nr 37-39, 011172 Bucharest, Romania ; "Carol Davila" University of Medicine, Bucharest, Romania.
Violeta BojincaDepartment of Rheumatology and Internal Medicine, "Sfanta Maria" Hospital, Bulevardul Ion Mihalache nr 37-39, 011172 Bucharest, Romania ; "Carol Davila" University of Medicine, Bucharest, Romania.
Andra BalanescuDepartment of Rheumatology and Internal Medicine, "Sfanta Maria" Hospital, Bulevardul Ion Mihalache nr 37-39, 011172 Bucharest, Romania ; "Carol Davila" University of Medicine, Bucharest, Romania.
Denisa PredeteanuDepartment of Rheumatology and Internal Medicine, "Sfanta Maria" Hospital, Bulevardul Ion Mihalache nr 37-39, 011172 Bucharest, Romania ; "Carol Davila" University of Medicine, Bucharest, Romania.
Ruxandra IonescuDepartment of Rheumatology and Internal Medicine, "Sfanta Maria" Hospital, Bulevardul Ion Mihalache nr 37-39, 011172 Bucharest, Romania ; "Carol Davila" University of Medicine, Bucharest, Romania.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Clinical response in patients with rheumatoid arthritis (RA) treated with biologic agents can be influenced by their pharmacokinetics and immunogenicity. The present study evaluated the concordance between serum drug and antidrug levels as well as the clinical response in RA patients treated with biological agents who experience their first disease exacerbation while being on a stable biologic treatment. 154 RA patients treated with rituximab (RTX), infliximab (IFX), adalimumab (ADL), or etanercept (ETN) were included. DAS28, SDAI, and EULAR response were assessed at baseline and reevaluated at precise time intervals. At the time of their first sign of inadequate response, patients were tested for both serum drug level and antidrug antibodies level. At the next reevaluation, patients retreated with RTX that had detectable drug level had a better EULAR response (P = 0.038) with lower DAS28 and SDAI scores (P = 0.01 and P = 0.03). The same tendency was observed in patients treated with IFX and ETN regarding EULAR response (P = 0.002 and P = 0.023), DAS28 score (P = 0.002 and P = 0.003), and SDAI score (P = 0.001 and P = 0.026). Detectable biologic drug levels correlated with a better clinical response in patients experiencing their first RA inadequate response while being on a stable biologic treatment with RTX, IFX, and ETN.

Indexed as

Drug MonitoringAntibodiesAntirheumatic AgentsArthritis, RheumatoidBiological ProductsDisease ProgressionDose-Response Relationship, DrugHumansTreatment OutcomeAntibodiesAntirheumatic AgentsBiological Products

Identifiers

PMID24982902
PMCPMC4054977

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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.