Evidence map›Paper›PMID 25764452›Full record

ArticlePloS one2015

Adverse events of anti-tumor necrosis factor α therapy in ankylosing spondylitis.

Qiang Tong, Qing Cai, Tristan de Mooij, Xia Xu, Shengming Dai, Wenchun Qu, Dongbao Zhao

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
1.9field-weighted citation impact, top 15% 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

9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 19 citations in OpenAlex.

  1. Regional risk ofFrontiers in pharmacology · 2023
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 2 countries.

Qiang TongDepartment of Rheumatology and Immunology, Changhai Hospital Second Military Medical University, Yangpu District, No.168 Changhai Road, Shanghai-200433, China.
Qing CaiDepartment of Rheumatology and Immunology, Changhai Hospital Second Military Medical University, Yangpu District, No.168 Changhai Road, Shanghai-200433, China.
Tristan de MooijDepartment of Neurosurgery, Mayo Clinic, Rochester Minnesota, 55902, United States of America.
Xia XuDepartment of Rheumatology and Immunology, Changhai Hospital Second Military Medical University, Yangpu District, No.168 Changhai Road, Shanghai-200433, China.
Shengming DaiDepartment of Rheumatology and Immunology, Changhai Hospital Second Military Medical University, Yangpu District, No.168 Changhai Road, Shanghai-200433, China.
Wenchun QuDep. of Physical Medicine & Rehabilitation, Mayo Clinic, Rochester, Minnesota, 55902, United States of America; Department of Anesthesiology Pain Division, Mayo Clinic, Rochester, Minnesota, United States of America.
Dongbao ZhaoDepartment of Rheumatology and Immunology, Changhai Hospital Second Military Medical University, Yangpu District, No.168 Changhai Road, Shanghai-200433, China.
Changhai Hospital · CNMayo Clinic · USSecond Military Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study aims to investigate the prevalence of short-term and long-term adverse events associated with tumor necrosis factor-α (TNF-α) blocker treatment in Chinese Han patients suffering from ankylosing spondylitis (AS).

methodsThe study included 402 Chinese Han AS patients treated with TNF-α blockers. Baseline data was collected. All patients were monitored for adverse events 2 hours following administration. Long-term treatment was evaluated at 8, 12, 52 and 104 weeks follow-up for 172 patients treated with TNF-α blockers.

resultsShort-term adverse events occurred in 20.15% (81/402), including rash (3.5%; 14/402), pruritus (1.2%; 5/402), nausea (2.2%; 9/402), headache (0.7%; 3/402), skin allergies (4.0%; 16/402), fever (0.5%; 2/402), palpitations (3.0%; 12/402), dyspnea (0.5%; 2/402), chest pain (0.2%; 1/402), [corrected] abdominal pain (1.0%; 4/402), hypertension (2.2%; 9/402), papilledema (0.5%; 2/402), laryngeal edema (0.2%; 1/402) and premature ventricular contraction (0.2%; 1/402). Long-term adverse events occurred in 59 (34.3%; 59/172) patients, including pneumonia (7.6%; 13/172), urinary tract infections (9.9%; 17/172), otitis media (4.7%; 8/172), tuberculosis are (3.5%; 6/172) [corrected], abscess (1.2%; 2/172), oral candidiasis (0.6%; 1/172), elevation of transaminase (1.7%; 3/172), anemia (1.2%; 2/172), hematuresis (0.6%; 1/172), constipation (2.3%; 4/172), weight loss (0.6%; 1/172), exfoliative dermatitis (0.6%; 1/172). CRP, ESR and disease duration were found to be associated with an increased risk of immediate and long-term adverse events (P<0.05). Long-term treatment with Infliximab was associated with more adverse events than rhTNFR-Fc (P<0.01).

conclusionThis study reports on the prevalence of adverse events in short-term and long-term treatment with TNF-α blocker monotherapy in Chinese Han AS patients. Duration of disease, erythrocyte sedimentation rate, and c-reactive protein serum levels were found to be associated with increased adverse events with anti-TNF-α therapy. Long-term treatment with Infliximab was associated with more adverse events than rhTNFR-Fc.

Indexed as

AdultAntirheumatic AgentsChinaEtanerceptFemaleHumansInfliximabMaleMiddle AgedProspective StudiesSpondylitis, AnkylosingTumor Necrosis Factor-alphaAntirheumatic AgentsEtanerceptInfliximabTumor Necrosis Factor-alpha

Identifiers

PMID25764452
PMCPMC4357466
OpenAlexW2042094088

What OpenQuestion holds

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LicenceCC BY
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.