Evidence map›Paper›PMID 25922848›Full record

Trial reportJournal of immunology research2015

Low baseline interleukin-17A levels are associated with better treatment response at 12 weeks to tocilizumab therapy in rheumatoid arthritis patients.

Sang Jin Lee, Won Park, Sung Hwan Park, Seung-Cheol Shim, Han Joo Baek, Dae-Hyun Yoo, Hyun Ah Kim, Soo Kon Lee, Yun Jong Leee, Young Eun Park and 5 more

Erratum issuedOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of immunology research, 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 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.1field-weighted citation impact, top 22% 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

7 citing papers in PubMed, 14 citations in OpenAlex.

  1. Observational
  2. Article
  3. Review
  4. Review
  5. Review
  6. Review
  7. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 11 institutions in 1 country.

Sang Jin LeeDivision of Rheumatology, Seoul National University Hospital, Seoul, Republic of Korea ; Department of Molecular Medicine and Biopharmaceutical Sciences, Graduate School of Convergence Science and Technology and College of Medicine, Medical Research Institute, Seoul National University, Seoul, Republic of Korea.
Won ParkDivision of Rheumatology, Inha University Hospital, Incheon, Republic of Korea.
Sung Hwan ParkDivision of Rheumatology, The Catholic University of Korea Seoul St. Mary's Hospital, Seoul, Republic of Korea.
Seung-Cheol ShimDivision of Rheumatology, Eulji University Hospital, Daejeon, Republic of Korea.
Han Joo BaekDivision of Rheumatology, Gachon University Gil Medical Center, Incheon, Republic of Korea.
Dae-Hyun YooDivision of Rheumatology, Hanyang University Medical Center, Seoul, Republic of Korea.
Hyun Ah KimDivision of Rheumatology, Hallym University Medical Center, Anyang, Republic of Korea.
Soo Kon LeeDivision of Rheumatology, Yonsei University Health System, Seoul, Republic of Korea.
Yun Jong LeeeDivision of Rheumatology, Seoul National University Bundang Hospital, Seongnam, Republic of Korea.
Young Eun ParkDivision of Rheumatology, Pusan National University Hospital, Busan, Republic of Korea.
Hoon-Suk ChaDivision of Rheumatology, Samsung Medical Center, Seoul, Republic of Korea.
Jin Kyun ParkDivision of Rheumatology, Seoul National University Hospital, Seoul, Republic of Korea ; Department of Molecular Medicine and Biopharmaceutical Sciences, Graduate School of Convergence Science and Technology and College of Medicine, Medical Research Institute, Seoul National University, Seoul, Republic of Korea.
Eun Young LeeDivision of Rheumatology, Seoul National University Hospital, Seoul, Republic of Korea.
Eun Bong LeeDivision of Rheumatology, Seoul National University Hospital, Seoul, Republic of Korea.
Yeong Wook SongDivision of Rheumatology, Seoul National University Hospital, Seoul, Republic of Korea ; Department of Molecular Medicine and Biopharmaceutical Sciences, Graduate School of Convergence Science and Technology and College of Medicine, Medical Research Institute, Seoul National University, Seoul, Republic of Korea.
Seoul National University · KRSeoul National University Hospital · KRCatholic University of Korea · KRDaejeon Eulji Medical Center, Eulji University · KRGachon University Gil Medical Center · KRHallym University Medical Center · KRHanyang University Medical Center · KRInha University Hospital · KRPusan National University Hospital · KRSamsung Medical Center · KRSeoul National University Bundang Hospital · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

T helper 17-related cytokines have been implicated in rheumatoid arthritis (RA) pathogenesis. The study aimed to identify cytokines associated with the treatment response of RA patients to tocilizumab (TCZ), a humanized monoclonal antibody against the interleukin- (IL-) 6 receptor. As an independent substudy of the 24-week, randomized, double-blinded CWP-TCZ301 trial of TCZ in RA patients with an inadequate response to disease-modifying antirheumatic drugs, serum levels of cytokines including tumor necrosis factor-alpha, IL-17A, IL-21, IL-23, IL-6, and soluble IL-6 receptor were measured. Baseline IL-17A levels were significantly lower in RA patients who achieved disease activity score 28 (DAS28) remission at 12 weeks of TCZ treatment, compared to patients not in remission. Patients were stratified into IL-17A low group and IL-17A high group. Significantly more patients in the IL-17A low group achieved remission as compared to the IL-17A high group (47.6 versus 17.4%, P = 0.032). DAS28 improvement was significantly better in the IL-17A low group than in the IL-17A high group at 12 weeks (P = 0.045) and 24 weeks (P = 0.046) after adjustment. Other baseline cytokines were not associated with treatment response to TCZ. The data demonstrate that low baseline IL-17A levels are associated with better clinical response to TCZ treatment in RA patients.

Indexed as

Antibodies, Monoclonal, HumanizedAntirheumatic AgentsArthritis, RheumatoidCytokinesFemaleHumansInterleukin-17MaleMiddle AgedTime FactorsTreatment OutcomeAntibodies, Monoclonal, HumanizedAntirheumatic AgentsCytokinesInterleukin-17tocilizumab

Identifiers

PMID25922848
PMCPMC4398953
OpenAlexW2056991869

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.