Evidence map›Paper›PMID 26064930›Full record

ArticleBioMed research international2015

Influence of Immunogenicity on the Efficacy of Long-Term Treatment with TNF α Blockers in Rheumatoid Arthritis and Spondyloarthritis Patients.

Inesa Arstikyte, Giedre Kapleryte, Irena Butrimiene, Algirdas Venalis

Open access · hybridAbstract readClinical Study
In one paragraph

Article in BioMed research international, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
3.2field-weighted citation impact, top 9% 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

19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 33 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Article
  6. Observational
  7. Review
  8. Article
  9. Article
  10. Article
  11. Review
  12. Review
  13. Review
  14. Article
  15. Evaluation ofFrontiers in immunology · 2019
    Article
  16. Review
  17. Review
  18. Review
  19. Review
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

4 authors at 1 institution in 1 country.

Inesa ArstikyteCentre of Rheumatology, Vilnius University, Santariskiu Street 2, LT-08661 Vilnius, Lithuania ; State Research Institute, Centre for Innovative Medicine, Zygimantu Street 9, LT-01102 Vilnius, Lithuania.ORCID 0000-0002-6532-9670
Giedre KapleryteCentre of Rheumatology, Vilnius University, Santariskiu Street 2, LT-08661 Vilnius, Lithuania.ORCID 0000-0001-6034-5789
Irena ButrimieneCentre of Rheumatology, Vilnius University, Santariskiu Street 2, LT-08661 Vilnius, Lithuania ; State Research Institute, Centre for Innovative Medicine, Zygimantu Street 9, LT-01102 Vilnius, Lithuania.ORCID 0000-0002-3795-7741
Algirdas VenalisCentre of Rheumatology, Vilnius University, Santariskiu Street 2, LT-08661 Vilnius, Lithuania ; State Research Institute, Centre for Innovative Medicine, Zygimantu Street 9, LT-01102 Vilnius, Lithuania.ORCID 0000-0003-0234-6040
Vilnius University · LT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo analyze the clinical relevance of the levels of TNFα blockers and anti-drug antibodies (anti-drug Ab) in patients with rheumatoid arthritis (RA) and spondyloarthritis (SpA) treated with adalimumab (ADA), etanercept (ETA), or infliximab (INF) for a prolonged period of time.

methodsClinical characteristics (disease activity, and adverse events), serum TNFα blockers, and anti-drug Ab levels were evaluated in 62 RA and 81 SpA patients treated with TNFα blockers for a median of 28 months.

resultsAnti-ADA Ab were detected in 1 (4.0%) and anti-INF Ab in 14 out of 57 (24.6%) RA and SpA patients. Patient with anti-ADA Ab and 57.1% patients with anti-INF Ab were considered nonresponders to treatment. Anti-ETA Ab were not found in any of 61 ETA treated patients. Anti-ADA and anti-INF Ab levels differ between responders and nonresponders (P > 0.05). Three (5.3%) patients with high serum anti-INF Ab levels developed infusion related reactions. Patients with anti-INF Ab more often required changing to another biologic drug (OR 11.43 (95% CI 1.08-120.93)) and treatment discontinuation (OR 9.28 (95% CI 1.64-52.52)).

conclusionPatients not responding to treatment had higher serum anti-ADA and anti-INF Ab concentrations. Anti-INF Ab formation is related to increased risk of infusion related reactions, changing to another biologic drug, and treatment discontinuation.

Indexed as

AdalimumabAdultAgedAntibodies, Anti-IdiotypicArthritis, RheumatoidEtanerceptFemaleHumansInfliximabMaleMiddle AgedSpondylarthritisTumor Necrosis Factor-alphaAdalimumabAntibodies, Anti-IdiotypicEtanerceptInfliximabTumor Necrosis Factor-alpha

Identifiers

PMID26064930
PMCPMC4427010
OpenAlexW1969216944

What OpenQuestion holds

Textmetadata
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.