Evidence map›Paper›PMID 26085963›Full record

Observational studyBrain and behavior2015

Effectiveness of glatiramer acetate compared to other multiple sclerosis therapies.

Guillermo Izquierdo, Nuria García-Agua Soler, Macarena Rus, Antonio José García-Ruiz

Open access · goldAbstract readComparative StudyObservational Study
In one paragraph

Observational study in Brain and behavior, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 23% 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. 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 2 institutions in 1 country.

Guillermo IzquierdoDepartment of Neurology, Hospital Universitario Virgen Macarena Avenida Dr. Fedriani, 3, 41009, Seville, Spain.
Nuria García-Agua SolerChair of Health Economics and Rational Drug Use, School of Medicine, University of Málaga Boulevard Louis Pasteur, 32, 29071, Málaga, Spain.
Macarena RusDepartment of Neurology, Hospital Universitario Virgen Macarena Avenida Dr. Fedriani, 3, 41009, Seville, Spain.
Antonio José García-RuizChair of Health Economics and Rational Drug Use, School of Medicine, University of Málaga Boulevard Louis Pasteur, 32, 29071, Málaga, Spain ; Department of Pharmacology and Clinical Therapeutics, School of Medicine, University of Málaga Boulevard Louis Pasteur, 32, 29071, Málaga, Spain.
Hospital Universitario Virgen Macarena · ESUniversidad de Málaga · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess the effectiveness of glatiramer acetate (GA) compared to other multiple sclerosis (MS) therapies in routine clinical practice. MATERIALS AND

methodsObservational cohort study carried out in MS patients treated with GA (GA cohort) or other MS therapies -switched from GA- (non-GA cohort). Study data were obtained through review of our MS patient database. The primary endpoint was the Expanded Disability Status Scale (EDSS) scores reached at the end of treatment/last check-up.

resultsA total of 180 patients were included: GA cohort n = 120, non-GA cohort n = 60. Patients in the GA cohort showed better EDSS scores at the end of treatment/last check-up (mean ± SD, 2.8 ± 1.8 vs. 3.9 ± 2.2; P = 0.001) and were 1.65 times more likely to show better EDSS scores compared to the non-GA cohort (odds ratio, 0.606; 95%CI, 0.436-0.843; P = 0.003). Patients in the GA cohort showed longer mean time to reach EDSS scores of 6 (209.1 [95%CI, 187.6-230.6] vs. 164.3 [95% CI, 137.0-191.6] months; P = 0.004) and slower disability progression (hazard ratio, 0.415 [95%CI, 0.286-0.603]; P < 0.001). The annualized relapse rate was lower in the GA cohort (mean ± SD, 0.5 ± 0.5 vs. 0.8 ± 0.5; P = 0.001) and patients' quality of life was improved in this study cohort compared to the non-GA cohort (mean ± SD, 0.7 ± 0.1 vs. 0.6 ± 0.2; P = 0.01).

conclusionsGA may slow down the progression of EDSS scores to a greater extent than other MS therapies, as well as achieving a greater reduction in relapses and a greater improvement in patients' quality of life. Switching from GA to other MS therapies has not proved to entail a better response to treatment.

Indexed as

Glatiramer AcetateQuality of LifeAdultAntirheumatic AgentsDisability EvaluationDisease ProgressionFemaleHumansMaleMiddle AgedMultiple SclerosisPatient Outcome AssessmentRetrospective StudiesSecondary PreventionSpainAntirheumatic AgentsGlatiramer AcetateClinical practiceeffectivenessglatiramer acetatemultiple sclerosistherapytreatment

Identifiers

PMID26085963
PMCPMC4467772
OpenAlexW2030806102

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.