Evidence map›Paper›PMID 26814847›Full record

Trial reportScientific reports2015

Predicting and verifying outcome of Tripterygium wilfordii Hook F. based therapy in rheumatoid arthritis: from open to double-blinded randomized trial.

Miao Jiang, Qinglin Zha, Chi Zhang, Cheng Lu, Xiaoping Yan, Wanhua Zhu, Wei Liu, Shenghao Tu, Liping Hou, Chengwu Wang and 16 more

Open access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Scientific reports, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed, 4 pooled it
7.8field-weighted citation impact, top 3% 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

46 citing papers in PubMed, 4 syntheses or guidelines pooled it, 69 citations in OpenAlex.

  1. Pooled it
  2. Efficacy and safety ofFrontiers in pharmacology · 2022
    Pooled it
  3. Pooled it
  4. Adverse Events Associated With Treatment ofFrontiers in pharmacology · 2019
    Pooled it
  5. Trial
  6. Review
  7. Article
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  12. Review
  13. Myeloid-derived suppressor cells modulation in the context of tumor microenvironment for gastric cancer.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2025
    Review
  14. Article
  15. Review
  16. Metal mixtures and adiposity indicators in women from Northern Mexico.Biometals : an international journal on the role of metal ions in biology, biochemistry, and medicine · 2025
    Article
  17. Review
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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

26 authors at 11 institutions in 2 countries.

Miao JiangInstitute of Basic Research in Clinical Medicine, China Academy of Chinese Medical Sciences, Beijing 100700, P.R. China.
Qinglin ZhaSchool of Computer, Jiangxi University of Traditional Chinese Medicine, Nanchang 330004, P.R. China.
Chi ZhangInstitute of Basic Research in Clinical Medicine, China Academy of Chinese Medical Sciences, Beijing 100700, P.R. China.
Cheng LuInstitute of Basic Research in Clinical Medicine, China Academy of Chinese Medical Sciences, Beijing 100700, P.R. China.
Xiaoping YanDepartment of Rheumatism, Beijing China-Japan Hospital, Beijing 100621, P.R. China.
Wanhua ZhuNantong Liangchun Rheumatology Hospital, Nantong, Jiangsu 226009, P.R. China.
Wei LiuDepartment of Rheumatism, The first affiliated hospital of Tianjin University of TCM, Tianjin 300193, P.R. China.
Shenghao TuDepartment of Rheumatism, Hubei Tongji Hospital, Wuhan, Hubei 430030, P.R. China.
Liping HouShanxi Taiyuan Rheumatology Hospital, Taiyuan 030006, Shanxi, P.R. China.
Chengwu WangDepartment of Rheumatism, The first hospital affiliated to Jilin Changchun University of TCM, Changchun, Jilin 130021, P.R. China.
Wandong ZhangDepartment of Rheumatism, The first hospital affiliated to Anhui University of TCM, Hefei, Anhui 230031, P.R. China.
Qinghua LiangDepartment of Rheumatism, Hunan Xiangya Hopital, Changsha, Hunan 410008, P.R. China.
Bing FanDepartment of Rheumatism, Affiliated Hospital to Shandong University of TCM, Jinan, Shandong 250011, P.R. China.
Jiangping YuDepartment of Rheumatism, The first hospital affiliated to Jiangxi University of TCM, Nanchang 330020, Jiangxi, P.R. China.
Weidong ZhangCollege of Pharmacy, The Second Military Medical University, Shanghai 200433, P.R. China.
Xinru LiuCollege of Pharmacy, The Second Military Medical University, Shanghai 200433, P.R. China.
Jing YangInstitute of Basic Research in Clinical Medicine, China Academy of Chinese Medical Sciences, Beijing 100700, P.R. China.
Xiaojuan HeInstitute of Basic Research in Clinical Medicine, China Academy of Chinese Medical Sciences, Beijing 100700, P.R. China.
Li LiInstitute of Basic Research in Clinical Medicine, China Academy of Chinese Medical Sciences, Beijing 100700, P.R. China.
Xuyan NiuInstitute of Basic Research in Clinical Medicine, China Academy of Chinese Medical Sciences, Beijing 100700, P.R. China.
Yan LiuInstitute of Basic Research in Clinical Medicine, China Academy of Chinese Medical Sciences, Beijing 100700, P.R. China.
Hongtao GuoDepartment of Rheumatism, The first hospital affiliated to Henan College of Chinese medicine, Zhengzhou, Henan, 450000, P.R. China.
Bing HeSchool of Chinese Medicine, Hong Kong Baptist University, Kowloon Tong, Kowloon 999077, Hong Kong.
Ge ZhangSchool of Chinese Medicine, Hong Kong Baptist University, Kowloon Tong, Kowloon 999077, Hong Kong.
Zhaoxiang BianSchool of Chinese Medicine, Hong Kong Baptist University, Kowloon Tong, Kowloon 999077, Hong Kong.
Aiping LuInstitute of Basic Research in Clinical Medicine, China Academy of Chinese Medical Sciences, Beijing 100700, P.R. China.
Chinese Academy of Medical Sciences & Peking Union Medical College · CNHong Kong Baptist University · HKSecond Military Medical University · CNTianjin University · CNAnhui University · CNBeijing Hospital · CNChangchun Obstetrics and Gynecology Hospital · CNChangchun University · CNJiangxi University of Traditional Chinese Medicine · CNShandong University · CNTongji Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Tripterygium wilfordii Hook F. (TwHF) based therapy has been proved as effective in treating rheumatoid arthritis (RA), yet the predictors to its response remains unclear. A two-stage trial was designed to identify and verify the baseline symptomatic predictors of this therapy. 167 patients with active RA were enrolled with a 24-week TwHF based therapy treatment and the symptomatic predictors were identified in an open trial; then in a randomized clinical trial (RCT) for verification, 218 RA patients were enrolled and classified into predictor positive (P+) and predictor negative (P-) group, and were randomly assigned to accept the TwHF based therapy and Methotrexate and Sulfasalazine combination therapy (M) for 24 weeks, respectively. Five predictors were identified (diuresis, excessive sweating, night sweats for positive; and yellow tongue-coating, thermalgia in the joints for negative). In the RCT, The ACR 20 responses were 82.61% in TwHF/P+ group, significantly higher than that in TwHF/P- group (P = 0.0001) and in M&S/P+ group (P < 0.05), but not higher than in M&S/P- group. Similar results were yielded in ACR 50 yet not in ACR 70 response. No significant differences were detected in safety profiles among groups. The identified predictors enable the TwHF based therapy more efficiently in treating RA subpopulations.

Indexed as

AdultAgedAntirheumatic AgentsArthritis, RheumatoidComorbidityFemaleFollow-Up StudiesHumansMaleMiddle AgedPlant ExtractsPrognosisSeverity of Illness IndexTreatment OutcomeTripterygiumYoung AdultAntirheumatic AgentsPlant Extracts

Identifiers

PMID26814847
PMCPMC5155630
OpenAlexW2267974097

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.