Evidence map›Paper›PMID 26888854›Full record

Trial reportRheumatology (Oxford, England)2016

Autoantibody levels in myositis patients correlate with clinical response during B cell depletion with rituximab.

Rohit Aggarwal, Chester V Oddis, Danielle Goudeau, Diane Koontz, Zengbiao Qi, Ann M Reed, Dana P Ascherman, Marc C Levesque

Erratum issuedOpen access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Rheumatology (Oxford, England), 2016. 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 45 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 3 pooled it
8.6field-weighted citation impact, top 2% 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

45 citing papers in PubMed, 3 syntheses or guidelines pooled it, 101 citations in OpenAlex.

  1. Pooled it
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  13. Sample Size Calculation for an Individual Stepped-Wedge Randomized Trial.Biometrical journal. Biometrische Zeitschrift · 2024
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Rohit AggarwalDivision of Rheumatology and Clinical Immunology, University of Pittsburgh Department of Medicine, Pittsburgh, PA, docrota@gmail.com.
Chester V OddisDivision of Rheumatology and Clinical Immunology, University of Pittsburgh Department of Medicine, Pittsburgh, PA.
Danielle GoudeauDivision of Rheumatology and Clinical Immunology, University of Pittsburgh Department of Medicine, Pittsburgh, PA.
Diane KoontzDivision of Rheumatology and Clinical Immunology, University of Pittsburgh Department of Medicine, Pittsburgh, PA.
Zengbiao QiDivision of Rheumatology and Clinical Immunology, University of Pittsburgh Department of Medicine, Pittsburgh, PA.
Ann M ReedDepartment of Pediatrics, Duke University School of Medicine, Durham, NC and.
Dana P AschermanDivision of Rheumatology and Immunology, University of Miami Department of Medicine, Miami, FL, USA.
Marc C LevesqueDivision of Rheumatology and Clinical Immunology, University of Pittsburgh Department of Medicine, Pittsburgh, PA.
University of Pittsburgh · USDuke University · USUniversity of Miami · US

Funding

Mechanisms of Response and Relapse in Rituximab-treated Myositis PatientsR01AR061298 · NIAMS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI LEVESQUE, MARC C., ODDIS, CHESTER V · 2010 to 2013
$1.2M
NIAMS NIH HHS R01 AR061298
6 · The paper itself

Abstract

objectivesTo determine the longitudinal trends in serum levels of four myositis-associated autoantibodies: anti-Jo-1, -transcription intermediary factor 1 γ (TIF1-γ), -signal recognition particle (SRP) and -Mi-2, after B cell depletion with rituximab, and to determine the longitudinal association of these autoantibody levels with disease activity as measured by myositis core-set measures (CSMs).

methodsTreatment-resistant adult and pediatric myositis subjects (n = 200) received rituximab in the 44-week Rituximab in Myositis Trial. CSMs [muscle enzymes, manual muscle testing (MMT), physician and patient global disease activity, HAQ, and extramuscular disease activity] were evaluated monthly and anti-Jo-1 (n = 28), -TIF1-γ (n = 23), -SRP (n = 25) and -Mi-2 (n = 26) serum levels were measured using validated quantitative ELISAs. Temporal trends and the longitudinal relationship between myositis-associated autoantibodies levels and CSM were estimated using linear mixed models.

resultsFollowing rituximab, anti-Jo-1 levels decreased over time (P < 0.001) and strongly correlated with all CSMs (P < 0.008). Anti-TIF1-γ levels also decreased over time (P < 0.001) and were only associated with HAQ, MMT and physician and patient global disease activity. Anti-SRP levels did not change significantly over time, but were significantly associated with serum muscle enzymes. Anti-Mi-2 levels significantly decreased over time and were associated with muscle enzymes, MMT and the physician global score.

conclusionAnti-Jo-1, anti-TIF1-γ and anti-Mi-2 levels in myositis subjects decreased after B cell depletion and were correlated with changes in disease activity, whereas anti-SRP levels were only associated with longitudinal muscle enzyme levels. The strong association of anti-Jo-1 levels with clinical outcomes suggests that anti-Jo-1 autoantibodies may be a good biomarker for disease activity.

Indexed as

AdultAntibodies, AntinuclearAntirheumatic AgentsAutoantibodiesAutoantigensBiomarkersB-LymphocytesChildDisease ProgressionEnzyme-Linked Immunosorbent AssayFemaleHumansLongitudinal StudiesMaleMi-2 Nucleosome Remodeling and Deacetylase ComplexMiddle AgedAntibodies, AntinuclearAntirheumatic AgentsAutoantibodiesAutoantigensBiomarkersCHD4 protein, humanJo-1 antibodyMi-2 Nucleosome Remodeling and Deacetylase ComplexRituximabSignal Recognition ParticleTranscription FactorsTRIM33 protein, humanand anti-Mi-2 autoantibodiesanti-Jo-1anti-SRPanti-TIF1-γautoantibody levelsdisease activitymyositisrituximab

Identifiers

PMID26888854
PMCPMC6281030
OpenAlexW2405292202

What OpenQuestion holds

Textmetadata
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.