Evidence map›Paper›PMID 27271502›Full record

ReviewRheumatology international2016

Anti-citrullinated peptide antibodies and their value for predicting responses to biologic agents: a review.

Emilio Martin-Mola, Alejandro Balsa, Rosario García-Vicuna, Juan Gómez-Reino, Miguel Angel González-Gay, Raimon Sanmartí, Estíbaliz Loza

Abstract readReview
PubMed Publisher
In one paragraph

Review in Rheumatology international, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
5.1field-weighted citation impact, top 5% 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

27 citing papers in PubMed, 54 citations in OpenAlex.

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  19. Experience With the Use of Rituximab for the Treatment of Rheumatoid Arthritis in a Tertiary Hospital in Spain: RITAR Study.Journal of clinical rheumatology : practical reports on rheumatic & musculoskeletal diseases · 2019
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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

7 authors at 7 institutions in 1 country.

Emilio Martin-MolaReumatology Department, Hospital Universitario La Paz, Hospital La Paz Institute for Health Research IdiPAZ, Madrid, Spain. emartinmola.dmedical@gmail.com.
Alejandro BalsaReumatology Department, Hospital Universitario La Paz, Hospital La Paz Institute for Health Research IdiPAZ, Madrid, Spain.
Rosario García-VicunaReumatology Department, Hospital Universitario la Princesa, IIS-IP, Madrid, Spain.
Juan Gómez-ReinoHealth Research Institute of Santiago de Compostela (IDIS), Clinical University Hospital of Santiago de Compostela, Santiago de Compostela, Spain.
Miguel Angel González-GayGenetics and Atherosclerosis Research Group on Systemic Inflammatory Diseases, Rheumatology Department, IDIVAL, Universidad de Cantabria, Santander, Spain.
Raimon SanmartíArthritis Unit, Rheumatology Service, Hospital Clínic of Barcelona, University of Barcelona, Barcelona, Spain.
Estíbaliz LozaInstituto de Salud Musculoesquelética, Madrid, Spain.
Hospital La Paz Institute for Health Research · ESHospital Universitario de La Princesa · ESHospital Universitario La Paz · ESInstituto de Investigación Sanitaria de Santiago · ESInstituto de Salud Musculoesquelética · ESUniversidad de Cantabria · ESUniversitat de Barcelona · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Anti-citrullinated peptide antibodies (ACPAs) play an important pathogenic role both at the onset and during the disease course. These antibodies precede the clinical appearance of rheumatoid arthritis (RA) and are associated with a less favorable prognosis, both clinically and radiologically. The objective of this work was to conduct a comprehensive review of studies published through September 2015 of ACPAs' role as a predictor of the therapeutic response to the biological agents in RA patients. The review also includes summary of the biology and detection of ACPAs as well as ACPAs in relation to joint disease and CV disease and the possible role of seroconversion. The reviews of studies examining TNF inhibitors and tocilizumab yielded negative results. In the case of rituximab, the data indicated a greater probability of clinical benefit in ACPA(+) patients versus ACPA(-) patients, as has been previously described for rheumatoid factor. Nonetheless, the effect is discreet and heterogeneous. Another drug that may have greater effectiveness in ACPA(+) patients is abatacept. Some studies have suggested that the drug is more efficient in ACPA(+) patients and that those patients show greater drug retention. In a subanalysis of the AMPLE trial, patients with very high ACPA titers who were treated with abatacept had a statistically significant response compared to patients with lower titers. In summary, the available studies suggest that the presence of or high titers of ACPA may predict a better response to rituximab and/or abatacept. Evidence regarding TNFi and tocilizumab is lacking. However, there is a lack of studies with appropriate designs to demonstrate that some drugs are superior to others for ACPA(+) patients.

Indexed as

Antirheumatic AgentsArthritis, RheumatoidAutoantibodiesBiological ProductsDisease ProgressionHumansPeptides, CyclicTreatment OutcomeAntirheumatic AgentsAutoantibodiesBiological Productscyclic citrullinated peptidePeptides, CyclicACPAAnti-citrullinated peptide antibodiesBiological therapyReview literatureRheumatoid arthritisTreatment outcome

Identifiers

PMID27271502
OpenAlexW2416909860

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.