Evidence map›Paper›PMID 27464489›Full record

ArticleInternational journal of hematology2016

Interim analysis of post-marketing surveillance of eculizumab for paroxysmal nocturnal hemoglobinuria in Japan.

Haruhiko Ninomiya, Naoshi Obara, Shigeru Chiba, Kensuke Usuki, Kaichi Nishiwaki, Itaru Matsumura, Tsutomu Shichishima, Shinichiro Okamoto, Jun-Ichi Nishimura, Kazuma Ohyashiki and 11 more

Abstract read
PubMed Publisher
In one paragraph

Article in International journal of hematology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 15% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.

  1. Pooled it
  2. Trial
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  15. Advances in autoimmune myasthenia gravis management.Expert review of neurotherapeutics · 2018
    Review
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  18. Risks of novel therapeutics: gonococcemia in an immune-suppressed patient receiving eculizumab.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2017
    Article
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

21 authors at 14 institutions in 1 country.

Haruhiko NinomiyaDepartment of Medical Sciences, Faculty of Medicine, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki, 305-8575, Japan. ninomiya.haruhiko.ft@u.tsukuba.ac.jp.ORCID http://orcid.org/0000-0002-5431-7447
Naoshi ObaraDepartment of Hematology, Faculty of Medicine, University of Tsukuba, Tsukuba, Japan.
Shigeru ChibaDepartment of Hematology, Faculty of Medicine, University of Tsukuba, Tsukuba, Japan.
Kensuke UsukiDepartment of Hematology, NTT Medical Center Tokyo, Tokyo, Japan.
Kaichi NishiwakiDivision of Oncology and Hematology, Department of Internal Medicine, Jikei University Kashiwa Hospital, Kashiwa, Japan.
Itaru MatsumuraDivision of Hematology, Kinki University, Osakasayama, Japan.
Tsutomu ShichishimaDepartment of Cardiology and Hematology, Fukushima Medical University, Fukushima, Japan.
Shinichiro OkamotoDivision of Hematology, Department of Internal Medicine, Keio University, Tokyo, Japan.
Jun-Ichi NishimuraDepartment of Hematology and Oncology, Osaka University, Suita, Japan.
Kazuma OhyashikiDepartment of Hematology, Tokyo Medical University, Tokyo, Japan.
Shinji NakaoHematology/Respiratory Medicine, Kanazawa University, Kanazawa, Japan.
Kiyoshi AndoDivision of Hematology and Oncology, Tokai University, Isehara, Japan.
Yoshinobu KandaDivision of Hematology, Jichi Medical University, Shimotsuke, Japan.
Tatsuya KawaguchiDepartments of Hematology and Infectious Diseases, Kumamoto University, Kumamoto, Japan.
Hideki NakakumaKagoshima Tokushukai Hospital, Kagoshima, Japan.
Daisuke HaradaAlexion Pharma G.K., Tokyo, Japan.
Hirozumi AkiyamaAlexion Pharma G.K., Tokyo, Japan.
Taroh KinoshitaDepartment of Immunoregulation, Research Institute for Microbial Diseases, Osaka University, Suita, Japan.
Keiya OzawaIMSUT Hospital, Institute of Medical Science, University of Tokyo, Tokyo, Japan.
Mitsuhiro OmineDepartment of Hematology, Showa University Fujigaoka Hospital, Yokohama, Japan.
Yuzuru KanakuraDepartment of Hematology and Oncology, Osaka University, Suita, Japan.
The University of Osaka · JPUniversity of Tsukuba · JPFukuoka Tokushukai Hospital · JPFukushima Medical University · JPJichi Medical University · JPJikei University Kashiwa hospital · JPKanazawa University · JPKeio University · JPKindai University · JPKumamoto University · JPNTT Medical Center · JPShowa University Fujigaoka Hospital · JPTokai University · JPTokyo Medical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Data characterizing the safety and effectiveness of eculizumab in patients with paroxysmal nocturnal hemoglobinuria (PNH) are limited. We describe the safety and effectiveness of eculizumab in PNH patients enrolled in a post-marketing surveillance study. Types and frequencies of observed adverse events were similar to those reported in previous clinical trials and no meningococcal infection was reported. Effectiveness outcomes included the reduction of intravascular hemolysis, the change in hemoglobin (Hb) level, the withdrawal of transfusion and corticosteroids, the change of renal function, and overall survival. The effect of eculizumab on intravascular hemolysis was demonstrated by a reduction in lactate dehydrogenase levels at all measurements after baseline. Significant increases in Hb levels from baseline were also observed after 1 month's treatment with eculizumab (p < 0.01). Of those who were transfusion-dependent at baseline, the median number of transfusions decreased significantly from 18 to 0 unit/year after 1 year of treatment with eculizumab (p < 0.001). An increase in Hb and a high rate of transfusion independence were observed, especially in patients with platelet count ≥150 × 10

Indexed as

Antibodies, Monoclonal, HumanizedBlood TransfusionHemoglobinsHemoglobinuria, ParoxysmalHemolysisHumansJapanKidneyProduct Surveillance, PostmarketingTreatment OutcomeAntibodies, Monoclonal, HumanizedeculizumabHemoglobinsEculizumabEffectivenessParoxysmal nocturnal hemoglobinuriaPost-marketing surveillanceSafety

Identifiers

PMID27464489
OpenAlexW2493998604

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.