Evidence map›Paper›PMID 27556040›Full record

SynthesisBioMed research international2016

Effect of Anti-TNF Antibodies on Clinical Response in Rheumatoid Arthritis Patients: A Meta-Analysis.

Chunxiao Wu, Shengxu Wang, Peifeng Xian, Lu Yang, Ying Chen, Xianjie Mo

Abstract readMeta-AnalysisReview
In one paragraph

Synthesis in BioMed research international, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
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

11 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Review
  5. Article
  6. Article
  7. Review
  8. Article
  9. Review
  10. Unmet Needs in Axial Spondyloarthritis.Clinical reviews in allergy & immunology · 2018
    Review
  11. 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

6 authors.

Chunxiao WuSchool of Traditional Chinese Medicine, Southern Medical University, Guangzhou, Guangdong 510515, China.ORCID 0000-0002-8637-5545
Shengxu WangSchool of Traditional Chinese Medicine, Southern Medical University, Guangzhou, Guangdong 510515, China.
Peifeng XianSchool of Traditional Chinese Medicine, Southern Medical University, Guangzhou, Guangdong 510515, China.
Lu YangSchool of Traditional Chinese Medicine, Southern Medical University, Guangzhou, Guangdong 510515, China; Traditional Chinese Medicine-Integrated Hospital, The Affiliated Hospital of Southern Medical University, Guangzhou, Guangdong 510315, China.ORCID 0000-0002-6072-2692
Ying ChenSchool of Traditional Chinese Medicine, Southern Medical University, Guangzhou, Guangdong 510515, China; Traditional Chinese Medicine-Integrated Hospital, The Affiliated Hospital of Southern Medical University, Guangzhou, Guangdong 510315, China.ORCID 0000-0002-7806-056X
Xianjie MoTraditional Chinese Medicine-Integrated Hospital, The Affiliated Hospital of Southern Medical University, Guangzhou, Guangdong 510315, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background. Antitumor necrosis factor (anti-TNF) drugs have been applied for rheumatoid arthritis (RA) treatment; however, patients having anti-drug antibodies (ADAbs) do not benefit from these drugs. The meta-analysis aims to comprehensively assess the relationship between ADAb positive (ADAb+) and anti-TNF response in RA patients. Methods. Observational studies comparing different clinical response between ADAb+ and ADAb negative groups were included. Odds ratio (OR) with its corresponding 95% confidence interval (CI) was used as effect size. Subgroup analyses stratified by TNF inhibitor types and assay methods for ADAb detection were performed. Results. Totally, 10 eligible studies containing 1806 subjects were included. ADAb+ was significantly associated with reduced anti-TNF response to RA at all the time points after follow-up (P < 0.001). Subgroup analysis also supported this significant association (P < 0.05), except for enzyme-linked immunosorbent assay (ELISA) group at 3 months, infliximab (INF) and enzyme-linked immunosorbent assay (ELISA) groups at 6 months, and Immunological Multi-Parameter Chip Technology (IMPACT) group at 12 months. Conclusion. ADAb+ was significantly associated with reduced clinical response in RA patients, and other alternatives should be considered in RA patients presenting ADAb+.

Indexed as

AntibodiesArthritis, RheumatoidFemaleHumansMaleMiddle AgedPublication BiasTreatment OutcomeTumor Necrosis Factor-alphaAntibodiesTumor Necrosis Factor-alpha

Identifiers

PMID27556040
PMCPMC4983315

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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.