Evidence map›Paper›PMID 28210662›Full record

ArticleNeurology(R) neuroimmunology & neuroinflammation2017

Time course of glatiramer acetate efficacy in patients with RRMS in the GALA study.

Mat D Davis, Natalia Ashtamker, Joshua R Steinerman, Volker Knappertz

Registry-linked trialAbstract read
In one paragraph

Article in Neurology(R) neuroimmunology & neuroinflammation, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01067521 (A Multinational, Multicenter, Randomized, Parallel-group Study Performed in Subjects With Relapsing-Remitting Multiple Sclerosis), which is not on this map. Cited by 5 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 3 pooled it
–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.

NCT01067521 phase3completednot on this map

A Multinational, Multicenter, Randomized, Parallel-group Study Performed in Subjects With Relapsing-Remitting Multiple Sclerosis (RRMS) to Assess the Efficacy, Safety and Tolerability of Glatiramer Acetate (GA) Injection 40 mg Administered Three Times a Week Compared to Placebo in a Double-blind Design

TypeinterventionalSponsorTeva Branded Pharmaceutical Products R&D, Inc.Ran2010 to 2017Enrolled1,404ConditionsRelapsing Remitting Multiple SclerosisArmsGlatiramer acetate (GA), Placebo
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Review
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

4 authors.

Mat D DavisTeva Pharmaceutical Industries (M.D.D., J.R.S., V.K.), Frazer, PA; Teva Pharmaceutical Industries (N.A.), Netanya, Israel; and Heinrich-Heine Universität Düsseldorf (V.K.), Germany.
Natalia AshtamkerTeva Pharmaceutical Industries (M.D.D., J.R.S., V.K.), Frazer, PA; Teva Pharmaceutical Industries (N.A.), Netanya, Israel; and Heinrich-Heine Universität Düsseldorf (V.K.), Germany.
Joshua R SteinermanTeva Pharmaceutical Industries (M.D.D., J.R.S., V.K.), Frazer, PA; Teva Pharmaceutical Industries (N.A.), Netanya, Israel; and Heinrich-Heine Universität Düsseldorf (V.K.), Germany.
Volker KnappertzTeva Pharmaceutical Industries (M.D.D., J.R.S., V.K.), Frazer, PA; Teva Pharmaceutical Industries (N.A.), Netanya, Israel; and Heinrich-Heine Universität Düsseldorf (V.K.), Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo determine the time to efficacy onset of glatiramer acetate (GA) 40 mg/mL 3-times-weekly formulation (GA40).

methodsThis post hoc analysis of data from the 1-year, double-blind, placebo-controlled phase of the Glatiramer Acetate Low-Frequency Administration study (NCT01067521) of GA40 in patients with relapsing-remitting MS (RRMS) sought to determine the timing of efficacy onset using a novel data-censoring approach.

resultsCompared with placebo-treated patients, those receiving GA40 exhibited a >30% reduction in the accumulated annualized relapse rate (ARR) within 2 months of initiating treatment and generally sustained this treatment difference during the 1-year study. Similarly, the proportion of GA40-treated patients who remained relapse-free was distinctly greater by month 2 and continued to increase up to a 10.8% difference at the end of the study. In addition, GA40 treatment was associated with a significant reduction in the number of gadolinium-enhancing T1 lesions and new/enlarging T2 lesions by month 6, with full treatment effect observed after 1 year.

conclusionsGA40 contributes to efficacy within 2 months of the start of treatment in patients with RRMS. These results are consistent with the observed time to efficacy onset for patients treated with GA 20 mg/mL daily in previous randomized, placebo-controlled clinical trials. CLASSIFICATION OF EVIDENCE: This study provides Class II evidence that for patients with RRMS, a 3-times-weekly formulation of GA 40 mg/mL leads to a >30% reduction in the ARR within 2 months.

Identifiers

PMID28210662
PMCPMC5299631

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Registered trials

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.