Evidence map›Paper›PMID 28413713›Full record

ArticleBrain and behavior2017

Catastrophic outcome of patients with a rebound after Natalizumab treatment discontinuation.

Inés González-Suarez, Luis Rodríguez de Antonio, Aida Orviz, Sara Moreno-García, María D Valle-Arcos, Jordi A Matias-Guiu, Cristina Valencia, Manuela Jorquera Moya, Celia Oreja-Guevara

Abstract readCase Reports
In one paragraph

Article in Brain and behavior, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing 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

21 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
  4. Article
  5. Article
  6. Review
  7. Review
  8. Effectiveness of fingolimod in real-world relapsing-remitting multiple sclerosis Italian patients: the GENIUS study.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2020
    Article
  9. COVID-19 and MS disease-modifying therapies.Neurology(R) neuroimmunology & neuroinflammation · 2020
    Article
  10. Review
  11. Extending the Interval of Natalizumab Dosing: Is Efficacy Preserved?Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2020
    Observational
  12. Review
  13. Multiple sclerosis.The mental health clinician · 2019
    Article
  14. Article
  15. Review
  16. Article
  17. Review
  18. Review
  19. Article
  20. 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

9 authors.

Inés González-SuarezNeurology Department Multiple Sclerosis Center IdiSSC Hospital Clinico San Carlos Madrid Spain.ORCID 0000-0002-9897-0771
Luis Rodríguez de AntonioNeurology Department Hospital Universitario de Fuenlabrada Madrid Spain.
Aida OrvizNeurology Department Multiple Sclerosis Center IdiSSC Hospital Clinico San Carlos Madrid Spain.
Sara Moreno-GarcíaDemyelinating Disease Unit Neurology Department Hospital Universitario 12 de Octubre Madrid Spain.
María D Valle-ArcosDemyelinating Disease Unit Neurology Department Hospital Universitario 12 de Octubre Madrid Spain.
Jordi A Matias-GuiuNeurology Department Multiple Sclerosis Center IdiSSC Hospital Clinico San Carlos Madrid Spain.
Cristina ValenciaNeurology Department Multiple Sclerosis Center IdiSSC Hospital Clinico San Carlos Madrid Spain.
Manuela Jorquera MoyaRadiology Department IdiSSC Hospital Clinico San Carlos Madrid Spain.
Celia Oreja-GuevaraNeurology Department Multiple Sclerosis Center IdiSSC Hospital Clinico San Carlos Madrid Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionNatalizumab (NTZ) is an effective drug for the treatment of relapsing-remitting multiple sclerosis. In some patients discontinuation is mandatory due to the risk of progressive multifocal leukoencephalopathy. However, severe clinical and radiological worsening has been described after drug cessation. Our aim was to describe the clinical and radiological features of the rebound phenomenon. MATERIAL AND

methodsPatients switched from NTZ to Fingolimod (FTY) who had presented a rebound after discontinuation were selected. Clinical and magnetic resonance imaging (MRI) data were collected.

resultsFour JC virus positive patients were included. The mean disease duration was 9.5 years (

conclusionDiscontinuation of NTZ treatment may trigger a severe rebound with marked clinical and radiological worsening. A very careful evaluation of benefit-risk should be considered before NTZ withdrawal, and a close monitoring and a short washout period is recommended after drug withdrawal.

Indexed as

AdultBrainCohort StudiesDisability EvaluationDrug SubstitutionFemaleFingolimod HydrochlorideHumansImmunologic FactorsMagnetic Resonance ImagingMaleMultiple Sclerosis, Relapsing-RemittingNatalizumabTreatment FailureFingolimod HydrochlorideImmunologic FactorsNatalizumabimmune reconstitution inflammatoryNatalizumab withdrawalreboundsyndrome

Identifiers

PMID28413713
PMCPMC5390845

What OpenQuestion holds

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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.