Evidence map›Paper›PMID 28984179›Full record

Trial reportMultiple sclerosis (Houndmills, Basingstoke, England)2018

Efficacy of daclizumab beta versus intramuscular interferon beta-1a on disability progression across patient demographic and disease activity subgroups in DECIDE.

Stanley Cohan, Ludwig Kappos, Gavin Giovannoni, Heinz Wiendl, Krzysztof Selmaj, Eva Kubala Havrdová, John Rose, Steven Greenberg, Glenn Phillips, Wei Ma and 3 more

Open access · hybridAbstract readRandomized Controlled TrialClinical Trial, Phase III
In one paragraph

Trial report in Multiple sclerosis (Houndmills, Basingstoke, England), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.4field-weighted citation impact, top 37% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Daclizumab: Development, Clinical Trials, and Practical Aspects of Use in Multiple Sclerosis.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2017
    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

13 authors at 9 institutions in 6 countries.

Stanley CohanProvidence Multiple Sclerosis Center, Providence Brain and Spine Institute, Providence St. Joseph Health, Portland, OR, USA.
Ludwig KapposNeurologic Clinic and Policlinic, Departments of Medicine, Clinical Research and Biomedical Engineering, University Hospital and University of Basel, Basel, Switzerland.
Gavin GiovannoniBlizard Institute, Barts and The London School of Medicine and Dentistry, Queen Mary University London, London, UK.
Heinz WiendlDepartment of Neurology, University of Münster, Münster, Germany.
Krzysztof SelmajDepartment of Neurology, Medical University of Lodz, Lodz, Poland.
Eva Kubala HavrdováDepartment of Neurology and Center for Clinical Neuroscience, First Faculty of Medicine, Charles University, Prague, Czech Republic.
John RoseDepartment of Neurology, University of Utah and Neurovirology Research Laboratory VASLCHCS, Imaging and Neuroscience Center, Salt Lake City, UT, USA.
Steven GreenbergAbbVie Inc., North Chicago, IL, USA.
Glenn PhillipsBiogen, Cambridge, MA, USA.
Wei MaBiogen, Cambridge, MA, USA.
Ping WangBiogen, Cambridge, MA, USA.
Gabriel LimaBiogen, Cambridge, MA, USA.
Guido SabatellaBiogen, Cambridge, MA, USA.
Biogen (United States) · USAbbVie (United States) · USCharles University · CZMedical University of Lodz · PLProvidence College · USQueen Mary University of London · GBUniversity of Basel · CHUniversity of Münster · DEVA Salt Lake City Healthcare System · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDemonstration of clinical benefits on disability progression measures is an important attribute of effective multiple sclerosis (MS) treatments.

objectiveExamine efficacy of daclizumab beta versus intramuscular (IM) interferon beta-1a on measures of disability progression in patient subgroups from DECIDE.

methodsTwenty-four-week confirmed disability progression (CDP), 24-week sustained worsening on a modified Multiple Sclerosis Functional Composite (MSFCS) where 3-Second Paced Auditory Serial Addition Test was replaced by Symbol Digit Modalities Test, and proportion of patients with clinically meaningful worsening in 29-Item Multiple Sclerosis Impact Scale physical impact subscale (MSIS-29 PHYS) score from baseline to week 96 were examined in the overall population and subgroups defined by baseline demographic/disease characteristics.

resultsDaclizumab beta significantly reduced risk of 24-week CDP (hazard ratio (HR), 0.73; 95% confidence interval (95% CI), 0.55-0.98), risk of 24-week sustained MSFCS progression (HR, 0.80; 95% CI, 0.67-0.95), and odds of clinically meaningful worsening in MSIS-29 PHYS (odds ratio, 0.76; 95% CI, 0.60-0.95) versus IM interferon beta-1a. Point estimates showed trends favoring daclizumab beta over IM interferon beta-1a across several patient subgroups for all three outcome measures.

conclusionDaclizumab beta showed consistent benefit versus IM interferon beta-1a across measures assessing patient disability/function and across a range of clinical baseline characteristics in patients with relapsing-remitting MS.

Indexed as

AdultAntibodies, Monoclonal, HumanizedDaclizumabDisease ProgressionFemaleHumansImmunoglobulin GImmunosuppressive AgentsInterferon beta-1aMaleMiddle AgedMultiple SclerosisTreatment OutcomeAntibodies, Monoclonal, HumanizedDaclizumabImmunoglobulin GImmunosuppressive AgentsInterferon beta-1aDaclizumab betadisability progressionefficacyinterferon beta-1arelapsing-remitting multiple sclerosissubgroup analysis

Identifiers

PMID28984179
PMCPMC6282160
OpenAlexW2762015560

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.