Evidence map›Paper›PMID 29141665›Full record

Trial reportArthritis research & therapy2017

Matrix metalloproteinase-3 and the 7-joint ultrasound score in the assessment of disease activity and therapeutic efficacy in patients with moderate to severe rheumatoid arthritis.

Ling Zhou, Geng Wang, Xin Liu, Jing Song, Ling Chen, Huji Xu

Abstract readClinical Trial, Phase IIIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Arthritis research & therapy, 2017. 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
–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

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

  1. Pooled it
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  14. Observational
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  16. Matrix Metalloproteinases-3 Baseline Serum Levels in Early Rheumatoid Arthritis Patients without Initial Radiographic Changes: A Two-Year Ultrasonographic Study.Medical principles and practice : international journal of the Kuwait University, Health Science Centre · 2018
    Article
  17. Article
  18. 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

6 authors.

Ling ZhouDepartment of Rheumatology and Immunology, Changzheng Hospital, Naval Medical University, 415 Fengyang Road, Shanghai, 200003, China.
Geng WangDepartment of Rheumatology and Immunology, Changzheng Hospital, Naval Medical University, 415 Fengyang Road, Shanghai, 200003, China.
Xin LiuDepartment of Rheumatology and Immunology, Changzheng Hospital, Naval Medical University, 415 Fengyang Road, Shanghai, 200003, China.
Jing SongDepartment of Rheumatology and Immunology, Changzheng Hospital, Naval Medical University, 415 Fengyang Road, Shanghai, 200003, China.
Ling ChenDepartment of Rheumatology and Immunology, Changzheng Hospital, Naval Medical University, 415 Fengyang Road, Shanghai, 200003, China.
Huji XuDepartment of Rheumatology and Immunology, Changzheng Hospital, Naval Medical University, 415 Fengyang Road, Shanghai, 200003, China. xuhuji@smmu.edu.cn.

Funding

National Natural Science Foundation of China 81273283
6 · The paper itself

Abstract

backgroundThis study aimed to investigate the reliability and validity of serum matrix metalloproteinase-3 (MMP-3) levels and articular ultrasound (US) scores in assessing disease activity and therapeutic response in rheumatoid arthritis (RA) patients.

methodsA total of 151 RA patients were enrolled, of whom 22 were treated with certolizumab pegol (Cimzia, CZP). The RA patients were divided into the following four subgroups according to their disease activity score in 28 joints (DAS28): stable, mild activity, moderate activity, and high activity. Forty-three healthy controls were simultaneously studied. The serum MMP-3 levels and 7-joint US (US7) scores of all subjects were determined. The patients who were treated with CZP were subsequently followed for 6 months.

resultsThe serum MMP-3 levels of all the RA patients were significantly higher than those of healthy controls, and those of patients with moderate and severe RA were significantly higher than those of patients with stable RA. The US7 scores of patients with severe RA were significantly higher than those of patients in other groups. Using the DAS28 as a reference standard, the corresponding cutoff value of MMP-3 was 70.5 ng/ml. After CZP treatment, the MMP-3 levels and US7 scores were significantly decreased at week 2, and the mean changes in US7 scores at weeks 12 and 24 were significantly higher in both groups with American College of Rheumatology 50% positive response (ACR50) and ACR 70% positive response (ACR70) than in the negative groups.

conclusionSerum MMP-3 and the US7 scores could both effectively reflect disease activity and therapeutic responses in patients with moderate to severe RA.

trial registrationCTR20140405 (RA0044), CTR20140405: A phase 3, Multicenter, Double-blind, Placebo Controlled, Parallel Group, Randomized, 24-Week Study to Evaluate the Safety and Efficacy of Certolizumab Pegol as Additional Medication to Methotrexate in Chinese Subjects With Active Rheumatoid Arthritis Who Have an Incomplete Response to Methotrexate, Registered on 13 June 2014. CTR20140412 (RA0078), CTR20140412: A phase 3, Multicenter, Open-label Extension Study to Assess the Safety and Efficacy of Certolizumab Pegol as Additional Medication to Methotrexate in Chinese Subjects With Active Rheumatoid Arthritis Who Participated in RA0044, Registered on 02 July 2014.

Indexed as

AdultAgedAntirheumatic AgentsArthritis, RheumatoidCertolizumab PegolDouble-Blind MethodFemaleHumansJointsMaleMatrix Metalloproteinase 3Middle AgedSeverity of Illness IndexTreatment OutcomeUltrasonographyYoung AdultAntirheumatic AgentsCertolizumab PegolMatrix Metalloproteinase 3MMP3 protein, humanArticular ultrasonographyMatrix metalloproteinase-3Rheumatoid arthritis

Identifiers

PMID29141665
PMCPMC5688630

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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.