Evidence map›Paper›PMID 29484274›Full record

ArticleBrain and behavior2018

Cardiac repolarization during fingolimod treatment in patients with relapsing-remitting multiple sclerosis.

Aapo Laiho, Tiina M Laitinen, Päivi Hartikainen, Juha E K Hartikainen, Tomi P Laitinen, Sakari Simula

Open access · goldAbstract read
In one paragraph

Article in Brain and behavior, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.1field-weighted citation impact, top 54% 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

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. 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 at 2 institutions in 1 country.

Aapo LaihoDepartment of Clinical Physiology and Nuclear Medicine Kuopio University Hospital University of Eastern Finland Kuopio Finland.
Tiina M LaitinenDepartment of Clinical Physiology and Nuclear Medicine Kuopio University Hospital University of Eastern Finland Kuopio Finland.
Päivi HartikainenNeuro CenterDepartment of Neurology Kuopio University Hospital University of Eastern Finland Kuopio Finland.
Juha E K HartikainenHeart Center Kuopio University Hospital University of Eastern Finland Kuopio Finland.
Tomi P LaitinenDepartment of Clinical Physiology and Nuclear Medicine Kuopio University Hospital University of Eastern Finland Kuopio Finland.
Sakari SimulaDepartment of Neurology Mikkeli Central Hospital Mikkeli Finland.ORCID 0000-0003-1623-5819
University of Eastern Finland · FIMoisio Hospital · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Fingolimod is a sphingosine-1-phosphate receptor modulator for the treatment of relapsing-remitting multiple sclerosis (RRMS). Despite an established effect on heart rate, the effect of fingolimod on cardiac repolarization is not completely known. Methods: Twenty-seven patients with RRMS underwent 24-hr ambulatory ECG before fingolimod (baseline), at the day of fingolimod initiation (1D) and after three-month treatment (3M). The mean values of RR-interval as well as QT-interval corrected by Bazzet's (QTcBaz) and Fridericia's (QTcFri) formula were compared between baseline, 1D, and 3M over 24-hr period as well as at daytime and nighttime. Results: QTcBaz over 24-hr was shorter at 1D (414 ± 20 ms, Conclusions: Changes in cardiac repolarization after fingolimod initiation were mild and occurred at daytime. Ambiguously, QTcBaz demonstrated shortening, whereas QTcFri showed prolongation in cardiac repolarization after fingolimod initiation. The formula applied for QT-interval correction needs to be taken carefully into account as evaluating pharmacovigilance issues related to fingolimod.

Indexed as

AdultElectrocardiography, AmbulatoryFemaleFingolimod HydrochlorideHeartHeart RateHumansImmunosuppressive AgentsMaleMultiple SclerosisFingolimod HydrochlorideImmunosuppressive Agentscardiac repolarizationFingolimodmultiple sclerosisQT‐interval

Identifiers

PMID29484274
PMCPMC5822581
OpenAlexW2790755832

What OpenQuestion holds

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LicenceCC BY
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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.