Evidence map›Paper›PMID 29504299›Full record

ArticleJournal of clinical neurology (Seoul, Korea)2018

Neutralizing Antibodies Against Interferon-Beta in Korean Patients with Multiple Sclerosis.

Jae Won Hyun, Gayoung Kim, Yeseul Kim, Byungsoo Kong, AeRan Joung, Na Young Park, Hyunmin Jang, Hyun June Shin, Su Hyun Kim, Suk Won Ahn and 8 more

Open access · diamondAbstract read
In one paragraph

Article in Journal of clinical neurology (Seoul, Korea), 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
0.2field-weighted citation impact, top 49% 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

18 authors at 7 institutions in 1 country.

Jae Won HyunDepartment of Neurology, Research Institute and Hospital of National Cancer Center, Goyang, Korea.
Gayoung KimDivision of Clinical Research, Research Institute and Hospital of National Cancer Center, Goyang, Korea.
Yeseul KimDivision of Clinical Research, Research Institute and Hospital of National Cancer Center, Goyang, Korea.
Byungsoo KongDivision of Clinical Research, Research Institute and Hospital of National Cancer Center, Goyang, Korea.
AeRan JoungDepartment of Neurology, Research Institute and Hospital of National Cancer Center, Goyang, Korea.
Na Young ParkDepartment of Neurology, Research Institute and Hospital of National Cancer Center, Goyang, Korea.
Hyunmin JangDepartment of Neurology, Research Institute and Hospital of National Cancer Center, Goyang, Korea.
Hyun June ShinDepartment of Neurology, Research Institute and Hospital of National Cancer Center, Goyang, Korea.
Su Hyun KimDepartment of Neurology, Research Institute and Hospital of National Cancer Center, Goyang, Korea.
Suk Won AhnDepartment of Neurology, Chung-Ang University College of Medicine, Seoul, Korea.
Ha Young ShinDepartment of Neurology, Yonsei University College of Medicine, Seoul, Korea.
So Young HuhDepartment of Neurology, Kosin University College of Medicine, Busan, Korea.
Woojun KimDepartment of Neurology, College of Medicine, Catholic University, Seoul, Korea.
Min Su ParkDepartment of Neurology, Yeungnam University College of Medicine, Daegu, Korea.
Byung Jo KimDepartment of Neurology, Korea University College of Medicine, Seoul, Korea.
Byoung Joon KimDepartment of Neurology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Jeeyoung OhDepartment of Neurology, Konkuk University School of Medicine, Seoul, Korea.
Ho Jin KimDepartment of Neurology, Research Institute and Hospital of National Cancer Center, Goyang, Korea.
National Cancer Center · KRChung-Ang University · KRKonkuk University · KRKosin University · KRSamsung Medical Center · KRSungkyunkwan University · KRYeungnam University College

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposePatients treated with interferon-beta (IFN-β) can develop neutralizing antibodies (NAbs) against IFN-β that can negatively affect the therapeutic response. This study assessed the prevalence of NAbs and the impact of NAb positivity on the therapeutic response to IFN-β in Korean patients with multiple sclerosis (MS).

methodsThis was a multicenter study involving 150 MS patients from 9 Korean medical centers who were treated with IFN-β for at least 6 months. Sera that had not been influenced by acute treatment were assessed for NAbs using a luciferase reporter gene assay. To evaluate the association between persistent positivity for NAbs and disease activity, NAbs were tested at 2 different time points in 75 of the 150 patients. Disease activity was defined as the presence of clinical exacerbations and/or active MRI lesions during a 1-year follow-up after NAb positivity was confirmed.

resultsNAbs were found in 39 of the 150 (26%) MS patients: 30 of the 85 (35%) who were treated with subcutaneous IFN-β-1b, 9 of the 60 (15%) who were treated with subcutaneous IFN-β-1a, and 0 of the 5 (0%) who were treated with intramuscular IFN-β-1a. Thirty of the 39 patients exhibiting NAb positivity were tested at different time points, and 20 of them exhibited persistent NAb positivity. Disease activity was observed more frequently in patients with persistent NAb positivity than in those with transient positivity or persistent negativity [16/20 (80%) vs. 4/55 (7%), respectively; p<0.001]. When disease activity was compared between patients with persistent and transient NAb positivity, the difference was unchanged and remained statistically significant [16/20 (80%) vs. 2/10 (20%), p=0.004].

conclusionsThese results further support that persistent NAb positivity is associated with disease activity in MS patients treated with IFN-β.

Indexed as

disease modifying treatmentmultiple sclerosisneutralizing antibody

Identifiers

PMID29504299
PMCPMC5897201
OpenAlexW2796063461

What OpenQuestion holds

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LicenceCC BY-NC
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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.