Evidence map›Paper›PMID 29525836›Full record

ReviewJournal of neurology2018

Monitoring and management of autoimmunity in multiple sclerosis patients treated with alemtuzumab: practical recommendations.

Virginia Devonshire, Richard Phillips, Hilary Wass, Gerald Da Roza, Peter Senior

Abstract readReview
In one paragraph

Review in Journal of neurology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing 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

25 citing papers in PubMed.

  1. Review
  2. Observational
  3. Article
  4. [Alemtuzumab-induced Graves' disease].Problemy endokrinologii · 2023
    Article
  5. Article
  6. Regulation of the E/I-balance by the neural matrisome.Frontiers in molecular neuroscience · 2023
    Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. A review of possible therapies for multiple sclerosis.Molecular and cellular biochemistry · 2021
    Review
  12. Review
  13. Review
  14. Review
  15. Article
  16. Article
  17. Emerging safety issues in alemtuzumab-treated MS patients.Multiple sclerosis (Houndmills, Basingstoke, England) · 2019
    Article
  18. Review
  19. Observational
  20. 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

5 authors.

Virginia DevonshireDepartment of Medicine, University of British Columbia, Vancouver, BC, Canada. vdev@shaw.ca.
Richard PhillipsDepartment of Medicine, University of British Columbia, Vancouver, BC, Canada.
Hilary Wass, Victoria, BC, Canada.
Gerald Da RozaDepartment of Medicine, University of British Columbia, Vancouver, BC, Canada.
Peter SeniorDivision of Endocrinology and Metabolism, Department of Medicine, University of Alberta, Edmonton, AB, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Alemtuzumab is a humanized anti-CD52 monoclonal antibody approved in more than 65 countries for the treatment of relapsing-remitting multiple sclerosis (RRMS). Compared with subcutaneous interferon-beta-1a, alemtuzumab significantly reduced clinical disease activity and the rate of brain volume loss, and improved disability outcomes in patients with active RRMS who were either treatment naive (CARE-MS I study) or who had an inadequate response (≥ 1 relapse after ≥ 6 months of treatment) to prior therapy (CARE-MS II study). Adverse events (AEs) associated with alemtuzumab include infusion-associated reactions, infections, and autoimmunity. The most commonly reported autoimmune AEs observed with alemtuzumab involve the thyroid gland, followed by immune thrombocytopenia and nephropathies. A monitoring program was designed and implemented to facilitate the early detection of autoimmune events to ensure timely and adequate management. The aim of this article is to provide physicians (including neurologists, general practitioners, endocrinologists, hematologists, and nephrologists who may be less familiar with the symptoms and treatment of autoimmune events), with practical real-world recommendations for the monitoring and management of autoimmunity associated with alemtuzumab treatment.

Indexed as

AutoimmunityAlemtuzumabDisease ManagementHumansImmunologic FactorsMonitoring, ImmunologicMultiple Sclerosis, Relapsing-RemittingPractice Guidelines as TopicAlemtuzumabImmunologic FactorsAlemtuzumabAutoimmunityImmune thrombocytopeniaMultiple sclerosisNephropathyThyroid disorder

Identifiers

PMID29525836
PMCPMC6182701

What OpenQuestion holds

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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.