Evidence map›Paper›PMID 29568544›Full record

ArticleMultiple sclerosis journal - experimental, translational and clinical

No evidence of disease activity (NEDA) analysis by epochs in patients with relapsing multiple sclerosis treated with ocrelizumab vs interferon beta-1a.

Eva Havrdová, Douglas L Arnold, Amit Bar-Or, Giancarlo Comi, Hans-Peter Hartung, Ludwig Kappos, Fred Lublin, Krzysztof Selmaj, Anthony Traboulsee, Shibeshih Belachew and 8 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Multiple sclerosis journal - experimental, translational and clinical. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04550455 (A Prospective Biomarker Study in Active Secondary Progressive Multiple Sclerosis), which is not on this map. Cited by 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed
4.8field-weighted citation impact, top 4% 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.

NCT04550455 phase4unknown statusnot on this map

A Prospective Biomarker Study in Active Secondary Progressive Multiple Sclerosis (SPMS)Subjects Treated With Cladribine Tablets

TypeinterventionalSponsorKeith Edwards, M.D.Ran2020 to 2025Enrolled30ConditionsMultiple SclerosisArmsCladribine Tablets
3 · Its place in the literature

Who cites it

36 citing papers in PubMed, 57 citations in OpenAlex.

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  9. Refining predictors of long-term NEDA-3 status in relapsing-remitting multiple sclerosis: insights from real-world data.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Article
  10. Article
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  12. Assessing Sustained B-Cell Depletion and Disease Activity in a French Multiple Sclerosis Cohort Treated by Long-Term IV Anti-CD20 Antibody Therapy.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2023
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  13. Article
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  19. Acute Effects of Ocrelizumab Infusion in Multiple Sclerosis Patients.International journal of molecular sciences · 2022
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  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

18 authors at 12 institutions in 8 countries.

Eva HavrdováDepartment of Neurology and Center for Clinical Neuroscience, Charles University, Czech Republic.
Douglas L ArnoldDepartment of Neurology and Neurosurgery, McGill University, Canada.
Amit Bar-OrDepartment of Neurology and Center for Neuroinflammation and Experimental Therapeutics, University of Pennsylvania, USA.
Giancarlo ComiNeurology Department and INSPE-Institute of Experimental Neurology, Vita-Salute San Raffaele University, Italy.
Hans-Peter HartungMedical Faculty, Heinrich Heine University Düsseldorf, Germany.
Ludwig KapposNeurologic Clinic and Policlinic, Departments of Medicine, Clinical Research, Biomedicine and Biomedical Engineering, University Hospital Basel, Switzerland.
Fred LublinDepartment of Neurology, Icahn School of Medicine at Mount Sinai, USA.
Krzysztof SelmajMedical University of Lodz, Poland.
Anthony TraboulseeDivision of Neurology, Department of Medicine, University of British Columbia, Canada.
Shibeshih BelachewF. Hoffmann-La Roche Ltd, Switzerland.
Iain BennettF. Hoffmann-La Roche Ltd, Switzerland.
Regine BuffelsF. Hoffmann-La Roche Ltd, Switzerland.
Hideki GarrenGenentech Inc, USA.
Jian HanGenentech Inc, USA.
Laura JulianGenentech Inc, USA.
Julie NapieralskiF. Hoffmann-La Roche Ltd, Switzerland.
Stephen L HauserDepartment of Neurology University of California, San Francisco, USA.
Gavin GiovannoniBlizard Institute, Barts and The London School of Medicine and Dentistry, Queen Mary University London, UK.
Roche (Switzerland) · CHCharles University · CZHeinrich Heine University Düsseldorf · DEIcahn School of Medicine at Mount Sinai · USMcGill University · CAMedical University of Lodz · PLQueen Mary University of London · GBUniversity Hospital of Basel · CHUniversity of British Columbia · CAUniversity of California, San Francisco · USUniversity of Pennsylvania · USVita-Salute San Raffaele University · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNo evidence of disease activity (NEDA; defined as no 12-week confirmed disability progression, no protocol-defined relapses, no new/enlarging T2 lesions and no T1 gadolinium-enhancing lesions) using a fixed-study entry baseline is commonly used as a treatment outcome in multiple sclerosis (MS).

objectiveThe objective of this paper is to assess the effect of ocrelizumab on NEDA using re-baselining analysis, and the predictive value of NEDA status.

methodsNEDA was assessed in a modified intent-to-treat population (

resultsNEDA was increased with ocrelizumab vs IFN β-1a over 96 weeks by 75% (

conclusionSuperior efficacy with ocrelizumab compared with IFN β-1a was consistently seen in maintaining NEDA status in all epochs evaluated. By contrast with IFN β-1a, the majority of patients with disease activity early in the study subsequently attained NEDA status with ocrelizumab.

Indexed as

disability progressiondisease activityMRI activityNEDArelapse

Identifiers

PMID29568544
PMCPMC5858626
OpenAlexW2791535469

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.