Evidence map›Paper›PMID 29849651›Full record

ArticleInternational journal of rheumatology2018

AC-CUTE: An Open-Label Study to Evaluate Progression of Structural Joint Damage and Inflammation in Subjects with Moderate to Severe Rheumatoid Arthritis.

Paul Bird, Charles Peterfy, Peter Countryman, Hedley Griffiths, Rina Barrett, Peter Youssef, Fredrick Joshua, Stephen Hall

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in International journal of rheumatology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01951170 (An Open-Label Study to Evaluate Non-Progression Of Structural Joint Damage Of Subcutaneous Tocilizumab In Patients With Moderate To Severe Active Rheumatoid Arthritis), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.8field-weighted citation impact, top 27% 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.

NCT01951170 phase3completednot on this map

An Open-Label Study to Evaluate Non-Progression Of Structural Joint Damage Of Subcutaneous Tocilizumab In Patients With Moderate To Severe Active Rheumatoid Arthritis (Ac-Cute)

TypeinterventionalSponsorHoffmann-La RocheRan2013 to 2015Enrolled52ConditionsRheumatoid ArthritisArmsTocilizumab
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Review
  2. Article
  3. 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

8 authors at 5 institutions in 1 country.

Paul BirdUniversity of New South Wales, Sydney, NSW, Australia.ORCID 0000-0002-2277-8337
Charles PeterfySpire Sciences, Inc., Boca Raton, FL, USA.
Peter CountrymanSpire Sciences, Inc., Boca Raton, FL, USA.
Hedley GriffithsBarwon Rheumatology Service, Geelong, VIC, Australia.
Rina BarrettRoche Products Pty, Limited (Australia), Sydney, NSW, Australia.
Peter YoussefRoyal Prince Alfred Hospital, Camperdown, NSW, Australia.
Fredrick JoshuaCombined Rheumatology Practice, Kogarah, NSW, Australia.
Stephen HallCabrini Medical Centre, Malvern, VIC, Australia.
Barwon Health · AUCabrini Hospital · AURoyal Prince Alfred Hospital · AUSt George Hospital · AUUNSW Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimExamine the efficacy of once-weekly subcutaneous tocilizumab (SC-TCZ) on joint damage at 24 weeks based on radiography of the hands and feet and magnetic resonance imaging (MRI) of the hand in subjects with moderate to severe rheumatoid arthritis (RA).

methodsIn this Australian open-label, multicentre, prospective, single-arm study, subjects received 162 mg SC-TCZ weekly. Primary endpoint was change in radiographic Genant-modified Total Sharp Score (TSS) between baseline and Week 24. Secondary endpoints included change from baseline to Week 24 in RA MRI scoring (RAMRIS) of erosions, synovitis, and osteitis and Cartilage Loss Score (CARLOS) in the dominant hand and disease activity score 28 (DAS28).

results52 subjects were enrolled (80% female, mean (SD) age 57  (12) years). Radiography showed mild but not significant progression of joint damage (mean (SD) change in TSS 0.46 (1.29)). Synovitis reduced significantly on MRI; however, osteitis, erosion, and cartilage loss did not change significantly. DAS28 improved significantly by Week 24; 78% of subjects achieved DAS28 remission. SC-TCZ was generally well tolerated.

conclusionSynovitis and DAS28 decreased significantly; however, no significant change in osteitis or joint damage was observed at Week 24.

trial registrationThis trial is registered with Clinicaltrials.gov registration number NCT01951170 (ML28703).

Identifiers

PMID29849651
PMCPMC5925169
OpenAlexW2796685163

What OpenQuestion holds

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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.