Evidence map›Paper›PMID 29854416›Full record

ArticleMultiple sclerosis journal - experimental, translational and clinical

Relapse Rate and MRI Activity in Young Adult Patients With Multiple Sclerosis: A Post Hoc Analysis of Phase 3 Fingolimod Trials.

Jutta Gärtner, Tanuja Chitnis, Angelo Ghezzi, Daniela Pohl, Wolfgang Brück, Dieter Adrian Häring, Goeril Karlsson, Norman Putzki

Abstract 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. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing 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

20 citing papers in PubMed.

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  11. How patients with multiple sclerosis acquire disability.Brain : a journal of neurology · 2022
    Article
  12. Fingolimod as a first- or second-line treatment in a mini-series of young Hellenic patients with adolescent-onset multiple sclerosis: focus on immunological data.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2022
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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.

Jutta GärtnerDepartment of Pediatrics and Adolescent Medicine, German Centre for Multiple Sclerosis in Childhood and Adolescence, University Medical Center Göttingen, Germany.
Tanuja ChitnisPartners Pediatric Multiple Sclerosis Center, Massachusetts General Hospital, USA.
Angelo GhezziCentro Studi Sclerosi Multipla, Italy.
Daniela PohlDivision of Neurology, Children's Hospital of Eastern Ontario, University of Ottawa, Canada.
Wolfgang BrückInstitute of Neuropathology, University Medical Center Göttingen, Germany.
Dieter Adrian HäringNovartis Pharma AG, Switzerland.
Goeril KarlssonNovartis Pharma AG, Switzerland.
Norman PutzkiNovartis Pharma AG, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDisease activity differs in young patients with multiple sclerosis (MS) compared with the overall adult MS population.

objectiveThe objective of this paper is to evaluate the effect of fingolimod 0.5 mg on disease activity in young adults with MS from three randomized, double-blind Phase 3 trials.

methodsAnnualized relapse rate (ARR), number of new/newly enlarging T2 lesions (neT2), and no evidence of disease activity (NEDA-3) were estimated in the intent-to-treat population at age 20 (youngest) and 30 (young) and compared to the overall population. Models used included a negative binomial regression (ARR/neT2) and a logistic regression (NEDA), with age at baseline as a continuous covariate.

resultsARRs were higher in younger patients (all

conclusionsYoung adults show higher levels of MS disease activity, and may particularly benefit from fingolimod treatment compared with the overall study population.

Indexed as

Agedisabilityfingolimodmultiple sclerosisrelapse ratesyoung adult

Identifiers

PMID29854416
PMCPMC5971396

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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.