Evidence map›Paper›PMID 30090639›Full record

ArticleMultiple sclerosis journal - experimental, translational and clinical

Cladribine: Off-label disease modification for people with multiple sclerosis in resource-poor settings?

Zhifeng Mao, César Álvarez-Gonzalez, Stefania De Trane, Ozlem Yildiz, Christo Albor, Gabriel Doctor, Derek Soon, George Pepper, Benjamin P Turner, Monica Marta and 4 more

Open 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. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.6field-weighted citation impact, top 16% 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

6 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Article
  3. Subcutaneous cladribine to treat multiple sclerosis: experience in 208 patients.Therapeutic advances in neurological disorders · 2021
    Article
  4. Article
  5. Review
  6. 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

14 authors at 5 institutions in 3 countries.

Zhifeng MaoDepartment of Neurology, The Third Affiliated Hospital, Sun Yat-Sen University, China.
César Álvarez-GonzalezBartsMS, Blizard Institute, Queen Mary University of London, United Kingdom.ORCID 0000-0002-1644-3549
Stefania De TraneBartsMS, Blizard Institute, Queen Mary University of London, United Kingdom.
Ozlem YildizBartsMS, Blizard Institute, Queen Mary University of London, United Kingdom.
Christo AlborBartsMS, Blizard Institute, Queen Mary University of London, United Kingdom.
Gabriel DoctorBartsMS, Blizard Institute, Queen Mary University of London, United Kingdom.
Derek SoonDivision of Neurology, National University Hospital, Singapore.
George PepperShift.ms, UK.
Benjamin P TurnerBartsMS, Blizard Institute, Queen Mary University of London, United Kingdom.
Monica MartaBartsMS, Blizard Institute, Queen Mary University of London, United Kingdom.
Joela MathewsBarts Health NHS Trust, Pharmacy, The Royal London Hospital, United Kingdom.
Gavin GiovannoniBartsMS, Blizard Institute, Queen Mary University of London, United Kingdom.
David BakerBartsMS, Blizard Institute, Queen Mary University of London, United Kingdom.
Klaus SchmiererBartsMS, Blizard Institute, Queen Mary University of London, United Kingdom.ORCID 0000-0002-9293-8893
Queen Mary University of London · GBBarts Health NHS Trust · GBNational University Hospital · SGShift (United Kingdom) · GBSun Yat-sen University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA considerable number of people with multiple sclerosis (pwMS) live in low- and middle-income countries (LMIC), where lack of resource adversely affects access to effective disease-modifying treatment.

objectiveThe objective of this commentary is to propose a useful cost-effective disease-modifying treatment option for pwMS in LMIC with potential high efficacy and high convenience to the pwMS and treating physician.

conclusionOur viewpoint takes into account experience we have gathered over the past three years in the use of generic cladribine to treat pwMS. Whilst here we focus on MS, there is significant potential for use of cladribine in other conditions that could benefit from its mechanism of action.

Indexed as

Cladribinedisease-modifying treatmentlow- and middle-income countriesmultiple sclerosisoff-label

Identifiers

PMID30090639
PMCPMC6077935
OpenAlexW2810290384

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.