Evidence map›Paper›PMID 30210582›Full record

ArticleTherapeutic advances in neurological disorders2018

Comparable efficacy and safety of dimethyl fumarate and teriflunomide treatment in Relapsing-Remitting Multiple Sclerosis: an Italian real-word multicenter experience.

Emanuele D'Amico, Aurora Zanghì, Graziella Callari, Giovanna Borriello, Antonio Gallo, Giusi Graziano, Paola Valentino, Maria Buccafusca, Salvatore Cottone, Giuseppe Salemi and 8 more

Abstract read
In one paragraph

Article in Therapeutic advances in neurological disorders, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
–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 synthesis or guideline pooled it.

  1. The relative risk of infection in people with multiple sclerosis using disease-modifying treatment: a systematic review of observational studies.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
    Pooled it
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  11. InjectableNeural regeneration research · 2022
    Article
  12. A comparative study of teriflunomide and dimethyl fumarate within the Swedish MS Registry.Multiple sclerosis (Houndmills, Basingstoke, England) · 2022
    Article
  13. Review
  14. Injectable Versus Oral First-Line Disease-Modifying Therapies: Results from the Italian MS Register.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2021
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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

18 authors.

Emanuele D'AmicoDepartment G.F. Ingrassia, Multiple Sclerosis Center, University of Catania, Italy.
Aurora ZanghìDepartment G.F. Ingrassia, Multiple Sclerosis Center, University of Catania, Italy.
Graziella CallariInstitute Foundation G. Giglio, Cefalù, Italy.
Giovanna BorrielloS. Andrea Hospital, Sapienza Rome University, Rome, Italy.
Antonio GalloI Neurologic Clinic, Federico II University of Naples, Italy.
Giusi GrazianoGiovanni Paolo II, IRCCS Cancer Institute, Bari, Italy.
Paola ValentinoAzienda Ospedaliera Universitaria Mater Domini, Catanzaro, Italy.
Maria BuccafuscaAzienda Ospedaliera Universitaria G. Martino, Messina, Italy.
Salvatore CottoneAzienda Ospedaliera Ospedali Riuniti Villa Sofia-Cervello, Palermo, Italy.
Giuseppe SalemiPoliclinico Paolo Giaccone, Palermo, Italy.
Paolo RagonesePoliclinico Paolo Giaccone, Palermo, Italy.
Roberto Bruno BossioAzienda Sanitaria Provinciale di Cosenza, U. O. di Neurologia, Cosenza, Italy.
Renato DocimoI Neurologic Clinic, Federico II University of Naples, Italy.
Luigi Maria Edoardo GrimaldiInstitute Foundation G. Giglio, Cefalù, Italy.
Carlo PozzilliS. Andrea Hospital, Sapienza Rome University, Rome, Italy.
Gioacchino TedeschiI Neurologic Clinic, Federico II University of Naples, Italy.
Mario ZappiaDepartment G.F. Ingrassia, Multiple Sclerosis Center, University of Catania, Italy.
Francesco PattiDepartment G. Ingrassia, Policlinico G. Rodolico, V. Santa Sofia 78, 95123, Catania, Italy.ORCID https://orcid.org/0000-0002-6923-0846

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aim of the study was to evaluate the achievement of 'no evidence of disease activity' (NEDA) over a 12-month period in a large multicenter population with relapsing remitting multiple sclerosis (RRMS) treated with delayed-release dimethyl fumarate (DMF) and teriflunomide (TRF) using a propensity-score adjustment.

methodsA time-to-event method was used to determine the percentages of patients with RRMS (pwRRMS) in both groups achieving NEDA 3 (no relapses, no 12-week confirmed disability progression, and no new T2/gadolinium-enhancing brain lesions). We described the safety profile of the investigated drugs.

resultsOf the 587 pwRRMS treated with DMF and the 316 pwRRMS treated with TRF, 468 pwRRMS were successfully paired by propensity score: 234 on DMF and 234 on TRF. The percentages of pwRRMS who achieved NEDA 3 were 80.3% in the DMF group and 77.2% in the TRF group. Serious adverse events occurred in four (1.9%) pwRRMS on DMF and in three (1.3%) pwRRMS on TRF.

conclusionsDMF and TRF significantly impacted RRMS disease activity in our study. Serious safety concerns were recorded in less than 2% of the studied population.

Indexed as

dimethyl fumarateefficacyno evidence of disease activity 3safetyteriflunomide

Identifiers

PMID30210582
PMCPMC6131312

What OpenQuestion holds

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Registered trials

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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.