Evidence map›Paper›PMID 30291112›Full record

Trial reportBlood advances2018

Eculizumab in cold agglutinin disease (DECADE): an open-label, prospective, bicentric, nonrandomized phase 2 trial.

Alexander Röth, Martin Bommer, Andreas Hüttmann, Dörte Herich-Terhürne, Nils Kuklik, Jan Rekowski, Veronika Lenz, Hubert Schrezenmeier, Ulrich Dührsen

Abstract readClinical Trial, Phase II
In one paragraph

Trial report in Blood advances, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 63 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
63citing 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

63 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Disease-modifying treatments for primary autoimmune haemolytic anaemia.The Cochrane database of systematic reviews · 2021
    Pooled it
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  6. Review
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  12. Diagnosis and management of cold agglutinin disease.Hematology. American Society of Hematology. Education Program · 2025
    Review
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  17. Review
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3 more citing papers are in PubMed but not listed here.

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

9 authors.

Alexander RöthDepartment of Hematology, University Hospital, Essen, Germany.ORCID 0000-0003-4414-7699
Martin BommerDepartment of Internal Medicine III, University Hospital, Ulm, Germany.
Andreas HüttmannDepartment of Hematology, University Hospital, Essen, Germany.ORCID 0000-0003-2230-3873
Dörte Herich-TerhürneDepartment of Hematology, University Hospital, Essen, Germany.
Nils KuklikCenter for Clinical Studies Essen, University of Duisburg-Essen, Essen, Germany.
Jan RekowskiInstitute for Medical Informatics, Biometry and Epidemiology, and.
Veronika LenzInstitute of Transfusion Medicine, University Hospital, Essen, Germany.
Hubert SchrezenmeierInstitute of Transfusion Medicine, University of Ulm, Ulm, Germany; and.
Ulrich DührsenDepartment of Hematology, University Hospital, Essen, Germany.ORCID 0000-0002-4034-9472

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cold agglutinin disease (CAD) is a complement-dependent disorder, with extravascular and intravascular hemolysis resulting from initial or terminal complement activation, respectively. We tested the efficacy and safety of eculizumab, an inhibitor of the terminal complement pathway. Treatment-requiring patients received 600 mg eculizumab weekly for 4 weeks, followed 1 week later by 900 mg every other week through week 26. The primary end point was the difference in the lactate dehydrogenase level between the first and the last day of therapy. Twelve patients with chronic CAD and 1 patient with an acute cold agglutinin syndrome were included. The median lactate dehydrogenase level decreased from 572 U/L (interquartile range [IQR], 534-685) to 334 U/L (IQR, 243-567;

Indexed as

AgedAged, 80 and overAnemia, Hemolytic, AutoimmuneAntibodies, Monoclonal, HumanizedBiomarkersFemaleHumansL-Lactate DehydrogenaseMaleMiddle AgedTreatment OutcomeAntibodies, Monoclonal, HumanizedBiomarkerseculizumabL-Lactate Dehydrogenase

Identifiers

PMID30291112
PMCPMC6177646

What OpenQuestion holds

Textmetadata
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.