Evidence map›Paper›PMID 30515629›Full record

ArticleJournal of neurology2019

Discontinuation of teriflunomide and dimethyl fumarate in a large Italian multicentre population: a 24-month real-world experience.

E D'Amico, A Zanghì, M Sciandra, G Borriello, G Callari, A Gallo, G Salemi, S Cottone, M Buccafusca, P Valentino and 6 more

Open access · greenAbstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Journal of neurology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 10% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Review
  5. Article
  6. InjectableNeural regeneration research · 2022
    Article
  7. Therapeutic Advances in Multiple Sclerosis.Frontiers in neurology · 2022
    Review
  8. 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
    Observational
  9. Observational
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Review
  17. Real-world discontinuation rate of teriflunomide and dimethyl fumarate in multiple sclerosis.Multiple sclerosis journal - experimental, translational and clinical
    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

16 authors at 9 institutions in 1 country.

E D'AmicoDepartment "G.F. Ingrassia", MS centre University of Catania, Catania, Italy.
A ZanghìDepartment "G.F. Ingrassia", MS centre University of Catania, Catania, Italy.
M SciandraDepartment of Economics, Business and Statistics, University of Palermo, Palermo, Italy.
G BorrielloUniversity of Rome "La Sapienza"-S. Andrea Hospital, Rome, Italy.
G CallariInstitute Foundation "G. Giglio", Cefalù, Italy.
A GalloUniversity "Federico II"-I Neurologic Clinic, Naples, Italy.
G SalemiPoliclinico "P. Giaccone", Palermo, Italy.
S CottoneVilla Sofia Cervello Hospital, Palermo, Italy.
M BuccafuscaAzienda Ospedaliera Universitaria "G. Martino", Messina, Italy.
P ValentinoAzienda Ospedaliera Universitaria "Mater Domini", Catanzaro, Italy.
R B BossioAzienda Sanitaria Provinciale U. O. di Neurologia, Cosenza, Italy.
L M E GrimaldiInstitute Foundation "G. Giglio ", Cefalù, Italy.
C PozzilliUniversity of Rome "La Sapienza"-S. Andrea Hospital, Rome, Italy.
G TedeschiUniversity "Federico II"-I Neurologic Clinic, Naples, Italy.
M ZappiaDepartment "G.F. Ingrassia", MS centre University of Catania, Catania, Italy.
F PattiDepartment "G.F. Ingrassia", MS centre University of Catania, Catania, Italy. patti@unict.it.ORCID http://orcid.org/0000-0002-6923-0846
University of Catania · ITFederico II University Hospital · ITFondazione Istituto G. Giglio di Cefalù · ITSapienza University of Rome · ITAzienda Ospedaliera Universitaria Policlinico "G. Martino" · ITAzienda Ospedaliera Universitaria Policlinico "Paolo Giaccone" di Palermo · ITAzienda Ospedaliero Universitario Mater Domini · ITOspedale Vincenzo Cervello · ITUniversity of Palermo · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTeriflunomide (TRF) and Dimethyl fumarate (DMF) are licensed drugs for relapsing-remitting Multiple Sclerosis (RRMS).

objectivesWe aimed to compare the rate and the time to discontinuation among persons with RRMS (pwRRMS), newly treated with TRF and DMF. MATERIALS AND

methodsA retrospective study on prospectively collected data was performed in nine tertiary MS centers, in Italy. The 24-month discontinuation rate in the two cohorts was the primary study outcome. We also assessed the time to discontinuation and reasons of therapy withdrawn. Discontinuation of TRF and DMF was defined as a gap of treatment ≥ 60 days.

resultsA cohort of 903 pwRRMS (316 on TRF and 587 on DMF) was analyzed. During 24 months of follow-up, pwRRMS on TRF and DMF showed similar discontinuation rates. The analysis of predictors with Cox regression model showed differences between the two groups (p for log-rank test = 0.007); male gender [HR 2.21 (1.00-4.90); p = 0.01] and the number of previous switches [HR 1.47 (1.16-1.86); p = 0.01] were associated with higher hazard of discontinuation in the DMF group.

conclusionsIn a real-world setting, pwRRMS on TRF and DMF had similar discontinuation rates over 24 months. Male pwRRMS on DMF with a previous history of therapeutic failure are at more risk of discontinuation therapy.

Indexed as

AdultCrotonatesDimethyl FumarateFollow-Up StudiesHumansHydroxybutyratesImmunosuppressive AgentsItalyMiddle AgedMultiple Sclerosis, Relapsing-RemittingNitrilesRetrospective StudiesTime FactorsToluidinesCrotonatesDimethyl FumarateHydroxybutyratesImmunosuppressive AgentsNitrilesteriflunomideToluidinesDimethyl fumarateDiscontinuation rateMultiple sclerosisReal-lifeTeriflunomide

Identifiers

PMID30515629
OpenAlexW2903302543

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.