Evidence map›Paper›PMID 30619999›Full record

ArticleHepatology communications2019

Chloroquine Is Effective for Maintenance of Remission in Autoimmune Hepatitis: Controlled, Double-Blind, Randomized Trial.

Débora Raquel Benedita Terrabuio, Marcio Augusto Diniz, Lydia Teofilo de Moraes Falcão, Ana Luiza Vilar Guedes, Larissa Akeme Nakano, Andréia Silva Evangelista, Fabiana Roberto Lima, Clarice Pires Abrantes-Lemos, Flair José Carrilho, Eduardo Luiz Rachid Cancado

Open access · goldAbstract read
In one paragraph

Article in Hepatology communications, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 3 pooled it
1.6field-weighted citation impact, top 15% 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

14 citing papers in PubMed, 3 syntheses or guidelines pooled it, 21 citations in OpenAlex.

  1. Guideline
  2. Pooled it
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  14. Inhibitory Effects of DietaryFrontiers in immunology · 2020
    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

10 authors at 3 institutions in 2 countries.

Débora Raquel Benedita TerrabuioDepartment of Gastroenterology, Division of Clinical Gastroenterology and Hepatology, Hospital das Clinicas University of São Paulo School of Medicine São Paulo Brazil.
Marcio Augusto DinizBiostatistics and Bioinformatics Research Center Samuel Oschin Comprehensive Cancer Institute, Cedars-Sinai Medical Center Los Angeles CA.
Lydia Teofilo de Moraes FalcãoDepartment of Gastroenterology, Division of Clinical Gastroenterology and Hepatology, Hospital das Clinicas University of São Paulo School of Medicine São Paulo Brazil.
Ana Luiza Vilar GuedesDepartment of Gastroenterology, Division of Clinical Gastroenterology and Hepatology, Hospital das Clinicas University of São Paulo School of Medicine São Paulo Brazil.
Larissa Akeme NakanoDepartment of Gastroenterology, Division of Clinical Gastroenterology and Hepatology, Hospital das Clinicas University of São Paulo School of Medicine São Paulo Brazil.
Andréia Silva EvangelistaDepartment of Gastroenterology, Division of Clinical Gastroenterology and Hepatology, Hospital das Clinicas University of São Paulo School of Medicine São Paulo Brazil.
Fabiana Roberto LimaDepartment of Pathology University of São Paulo School of Medicine São Paulo Brazil.
Clarice Pires Abrantes-LemosLaboratory of Medical Investigation of Immunopathology of Schistosomiasis Institute of Tropical Medicine of University of São Paulo São Paulo Brazil.
Flair José CarrilhoDepartment of Gastroenterology, Division of Clinical Gastroenterology and Hepatology, Hospital das Clinicas University of São Paulo School of Medicine São Paulo Brazil.
Eduardo Luiz Rachid CancadoDepartment of Gastroenterology, Division of Clinical Gastroenterology and Hepatology, Hospital das Clinicas University of São Paulo School of Medicine São Paulo Brazil.
Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo · BRUniversidade de São Paulo · BRCedars-Sinai Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Between 50% and 86% of patients with autoimmune hepatitis (AIH) relapse after immunosuppression withdrawal; long-term immunosuppression is associated with increased risk of neoplasias and infections. Chloroquine diphosphate (CQ) is an immunomodulatory drug that reduces the risk of flares in rheumatologic diseases. Our aims were to investigate the efficacy and safety of CQ for maintenance of biochemical remission of AIH in a double-blind randomized trial and to define a subgroup that obtained a greater benefit from its use. A total of 61 patients with AIH in histologic remission (90.1% AIH type 1 [AIH-1]) were randomized to receive CQ 250 mg/day or placebo for 36 months. Of the 61 patients, 31 received CQ and 30 placebo. At baseline, clinical, laboratory, histologic findings, and human leukocyte antigen (HLA) profile were similar between the two groups. Relapse-free survival was significantly higher in the CQ group compared to the placebo group (59.3% and 19.9%, respectively

Identifiers

PMID30619999
PMCPMC6312658
OpenAlexW2900674209

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.