Evidence map›Paper›PMID 30958901›Full record

Observational studyActa neurologica Scandinavica2019

Real-life use of oral disease-modifying treatments in Austria.

Michael Guger, Christian Enzinger, Fritz Leutmezer, Jörg Kraus, Stefan Kalcher, Erich Kvas, Thomas Berger, Austrian MS Treatment Registry (AMSTR)

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study in Acta neurologica Scandinavica, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.2field-weighted citation impact, top 22% 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

7 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Observational
  5. Article
  6. Multiple sclerosis.The mental health clinician · 2019
    Article
  7. Observational
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

8 authors at 5 institutions in 3 countries.

Michael GugerClinic for Neurology 2, Kepler University Clinic, Linz, Austria.ORCID https://orcid.org/0000-0001-8219-781X
Christian EnzingerDepartment of Neurology, Medical University of Graz, Graz, Austria.
Fritz LeutmezerDepartment of Neurology, Medical University of Vienna, Vienna, Austria.
Jörg KrausDepartment of Laboratory Medicine, Paracelsus Medical University and Salzburger Landeskliniken, Salzburg, Austria.ORCID https://orcid.org/0000-0002-3637-611X
Stefan KalcherHermesoft, Data management, Graz, Austria.
Erich KvasHermesoft, Statistics, Graz, Austria.
Thomas BergerDepartment of Neurology, Medical University of Vienna, Vienna, Austria.
Austrian MS Treatment Registry (AMSTR)
Medical University of Vienna · ATNew England Disabled Sports · USKepler Universitätsklinikum · ATMedical University of Graz · ATParacelsus Medical University · AT

Funding

Biogen AustriaGenzyme AustriaNovartis Pharma Austria
6 · The paper itself

Abstract

objectivesTo compare the efficacy, frequencies and reasons for treatment interruption of fingolimod, dimethyl fumarate (DMF) or teriflunomide in a nationwide observational cohort using prospectively collected data. MATERIALS AND

methodsTwo cohorts of patients with relapsing-remitting multiple sclerosis (RRMS) starting treatment with fingolimod, dimethyl fumarate or teriflunomide documented in the Austrian MS Treatment Registry (AMSTR) since 2014 and either staying on therapy for at least 12 months (12m cohort) or having at least one follow-up visit (total cohort). The 12m cohort included 664 RRMS patients: 315 in the fingolimod, 232 in the DMF and 117 in the teriflunomide group. Multinomial propensity scores were used for inverse probability weighting to correct for the bias of this non-randomised registry study.

resultsEstimated mean annualized relapse rates (ARR) over 12 months were 0.21 for fingolimod, 0.20 for DMF and 0.19 for teriflunomide treatment, causing an incidence rate ratio (IRR) of 1.01 for fingolimod vs DMF (P = 0.96) and 0.92 for teriflunomide vs DMF (P = 0.84). No differences were found regarding the probability for experiencing a relapse, EDSS change, EDSS progression and EDSS regression, except regarding less sustained EDSS progression for 12 weeks concerning DMF vs fingolimod (P = 0.02). The hazard ratio for treatment interruption comparing fingolimod vs DMF was 1.03 (P = 0.86) and 1.07 comparing teriflunomide vs DMF (P = 0.77).

conclusionsIn the AMSTR, there was no difference concerning ARR, probability for a relapse, EDSS change, treatment interruption, EDSS progression or regression between oral DMTs, except regarding less sustained EDSS progression for 12 weeks concerning DMF vs fingolimod.

Indexed as

Administration, OralAdultAustriaCohort StudiesCrotonatesDimethyl FumarateDisease ProgressionFemaleFingolimod HydrochlorideHumansHydroxybutyratesImmunosuppressive AgentsMaleMiddle AgedMultiple Sclerosis, Relapsing-RemittingNitrilesCrotonatesDimethyl FumarateFingolimod HydrochlorideHydroxybutyratesImmunosuppressive AgentsNitrilesteriflunomideToluidinescomparisondimethyl fumarateefficacyfingolimodinverse probability weightingmultiple sclerosispropensity scoreteriflunomide

Identifiers

PMID30958901
PMCPMC6767158
OpenAlexW2938416555

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.