Evidence map›Paper›PMID 31037211›Full record

ArticleTherapeutic advances in chronic disease2019

Nonwalking response to fampridine in patients with multiple sclerosis in a real-world setting.

Francisco Alejandro Rodriguez-Leal, Rocco Haase, Katja Akgün, Judith Eisele, Undine Proschmann, Thorsten Schultheiss, Raimar Kern, Tjalf Ziemssen

Open access · goldAbstract read
In one paragraph

Article in Therapeutic advances in chronic disease, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed, 13 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
  4. Article
  5. Article
  6. Efficacy of prolonged-release fampridineTherapeutic advances in neurological disorders · 2022
    Article
  7. Observational
  8. Article
  9. 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

8 authors at 2 institutions in 1 country.

Francisco Alejandro Rodriguez-LealCenter of Clinical Neuroscience, University Hospital, Carl Gustav Carus, TU Dresden, Germany.
Rocco HaaseCenter of Clinical Neuroscience, University Hospital, Carl Gustav Carus, TU Dresden, Germany.
Katja AkgünCenter of Clinical Neuroscience, University Hospital, Carl Gustav Carus, TU Dresden, Germany.
Judith EiseleCenter of Clinical Neuroscience, University Hospital, Carl Gustav Carus, TU Dresden, Germany.
Undine ProschmannCenter of Clinical Neuroscience, University Hospital, Carl Gustav Carus, TU Dresden, Germany.
Thorsten SchultheissCenter of Clinical Neuroscience, University Hospital, Carl Gustav Carus, TU Dresden, Germany.
Raimar KernCenter of Clinical Neuroscience, University Hospital, Carl Gustav Carus, TU Dresden, Germany.
Tjalf ZiemssenCenter of Clinical Neuroscience, Department of Neurology, University Hospital Carl Gustav Carus, Fetscherstr. 74, Dresden, 01307, Germany.
TU Dresden · DEUniversity Hospital Carl Gustav Carus · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesMobility impairments constitute a long-term burden in patients with multiple sclerosis (MS). Currently there is evidence that the drug fampridine may improve nonwalking symptoms in MS patients. The main objective of this study is to analyze whether participants showing a beneficial walking response to fampridine, also show a positive response in nonwalking assessments in a real-world clinical setting.

methodsSubjects enrolled were part of a study analyzing gait parameters, for which response to treatment with fampridine was monitored after a period of 2 weeks. Neurologists then decided whether patients were responders to fampridine (RF) according to their global impression of patients' gait improvement. As nonwalking outcomes, we included the nine-hole peg test (9-HPT), the EuroQoL five dimensions questionnaire (EQ-5D) for quality of life, The Würzburger Fatigue Inventory for MS (WEIMuS), the Center for Epidemiologic Studies depression scale (CES-D), and the Paced Auditory Serial Addition Test (PASAT). Minimal clinically important difference (MCID) was evaluated for each test.

resultsA total of 189 participants were included: 122 were women (64.55%), with a mean age of 53.55 (±10.83). RFs showed significant improvement in all of the nonwalking outcomes (

conclusionWe provide evidence that physician's global judgement of walking improvement is a reliable measure for determining response to fampridine in nonwalking parameters, with fatigue showing the greatest score improvement after 2 weeks.

Indexed as

4-aminopyridinecognitiondepressive symptomsfampridinefatiguemultiple sclerosisquality of lifeupper extremity

Identifiers

PMID31037211
PMCPMC6475844
OpenAlexW2936100934

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.