Evidence map›Paper›PMID 31140696›Full record

SynthesisOral diseases2019

World Workshop of Oral Medicine VII: A systematic review of immunobiologic therapy for oral manifestations of pemphigoid and pemphigus.

Jacqueline W Mays, Barbara P Carey, Rachael Posey, Luiz Alcino Gueiros, Katherine France, Jane Setterfield, Sook Bin Woo, Thomas P Sollecito, Donna Culton, Aimee S Payne and 2 more

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Oral diseases, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
2.3field-weighted citation impact, top 12% 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

4 citing papers in PubMed, 27 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. World Workshop on Oral Medicine VII: Oral adverse effects to biologic agents in patients with inflammatory disorders. A scoping review.Journal of oral pathology & medicine : official publication of the International Association of Oral Pathologists and the American Academy of Oral Pathology · 2023
    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

12 authors at 7 institutions in 3 countries.

Jacqueline W MaysOral Immunobiology Unit, National Institute of Dental and Craniofacial Research, National Institutes of Health, Bethesda, Maryland.ORCID https://orcid.org/0000-0002-4472-9974
Barbara P CareyDepartment of Oral Medicine, Guy's and St Thomas' NHS Foundation Trust, London, UK.ORCID https://orcid.org/0000-0002-6376-9867
Rachael PoseyWilliam Rand Kenan, Jr. Library of Veterinary Medicine, North Carolina State University, Raleigh, North Carolina.
Luiz Alcino GueirosOral Medicine Unit, Department of Clinic and Preventive Dentistry, Universidade Federal de Pernambuco, Recife, Brazil.ORCID https://orcid.org/0000-0003-4979-4318
Katherine FranceDepartment of Oral Medicine, University of Pennsylvania School of Dental Medicine, Philadelphia, Pennsylvania.
Jane SetterfieldDepartment of Oral Medicine, Guy's and St Thomas' NHS Foundation Trust, London, UK.
Sook Bin WooDepartment of Oral Medicine, Infection, and Immunity, Harvard School of Dental Medicine, Boston, Massachusetts.
Thomas P SollecitoDepartment of Oral Medicine, University of Pennsylvania School of Dental Medicine, Philadelphia, Pennsylvania.
Donna CultonDepartment of Dermatology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
Aimee S PayneDepartment of Dermatology, University of Pennsylvania, Philadelphia, Pennsylvania.
Martin S GreenbergDepartment of Oral Medicine, University of Pennsylvania School of Dental Medicine, Philadelphia, Pennsylvania.
Scott De RossiSchool of Dentistry, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
University of Pennsylvania · USGuy's and St Thomas' NHS Foundation Trust · GBUniversity of North Carolina at Chapel Hill · USHarvard University · USNational Institutes of Health · USNorth Carolina State University · USUniversidade Federal de Pernambuco · BR

Funding

Immunobiology and therapy of oral mucosal and salivary gland chronic graft-versus-host diseaseZIADE000747 · NIDCR · NATIONAL INSTITUTE OF DENTAL & CRANIOFACIAL RESEARCH · PI MAYS, JACQUELINE · 2016 to 2025
$14.9M
Seventh World Workshop on Oral MedicineR13DE027613 · NIDCR · CAROLINAS MEDICAL CENTER · PI LOCKHART, PETER B · 2018 to 2018
$15k
AFYXColgate-PalmoliveHenry Schein Cares FoundationIntramural NIH HHS Z99 DE999999Intramural NIH HHS ZIA DE000747NIDCR NIH HHS R13 DE027613Oral Diseases, and The World Dental Education FoundationThe British Society for Oral MedicineThe National Institute of Dental and Craniofacial ResearchUnileverWWOM VII: American Academy of Oral Medicine, European Association of Oral MedicineXerostom
6 · The paper itself

Abstract

objectiveTo assess the evidence for treatment of oral involvement of pemphigus and pemphigoid with biologics. STUDY

designThis systematic review used a comprehensive search strategy to identify literature describing oral involvement of pemphigus or pemphigoid treated with a biologic agent. The primary outcome measures were efficacy and safety of biologic therapy.

resultsInclusion criteria were met by 154 studies including over 1200 patients. Treatment of pemphigus with a total of 11 unique biologic agents and 3 unique combinations of agents is reported. Five randomized controlled trials (RCT) were included in the final analysis that investigated infliximab, IVIg, rituximab, and autologous platelet-rich plasma therapy for pemphigus vulgaris. Three non-RCT studies reported on successful rituximab or IVIg therapy for mucous membrane pemphigoid. Studies demonstrated considerable heterogeneity in agent, methods, and quality.

conclusionsEvidence clearly describing oral tissue response to biologic therapy is sparse. Two RCTs support use of rituximab, one supports use of IVIg, and one pilot study suggests intralesional injection of autologous platelet-rich plasma aids healing of oral PV lesions. As oral lesions of pemphigus and pemphigoid can be refractory to systemic therapy, drug trials including biologic therapies should document details regarding response of the oral lesions to therapy.

Indexed as

Pemphigoid, Benign Mucous MembraneBiological FactorsCongresses as TopicHumansPemphigoid, BullousPemphigusPilot ProjectsRituximabTreatment OutcomeBiological FactorsRituximabautoimmunitybiologic agentsblistering diseasemucous membrane pemphigoidpemphigus vulgarisrituximab

Identifiers

PMID31140696
PMCPMC6544168
OpenAlexW2946888811

What OpenQuestion holds

Textmetadata
LicenceTDM
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.