Evidence map›Paper›PMID 31415103›Full record

SynthesisClinical cardiology2019

Interleukin-1 blockade treatment decreasing cardiovascular risk.

Zi-Heng Zheng, Xun Zeng, Xiao-Ying Nie, Yun-Jiu Cheng, Jun Liu, Xiao-Xiong Lin, Hao Yao, Cheng-Cheng Ji, Xu-Miao Chen, Fan Jun and 1 more

RetractedAbstract readMeta-AnalysisReview
In one paragraph

Synthesis in Clinical cardiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It has been retracted, and should not be counted. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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, 2 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Zi-Heng ZhengDepartment of Cardiology, The First Affiliated Hospital, Sun Yat-Sen University and Key Laboratory on Assisted Circulation, NHC, Guangzhou, China.
Xun ZengDepartment of Cardiology, The First Affiliated Hospital, Sun Yat-Sen University and Key Laboratory on Assisted Circulation, NHC, Guangzhou, China.
Xiao-Ying NieDepartment of Cardiology, The First Affiliated Hospital, Sun Yat-Sen University and Key Laboratory on Assisted Circulation, NHC, Guangzhou, China.
Yun-Jiu ChengDepartment of Cardiology, The First Affiliated Hospital, Sun Yat-Sen University and Key Laboratory on Assisted Circulation, NHC, Guangzhou, China.ORCID https://orcid.org/0000-0002-6773-2797
Jun LiuDepartment of Cardiology, The First Affiliated Hospital, Sun Yat-Sen University and Key Laboratory on Assisted Circulation, NHC, Guangzhou, China.
Xiao-Xiong LinDepartment of Cardiology, The First Affiliated Hospital, Sun Yat-Sen University and Key Laboratory on Assisted Circulation, NHC, Guangzhou, China.
Hao YaoDepartment of Cardiology, The First Affiliated Hospital, Sun Yat-Sen University and Key Laboratory on Assisted Circulation, NHC, Guangzhou, China.
Cheng-Cheng JiDepartment of Cardiology, The First Affiliated Hospital, Sun Yat-Sen University and Key Laboratory on Assisted Circulation, NHC, Guangzhou, China.
Xu-Miao ChenDepartment of Cardiology, The First Affiliated Hospital, Sun Yat-Sen University and Key Laboratory on Assisted Circulation, NHC, Guangzhou, China.
Fan JunDepartment of Cardiology, The First Affiliated Hospital, Sun Yat-Sen University and Key Laboratory on Assisted Circulation, NHC, Guangzhou, China.
Su-Hua WuDepartment of Cardiology, The First Affiliated Hospital, Sun Yat-Sen University and Key Laboratory on Assisted Circulation, NHC, Guangzhou, China.ORCID https://orcid.org/0000-0001-9895-6497

Funding

Guangzhou City Science and Technology Program 201508020057National Natural Science Foundation of China 81370285
6 · The paper itself

Abstract

backgroundInterleukin-1 (IL-1) played a role in the occurrence and development of atherosclerosis and cardiovascular events. However, the association between IL-1 blockage treatment and reducing of cardiovascular risk remains poorly defined. HYPOTHESIS: IL-1 blockage treatment reduce the risk and incidence rate of overall major adverse cardiovascular events (MACE), all-cause death, acute myocardial infarction(MI), unstable angina and heart failure.

methodsWe performed a search of published reports by using MEDLINE database (January 1, 2005 to April 1, 2018). The randomized controlled trials (RCTs) that reported sample size and occurrence numbers in test group and placebo group for the associations of interest were included.

resultsEight RCT studies involving 15 647 participants were identified. Compared with those who took no IL-1 blockage, patients taking IL-1 blockage experienced a decreased risk of overall MACE (RR 0.88, 95% CI 0.82-0.94), unstable angina (RR 0.80, 95% CI 0.66-0.98), and breakthrough or recurrence of heart failure (RR 0.44, 95% CI 0.22-0.87). No association was found between IL-1 blockage treatment and death from all cause (RR 0.91, 95% CI 0.83-1.00) as well as acute MI (RR 0.85, 95% CI 0.71-1.01). The RRs associated with overall MACE, death from all cause, acute MI, and unstable angina for anakinra were 1.05, 1.16, 2.97, and 0.56, respectively, and for canakinumab were 1.05, 0.91, 0.80, and 0.80, respectively.

conclusionsAdministration of IL-1 blockage was associated with decrease risks of overall MACE, unstable angina, and breakthrough or recurrence of heart failure, but not with death from all cause as well as acute MI.

Indexed as

Antibodies, Monoclonal, HumanizedAnti-Inflammatory AgentsAntirheumatic AgentsCardiovascular DiseasesCause of DeathGlobal HealthHumansIncidenceInterleukin-1Interleukin 1 Receptor Antagonist ProteinRecombinant Fusion ProteinsRisk FactorsAntibodies, Monoclonal, HumanizedAnti-Inflammatory AgentsAntirheumatic AgentscanakinumabgevokizumabInterleukin-1Interleukin 1 Receptor Antagonist ProteinRecombinant Fusion Proteinsrilonaceptanakinracanakinumabcardiovascular eventsInterleukin-1 blockademeta-analysis

Identifiers

PMID31415103
PMCPMC6788469

What OpenQuestion holds

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LicenceCC BY
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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.