Evidence map›Paper›PMID 31555344›Full record

ArticleTherapeutic advances in neurological disorders2019

Repeated low-dose rituximab treatment based on the assessment of circulating B cells in patients with refractory myasthenia gravis.

Kyomin Choi, Yoon-Ho Hong, So-Hyun Ahn, Seol-Hee Baek, Jun-Soon Kim, Je-Young Shin, Jung-Joon Sung

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Therapeutic advances in neurological disorders, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07071246 (Rituximab for the Treatment of New-onset AChR-Myasthenia Gravis), which is not on this map. Cited by 17 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 5 pooled it
3.0field-weighted citation impact, top 9% 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.

NCT07071246 naactive not recruitingnot on this mapstarted 2022, after this paper: background citation

Rituximab for the Treatment of New-onset AChR-Myasthenia Gravis

TypeinterventionalSponsorTang-Du HospitalRan2022 to 2027Enrolled30ConditionsTreatmentArmsRituximab Injection
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 5 syntheses or guidelines pooled it, 31 citations in OpenAlex.

  1. Efficacy and safety of different dosages of rituximab for myasthenia gravis: a single-arm meta-analysis.Daru : journal of Faculty of Pharmacy, Tehran University of Medical Sciences · 2025
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  6. Article
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  9. Rituximab treatment in myasthenia gravis.Frontiers in neurology · 2023
    Review
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  12. Article
  13. Article
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  15. Benefit and danger from immunotherapy in myasthenia gravis.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2021
    Review
  16. Article
  17. Advances and challenges in the treatment of myasthenia gravis.Therapeutic advances in neurological disorders · 2021
    Review
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

7 authors at 6 institutions in 1 country.

Kyomin ChoiDepartment of Neurology, Konkuk University School of Medicine, Konkuk University Medical Center, Seoul, Republic of Korea.ORCID https://orcid.org/0000-0001-9730-3363
Yoon-Ho HongDepartment of Neurology, Neuroscience Research Institute, Seoul National University Medical Research Council, Seoul National University College of Medicine, Seoul Metropolitan Boramae Medical Center, Seoul, Republic of Korea.
So-Hyun AhnDepartment of Neurology, Hallym University College of Medicine, Kangnam Sacred Heart Hospital, Seoul, Republic of Korea.
Seol-Hee BaekDepartment of Neurology, Korea University College of Medicine, Korea University Medical Center, Seoul, Republic of Korea.
Jun-Soon KimDepartment of Neurology, Seoul National University Bundang Hospital, Seongnam, Republic of Korea.
Je-Young ShinDepartment of Neurology, Seoul National University College of Medicine, Seoul National University Hospital, Seoul, Republic of Korea.
Jung-Joon SungDepartment of Neurology, Neuroscience Research Institute, Seoul National University Medical Research Council, Seoul National University College of Medicine, Seoul National University Hospital, 28 Yeongeon-dong, Jongno-gu, Seoul, 03080, Republic of Korea.
Seoul National University Hospital · KRHallym University Kangnam Sacred Heart Hospital · KRKonkuk University Medical Center · KRKorea University Medical Center · KRSeoul National University · KRSeoul National University Bundang Hospital · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe objective of this study was to evaluate the efficacy and safety of repeated low-dose rituximab treatment guided by monitoring circulating CD19+ B cells in patients with refractory myasthenia gravis (MG).

methodsPatients with refractory MG who had received rituximab treatment at two teaching hospitals between September 2013 and January 2017 were reviewed retrospectively. The treatment protocol consisted of an induction treatment with low-dose rituximab (375 mg/m

resultsOf 17 patients, 11 (65%) achieved the primary endpoint, defined as the minimal manifestation or better status with prednisolone ⩽5 mg/day, after median 7.6 months (range, 2-17 months) following rituximab treatment. Over a median follow up of 24 months (range, 7-49 months), a total of 30 retreatments were undertaken due to clinical relapse without B-cell repopulation (

conclusionsThe repeated low-dose rituximab treatment based on the assessment of circulating B-cell depletion could be a cost-effective therapeutic option for refractory MG. Further studies are needed to verify the potentially better cost-effectiveness of low-dose rituximab, and to identify biomarkers that help optimize treatment in MG patients.

Indexed as

neuromuscular junction disordersrefractory myasthenia gravisrituximab

Identifiers

PMID31555344
PMCPMC6751534
OpenAlexW2974168831

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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.