Evidence map›Paper›PMID 31755575›Full record

ArticleJournal of clinical apheresis2020

Single-use IgE-selective immunoadsorber column for the treatment of severe atopic dermatitis.

Damian Meyersburg, Martin Laimer, Andrea Kugler, Eva Mühlthaler, Nadja Lindlbauer, Wolfgang Hitzl, Eva Rohde, Johann W Bauer, Christoph Grabmer

Open access · hybridAbstract read
In one paragraph

Article in Journal of clinical apheresis, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 27% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Guideline
  2. Review
  3. 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

9 authors at 1 institution in 1 country.

Damian MeyersburgDepartment of Dermatology, University Hospital Salzburg of the Paracelsus Medical University Salzburg, Salzburg, Austria.ORCID https://orcid.org/0000-0001-8339-6917
Martin LaimerDepartment of Dermatology, University Hospital Salzburg of the Paracelsus Medical University Salzburg, Salzburg, Austria.
Andrea KuglerDepartment of Dermatology, University Hospital Salzburg of the Paracelsus Medical University Salzburg, Salzburg, Austria.
Eva MühlthalerDepartment of Dermatology, University Hospital Salzburg of the Paracelsus Medical University Salzburg, Salzburg, Austria.
Nadja LindlbauerDepartment of Transfusion Medicine, Paracelsus Medical University Hospital Salzburg, Salzburg, Austria.
Wolfgang HitzlResearch Office (biostatistics), Paracelsus Medical University Salzburg, Salzburg, Austria.
Eva RohdeDepartment of Transfusion Medicine, Paracelsus Medical University Hospital Salzburg, Salzburg, Austria.
Johann W BauerDepartment of Dermatology, University Hospital Salzburg of the Paracelsus Medical University Salzburg, Salzburg, Austria.
Christoph GrabmerDepartment of Transfusion Medicine, Paracelsus Medical University Hospital Salzburg, Salzburg, Austria.
Paracelsus Medical University · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAtopic dermatitis (AD) is a chronic and relapsing inflammatory skin disease with unmet therapeutic need in a critical cohort of recalcitrant cases. Immunoadsorption (IA) aims at an immunomodulatory depletion of pathogenic serum mediators and has recently revealed promising clinical results for the treatment of AD.

objectiveTo determine efficacy, sustainability, safety, and clinical impact of IgE selective IA in AD using a single-use IgE immunoadsorber column.

methodsThis open-label pilot study comprised five patients (mean SCORAD 67.9 ± 11.4, range 52.2-81.9; mean serum IgE level 5904 ± 5945 U/mL, range 1000-15 600 IU/mL) who underwent IgE-selective IA. Three patients continued prior therapy with systemic immunosuppressive drugs during IA as an add-on therapeutic approach. All patients received three courses of IA. The first course consisted of three consecutive daily treatments followed by two sequences with two consecutive applications. All courses were performed on a monthly regimen.

resultsIA proved efficacy in selectively depleting serum IgE levels in all participants (mean reduction by cycle of 81% ± 12%, range 64%-93%). It further led to a clinically relevant and sustained improvement of AD with a maximum decline in SCORAD and EASI scores by up to 35% and 52%, respectively, compared to baseline. Scores persisted below baseline for at least 12 weeks beyond the last IA. The intervention was also well tolerated with no severe adverse events during a total of 35 procedures.

conclusionData of this preliminary trial indicates clinical efficacy, feasibility, safety as well as tolerability of IgE-selective IA in AD.

Indexed as

AdultAgedAged, 80 and overDermatitis, AtopicFemaleHumansImmunoglobulin AImmunoglobulin EImmunosorbent TechniquesImmunosuppressive AgentsInflammationMaleMiddle AgedPilot ProjectsProspective StudiesImmunoglobulin AImmunoglobulin EImmunosuppressive Agentsatopic dermatitisIgEnioimmunoadsorption

Identifiers

PMID31755575
PMCPMC7003837
OpenAlexW2991020798

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.