Evidence map›Paper›PMID 31869429›Full record

SynthesisBritish journal of clinical pharmacology2020

The efficacy and safety of fingolimod in patients with relapsing multiple sclerosis: A meta-analysis.

Ting Yang, Xin Tian, Chao-Yang Chen, Ling-Yun Ma, Shuang Zhou, Min Li, Ye Wu, Ying Zhou, Yi-Min Cui

Abstract readMeta-AnalysisReview
In one paragraph

Synthesis in British journal of clinical pharmacology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 3 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

12 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Review
  7. Observational
  8. Article
  9. Article
  10. Clinical effectiveness of reduced fingolimod dose in relapsing remitting multiple sclerosis-a Portuguese cohort.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2021
    Observational
  11. Article
  12. 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

9 authors.

Ting YangDepartment of Pharmacy, Peking University First Hospital, Beijing, China.
Xin TianDepartment of Pharmacy, Peking University First Hospital, Beijing, China.
Chao-Yang ChenDepartment of Pharmacy, Peking University First Hospital, Beijing, China.
Ling-Yun MaDepartment of Pharmacy, Peking University First Hospital, Beijing, China.
Shuang ZhouDepartment of Pharmacy, Peking University First Hospital, Beijing, China.
Min LiDepartment of Pharmacy, Peking University First Hospital, Beijing, China.
Ye WuDepartment of Pediatrics, Peking University First Hospital, Beijing, China.
Ying ZhouDepartment of Pharmacy, Peking University First Hospital, Beijing, China.ORCID 0000-0003-2562-8323
Yi-Min CuiDepartment of Pharmacy, Peking University First Hospital, Beijing, China.ORCID 0000-0002-4186-1005

Funding

Development Center for Medical Science & Technology, National Health Commission of the People's Republic of ChinaDrug Innovation Major Project 2017ZX09304029-006Drug Innovation Major Project 2017ZX09304029-006-001Drug Innovation Major Project 2018ZX09721003-008
6 · The paper itself

Abstract

aimsThe aim of the present meta-analysis was to evaluate the efficacy and safety of fingolimod in patients with relapsing multiple sclerosis (RMS).

methodsPubMed, Embase, the Cochrane Library and ClinicalTrials.gov were searched for relevant studies. Two authors independently selected the studies, assessed the risk of bias, and extracted the data. The meta-analysis was performed in RevMan 5.3 provided by the Cochrane Collaboration.

resultsTen studies met the inclusion criteria. In patients with RMS, fingolimod demonstrated a significantly lower annualized relapse rate (0.5 mg/d: mean difference [95% confidence interval] = -0.22 [-0.29 to -0.14]; 1.25 mg/d: -0.26 [-0.36 to -0.16]; 5 mg/d: -0.41 [-0.72 to -0.10]) than placebo. Fingolimod also exhibited a favorable performance on other magnetic resonance imaging outcomes and improved the quality of life in patients. No significant difference was noted in the prevalence of adverse events between the fingolimod treatment group and the placebo/disease-modifying therapy groups.

conclusionsFingolimod may offer benefits for RMS patients and presents an acceptable safety profile.

Indexed as

Multiple SclerosisMultiple Sclerosis, Relapsing-RemittingFingolimod HydrochlorideHumansImmunosuppressive AgentsQuality of LifeRecurrenceFingolimod HydrochlorideImmunosuppressive Agentsfingolimodmeta-analysismultiple sclerosis

Identifiers

PMID31869429
PMCPMC7098866

What OpenQuestion holds

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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.