Evidence map›Paper›PMID 32144625›Full record

ArticleClinical rheumatology2020

Tocilizumab treatment effectively improves coronary artery involvement in patients with Takayasu arteritis.

Lili Pan, Juan Du, Jiayi Liu, Hua Liao, Xiaoli Liu, Xi Guo, Jing Liang, Hongya Han, Lixia Yang, Yujie Zhou

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Clinical rheumatology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
3.5field-weighted citation impact, top 6% 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

19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 35 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Review
  10. Observational
  11. Review
  12. Review
  13. Review
  14. Tocilizumab for faster and safer remission of Takayasu's arteritis.Therapeutic advances in chronic disease · 2022
    Article
  15. Coronary Vasculitis.Biomedicines · 2021
    Review
  16. Review
  17. Article
  18. Commentary: Game, set, patch?JTCVS techniques · 2020
    Article
  19. 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

10 authors at 2 institutions in 1 country.

Lili PanDepartment of Rheumatology and Immunology, Beijing Anzhen Hospital, Capital Medical University, Beijing, China.
Juan DuDepartment of Rheumatology and Immunology, Beijing Anzhen Hospital, Capital Medical University, Beijing, China.
Jiayi LiuDepartment of Radiology, Beijing Anzhen Hospital, Capital Medical University, Beijing, China.
Hua LiaoDepartment of Rheumatology and Immunology, Beijing Anzhen Hospital, Capital Medical University, Beijing, China.
Xiaoli LiuDepartment of Cardiology, Beijing Anzhen Hospital, Capital Medical University, 2 Anzhen Road, Chaoyang District, Beijing, China.
Xi GuoDepartment of Interventional Radiology, Beijing Anzhen Hospital, Capital Medical University, Beijing, China.
Jing LiangDepartment of Cardiology, Beijing Anzhen Hospital, Capital Medical University, 2 Anzhen Road, Chaoyang District, Beijing, China.
Hongya HanDepartment of Cardiology, Beijing Anzhen Hospital, Capital Medical University, 2 Anzhen Road, Chaoyang District, Beijing, China.
Lixia YangDepartment of Cardiology, Beijing Anzhen Hospital, Capital Medical University, 2 Anzhen Road, Chaoyang District, Beijing, China.
Yujie ZhouDepartment of Cardiology, Beijing Anzhen Hospital, Capital Medical University, 2 Anzhen Road, Chaoyang District, Beijing, China. azzyj12@163.com.
Beijing Anzhen Hospital · CNCapital Medical University · CN

Funding

National Natural Science Foundation of China 91739111
6 · The paper itself

Abstract

objectiveCoronary artery involvement in Takayasu arteritis (TAK) leads to poor prognosis and high mortality. Tocilizumab (TCZ) has been used to effectively treat large vessel vasculitis. However, the efficacy of TCZ in resolving coronary artery involvement in TAK is unclear. The aim of this retrospective study was to evaluate the efficacy of TCZ in the treatment of coronary artery involvement in TAK.

methodsClinical features and manifestations of coronary artery lesions in 11 TAK patients were evaluated before and after TCZ treatment, and the results were compared with those of 11 patients treated with traditional disease-modifying antirheumatic drugs (DMARDs).

resultsC-reactive protein (p = 0.006), erythrocyte sedimentation rate (ESR) (p = 0.011), and Kerr score (p = 0.007) were significantly decreased post-TCZ treatment for 6 months. The Indian Takayasu Clinical Activity Score (ITAS) 2010 (p = 0.019) and ITAS-A (p = 0.019) were significantly lower in patients treated with TCZ compared with those treated with traditional DMARDs. The glucocorticoid (GC) dose was tapered to 2.50 (0.00, 7.50) mg day

conclusionTCZ may decrease the disease activity and improve coronary artery lesion in patients with TAK. Key Points • TCZ treatment significantly decreased the disease activity in TAK patients with coronary artery involvement. • TCZ treatment significantly reduces the dosage of GC. • TCZ treatment led to an improvement in imaging findings of TAK patients with coronary artery involvement.

Indexed as

AdultAntibodies, Monoclonal, HumanizedAntirheumatic AgentsBlood SedimentationCoronary VesselsC-Reactive ProteinFemaleGlucocorticoidsHumansMaleMiddle AgedRetrospective StudiesTakayasu ArteritisTreatment OutcomeAntibodies, Monoclonal, HumanizedAntirheumatic AgentsC-Reactive ProteinGlucocorticoidstocilizumabCoronary arteryTakayasu arteritisTocilizumabTreatment

Identifiers

PMID32144625
OpenAlexW3009088781

What OpenQuestion holds

Textmetadata
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.