Evidence map›Paper›PMID 32157369›Full record

Observational studyRheumatology international2020

Rituximab effect in severe progressive connective tissue disease-related lung disease: preliminary data.

Alejandro Robles-Perez, Jordi Dorca, Ivan Castellví, Joan Miquel Nolla, Maria Molina-Molina, Javier Narváez

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Rheumatology international, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 7% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Observational
  4. Review
  5. Review
  6. Review
  7. Review
  8. Review
  9. Review
  10. Article
  11. Rituximab experience from a single centre for patients with rheumatoid arthritis-related interstitial lung disease.Sarcoidosis, vasculitis, and diffuse lung diseases : official journal of WASOG · 2022
    Article
  12. Review
  13. Respiratory Manifestations in Systemic Lupus Erythematosus.Pharmaceuticals (Basel, Switzerland) · 2021
    Review
  14. Review
  15. Article
  16. Article
  17. Immunomodulatory treatment of interstitial lung disease.Therapeutic advances in respiratory disease
    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

6 authors at 2 institutions in 1 country.

Alejandro Robles-PerezILD Unit, Pneumology Department, Hospital Universitari de Bellvitge, Barcelona, Spain.ORCID http://orcid.org/0000-0001-8026-7773
Jordi DorcaPneumology Department, Hospital Universitari de Bellvitge, Feixa Llarga S/N, 08907, Barcelona, Spain.ORCID http://orcid.org/0000-0002-8137-878X
Ivan CastellvíRheumatology Department, Hospital Universitari de La Santa Creu I Sant Pau, Barcelona, Spain.ORCID http://orcid.org/0000-0002-5410-5807
Joan Miquel NollaRheumatology Department, Hospital Universitari de Bellvitge, Barcelona, Spain.ORCID http://orcid.org/0000-0002-2358-6767
Maria Molina-MolinaILD Unit, Pneumology Department, Hospital Universitari de Bellvitge, Barcelona, Spain. mariamolinamolina@hotmail.com.ORCID http://orcid.org/0000-0002-1852-1723
Javier NarváezRheumatology Department, Hospital Universitari de Bellvitge, Barcelona, Spain.ORCID http://orcid.org/0000-0002-1614-8064
Bellvitge University Hospital · ESHospital de Sant Pau · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Progressive connective tissue disease (CTD)-related lung disease is a challenging condition that requires lung transplantation in some patients. Treatment with rituximab may improve lung function. To evaluate the effect of rituximab in patients with progressive CTD-related lung disease who met criteria for inclusion in waiting list for a lung transplant. Retrospective study of patients with progressive CTD-related lung disease with criteria for lung transplant (FVC < 60% and/or DLCO < 40%) that started treatment with rituximab because of disease progression. Clinical variables, pulmonary function tests and chest computed tomography were used to monitor the effect of rituximab. The cohort included 18 patients; systemic sclerosis (7), rheumatoid arthritis (5), systemic lupus erythematosus (4), Sjögren syndrome (1) and antisynthetase syndrome (1). The radiologic patterns observed were: usual interstitial pneumonia (1), non-specific interstitial pneumonia (9), lymphoid interstitial pneumonia (1), emphysema-usual interstitial pneumonia (1), shrinking lung syndrome (3) and undetermined pattern (3). Over the previous year to rituximab initiation a decline in FVC (- 3.8%, p = 0.095) and DLCO (- 8.4%, p = 0.004) was observed. After 2 years of treatment, DLCO significantly improved (+ 12.4%, p < 0.001 at 1 year and + 15.3%, p = 0.001 at 2 years). Six patients (33.3%) presented adverse events related to rituximab. No patient required lung transplant or died during the study period. Rituximab is an effective treatment for patients with severe and progressive CTD-related lung disease, which allows to delay lung transplantation in some cases.

Indexed as

AdultAgedConnective Tissue DiseasesDisease ProgressionFemaleHumansImmunosuppressive AgentsLung Diseases, InterstitialMaleMiddle AgedRespiratory Function TestsRetrospective StudiesRituximabTomography, X-Ray ComputedTreatment OutcomeVital CapacityImmunosuppressive AgentsRituximabConnective tissue diseaseInterstitial lung diseaseLung transplantationRituximabShrinking lung syndrome

Identifiers

PMID32157369
OpenAlexW3011051392

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.