Evidence map›Paper›PMID 32161846›Full record

ArticleBMC rheumatology2020

Successful long-term remission through tapering tocilizumab infusions: a single-center prospective study.

Chayma Ladhari, Pierre Le Blay, Thierry Vincent, Ahmed Larbi, Emma Rubenstein, Rosanna Ferreira Lopez, Christian Jorgensen, Yves-Marie Pers

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in BMC rheumatology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02909998 (Evaluation of Predictive Genetic Markers of Response to Biologic Therapies in Chronic Arthritis), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.7field-weighted citation impact, top 30% 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.

NCT02909998 completednot on this map

Evaluation of Predictive Genetic Markers of Response to Biologic Therapies in Chronic Arthritis

TypeobservationalSponsorUniversity Hospital, MontpellierRan2008 to 2014Enrolled379ConditionsChronic ArthritisArmsBlood sample
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. 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

8 authors at 3 institutions in 1 country.

Chayma Ladhari1IRMB, University of Montpellier, Inserm U1183, CHU Montpellier, 371, avenue du doyen Gaston Giraud, 34295 Montpellier, France.
Pierre Le Blay1IRMB, University of Montpellier, Inserm U1183, CHU Montpellier, 371, avenue du doyen Gaston Giraud, 34295 Montpellier, France.
Thierry VincentDepartment of Immunology, Saint Eloi University Hospital, 80 rue Augustin Fliche, 34295 Montpellier Cedex 5, France.
Ahmed Larbi3Department of Radiology, CHU Nimes, Place du Pr R. Debré, 30029 Nîmes Cedex 9, France.
Emma Rubenstein1IRMB, University of Montpellier, Inserm U1183, CHU Montpellier, 371, avenue du doyen Gaston Giraud, 34295 Montpellier, France.
Rosanna Ferreira Lopez1IRMB, University of Montpellier, Inserm U1183, CHU Montpellier, 371, avenue du doyen Gaston Giraud, 34295 Montpellier, France.
Christian Jorgensen1IRMB, University of Montpellier, Inserm U1183, CHU Montpellier, 371, avenue du doyen Gaston Giraud, 34295 Montpellier, France.
Yves-Marie Pers1IRMB, University of Montpellier, Inserm U1183, CHU Montpellier, 371, avenue du doyen Gaston Giraud, 34295 Montpellier, France.ORCID 0000-0001-5927-3773
Inserm · FRCentre Hospitalier Universitaire de Nîmes · FRInstitute for Neurosciences of Montpellier · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStrategic drug therapy for rheumatoid arthritis (RA) patients with prolonged remission is not well defined. According to recent guidelines, tapering biological Disease-Modifying Anti-Rheumatic Drugs (bDMARDs) may be considered. We aimed to evaluate the effectiveness of long-term maintenance of tocilizumab (TCZ) treatment after the progressive tapering of infusions.

methodsWe conducted an exploratory, prospective, single-center, open-label study, on RA patients with sustained remission of at least 3 months and treated with TCZ infusions every 4 weeks. The initial re-treatment interval was extended to 6 weeks for the first 3 months. Thereafter, the spacing between infusions was determined by the clinician. Successful long-term maintenance following the tapering of TCZ infusions was defined by patients still treated after two years by TCZ with a minimum dosing interval of 5 weeks.

resultsThirteen patients were enrolled in the study

conclusionsA progressive tapering of TCZ infusions may be possible for many patients. However, larger studies, including more patients, are needed to confirm this therapeutic option.

trial registrationNCT02909998. Date of registration: October 2008.

Indexed as

MaintenanceRemissionRheumatoid arthritisTaperingTocilizumab

Identifiers

PMID32161846
PMCPMC7047400
OpenAlexW3012887384

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.