Evidence map›Paper›PMID 32166631›Full record

ReviewNeurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics2020

Treatment of Progressive Multifocal Leukoencephalopathy Using Immune Restoration.

S Richard Dunham, Robert Schmidt, David B Clifford

Open access · bronzeAbstract readReview
In one paragraph

Review in Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.5field-weighted citation impact, top 15% 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

14 citing papers in PubMed, 26 citations in OpenAlex.

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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

3 authors at 1 institution in 1 country.

S Richard DunhamDepartment of Neurology, Washington University in St Louis, St. Louis, MO, USA.
Robert SchmidtDepartment of Pathology & Immunology, Washington University in St Louis, St. Louis, MO, USA.
David B CliffordDepartment of Neurology, Washington University in St Louis, St. Louis, MO, USA. clifforddb@wustl.edu.
Washington University in St. Louis · US

Funding

Vanderbilt HIV Clinical Trials Unit (CTU)UM1AI069439 · NIAID · VANDERBILT UNIVERSITY MEDICAL CENTER · PI David W Haas, Spyros A Kalams · 2012 to 2026
$33.1M
Washington University Network of Excellence in Neuroscience Clinical Trials SiteU10NS077384 · NINDS · WASHINGTON UNIVERSITY · PI CLIFFORD, DAVID B · 2011 to 2017
$1.9M
Washington University Clinical Research Site for the Network of Excellence in Neuroscience Clinical Trials (NeuroNEXT)- RFA-NS-17-024U24NS107198 · NINDS · WASHINGTON UNIVERSITY · PI CLIFFORD, DAVID B · 2018 to 2022
$1.5M
NIAID NIH HHS UM1 AI069439NINDS NIH HHS U10 NS077384NINDS NIH HHS U24 NS107198
6 · The paper itself

Abstract

Progressive multifocal leukoencephalopathy (PML) is a viral disease of the brain associated with immunodeficiency, immune suppressing medications, and malignancy. In the absence of effective anti-viral therapy for the causative JC virus, immune restoration has emerged as the critical therapeutic alternative. The evolving treatment of PML (and other rare JC virus-associated neurologic syndromes) requires consideration of baseline immune functioning and comorbid diseases while selecting from a number of therapeutic options to restore an effective immune response. This review focuses on the current options for management of PML in typical situations where this disease presents, including several where immune restoration is a standard therapeutic approach such as in PML associated with HIV/AIDS and in multiple sclerosis associated with natalizumab. Other circumstances in which PML occurs including associated with primary immunodeficiencies, malignancies, and transplants present greater challenges to immune reconstitution, but emerging concepts may enhance therapeutic options for these situations. Particular attention is focused on recent experience with checkpoint inhibitors, guidance for MS drug discontinuation, and strategies to monitor and facilitate immune restoration.

Indexed as

AnimalsAntibodies, Monoclonal, HumanizedHumansImmune ReconstitutionImmunosuppressive AgentsLeukoencephalopathy, Progressive MultifocalNatalizumabTreatment OutcomeAntibodies, Monoclonal, HumanizedImmunosuppressive AgentsNatalizumabPMLProgressive multifocal leukoencephalopathytherapy.treatment

Identifiers

PMID32166631
PMCPMC7641288
OpenAlexW3012347568

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.