Evidence map›Paper›PMID 32440353›Full record

ArticleMultiple sclerosis journal - experimental, translational and clinical

Effect of dimethyl fumarate on lymphocyte subsets in patients with relapsing multiple sclerosis.

Guy Buckle, Daniel Bandari, Jeffrey Greenstein, Mark Gudesblatt, Bhupendra Khatri, Mariko Kita, Pavle Repovic, Emily Riser, Bianca Weinstock-Guttman, Ben Thrower and 6 more

Open access · goldAbstract read
In one paragraph

Article in Multiple sclerosis journal - experimental, translational and clinical. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.2field-weighted citation impact, top 22% 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

10 citing papers in PubMed, 12 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

16 authors at 8 institutions in 1 country.

Guy BuckleMultiple Sclerosis Institute at Shepherd Center, Inc., USA.
Daniel BandariMultiple Sclerosis Center of California, USA.
Jeffrey GreensteinMultiple Sclerosis Research Institute, USA.
Mark GudesblattSouth Shore Neurologic Associates PC, USA.
Bhupendra KhatriCenter for Neurological Disorders, Wheaton Franciscan Healthcare, USA.
Mariko KitaVirginia Mason Medical Center, USA.
Pavle RepovicSwedish Neuroscience Institute, USA.
Emily RiserAlabama Neurology Associates, USA.
Bianca Weinstock-GuttmanJacobs Multiple Sclerosis Center, USA.
Ben Thrower
Sherrill LoringMultiple Sclerosis Institute at Shepherd Center, Inc., USA.
Katherine RiesterBiogen, USA.
Nick EverageBiogen, USA.
Claudia PradaBiogen, USA.
Irene KoulinskaBiogen, USA.
Monica MannBiogen, USA.
Biogen (United States) · USMultiple Sclerosis Center of Atlanta · USShepherd Center · USMultiple Sclerosis Research Institute · USSwedish Medical Center · USUrology Associates · USVirginia Mason Medical Center · USWheaton Franciscan Healthcare · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn patients treated with dimethyl fumarate, absolute lymphocyte count decline typically occurs during the first year and then plateaus; early drops have been associated with the development of severe prolonged lymphopenia.

objectiveWe investigated the effect of dimethyl fumarate on absolute lymphocyte counts and CD4+/CD8+ T cells in patients with relapsing-remitting multiple sclerosis treated with dimethyl fumarate in routine practice.

methodsLymphocyte data were collected via medical chart abstraction. Primary endpoint: change from baseline in absolute lymphocyte count and CD4+/CD8+ counts at 6-month intervals following dimethyl fumarate initiation.

resultsCharts of 483 patients were abstracted and 476 patients included in the analysis. Mean baseline absolute lymphocyte count (2.23 × 10

conclusionDimethyl fumarate-associated decline in absolute lymphocyte count in the first 12 months correlated with decline in CD4+ and CD8+ T cells and was independent of prior natalizumab. Absolute lymphocyte count monitoring continues to be an effective strategy to identify patients at risk of prolonged lymphopenia.

Indexed as

absolute lymphocyte countdimethyl fumarateMultiple sclerosisnatalizumabT-cell subsets

Identifiers

PMID32440353
PMCPMC7227148
OpenAlexW3022692631

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.