Evidence map›Paper›PMID 32506311›Full record

ArticleClinical rheumatology2021

Clinical effectiveness of iguratimod based on real-world data of patients with rheumatoid arthritis.

Satoshi Mizutani, Hitoshi Kodera, Yoshiko Sato, Toshihiro Nanki, Shunji Yoshida, Hidekata Yasuoka

Abstract read
PubMed Publisher
In one paragraph

Article in Clinical rheumatology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.4field-weighted citation impact, top 39% 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

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. [Effectiveness of tofacitinib combined with iguratimod in the treatment of difficult-to-treat moderate-to-severe rheumatoid arthritis].Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences · 2023
    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

6 authors at 3 institutions in 1 country.

Satoshi MizutaniDivision of Rheumatology, Department of Internal Medicine, School of Medicine, Fujita Health University, Toyoake, 470-1192, Aichi, Japan. satoshi.mizutani@med.toho-u.ac.jp.ORCID https://orcid.org/0000-0002-4321-5357
Hitoshi KoderaDepartment of Internal Medicine, Yokkaichi Hazu Medical Center, Yokkaichi, 510-0016, Mie, Japan.
Yoshiko SatoDepartment of Internal Medicine, Yokkaichi Hazu Medical Center, Yokkaichi, 510-0016, Mie, Japan.
Toshihiro NankiDivision of Rheumatology, Department of Internal Medicine, Toho University School of Medicine, Ota-ku, 143-8541, Tokyo, Japan.ORCID https://orcid.org/0000-0002-3482-074X
Shunji YoshidaDivision of Rheumatology, Department of Internal Medicine, School of Medicine, Fujita Health University, Toyoake, 470-1192, Aichi, Japan.ORCID https://orcid.org/0000-0002-4040-1963
Hidekata YasuokaDivision of Rheumatology, Department of Internal Medicine, School of Medicine, Fujita Health University, Toyoake, 470-1192, Aichi, Japan.ORCID https://orcid.org/0000-0002-2405-6282
Fujita Health University · JPToho University · JPYokkaichi Social Insurance Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesIguratimod (IGU) is a conventional synthetic disease-modifying drug that has been approved based on its additive effects with methotrexate (MTX) for the treatment of rheumatoid arthritis (RA). The objective of the study is to establish the effectiveness of IGU with versus IGU without MTX irrespective of whether MTX is well tolerated or not by the patients.

methodsDisease activity scores in 177 RA patients treated using IGU were retrospectively evaluated at baseline and after 4, 12, and 24 weeks, and adverse events (AEs) were noted.

resultsIGU reduced the disease activity parameters, disease activity score (DAS)-ESR, DAS-CRP, the simplified disease activity index (SDAI), and clinical disease activity index (CDAI) in the concomitant MTX and non-MTX, female and male, and young and elderly patient groups after 24 weeks. Multivariate analysis demonstrated that IGU was more effective with concomitant MTX and in elderly and male patients. Severe AEs were observed only in the elderly group: two cases of pneumonia, 1 of pneumocystis pneumonia, 1 of heart failure, and 1 of salivary gland adenoma.

conclusionsIGU is effective for RA, especially with concomitant MTX, and in elderly and male patients. Key Points • Iguratimod is effective for RA, especially with concomitant MTX, and in elderly and male patients. • Since all serious adverse events were in the elderly group in this study, sufficient monitoring for adverse events, especially for elderly RA patients, is needed during iguratimod therapy.

Indexed as

Antirheumatic AgentsArthritis, RheumatoidAgedChromonesDrug Therapy, CombinationFemaleHumansMaleMethotrexateRetrospective StudiesSulfonamidesTreatment OutcomeAntirheumatic AgentsChromonesiguratimodMethotrexateSulfonamidesElderly patientsIguratimodMethotrexateRheumatoid arthritis

Identifiers

PMID32506311
OpenAlexW3033588489

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.