Evidence map›Paper›PMID 32506391›Full record

ArticleJournal of neurology2020

Dimethyl fumarate vs Teriflunomide: an Italian time-to-event data analysis.

Emanuele D'Amico, Aurora Zanghì, Mariangela Sciandra, Roberta Lanzillo, Graziella Callari, Antonio Cortese, Giacomo Lus, Matteo Lucchini, Maria Buccafusca, Simona Bonavita and 16 more

Open access · greenAbstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Journal of neurology, 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
2.8field-weighted citation impact, top 9% 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, 23 citations in OpenAlex.

  1. Dimethyl Fumarate or Teriflunomide for Relapsing-Remitting Multiple Sclerosis: A Meta-analysis of Post-marketing Studies.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2023
    Pooled it
  2. Article
  3. Review
  4. Review
  5. Observational
  6. Article
  7. InjectableNeural regeneration research · 2022
    Article
  8. A comparative study of teriflunomide and dimethyl fumarate within the Swedish MS Registry.Multiple sclerosis (Houndmills, Basingstoke, England) · 2022
    Article
  9. Therapeutic Advances in Multiple Sclerosis.Frontiers in neurology · 2022
    Review
  10. Article
  11. Review
  12. Injectable Versus Oral First-Line Disease-Modifying Therapies: Results from the Italian MS Register.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2021
    Observational
  13. Observational
  14. Article
  15. Observational
  16. Article
  17. Real-world discontinuation rate of teriflunomide and dimethyl fumarate in multiple sclerosis.Multiple sclerosis journal - experimental, translational and clinical
    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

26 authors at 10 institutions in 1 country.

Emanuele D'AmicoDepartment "G.F. Ingrassia", MS Center University of Catania, Policlinico G. Rodolico, V. Santa Sofia 78, 95123, Catania, Italy. emanuele.damico@unict.it.ORCID http://orcid.org/0000-0001-7494-9057
Aurora ZanghìDepartment "G.F. Ingrassia", MS Center University of Catania, Policlinico G. Rodolico, V. Santa Sofia 78, 95123, Catania, Italy.
Mariangela SciandraDepartment of Economics, Business and Statistics", University of Palermo, Palermo, Italy.
Roberta LanzilloMultiple Sclerosis Clinical Care and Research Centre, Department of Neuroscience, Reproductive Science and Odontostomatology, Federico II University of Naples, Naples, Italy.
Graziella CallariInstitute Foundation "G. Giglio", Cefalù, Italy.
Antonio CorteseSan Filippo Neri Hospital - ASL, Roma 1, Rome, Italy.
Giacomo LusMultiple Sclerosis Center, II Division of Neurology, Department of Clinical and Experimental Medicine, Second University of Naples, Naples, Italy.
Matteo LucchiniFondazione Policlinico Universitario "Gemelli", Catholic University of Sacred Heart, Rome, Italy.
Maria BuccafuscaAzienda Ospedaliera Universitaria "G. Martino", Messina, Italy.
Simona BonavitaDepartment of Advanced Medical and Surgical Sciences, University of Campania "Luigi Vanvitelli", Naples, Italy.
Antonio GalloUniversity of Campania Luigi Vanvitelli, 1st Clinic of Neurology, Naples, Italy.
Erica CurtiAOU Maggiore, Parma, Italy.
Alberto GajofattoPoliclinico G.B. Rossi, Verona, Italy.
Elisabetta SignorielloMultiple Sclerosis Center, II Division of Neurology, Department of Clinical and Experimental Medicine, Second University of Naples, Naples, Italy.
Alvino BiseccoUniversity of Campania Luigi Vanvitelli, 1st Clinic of Neurology, Naples, Italy.
Francesca GobbinPoliclinico G.B. Rossi, Verona, Italy.
Maria Teresa FerròNeuroimmunology, Center for Multiple Sclerosis, ASST, Crema, Italy.
Gina FerrazzanoUniversity La Sapienza, Rome, Italy.
Maddalena SparacoDepartment of Advanced Medical and Surgical Sciences, University of Campania "Luigi Vanvitelli", Naples, Italy.
Paola ValentinoAzienda Ospedaliera Universitaria "Mater Domini", Catanzaro, Italy.
Massimiliano MirabellaFondazione Policlinico Universitario "Gemelli", Catholic University of Sacred Heart, Rome, Italy.
Franco GranellaAOU Maggiore, Parma, Italy.
Vincenzo BresciamorraMultiple Sclerosis Clinical Care and Research Centre, Department of Neuroscience, Reproductive Science and Odontostomatology, Federico II University of Naples, Naples, Italy.
Luigi Maria Edoardo GrimaldiInstitute Foundation "G. Giglio", Cefalù, Italy.
Francesco PattiDepartment "G.F. Ingrassia", MS Center University of Catania, Policlinico G. Rodolico, V. Santa Sofia 78, 95123, Catania, Italy.
ITALIAN-DIME-TERI group
University of Campania "Luigi Vanvitelli" · ITUniversity of Catania · ITAgostino Gemelli University Polyclinic · ITAzienda Ospedaliero Universitario Mater Domini · ITFondazione Istituto G. Giglio di Cefalù · ITUniversity of Naples Federico II · ITASL Roma · ITAzienda Ospedaliera Universitaria Policlinico "G. Martino" · ITSapienza University of Rome · ITUniversity of Palermo · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe introduction of oral disease-modifying therapies (DMTs) for relapsing-remitting multiple sclerosis (RRMS) changed algorithms of RRMS treatment.

objectivesTo compare the effectiveness of treatment with dimethyl fumarate (DMF) and teriflunomide (TRF) in a large multicentre Italian cohort of RRMS patients. MATERIALS AND

methodsPatients with RRMS who received treatment with DMF and TRF between January 1st, 2012 and December 31st, 2018 from twelve MS centers were identified. The events investigated were "time-to-first-relapse", "time-to-Magnetic-Resonance-Imaging (MRI)-activity" and "time-to-disability-progression".

results1445 patients were enrolled (1039 on DMF, 406 on TRF) and followed for a median of 34 months. Patients on TRF were older (43.5 ± 8.6 vs 38.8 ± 9.2 years), with a predominance of men and higher level of disability (p < 0.001 for all). Patients on DMF had a higher number of relapses and radiological activity (p < .05) at baseline. Time-varying Cox-model for the event "time-to-first relapse" revealed that no differences were found between the two groups in the first 38 months of treatment (HR

conclusionsPatients on DMF had higher relapse-free survival time than TRF group after the first 38 months on therapy.

Indexed as

CrotonatesDimethyl FumarateImmunosuppressive AgentsMultiple Sclerosis, Relapsing-RemittingToluidinesAdultData AnalysisFemaleHumansHydroxybutyratesItalyMaleMiddle AgedNitrilesCrotonatesDimethyl FumarateHydroxybutyratesImmunosuppressive AgentsNitrilesteriflunomideToluidinesDimethyl fumarateEfficacyMultiple sclerosisSafetyTeriflunomide

Identifiers

PMID32506391
OpenAlexW3032945800

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.