Evidence map›Paper›PMID 32878150›Full record

ArticleJournal of clinical medicine2020

Anti-IL-6 Receptor Tocilizumab in Refractory Graves' Orbitopathy: National Multicenter Observational Study of 48 Patients.

Lara Sánchez-Bilbao, David Martínez-López, Marcelino Revenga, Ángel López-Vázquez, Elia Valls-Pascual, Belén Atienza-Mateo, Beatriz Valls-Espinosa, Olga Maiz-Alonso, Ana Blanco, Ignacio Torre-Salaberri and 21 more

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 3 pooled it
5.9field-weighted citation impact, top 3% 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

44 citing papers in PubMed, 3 syntheses or guidelines pooled it, 81 citations in OpenAlex.

  1. Pooled it
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  9. Observational
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  14. Article
  15. Review
  16. The Use of Biologics for Thyroid Eye Disease.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2025
    Review
  17. Dysthyroid optic neuropathy treated with tocilizumab.Endocrinology, diabetes & metabolism case reports · 2025
    Article
  18. Review
  19. Article
  20. Review
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

31 authors at 15 institutions in 1 country.

Lara Sánchez-BilbaoRheumatology, Ophthalmology and Internal Medicine, Hospital Universitario Marqués de Valdecilla, IDIVAL, University of Cantabria, 39008 Santander, Spain.ORCID 0000-0002-6875-4090
David Martínez-LópezRheumatology, Ophthalmology and Internal Medicine, Hospital Universitario Marqués de Valdecilla, IDIVAL, University of Cantabria, 39008 Santander, Spain.
Marcelino RevengaRheumatology and Ophthalmology, Hospital Universitario Ramón y Cajal, 28034 Madrid, Spain.ORCID 0000-0002-7350-8214
Ángel López-VázquezRheumatology and Ophthalmology, Hospital Universitario Ramón y Cajal, 28034 Madrid, Spain.
Elia Valls-PascualRheumatology and Ophthalmology, Hospital Universitari Doctor Peset, 46017 Valencia, Spain.
Belén Atienza-MateoRheumatology, Ophthalmology and Internal Medicine, Hospital Universitario Marqués de Valdecilla, IDIVAL, University of Cantabria, 39008 Santander, Spain.ORCID 0000-0001-7119-0786
Beatriz Valls-EspinosaRheumatology and Ophthalmology, Hospital Universitari Doctor Peset, 46017 Valencia, Spain.
Olga Maiz-AlonsoRheumatology and Ophthalmology, Hospital Universitario de Donosti, 20014 San Sebastián, Spain.
Ana BlancoRheumatology and Ophthalmology, Hospital Universitario de Donosti, 20014 San Sebastián, Spain.
Ignacio Torre-SalaberriRheumatology and Ophthalmology, Hospital Universitario de Basurto, 48013 Bilbao, Spain.
Verónica Rodríguez-MéndezRheumatology and Ophthalmology, Hospital Universitario de Basurto, 48013 Bilbao, Spain.
Ángel García-AparicioRheumatology, Hospital Virgen de la Salud, 45004 Toledo, Spain.ORCID 0000-0003-1184-843X
Raúl Veroz-GonzálezRheumatology, Hospital de Mérida, 06800 Mérida, Spain.
Vega JovaníRheumatology, Hospital General Universitario de Alicante, 03010 Alicante, Spain.ORCID 0000-0001-8529-4551
Diana PeiteadoRheumatology and Ophthalmology, Hospital Universitario La Paz, 28046 Madrid, Spain.
Margarita Sánchez-OrgazRheumatology and Ophthalmology, Hospital Universitario La Paz, 28046 Madrid, Spain.
Eva TomeroRheumatology, Hospital de La Princesa, IIS-Princesa, 28006 Madrid, Spain.
Francisco J Toyos-Sáenz de MieraRheumatology, Hospital Universitario Virgen Macarena, 41009 Seville, Spain.
Valvanera PinillosRheumatology, Hospital San Pedro, 26006 Logroño, Spain.
Elena AurrecoecheaRheumatology and Ophthalmology, Hospital Sierrallana, 39300 Torrelavega, Spain.
Ángel MoraRheumatology and Ophthalmology, Hospital Sierrallana, 39300 Torrelavega, Spain.
Arantxa ConesaRheumatology, Hospital Clínico Universitario de Valencia, 46018 Valencia, Spain.
Manuel Fernández-PradaRheumatology, Hospital Universitario de Guadalajara, 19002 Guadalajara, Spain.
Juan A TroyanoOphthalmology, Hospital Universitario Clínico San Carlos, 28040 Madrid, Spain.
Vanesa Calvo-RíoRheumatology, Ophthalmology and Internal Medicine, Hospital Universitario Marqués de Valdecilla, IDIVAL, University of Cantabria, 39008 Santander, Spain.
Rosalía Demetrio-PabloRheumatology, Ophthalmology and Internal Medicine, Hospital Universitario Marqués de Valdecilla, IDIVAL, University of Cantabria, 39008 Santander, Spain.
Íñigo González-MazónRheumatology, Ophthalmology and Internal Medicine, Hospital Universitario Marqués de Valdecilla, IDIVAL, University of Cantabria, 39008 Santander, Spain.
José L HernándezRheumatology, Ophthalmology and Internal Medicine, Hospital Universitario Marqués de Valdecilla, IDIVAL, University of Cantabria, 39008 Santander, Spain.ORCID 0000-0002-6585-8847
Santos CastañedaRheumatology, Hospital de La Princesa, IIS-Princesa, 28006 Madrid, Spain.
Miguel Á González-GayRheumatology, Ophthalmology and Internal Medicine, Hospital Universitario Marqués de Valdecilla, IDIVAL, University of Cantabria, 39008 Santander, Spain.ORCID 0000-0002-7924-7406
Ricardo BlancoRheumatology, Ophthalmology and Internal Medicine, Hospital Universitario Marqués de Valdecilla, IDIVAL, University of Cantabria, 39008 Santander, Spain.
Universidad de Cantabria · ESHospital de Basurto · ESHospital Sierrallana · ESHospital Universitario de La Princesa · ESHospital Universitario Doctor Peset · ESHospital Universitario La Paz · ESHospital Universitario Ramón y Cajal · ESHospital Clínico San Carlos · ESHospital Clínico Universitario de Valencia · ESHospital General Universitario de Alicante Doctor Balmis · ESHospital San Pedro · ESHospital Universitario de Guadalajara · ESHospital Universitario Virgen Macarena · ESHospital Virgen de la Salud · ESInstituto de Arqueología-Mérida · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Graves' orbitopathy (GO) is the most common extrathyroidal manifestation of Graves' disease (GD). Our aim was to assess the efficacy and safety of Tocilizumab (TCZ) in GO refractory to conventional therapy. This was an open-label multicenter study of glucocorticoid-resistant GO treated with TCZ. The main outcomes were the best-corrected visual acuity (BVCA), Clinical Activity Score (CAS) and intraocular pressure (IOP). These outcome variables were assessed at baseline, 1st, 3rd, 6th and 12th month after TCZ therapy onset. The severity of GO was assessed according to the European Group on Graves' Orbitopathy (EUGOGO). We studied 48 (38 women and 10 men) patients (95 eyes); mean age ± standard deviation 51 ± 11.8 years. Before TCZ and besides oral glucocorticoids, they had received IV methylprednisolone (

Indexed as

corticoid-resistantextrathyroidal manifestationsGraves’ diseaseGraves’ ophthalmopathythyroid-associated ophthalmopathyTocilizumab

Identifiers

PMID32878150
PMCPMC7563792
OpenAlexW3082695978

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.