Evidence map›Paper›PMID 32960413›Full record

SynthesisDrugs in R&D2020

Systematic Review: Monoclonal Antibody-Induced Subacute Cutaneous Lupus Erythematosus.

Chrissy Bolton, Yifan Chen, Rachel Hawthorne, Ianthe R M Schepel, Elinor Harriss, Silke C Hofmann, Spencer Ellis, Alexander Clarke, Helena Wace, Blanca Martin and 1 more

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Drugs in R&D, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
3.5field-weighted citation impact, top 6% 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

12 citing papers in PubMed, 27 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Drug eruptions with novel targeted therapies - immune checkpoint and EGFR inhibitors.Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG · 2021
    Article
  10. Review
  11. Article
  12. 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

11 authors at 7 institutions in 2 countries.

Chrissy BoltonUniversity College London, University College London Hospitals NHS Foundation Trust, London, UK. Christine.bolton@nhs.net.ORCID http://orcid.org/0000-0003-0240-3244
Yifan ChenMedical Sciences Division, University of Oxford, Oxford, UK.
Rachel HawthorneJohn Radcliffe Hospital, Oxford University Hospitals NHS Trust, Oxford, UK.
Ianthe R M SchepelMedical Sciences Division, University of Oxford, Oxford, UK.
Elinor HarrissBodleian Health Care Libraries, The Knowledge Centre, Oxford University Old Road Campus Research Building, Oxford, UK.
Silke C HofmannDepartment of Dermatology, Allergology and Dermatosurgery, HELIOS University Hospital Wuppertal, University of Witten/Herdecke, Wuppertal, Germany.
Spencer EllisLister Hospital, East and North Herts NHS Trust, Stevenage, UK.
Alexander ClarkeThe Kennedy Institute of Rheumatology, University of Oxford, Oxford, UK.
Helena WaceAddenbrookes Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.
Blanca MartinDepartment of Dermatopathology, St John's Institute of Dermatology, St Thomas' Hospital, London, UK.
Joel SmithNuffield Department of Population Health, University of Oxford, Oxford, UK.
University of Oxford · GBCambridge University Hospitals NHS Foundation Trust · GBHelios Universitätsklinikum Wuppertal · DEJohn Radcliffe Hospital · GBLister Hospital · GBSt Thomas' Hospital · GBUniversity College London Hospitals NHS Foundation Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSubacute cutaneous lupus erythematosus (SCLE) lacks consensus diagnostic criteria and the pathogenesis is poorly understood. There are increasing reports of SCLE induced by monoclonal antibodies (mAbs), but there are limited data on the aetiology, clinical characteristics and natural course of this disease.

methodsWe devised a set of diagnostic criteria for SCLE in collaboration with a multinational, multispecialty panel. This systematic review employed a two-layered search strategy of five databases for cases of mAb-induced SCLE (PROSPERO registered protocol CRD42019116521). To explore the relationship between relative mAb use and the number of SCLE cases reported, the estimated number of mAb users was modelled from 2013 to 2018 global commercial data and estimated annual therapy costs.

resultsFrom 40 papers, we identified 52 cases of mAb-induced SCLE, occurring in a cohort that was 73% female and with a median age of 61 years. Fifty percent of cases were induced by anti-tumour necrosis factor (TNF)-ɑ agents. A median of three drug doses preceded SCLE onset and the lesions lasted a median of 7 weeks after drug cessation. Oral and topical corticosteroids were most frequently used. Of the licensed mAbs, adalimumab, denosumab, rituximab, etanercept and infliximab were calculated to have the highest relative number of yearly users based on global sales data. Comparing the number of mAb-induced SCLE cases with estimated yearly users, the checkpoint inhibitors pembrolizumab and nivolumab showed strikingly high rates of SCLE relative to their global use, but ipilimumab did not.

conclusionWe present the first systematic review characterising mAb-induced SCLE with respect to triggers, clinical signs, laboratory findings, prognosis and treatment approaches. We identify elevated rates associated with the use of checkpoint inhibitors and anti-TNFɑ agents.

Indexed as

Antibodies, MonoclonalHumansImmunologic FactorsInternational CooperationLupus Erythematosus, CutaneousPrognosisTreatment OutcomeAntibodies, MonoclonalImmunologic Factors

Identifiers

PMID32960413
PMCPMC7691410
OpenAlexW3087103069

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.