Evidence map›Paper›PMID 33011853›Full record

ReviewJournal of neurology2021

Recent progress in maintenance treatment of neuromyelitis optica spectrum disorder.

Trygve Holmøy, Rune Alexander Høglund, Zsolt Illes, Kjell-Morten Myhr, Øivind Torkildsen

Open access · hybridAbstract readReview
In one paragraph

Review in Journal of neurology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
5.5field-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

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 51 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Relapse-related outcomes in the Danish population-based AQP4- antibody seropositive neuromyelitis optica spectrum disorder cohort.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Treatment and Relapse Prevention of Typical and Atypical Optic Neuritis.International journal of molecular sciences · 2022
    Review
  10. Article
  11. Review
  12. Review
  13. COVID-19 in neuromyelitis optica spectrum disorder patients in Poland.Multiple sclerosis and related disorders · 2022
    Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Review
  19. Immune-Mediated Disorders Affecting the Spinal Cord and the Spine.Current neurology and neuroscience reports · 2021
    Review
  20. 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

5 authors at 3 institutions in 2 countries.

Trygve HolmøyDepartment of Neurology, Akershus University Hospital, Lørenskog, Norway. Trygve.holmoy@medisin.uio.no.ORCID http://orcid.org/0000-0002-2529-5664
Rune Alexander HøglundDepartment of Neurology, Akershus University Hospital, Lørenskog, Norway.
Zsolt IllesDepartment of Neurology, Odense University Hospital, Odense, Denmark.
Kjell-Morten MyhrDepartment of Clinical Medicine, University of Bergen, Bergen, Norway.
Øivind TorkildsenDepartment of Clinical Medicine, University of Bergen, Bergen, Norway.
Haukeland University Hospital · NOUniversity of Oslo · NOUniversity of Southern Denmark · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTreatment of neuromyelitis optica spectrum disorder (NMOSD) has so far been based on retrospective case series. The results of six randomized clinical trials including five different monoclonal antibodies targeting four molecules and three distinct pathophysiological pathways have recently been published.

methodsLiterature search on clinical trials and case studies in NMOSD up to July 10. 2020.

resultsWe review mechanism of action, efficacy and side effects, and consequences for reproductive health from traditional immunosuppressants and monoclonal antibodies including rituximab, inebilizumab, eculizumab, tocilizumab and satralizumab.

conclusionIn NMOSD patients with antibodies against aquaporin 4, monoclonal antibodies that deplete B cells (rituximab and inebilizumab) or interfere with interleukin 6 signaling (tocilizumab and satralizumab) or complement activation (eculizumab) have superior efficacy compared to placebo. Tocilizumab and rituximab were also superior to azathioprine in head-to-head studies. Rituximab, tocilizumab and to some extent eculizumab have well-known safety profiles for other inflammatory diseases, and rituximab and azathioprine may be safe during pregnancy.

Indexed as

Neuromyelitis OpticaAntibodies, Monoclonal, HumanizedAquaporin 4HumansRetrospective StudiesRituximabAntibodies, Monoclonal, HumanizedAquaporin 4RituximabsatralizumabDemyelinating diseasesMonoclonal antibodiesNeuromyelitis optica spectrum disorderTreatment

Identifiers

PMID33011853
PMCPMC8563615
OpenAlexW3090055250

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.