Evidence map›Paper›PMID 33539318›Full record

Trial reportEuropean journal of endocrinology2021

Efficacy and safety of tripterygium glycosides for active moderate to severe Graves' ophthalmopathy: a randomised, observer-masked, single-centre trial.

Xiaozhen Ye, Heng Zhao, Jun Liu, Bin Lu, Jiaqing Shao, Jian Wang

RetractedOpen access · hybridAbstract readRandomized Controlled TrialRetracted Publication
In one paragraph

Trial report in European journal of endocrinology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It has been retracted, and should not be counted. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.2field-weighted citation impact, top 34% 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

0 citing papers in PubMed, 2 citations in OpenAlex.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Xiaozhen YeDepartment of Endocrinology, Jinling Hospital, Affiliated Hospital of Medical College of Nanjing University.
Heng ZhaoDepartment of Endocrinology, Jinling Hospital, Affiliated Hospital of Medical College of Nanjing University.
Jun LiuDepartment of Endocrinology, Jinling Hospital, Affiliated Hospital of Medical College of Nanjing University.
Bin LuDepartment of Endocrinology, Jinling Hospital, Affiliated Hospital of Medical College of Nanjing University.
Jiaqing ShaoDepartment of Endocrinology, Jinling Hospital, Affiliated Hospital of Medical College of Nanjing University.
Jian WangDepartment of Endocrinology, Taikang Xianlin Drum Tower Hospital, Nanjing, Jiangsu Province, China.
Nanjing General Hospital of Nanjing Military Command · CNNanjing University · CNNanjing Drum Tower Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTripterygium glycosides (TG) has been used to treat a spectrum of inflammatory and autoimmune diseases. Our preliminary studies have shown that TG is effective in the treatment of active Graves' ophthalmopathy (GO).

objectiveWe aimed to compare the efficacy and tolerability of TG with intravenous methylprednisolone (iv.MP) in patients with active moderate-to-severe GO.

methodsThis study was an observer-masked, single-centre, block-randomised trial. Patients with active moderate-to-severe GO were randomly assigned to receive iv.MP (500 mg once per week for 6 weeks followed by 250 mg per week for 6 weeks) or with TG (20 mg tablet three times per day for 24 weeks). The primary endpoints were the overall response rate and the patients' quality of life at 12 and 24 weeks.

resultsIn this study, 161 patients were enrolled and randomised from 2015 to 2019. A total of 79 were randomly assigned to receive iv.MP and 82 to receive TG. A greater overall response rate was found in the TG group compared with the iv.MP group at week 24 (90.2% vs 68.4%, P = 0.000). Similarly, the patients' quality of life of the TG group showed a significantly higher response than the iv.MP group at week 24 (89.02% vs 72.15%, P = 0.001). The TG therapy showed a better CAS response than the iv.MP (91.5% vs 70.9% improved, P < 0.05), and up to 91.2% of patients were inactive. Also, the TG group showed a significantly higher improved rate of diplopia, proptosis, visual acuity, soft tissue involved and the decrease of eye muscle motility than the iv.MP group at week 24. Significantly more patients in the iv.MP group than the TG group experienced adverse events.

conclusionCompared with iv.MP treatment, TG therapy is more effective and safer for patients with active moderate to severe GO.

Indexed as

TripterygiumAdministration, IntravenousAdultAntithyroid AgentsDiplopiaExophthalmosEye PainFemaleGlucocorticoidsGlycosidesGraves DiseaseGraves OphthalmopathyHumansHypothyroidismMaleMethylprednisoloneAntithyroid AgentsGlucocorticoidsGlycosidesMethylprednisolonePlant ExtractsThyroxine

Identifiers

PMID33539318
PMCPMC7849376
OpenAlexW3145962029

What OpenQuestion holds

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Registered trials

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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.