Evidence map›Paper›PMID 33747129›Full record

ArticleTherapeutic advances in neurological disorders2021

Teriflunomide treatment is associated with optic nerve recovery in early multiple sclerosis.

Steffen Pfeuffer, Laura Kerschke, Tobias Ruck, Leoni Rolfes, Marc Pawlitzki, Philipp Albrecht, Heinz Wiendl, Sven G Meuth

Open access · goldAbstract read
In one paragraph

Article in Therapeutic advances in neurological disorders, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.8field-weighted citation impact, top 31% 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

3 citing papers in PubMed, 7 citations in OpenAlex.

  1. Review
  2. Article
  3. 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

8 authors at 2 institutions in 1 country.

Steffen PfeufferDepartment of Neurology and Institute of Translational Neurology, University Hospital Muenster, Albert-Schweitzer-Campus 1, Muenster, 48149, Germany.ORCID https://orcid.org/0000-0001-5171-4845
Laura KerschkeInstitute of Biostatistics and Clinical Research, University of Muenster, Muenster, Germany.
Tobias RuckDepartment of Neurology, Heinrich-Heine-University Duesseldorf, Duesseldorf, Germany.
Leoni RolfesDepartment of Neurology with Institute of Translational Neurology, University Hospital Muenster, Muenster, Germany.
Marc PawlitzkiDepartment of Neurology with Institute of Translational Neurology, University Hospital Muenster, Muenster, Germany.
Philipp AlbrechtDepartment of Neurology, Heinrich-Heine-University Duesseldorf, Duesseldorf, Germany.ORCID https://orcid.org/0000-0001-7987-658X
Heinz WiendlDepartment of Neurology with Institute of Translational Neurology, University Hospital Muenster, Muenster, Germany.ORCID https://orcid.org/0000-0003-4310-3432
Sven G MeuthDepartment of Neurology, Heinrich-Heine-University Duesseldorf, Duesseldorf, Germany.
University Hospital Münster · DEHeinrich Heine University Düsseldorf · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsVarious attempts have been made to support recovery following optic neuritis (ON), but the respective trials have mostly been negative. The aim of this study was to determine whether disease-modifying treatment (DMT) following ON as first manifestation of relapsing-remitting multiple sclerosis influences long-term outcomes.

methodsA total of 79 patients with ON were identified and evaluated at relapse, DMT induction, and 12 months following treatment induction with either glatiramer acetate (GLAT), interferon-beta (IFN), or teriflunomide (TRF). Low-contrast letter acuity (LCLA) and full-field visual-evoked potentials (FF-VEP) were compared between treatment groups using multivariable regression models. The impact of TRF treatment induction compared with IFN or GLAT following relapses outside the optic nerves was evaluated in an independent cohort of 122 patients. Magnetic resonance imaging (MRI) outcomes and rates of confirmed improvement of relapse-related disability were evaluated.

resultsTRF-treated patients exhibited higher LCLA and lower relative P100 latencies normalized to the fellow-eye. Findings were significant following covariate-adjustment by multivariable analyses. Cranial MRI lesion load as well as disability progression rates were not significantly different between groups. The cohort of patients following relapses other than ON showed no differences in confirmed improvement of disability.

conclusionTRF treatment is associated with favorable outcomes regarding functional optic nerve recovery following ON in early multiple sclerosis.

Indexed as

disease-modifying treatmentmultiple sclerosisoptic neuritisteriflunomide

Identifiers

PMID33747129
PMCPMC7940774
OpenAlexW3134824550

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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.