Evidence map›Paper›PMID 33891277›Full record

ReviewNeurology and therapy2021

Position of Cladribine Tablets in the Management of Relapsing-Remitting Multiple Sclerosis: An Expert Narrative Review From the United Arab Emirates.

Jihad S Inshasi, Sarmed Alfahad, Taoufik Alsaadi, Ali Hassan, Tayseer Zein, Victoria Ann Mifsud, Suzan Ibrahim Nouri, Mustafa Shakra, Ahmed Osman Shatila, Miklos Szolics and 3 more

Abstract readReview
In one paragraph

Review in Neurology and therapy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. Identifying Cladribine prescription pattern in MS: an Italian multicentre study.Therapeutic advances in neurological disorders · 2025
    Article
  2. Review
  3. Review
  4. 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

13 authors.

Jihad S InshasiNeurology Department, Rashid Hospital and Dubai Medical College, Dubai Health Authority (DHA), PO Box 4545, Dubai, UAE. inshasi@emirates.net.ae.ORCID http://orcid.org/0000-0001-5892-751X
Sarmed AlfahadNeurology Department, Neurospinal Hospital, Baghdad Medical College, Dubai, UAE.
Taoufik AlsaadiNeurology Department, American Center for Psychiatry and Neurology, Dubai, UAE.
Ali HassanNeurology Medical Clinic, Tawam Hospital, Abu Dhabi, UAE.
Tayseer ZeinNeurology Department, AlQassami Hospital, Sharjah, UAE.
Victoria Ann MifsudNeurologic Institute, Cleveland Clinic Abu Dhabi, Abu Dhabi, UAE.
Suzan Ibrahim NouriMedical College, UHS University Hospital Sharjah, Sharjah, UAE.
Mustafa ShakraDepartment of Neurology, Sheikh Khalifa Medical City, Abu Dhabi, UAE.
Ahmed Osman ShatilaNeurology Consultant, Sheikh Shakhbout Medical City, Abu Dhabi, UAE.
Miklos SzolicsNeurology Medical Clinic, Tawam Hospital, Abu Dhabi, UAE.
Mona ThakreNeurology Department, Al Zahra Hospital, Dubai, UAE.
Ajit KumarNeurology Department, NMC Specialty Hospital, Al Nahda, Dubai, UAE.
Amir BoshraMerck Serono Middle East FZ Ltd, Dubai, UAE.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The use of immune reconstitution therapies (IRT) in patients with relapsing-remitting multiple sclerosis (RRMS) is associated with a prolonged period of freedom from relapses in the absence of continuously applied therapy. Cladribine tablets is a disease-modifying treatment (DMT) indicated for highly active relapsing multiple sclerosis (MS) as defined by clinical or imaging features. Treatment with cladribine tablets is effective and well tolerated in patients with active MS disease and have a low burden of monitoring during and following treatment. In this article, an expert group of specialist neurologists involved in the care of patients with MS in the United Arab Emirates provides their consensus recommendations for the practical use of cladribine tablets according to the presenting phenotype of patients with RRMS. The IRT approach may be especially useful for patients with highly active MS insufficiently responsive to treatment with a first-line DMT, those who are likely to adhere poorly to a continuous therapeutic regimen, treatment-naïve patients with high disease activity at first presentation, or patients planning a family who are prepared to wait until at least 6 months after the end of treatment. Information available to date does not suggest an adverse interaction between cladribine tablets and COVID-19 infection. Data are unavailable at this time regarding the efficacy of COVID-19 vaccination in patients treated with cladribine tablets. Robust immunological responses to COVID-19 infection or to other vaccines have been observed in patients receiving this treatment, and treatment with cladribine tablets per se should not represent a barrier to this vaccination.

Indexed as

Cladribine tabletsDisease-modifying therapyMultiple sclerosisUnited Arab Emirates

Identifiers

PMID33891277
PMCPMC8062252

What OpenQuestion holds

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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.