Evidence map›Paper›PMID 33922368›Full record

ArticleJournal of clinical medicine2021

Modified Rio Score with Platform Therapy Predicts Treatment Success with Fingolimod and Natalizumab in Relapsing-Remitting Multiple Sclerosis Patients.

Anna Jamroz-Wiśniewska, Radosław Zajdel, Agnieszka Słowik, Monika Marona, Marcin Wnuk, Monika Adamczyk-Sowa, Bożena Adamczyk, Anetta Lasek-Bal, Przemysław Puz, Arkadiusz Stęposz and 10 more

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.2field-weighted citation impact, top 22% 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

8 citing papers in PubMed, 9 citations in OpenAlex.

  1. Review
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  6. Observational
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  8. Early clinical effect of cladribine in patients with highly active multiple sclerosis in Mexico.Multiple sclerosis journal - experimental, translational and clinical
    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

20 authors at 7 institutions in 1 country.

Anna Jamroz-WiśniewskaDepartment of Neurology, Medical University of Lublin, Jaczewskiego 8, 20-054 Lublin, Poland.ORCID 0000-0002-2905-3777
Radosław ZajdelChair of Informatics in Business, University of Lodz, Rewolucji 1905 Roku 37/39, 91-001 Lodz, Poland.ORCID 0000-0002-1654-8957
Agnieszka SłowikDepartment of Neurology, Collegium Medicum, Jagiellonian University, Jakubowskiego 2, 30-688 Krakow, Poland.ORCID 0000-0002-8261-537X
Monika MaronaDepartment of Neurology, Collegium Medicum, Jagiellonian University, Jakubowskiego 2, 30-688 Krakow, Poland.
Marcin WnukDepartment of Neurology, Collegium Medicum, Jagiellonian University, Jakubowskiego 2, 30-688 Krakow, Poland.ORCID 0000-0002-1090-7496
Monika Adamczyk-SowaDepartment of Neurology, School of Health Sciences in Zabrze, Medical University of Silesia in Katowice, 3-go Maja 13-15, 41-800 Zabrze, Poland.
Bożena AdamczykDepartment of Neurology, School of Health Sciences in Zabrze, Medical University of Silesia in Katowice, 3-go Maja 13-15, 41-800 Zabrze, Poland.
Anetta Lasek-BalDepartment of Neurology, School of Health Sciences, Medical University of Silesia in Katowice, Ziolowa 45-47, 40-635 Katowice, Poland.
Przemysław PuzDepartment of Neurology, School of Health Sciences, Medical University of Silesia in Katowice, Ziolowa 45-47, 40-635 Katowice, Poland.
Arkadiusz StęposzDepartment of Neurology, School of Health Sciences, Medical University of Silesia in Katowice, Ziolowa 45-47, 40-635 Katowice, Poland.
Ewa KrzystanekDepartment of Neurology, Faculty of Medical Sciences in Katowice, Medical University of Silesia, Medykow 14, 40-752 Katowice, Poland.
Maja Patalong-OgiewaDepartment of Neurorehabilitation, Faculty of Medical Sciences in Katowice, Medical University of Silesia, Medykow 14, 40-752 Katowice, Poland.
Anna Pokryszko-DraganDepartment of Neurology, Wroclaw Medical University, Borowska 213, 50-566 Wroclaw, Poland.
Sławomir BudrewiczDepartment of Neurology, Wroclaw Medical University, Borowska 213, 50-566 Wroclaw, Poland.
Dorota KoziarskaDepartment of Neurology, Pomeranian Medical University in Szczecin, Unii Lubelskiej 1, 71-252 Szczecin, Poland.ORCID 0000-0003-1548-184X
Anna KarbickaDepartment of Neurology, Regional Hospital, Arkonska 4, 71-455 Szczecin, Poland.
Sławomir WawrzyniakDepartment of Neurology, 10th Military Research Hospital and Polyclinic, Powstancow Warszawy 5, 85-681 Bydgoszcz, Poland.
Waldemar FryzeDepartment of Neurology, Copernicus Pl, M. Kopernik Hospital, Nowe Ogrody 1-6, 80-803 Gdansk, Poland.
Marzena Furtak-NiczyporukDepartment of Public Health, Medical University of Lublin, 20-954 Lublin, Poland.
Konrad RejdakDepartment of Neurology, Medical University of Lublin, Jaczewskiego 8, 20-054 Lublin, Poland.ORCID 0000-0002-7019-6681
Medical University of Silesia · PLJagiellonian University · PLMedical University of Lublin · PLWroclaw Medical University · PLCopernicus Memorial Hospital · PLPomeranian Medical University · PLUniversity of Łódź · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundReliable markers of disease outcomes in multiple sclerosis (MS) would help to predict the response to treatment in patients treated with high efficacy drugs. No evidence of disease activity (NEDA) has become a treatment goal whereas the modified Rio score (MRS) predicts future suboptimal responders to treatment. The aim of our study was to identify factors that would predict poor response to treatment with natalizumab and fingolimod.

methodsIn the multicenter prospective trial, 336 subjects were enrolled, initiating therapy with natalizumab (

resultsNEDA-3 after the first year of therapy was 73.9% for natalizumab and 54.8% for fingolimod (

conclusionWe conclude that switching to the second-line therapy should occur earlier to enable better results for patients treated with natalizumab or fingolimod. The outcome on both drugs is better with better neurological conditions and lower MRS of the patient on the platform therapy.

Indexed as

fingolimodmodified Rio score (MRS)natalizumabno evidence of disease activity (NEDA)relapsing-remitting type of multiple sclerosis

Identifiers

PMID33922368
PMCPMC8122749
OpenAlexW3159038283

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.