Evidence map›Paper›PMID 33933026›Full record

ArticleBMC neurology2021

Rituximab and risk of COVID-19 infection and its severity in patients with MS and NMOSD.

Sara Esmaeili, Mohammad Hossein Abbasi, Meysam Abolmaali, Mohammad Mojtahed, Seyedeh Niloufar Rafiei Alavi, Sevim Soleimani, Mahisa Mokhtari, Jaber Hatam, Samaneh Tanhapour Khotbehsara, Mohammad Reza Motamed and 3 more

Abstract read
In one paragraph

Article in BMC neurology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–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

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Hypogammaglobulinemia, late-onset neutropenia, and infections following rituximab.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2023
    Review
  3. Article
  4. Review
  5. COVID-19 clinical outcomes and DMT of MS patients and population-based controls.Annals of clinical and translational neurology · 2022
    Article
  6. COVID-19 in neuromyelitis optica spectrum disorder patients in Poland.Multiple sclerosis and related disorders · 2022
    Article
  7. Review
  8. Article
  9. Article
  10. Review
  11. 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

13 authors.

Sara EsmaeiliCellular and Molecular Research Center, Iran university of medical sciences, Tehran, Iran.
Mohammad Hossein AbbasiCellular and Molecular Research Center, Iran university of medical sciences, Tehran, Iran.
Meysam AbolmaaliDepartment of Neurology, Iran University of Medical Sciences, Tehran, Iran.
Mohammad MojtahedSchool of Advanced Technologies in Medicine, Iran University of Medical Sciences, Tehran, Iran.
Seyedeh Niloufar Rafiei AlaviDepartment of Neurology, Iran University of Medical Sciences, Tehran, Iran.
Sevim SoleimaniSchool of Medicine, Shahid Beheshti Medical University, Tehran, Iran.
Mahisa MokhtariDepartment of Neurology, Iran University of Medical Sciences, Tehran, Iran.
Jaber HatamDepartment of Neurosurgery, Iran University of Medical Sciences, Tehran, Iran.
Samaneh Tanhapour KhotbehsaraDepartment of Neurology, Iran University of Medical Sciences, Tehran, Iran.
Mohammad Reza MotamedDepartment of Neurology, Iran University of Medical Sciences, Tehran, Iran.
Mohammad Taghi JoghataeiCellular and Molecular Research Center, Iran university of medical sciences, Tehran, Iran.
Zahra MirzaasgariDepartment of Neurology, Iran University of Medical Sciences, Tehran, Iran. Zahra.Mirzaasgari@gmail.com.
Mehdi MoghaddasiDepartment of Neurology, Iran University of Medical Sciences, Tehran, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChoosing a safe disease modifying therapy during the COVID-19 pandemic is challenging. This case series study was conducted to determine the incidence rate and the course of Covid-19 infection in MS/NMOSD patients treated with Rituximab.

methodsIn this study, we designed a web-based questionnaire. Baseline information such as patient- reported walking disability, total number of Rituximab infusions received, delayed injections, occurrence of any relapse, and the use of corticosteroids during the pandemic were collected. Also, information regarding the Covid-19 pandemic such as adherence to self-isolation, any recent exposure to an infected individual and the presence of suggestive symptoms were collected. In case of positive test results, patients were grouped into 2 categories; mild to moderate and seriously ill and outcomes were evaluated as favorable (improved/ discharged) and unfavorable (expired).

resultsTwo hundred fifty-eight patients with Multiple Sclerosis were enrolled in this study, 9 of the subjects (3.4%) were confirmed positive for Covid-19, five of which required hospitalizations (55.5%), two patients required ICU admission (22.2%) and 2 two patients died (22.2%). None of these patients ever mentioned using corticosteroids during the pandemic. In comparison to MS patients who were not receiving disease modifying therapy (DMT), our study indicated a higher incidence of Covid-19 infection, higher ratio of serious illness and a higher fatality ratio.

conclusionsRituximab seems not to be safe enough during the pandemic.

Indexed as

AdolescentAdultCOVID-19FemaleHumansImmunologic FactorsMaleMultiple SclerosisRecurrenceRituximabYoung AdultImmunologic FactorsRituximabCOVID-19Disease modifying therapyMSMultiple sclerosisNeuromyelitis OpticaNMORituximab

Identifiers

PMID33933026
PMCPMC8087518

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.