Evidence map›Paper›PMID 33948221›Full record

ArticleMultiple sclerosis journal - experimental, translational and clinical

Impact of natalizumab on quality of life in a real-world cohort of patients with multiple sclerosis: Results from MS PATHS.

Carrie M Hersh, Bernd Kieseier, Carl de Moor, Deborah M Miller, Denise Campagnolo, James R Williams, Kathryn C Fitzgerald, Kuangnan Xiong, Marisa P McGinley, Megan Hyland and 3 more

Open access · goldAbstract read
In one paragraph

Article in Multiple sclerosis journal - experimental, translational and clinical. 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
2.0field-weighted citation impact, top 14% 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, 14 citations in OpenAlex.

  1. Review
  2. Real-world evidence and patient preference for subcutaneousTherapeutic advances in neurological disorders · 2024
    Article
  3. Review
  4. Article
  5. Updates and advances in multiple sclerosis neurotherapeutics.Neurodegenerative disease management · 2023
    Review
  6. Article
  7. Article
  8. 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 at 5 institutions in 2 countries.

Carrie M HershLou Ruvo Center for Brain Health, Cleveland Clinic, Las Vegas, NV, USA.ORCID https://orcid.org/0000-0002-5716-5645
Bernd Kieseier
Carl de MoorBiogen, Cambridge, MA, USA, at the time of these analyses.
Deborah M MillerMellen Center, Cleveland Clinic Main Campus, Cleveland, OH, USA.ORCID https://orcid.org/0000-0002-8026-1854
Denise Campagnolo
James R WilliamsBiogen, Cambridge, MA, USA.
Kathryn C FitzgeraldDepartment of Neurology, Johns Hopkins University, Baltimore, MD, USA.ORCID https://orcid.org/0000-0003-3137-0322
Kuangnan XiongBiogen, Cambridge, MA, USA, at the time of these analyses.
Marisa P McGinleyMellen Center, Cleveland Clinic Main Campus, Cleveland, OH, USA.ORCID https://orcid.org/0000-0002-7463-6787
Megan HylandDepartment of Neurology, University of Rochester Medical Center, Rochester, NY, USA.
Richard A RudickBiogen, Cambridge, MA, USA, at the time of these analyses.
Tjalf ZiemssenDepartment of Neurology, Multiple Sclerosis Center and Neuroimmunological Laboratory, University Clinic Carl-Gustav Carus, Dresden, Germany.ORCID https://orcid.org/0000-0001-8799-8202
Irene KoulinskaBiogen, Cambridge, MA, USA, at the time of these analyses.ORCID https://orcid.org/0000-0002-4918-4045
Biogen (United States) · USCleveland Clinic · USJohns Hopkins University · USUniversity Hospital Carl Gustav Carus · DEUniversity of Rochester Medical Center · US

Funding

Institutional Career Development CoreKL2TR002547 · NCATS · CASE WESTERN RESERVE UNIVERSITY · PI DWEIK, RAED A. · 2018 to 2022
$7.7M
Circadian Rhythms and Sleep, Structural Neuroimaging and Depression in People with Multiple SclerosisK01MH121582 · NIMH · JOHNS HOPKINS UNIVERSITY · PI FITZGERALD, KATHRYN C. · 2019 to 2022
$675k
NCATS NIH HHS KL2 TR002547NIMH NIH HHS K01 MH121582
6 · The paper itself

Abstract

backgroundOptimizing multiple sclerosis treatment warrants understanding of changes in physical, mental, and social health.

objectiveTo assess the impact of natalizumab on Quality of Life in Neurological Disorders (Neuro-QoL) scores.

methodsAnnualized change in T-scores and likelihood of ≥5-point improvement over baseline were calculated for each Neuro-QoL domain after natalizumab initiation. Comparisons with ocrelizumab-treated patients were conducted after propensity score weighting and adjustment for relevant co-medications, year, and drug-year interaction.

resultsAmong 164 natalizumab patients analyzed, 8 of 12 Neuro-QoL domains improved significantly, with greater improvement in patients with abnormal baseline Neuro-QoL. In the subgroup comparison of natalizumab-treated (

conclusionsNatalizumab can produce clinically meaningful improvements in mental and social health. Such improvements are unlikely to be primarily driven by expectation bias, as their magnitude exceeded improvements with another high-efficacy therapy, ocrelizumab.

Indexed as

depressionfatiguemultiple sclerosisNatalizumabNeuro-QoLsleep

Identifiers

PMID33948221
PMCPMC8053767
OpenAlexW3156985747

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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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.