Evidence map›Paper›PMID 34045914›Full record

ArticleJournal of central nervous system disease2021

Effective Early Treatment of AChR Antibody-Positive Myasthenia Gravis with Rituximab; the Experience from a Neuroimmunology Clinic in a Developing Country.

Thomas Mathew, Kurian Thomas, Saji K John, Shruthi Venkatesh, Raghunandan Nadig, Sagar Badachi, Delon D Souza, Grk Sarma, Gareth J Parry

Open access · goldAbstract read
In one paragraph

Article in Journal of central nervous system disease, 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
0.5field-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, 6 citations in OpenAlex.

  1. Therapeutic challenges and unmet needs in the management of myasthenia gravis: an Italian expert opinion.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2024
    Review
  2. Article
  3. 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

9 authors at 1 institution in 1 country.

Thomas MathewDepartment of Neurology, St. John's Medical College Hospital, Bengaluru, Karnataka, India.ORCID https://orcid.org/0000-0002-3941-8020
Kurian ThomasDepartment of Neurology, St. John's Medical College Hospital, Bengaluru, Karnataka, India.
Saji K JohnDepartment of Neurology, St. John's Medical College Hospital, Bengaluru, Karnataka, India.
Shruthi VenkateshDepartment of Neurology, St. John's Medical College Hospital, Bengaluru, Karnataka, India.
Raghunandan NadigDepartment of Neurology, St. John's Medical College Hospital, Bengaluru, Karnataka, India.
Sagar BadachiDepartment of Neurology, St. John's Medical College Hospital, Bengaluru, Karnataka, India.
Delon D SouzaDepartment of Neurology, St. John's Medical College Hospital, Bengaluru, Karnataka, India.
Grk SarmaDepartment of Neurology, St. John's Medical College Hospital, Bengaluru, Karnataka, India.
Gareth J ParryDepartment of Neurology, St. John's Medical College Hospital, Bengaluru, Karnataka, India.
St.John's Medical College Hospital · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRituximab is reserved for treating refractory myasthenia gravis (MG) patients. Here we report our experience with rituximab in AChR antibody positive generalized MG (gMG) and impending myasthenic crisis (IMC).

methodsThis retrospective, observational study, conducted at a tertiary care, neuroimmunology clinic, analyzed the data of patients with AChR antibody positive gMG, treated with rituximab between 1st January 2016 and 30th October 2018.

resultsEleven patients with AChR antibody positive gMG received rituximab. Mean age of the cohort was 50.54 ± 18.71 years with 9 males. Seven out of 11 patients received rituximab in the early stage (<2 years from onset) and had good response to treatment. Four of the 5 patients with IMC improved with rituximab alone. In the 10 patients who regularly followed up, there was a significant difference between the QMG scores at baseline and at 1, 2, 6, 12, and 18 months (

conclusionRituximab appears to be a potentially effective early treatment option for AChR antibody positive generalized MG and impending myasthenic crisis.

Indexed as

acetyl choline receptor antibodyB cell therapyearly generalized myastheniaimpending myasthenic crisismyasthenia gravisRituximab

Identifiers

PMID34045914
PMCPMC8135199
OpenAlexW3160064029

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.