Evidence map›Paper›PMID 34046085›Full record

ArticleTherapeutic advances in neurological disorders2021

Teriflunomide in relapsing-remitting multiple sclerosis: outcomes by age and pre-treatment status.

Boris A Kallmann, Stefan Ries, Jennifer S Kullmann, Laura M Quint, Ulrich Engelmann, Andrew Chan

Open access · goldAbstract read
In one paragraph

Article in Therapeutic advances in neurological disorders, 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
1.7field-weighted citation impact, top 17% 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

4 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
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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

6 authors at 3 institutions in 2 countries.

Boris A KallmannMultiple-Sclerosis-Center Bamberg, Bamberg, Germany.
Stefan RiesNeuro Centrum Odenwald, Erbach, Germany.
Jennifer S KullmannMedical Affairs, Sanofi-Aventis Deutschland GmbH, Frankfurt, Germany.
Laura M QuintMedical Affairs, Sanofi-Aventis Deutschland GmbH, Frankfurt, Germany.
Ulrich EngelmannCountry MS Medical Head SGZ, Medical Affairs, Sanofi-Aventis Deutschland GmbH, Industriepark Höchst, K703, 65926 Frankfurt, Germany.ORCID https://orcid.org/0000-0003-0201-2681
Andrew ChanDepartment of Neurology, Bern University Hospital, University of Bern, Switzerland.
Sanofi (Germany) · DEUniversity of Bamberg · DEUniversity of Bern · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsTo investigate effectiveness and safety of teriflunomide (14 mg once daily) in association with age and pre-treatment in unselected MS patients.

methodsPrespecified analysis of a non-interventional, prospective, real-world study in Germany.

resultsA total of 558 (49.5%) patients were above 45 years old, and 593 patients (52.6%) had been pre-treated within 6 months prior to teriflunomide. Baseline Expanded Disability Status Scale (EDSS) was higher with older age, with lower number of relapses. Relapse rate decreased in all age groups, and in both treatment-naïve (0.82 ± 0.73 at baseline; 0.25 ± 0.55 under teriflunomide) and pre-treated (from 0.48 ± 0.76; 0.22 ± 0.50) patients after 12 months compared with the year before teriflunomide initiation. EDSS remained stable in patients of all age groups as well as in therapy-naïve and pre-treated patients over 24 months. The percentage of patients with adverse events (AEs) ranged between 29.2% (age group >25-35) and 38.9% (age group >55-65), with an increased discontinuation rate (most commonly due to diarrhoea, alopecia and nausea) in the higher age groups. AE rates were lower in pre-treated compared with treatment-naïve patients.

conclusionOverall, patients of all age groups including older patients, and irrespective of pre-treatment, benefit from teriflunomide treatment in routine clinical practice. REGISTRATION: BfArM public study database number 2075.

Indexed as

ageimmunosenescencemultiple sclerosisobservationalpre-treatmentsatisfactionswitchtreatment

Identifiers

PMID34046085
PMCPMC8135216
OpenAlexW3162262492

What OpenQuestion holds

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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.