Evidence map›Paper›PMID 34211589›Full record

ArticleTherapeutic advances in musculoskeletal disease2021

Tocilizumab in refractory Caucasian Takayasu's arteritis: a multicenter study of 54 patients and literature review.

Diana Prieto-Peña, Pilar Bernabeu, Paloma Vela, Javier Narváez, Jesús C Fernández-López, Mercedes Freire-González, Beatriz González-Álvarez, Roser Solans-Laqué, José L Callejas Rubio, Norberto Ortego and 32 more

Open access · goldAbstract read
In one paragraph

Article in Therapeutic advances in musculoskeletal disease, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.8field-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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Observational
  3. Article
  4. Review
  5. Observational
  6. Article
  7. Observational
  8. Review
  9. Tocilizumab for faster and safer remission of Takayasu's arteritis.Therapeutic advances in chronic disease · 2022
    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

42 authors at 20 institutions in 2 countries.

Diana Prieto-PeñaDepartment of Rheumatology, Research Group on Genetic Epidemiology and Atherosclerosis in Systemic Diseases and in Metabolic Bone Diseases of the Musculoskeletal System, IDIVAL, Hospital Universitario Marqués de Valdecilla, Santander, Spain.
Pilar BernabeuDepartment of Rheumatology, Hospital General de Alicante, Alicante, Spain.
Paloma VelaDepartment of Rheumatology, Hospital General de Alicante, Alicante, Spain.
Javier NarváezDepartment of Rheumatology, Hospital de Bellvitge, Barcelona, Spain.ORCID https://orcid.org/0000-0002-1614-8064
Jesús C Fernández-LópezDepartment of Rheumatology, Complejo H. Universitario de A Coruña, A Coruña, Spain.
Mercedes Freire-GonzálezDepartment of Rheumatology, Complejo H. Universitario de A Coruña, A Coruña, Spain.
Beatriz González-ÁlvarezDepartment of Rheumatology, Hospital Nuestra Señora de la Candelaria, Tenerife, Spain.
Roser Solans-LaquéDepartment of Internal Medicine, Hospital Vall d'Hebron, Barcelona, Spain.
José L Callejas RubioAutoimmune Disease Unit, Hospital San Cecilio, Granada, Spain.
Norberto OrtegoAutoimmune Disease Unit, Hospital San Cecilio, Granada, Spain.
Carlos Fernández-DíazDepartment of Rheumatology, H. Universitario de La Princesa, IIS-Princesa, Madrid, Spain.
Esteban RubioAutoimmune Disease Unit, Hospital Virgen del Rocío, Sevilla, Spain.
Salvador García-MorilloAutoimmune Disease Unit, Hospital Virgen del Rocío, Sevilla, Spain.
Mauricio MinguezDepartment of Rheumatology, Hospital San Juan de Alicante, Alicante, Spain.
Cristina Fernández-CarballidoDepartment of Rheumatology, Hospital San Juan de Alicante, Alicante, Spain.
Eugenio de MiguelDepartment of Rheumatology, Hospital Universitario La Paz, Madrid, Spain.
Sheila MelchorDepartment of Rheumatology, Hospital Universitario 12 de Octubre, Madrid, Spain.
Eva SalgadoDepartment of Rheumatology, Complejo H. Universitario de Ourense, Ourense, Spain.
Beatriz BravoDepartment of Rheumatology, Hospital Virgen de las Nieves, Granada, Spain.
Susana Romero-YusteDepartment of Rheumatology, Complejo H. Universitario de Pontevedra, Pontevedra, Spain.
Juan SalvatierraAutoimmune Disease Unit, Hospital San Cecilio, Granada, Spain.
Cristina HidalgoDepartment of Rheumatology, Complejo Universitario de Salamanca, Salamanca, Spain.
Sara ManriqueAutoimmune Disease Unit, Hospital Regional de Málaga, Málaga, Spain.
Carlos Romero-GómezAutoimmune Disease Unit, Hospital Regional de Málaga, Málaga, Spain.
Patricia MoyaDepartment of Rheumatology, Hospital Sant Pau, Barcelona, Spain.ORCID https://orcid.org/0000-0001-8339-5420
Noelia Álvarez-RivasDepartment of Rheumatology, Hospital Universitario San Agustín, Avilés, Spain.
Javier MendizabalDepartment of Rheumatology, Complejo Hospitalario de Navarra, Pamplona, Spain.
Francisco Ortiz-SanjuánDepartment of Rheumatology, Hospital Universitario y Politécnico La Fe, Valencia, Spain.
Iván Pérez de PedroAutoimmune Disease Unit, Hospital Carlos Haya, Málaga, Spain.
José L Alonso-ValdivielsoDepartment of Rheumatology, Hospital Universitario de Burgos, Burgos, Spain.ORCID https://orcid.org/0000-0002-1862-6883
Laura Perez-SanchezDepartment of Rheumatology, Hospital Universitario Reina Sofía, Córdoba, Spain.
Rosa RoldánDepartment of Rheumatology, Hospital Universitario Reina Sofía, Córdoba, Spain.
Nagore Fernandez-LlanioDepartment of Rheumatology, Hospital Arnau de Vilanova, Valencia, Spain.
Ricardo Gómez de la TorreAutoimmune Disease Unit, Hospital Universitario Central de Asturias, Oviedo, Spain.
Silvia SuarezAutoimmune Disease Unit, Hospital Universitario Central de Asturias, Oviedo, Spain.
María Jesús Montesa CabreraDepartment of Rheumatology, Hospital Nuestra Señora de la Candelaria, Tenerife, Spain.
Mónica Delgado SánchezDepartment of Rheumatology, Hospital Nuestra Señora de la Candelaria, Tenerife, Spain.
Javier LoriceraDepartment of Rheumatology, Research Group on Genetic Epidemiology and Atherosclerosis in Systemic Diseases and in Metabolic Bone Diseases of the Musculoskeletal System, IDIVAL, Hospital Universitario Marqués de Valdecilla, Santander, Spain.
Belén Atienza-MateoDepartment of Rheumatology, Research Group on Genetic Epidemiology and Atherosclerosis in Systemic Diseases and in Metabolic Bone Diseases of the Musculoskeletal System, IDIVAL, Hospital Universitario Marqués de Valdecilla, Santander, Spain.
Santos CastañedaDepartment of Rheumatology, H. Universitario de La Princesa, IIS-Princesa, Madrid, Spain.
Miguel A González-GayRheumatology Division, Research Group on Genetic Epidemiology and Atherosclerosis in Systemic Diseases and in Metabolic Bone Diseases of the Musculoskeletal System, IDIVAL, Hospital Universitario Marqués de Valdecilla, Avenida Valdecilla s/n, Santander, 39008, Spain.ORCID https://orcid.org/0000-0002-7924-7406
Ricardo BlancoDepartment of Rheumatology, Research Group on Genetic Epidemiology and Atherosclerosis in Systemic Diseases and in Metabolic Bone Diseases of the Musculoskeletal System, IDIVAL, Hospital Universitario Marqués de Valdecilla, Santander, Spain.ORCID https://orcid.org/0000-0003-2344-2285
Instituto de Investigación Marqués de Valdecilla · ESHospital Universitario Nuestra Señora de Candelaria · ESInstituto de Investigación Biosanitaria de Granada · ESHospital General Universitario de Alicante Doctor Balmis · ESHospital Regional Universitario de Málaga · ESHospital Universitario Central de Asturias · ESHospital Universitario de La Princesa · ESHospital Universitario Reina Sofía · ESHospital Universitario Virgen del Rocío · ESHospital Universitari Sant Joan D'Alacant · ESBellvitge University Hospital · ESComplejo Hospitalario de Navarra · ESComplejo Hospitalario de Ourense · ESComplejo Hospitalario de Pontevedra · ESComplejo Hospitalario de Salamanca · ESHospital Arnau de Vilanova · ESHospital de Sant Pau · ESHospital Doctor José Molina Orosa · ESHospital Universitari i Politècnic La Fe · ESHospital Universitario 12 De Octubre · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess the efficacy and safety of tocilizumab (TCZ) in Caucasian patients with refractory Takayasu's arteritis (TAK) in clinical practice.

methodsA multicenter study of Caucasian patients with refractory TAK who received TCZ. The outcome variables were remission, glucocorticoid-sparing effect, improvement in imaging techniques, and adverse events. A comparative study between patients who received TCZ as monotherapy (TCZ

resultsThe study comprised 54 patients (46 women/8 men) with a median [interquartile range (IQR)] age of 42.0 (32.5-50.5) years. TCZ was started after a median (IQR) of 12.0 (3.0-31.5) months since TAK diagnosis. Remission was achieved in 12/54 (22.2%), 19/49 (38.8%), 23/44 (52.3%), and 27/36 (75%) patients at 1, 3, 6, and 12 months, respectively. The prednisone dose was reduced from 30.0 mg/day (12.5-50.0) to 5.0 (0.0-5.6) mg/day at 12 months. An improvement in imaging findings was reported in 28 (73.7%) patients after a median (IQR) of 9.0 (6.0-14.0) months. Twenty-three (42.6%) patients were on TCZ

conclusionTCZ in monotherapy, or combined with cDMARDs, is effective and safe in patients with refractory TAK of Caucasian origin.

Indexed as

biological therapyCaucasiancDMARDsTakayasu’s arteritisTocilizumab

Identifiers

PMID34211589
PMCPMC8216399
OpenAlexW3173518572

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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.