Evidence map›Paper›PMID 34275102›Full record

ArticleCNS drugs2021

Efficacy, Retention and Tolerability of Everolimus in Patients with Tuberous Sclerosis Complex: A Survey-Based Study on Patients' Perspectives.

Laurent M Willems, Felix Rosenow, Susanne Schubert-Bast, Gerhard Kurlemann, Johann Philipp Zöllner, Thomas Bast, Astrid Bertsche, Ulrich Bettendorf, Daniel Ebrahimi-Fakhari, Janina Grau and 28 more

Open access · hybridAbstract read
In one paragraph

Article in CNS drugs, 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
2.3field-weighted citation impact, top 11% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Review
  5. Review
  6. Article
  7. Review
  8. 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

38 authors at 20 institutions in 2 countries.

Laurent M WillemsEpilepsy Center Frankfurt Rhine-Main and Department of Neurology, Goethe-University Frankfurt, Schleusenweg 2-16 (Haus 95), 60528, Frankfurt am Main, Germany.
Felix RosenowEpilepsy Center Frankfurt Rhine-Main and Department of Neurology, Goethe-University Frankfurt, Schleusenweg 2-16 (Haus 95), 60528, Frankfurt am Main, Germany.
Susanne Schubert-BastEpilepsy Center Frankfurt Rhine-Main and Department of Neurology, Goethe-University Frankfurt, Schleusenweg 2-16 (Haus 95), 60528, Frankfurt am Main, Germany.
Gerhard KurlemannSt. Bonifatius Hospital, Lingen, Germany.
Johann Philipp ZöllnerEpilepsy Center Frankfurt Rhine-Main and Department of Neurology, Goethe-University Frankfurt, Schleusenweg 2-16 (Haus 95), 60528, Frankfurt am Main, Germany.
Thomas BastEpilepsy Center Kork, Clinic for Children and Adolescents, Kehl-Kork, Germany.
Astrid BertscheDepartment of Neuropediatrics, University Hospital for Children and Adolescents, Rostock, Germany.
Ulrich BettendorfNeuropediatric Practice, Hirschaid, Germany.
Daniel Ebrahimi-FakhariDepartment of General Pediatrics, Division of Neuropediatrics, University Hospital Münster, Münster, Germany.
Janina GrauEpilepsy Center Frankfurt Rhine-Main and Department of Neurology, Goethe-University Frankfurt, Schleusenweg 2-16 (Haus 95), 60528, Frankfurt am Main, Germany.
Andreas HahnDepartment of Neuropediatrics, Justus-Liebig-University Gießen, Gießen, Germany.
Hans HartmannClinic for Pediatric Kidney, Liver and Metabolic Diseases, Hannover Medical School, Hannover, Germany.
Christoph HertzbergDepartment of Neuropediatrics, Vivantes Klinikum Neukölln, Berlin, Germany.
Frauke HornemannDepartment of Neuropediatrics, Leipzig University Hospital for Children and Adolescents, Leipzig, Germany.
Ilka ImmischEpilepsy Center Hessen and Department of Neurology, Philipps-University Marburg, Marburg (Lahn), Germany.
Julia JacobsDepartment of Neuropediatrics and Muscle Disorders, Center for Pediatrics, Faculty of Medicine, University of Freiburg, Freiburg im Breisgau, Germany.
Karl Martin KleinEpilepsy Center Frankfurt Rhine-Main and Department of Neurology, Goethe-University Frankfurt, Schleusenweg 2-16 (Haus 95), 60528, Frankfurt am Main, Germany.
Kerstin A KlotzDepartment of Neuropediatrics and Muscle Disorders, Center for Pediatrics, Faculty of Medicine, University of Freiburg, Freiburg im Breisgau, Germany.
Gerhard KlugerClinic for Neuropediatrics and Neurorehabilitation, Epilepsy Center for Children and Adolescents, Schön Klinik Vogtareuth, Vogtareuth, Germany.
Susanne KnakeEpilepsy Center Hessen and Department of Neurology, Philipps-University Marburg, Marburg (Lahn), Germany.
Markus KnufDepartment of Pediatrics, Klinikum Worms, Worms, Germany.
Klaus MarquardDepartment of Pediatric Neurology, Psychosomatics and Pain Management, Klinikum Stuttgart, Stuttgart, Germany.
Thomas MayerEpilepsy Center Kleinwachau, Radeberg, Germany.
Sascha MeyerDepartment of Neuropediatrics, University Children´s Hospital of Saarland, Homburg, Germany.
Hiltrud MuhleDepartment of Neuropediatrics, Christian-Albrechts-University Kiel and University Hospital Schleswig-Holstein, Kiel, Germany.
Karen Müller-SchlüterEpilepsy Center for Children, University Hospital Neuruppin, Brandenburg Medical School, Neuruppin, Germany.
Felix von PodewilsDepartment of Neurology, Epilepsy Center, University Medicine Greifswald, Greifswald, Germany.
Susanne RufDepartment of Neuropediatrics, University Hospital Tübingen, Tübingen, Germany.
Matthias SauterKlinikum Kempten, Klinikverbund Allgäu, Kempten/Allgäu, Germany.
Hannah SchäferDivision of Nephrology, Medizinische Klinik und Poliklinik IV, Klinikum der LMU München - Innenstadt, München, Germany.
Jan-Ulrich SchlumpDepartment of Neuropediatrics, University of Witten/Herdecke, Herdecke, Germany.
Steffen SyrbeDivision of Pediatric Epileptology, Center for Pediatrics and Adolescent Medicine, University Hospital Heidelberg, Heidelberg, Germany.
Charlotte ThielsDepartment of Neuropediatrics and Social Pediatrics, St. Josef-Hospital, University Hospital of Pediatrics and Adolescent Medicine, Ruhr-University Bochum, Bochum, Germany.
Regina TrollmannDepartment of Neuropediatrics, Friedrich-Alexander University of Erlangen-Nürnberg, Erlangen, Germany.
Adelheid Wiemer-KruelEpilepsy Center Kork, Clinic for Children and Adolescents, Kehl-Kork, Germany.
Bernd WilkenDepartment of Neuropediatrics, Klinikum Kassel, Kassel, Germany.
Bianca ZukunftDepartment of Nephrology and Internal Intensive Care, Charité - University Medicine Berlin, Berlin, Germany.
Adam StrzelczykEpilepsy Center Frankfurt Rhine-Main and Department of Neurology, Goethe-University Frankfurt, Schleusenweg 2-16 (Haus 95), 60528, Frankfurt am Main, Germany. strzelczyk@med.uni-frankfurt.de.ORCID 0000-0001-6288-9915
Goethe University Frankfurt · DEDiakonie Kork · DEPhilipps University of Marburg · DEUniversity of Freiburg · DECharité - Universitätsmedizin Berlin · DEChristian-Albrechts-Universität zu Kiel · DEEpilepsiezentrum Kleinwachau Gemeinnützige · DEFriedrich-Alexander-Universität Erlangen-Nürnberg · DEHeidelberg University · DEJustus-Liebig-Universität Gießen · DEKempten University of Applied Sciences · DEKlinikum Kassel · DEKlinikum Stuttgart · DEMedizinische Hochschule Brandenburg Theodor Fontane · DEMedizinische Hochschule Hannover · DESchön Klinik Vogtareuth · DESt. Bonifatius Hospital · DESt. Josef-Hospital · DETUM Klinikum · DEUniversitätsmedizin Greifswald · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe approval of everolimus (EVE) for the treatment of angiomyolipoma (2013), subependymal giant cell astrocytoma (2013) and drug-refractory epilepsy (2017) in patients with tuberous sclerosis complex (TSC) represents the first disease-modifying treatment option available for this rare and complex genetic disorder.

objectiveThe objective of this study was to analyse the use, efficacy, tolerability and treatment retention of EVE in patients with TSC in Germany from the patient's perspective.

methodsA structured cross-age survey was conducted at 26 specialised TSC centres in Germany and by the German TSC patient advocacy group between February and July 2019, enrolling children, adolescents and adult patients with TSC.

resultsOf 365 participants, 36.7% (n = 134) reported the current or past intake of EVE, including 31.5% (n = 115) who were taking EVE at study entry. The mean EVE dosage was 6.1 ± 2.9 mg/m

conclusionsFrom the patients' perspective, EVE is an effective and relatively well-tolerated disease-modifying treatment option for children, adolescents and adults with TSC, associated with a high long-term retention rate that can be individually considered for each patient. Everolimus therapy should ideally be supervised by a centre experienced in the use of mechanistic target of rapamycin inhibitors, and adverse effects should be monitored on a regular basis.

Indexed as

Medication AdherencePatient PreferenceSurveys and QuestionnairesAdolescentAdultAgedChildChild, PreschoolEverolimusFatigueFemaleGermanyHumansImmunosuppressive AgentsInfantMaleEverolimusImmunosuppressive Agents

Identifiers

PMID34275102
PMCPMC8478774
OpenAlexW3186046354

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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.