Evidence map›Paper›PMID 34377526›Full record

ArticleMultiple sclerosis journal - experimental, translational and clinical

Effect of switching glatiramer acetate formulation from 20 mg daily to 40 mg three times weekly on immune function in multiple sclerosis.

Kouichi Ito, Naoko Ito, Sudhir K Yadav, Shradha Suresh, Yong Lin, Suhayl Dhib-Jalbut

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 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.2field-weighted citation impact, top 51% 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, 2 citations in OpenAlex.

  1. Review
  2. Effect of Treatment on Steroidome in Women with Multiple Sclerosis.International journal of molecular sciences · 2025
    Article
  3. Review
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 1 institution in 1 country.

Kouichi ItoDepartment of Neurology, Rutgers-Robert Wood Johnson Medical School, Piscataway, NJ, USA.ORCID https://orcid.org/0000-0002-0424-2125
Naoko ItoDepartment of Neurology, Rutgers-Robert Wood Johnson Medical School, Piscataway, NJ, USA.
Sudhir K YadavDepartment of Neurology, Rutgers-Robert Wood Johnson Medical School, Piscataway, NJ, USA.
Shradha SureshDepartment of Neurology, Rutgers-Robert Wood Johnson Medical School, Piscataway, NJ, USA.
Yong LinDepartment of Biostatistics and Epidemiology, School of Public Health, Rutgers University, Piscataway, NJ, USA.
Suhayl Dhib-JalbutDepartment of Neurology, Rutgers-Robert Wood Johnson Medical School, Piscataway, NJ, USA.
Rutgers, The State University of New Jersey · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMany RRMS patients who had been treated for over 20 years with GA 20 mg/ml daily (GA20) switched to 40 mg/ml three times-a-week (GA40) to reduce injection-related adverse events. Although GA40 is as effective as GA20 in reducing annualized relapse rate and MRI activity, it remains unknown how switching to GA40 from GA20 affects the development of pathogenic and regulatory immune cells.

objectiveTo investigate the difference in immunological parameters in response to GA20 and GA40 treatments.

methodsWe analyzed five pro-inflammatory cytokines (IL-1β, IL-23, IL-12, IL-18, TNF-α), and three anti-inflammatory/regulatory cytokines (IL-10, IL-13, and IL-27) in serum. In addition, we analyzed six cytokines (IFN-γ, IL-17A, GM-CSF, IL-10, IL-6, and IL-27) in cultured PBMC supernatants. The development of Th1, Th17, Foxp3 Tregs, M1-like, and M2-like macrophages were examined by flow cytometry. Samples were analyzed before and 12 months post switching to GA40 or GA20.

resultsPro- and anti-inflammatory cytokines were comparable between the GA40 and GA20 groups. Development of Th1, Th17, M1-like macrophages, M2-like macrophages, and Foxp3 Tregs was also comparable between the two groups.

conclusionsThe immunological parameters measured in RRMS patients treated with GA40 three times weekly are largely comparable to those given daily GA20 treatment.

Indexed as

cytokinesglatiramer acetateMultiple sclerosisregulatory T-cells

Identifiers

PMID34377526
PMCPMC8330487
OpenAlexW3188426602

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.