Evidence map›Paper›PMID 34382875›Full record

ArticleMultiple sclerosis (Houndmills, Basingstoke, England)2022

Ocrelizumab treatment for relapsing-remitting multiple sclerosis after a suboptimal response to previous disease-modifying therapy: A nonrandomized controlled trial.

Bianca Weinstock-Guttman, Robert Bermel, Gary Cutter, Mark S Freedman, Thomas P Leist, Xiaoye Ma, Deidre Kile, Bruno Musch, Anthony T Reder, Jerry S Wolinsky

Open access · greenAbstract readControlled Clinical Trial
In one paragraph

Article in Multiple sclerosis (Houndmills, Basingstoke, England), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
3.2field-weighted citation impact, top 8% 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

16 citing papers in PubMed, 21 citations in OpenAlex.

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  10. Assessing Sustained B-Cell Depletion and Disease Activity in a French Multiple Sclerosis Cohort Treated by Long-Term IV Anti-CD20 Antibody Therapy.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2023
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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

10 authors at 7 institutions in 2 countries.

Bianca Weinstock-GuttmanUniversity at Buffalo, Buffalo, NY, USA.ORCID 0000-0001-6732-151X
Robert BermelMellen Center for MS, Cleveland Clinic, Cleveland, OH, USA.ORCID 0000-0003-2334-6883
Gary CutterUniversity of Alabama at Birmingham, Birmingham, AL, USA.
Mark S FreedmanDepartment of Medicine and the Ottawa Hospital Research Institute, University of Ottawa, Ottawa, ON, Canada.
Thomas P LeistThomas Jefferson University, Philadelphia, PA, USA.
Xiaoye MaGenentech, Inc., South San Francisco, CA, USA.
Deidre KileGenentech, Inc., South San Francisco, CA, USA.
Bruno MuschGenentech, Inc., South San Francisco, CA, USA.
Anthony T RederUniversity of Chicago, Chicago, IL, USA.
Jerry S WolinskyMcGovern Medical School, The University of Texas Health Science Center at Houston (UTHealth), Houston, TX, USA.ORCID 0000-0002-8197-2762
Cleveland Clinic · USThe University of Texas Health Science Center at Houston · USThomas Jefferson University · USUniversity at Buffalo, State University of New York · USUniversity of Alabama at Birmingham · USUniversity of Illinois Chicago · USUniversity of Ottawa · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMany patients with multiple sclerosis (MS) experience suboptimal disease control despite the use of disease-modifying therapy (DMT).

objectiveTo assess the efficacy and safety of ocrelizumab (OCR) in patients with relapsing-remitting MS (RRMS) and suboptimal response to prior DMTs.

methodsPatients with RRMS and suboptimal responses (one clinically reported relapse and/or lesion activity) after ⩾ 6 months on another DMT were enrolled. OCR 600 mg was given intravenously every 24 weeks. The primary outcome was no evidence of disease activity (NEDA), defined as the absence of protocol-defined relapse, confirmed disability progression (CDP), T1 Gd-enhancing lesions, and new/enlarging T2 lesions.

resultsThe intention-to-treat (ITT) population included 608 patients; NEDA was analyzed in a modified ITT (mITT) population (

conclusionConsistent efficacy of OCR on clinical and magnetic resonance imaging (MRI) disease activity measures and progression was shown in patients with RRMS and a suboptimal response to prior DMTs; no new safety signals were observed.

Indexed as

Multiple SclerosisMultiple Sclerosis, Relapsing-RemittingAntibodies, Monoclonal, HumanizedHumansMagnetic Resonance ImagingAntibodies, Monoclonal, Humanizedocrelizumabdisease progressionMRIMultiple sclerosisocrelizumabsafetyswitch

Identifiers

PMID34382875
PMCPMC8978461
OpenAlexW3190957947

What OpenQuestion holds

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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.