Evidence map›Paper›PMID 34418815›Full record

ArticleJournal of neuroimmunology2021

Humoral immune response in convalescent COVID-19 people with multiple sclerosis treated with high-efficacy disease-modifying therapies: A multicenter, case-control study.

Mario Habek, Gregor Jakob Brecl, Vanja Bašić Kes, Dunja Rogić, Barbara Barun, Tereza Gabelić, Andreja Emeršič, Alenka Horvat Ledinek, Nevena Grbić, Ivana Lapić and 4 more

Open access · bronzeAbstract readMulticenter Study
In one paragraph

Article in Journal of neuroimmunology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.1field-weighted citation impact, top 19% 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, 18 citations in OpenAlex.

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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

14 authors at 4 institutions in 2 countries.

Mario HabekDepartment of Neurology, University Hospital Center Zagreb, Zagreb, Croatia; School of Medicine, University of Zagreb, Zagreb, Croatia. Electronic address: mhabek@mef.hr.
Gregor Jakob BreclDepartment of Neurology, University Medical Centre Ljubljana, Ljubljana, Slovenia.
Vanja Bašić KesDepartment of Neurology, University Hospital Center "Sestre Milosrdnice", Zagreb, Croatia.
Dunja RogićClinical Institute for Laboratory Diagnostics, University Hospital Center Zagreb, Zagreb, Croatia. Electronic address: predstojnik.lab@kbc-zagreb.hr.
Barbara BarunDepartment of Neurology, University Hospital Center Zagreb, Zagreb, Croatia; School of Medicine, University of Zagreb, Zagreb, Croatia.
Tereza GabelićDepartment of Neurology, University Hospital Center Zagreb, Zagreb, Croatia; School of Medicine, University of Zagreb, Zagreb, Croatia.
Andreja EmeršičDepartment of Neurology, University Medical Centre Ljubljana, Ljubljana, Slovenia. Electronic address: andreja.emersic@kclj.si.
Alenka Horvat LedinekDepartment of Neurology, University Medical Centre Ljubljana, Ljubljana, Slovenia. Electronic address: alenka.horvat@kclj.si.
Nevena GrbićDepartment of Neurology, University Hospital Center "Sestre Milosrdnice", Zagreb, Croatia.
Ivana LapićClinical Institute for Laboratory Diagnostics, University Hospital Center Zagreb, Zagreb, Croatia. Electronic address: ilapic@kbc-zagreb.hr.
Dragana ŠeguljaClinical Institute for Laboratory Diagnostics, University Hospital Center Zagreb, Zagreb, Croatia. Electronic address: dsegulja@kbc-zagreb.hr.
Koraljka ĐurićDepartment for Laboratory Diagnostics, Special Hospital AGRAM, Zagreb, Croatia. Electronic address: koraljka.duric@agram-bolnica.hr.
Ivan AdamecDepartment of Neurology, University Hospital Center Zagreb, Zagreb, Croatia.
Magdalena Krbot SkorićDepartment of Neurology, University Hospital Center Zagreb, Zagreb, Croatia; Faculty of Electrical Engineering and Computing, University of Zagreb, Zagreb, Croatia.
University Hospital Centre Zagreb · HRLjubljana University Medical Centre · SISisters of Charity Hospital · HRUniversity of Zagreb · HR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo determine the influence of high-efficacy disease modifying therapy (DMT) on the development of IgG SARS-CoV-2 antibody response in COVID-19 convalescent people with multiple sclerosis (pwMS).

methodsSeventy-four pwMS taking high-efficacy DMTs (specifically natalizumab, fingolimod, alemtuzumab, ocrelizumab, cladribine and ublituximab) and diagnosed with COVID-19 and 44 healthy persons (HC) were enrolled. SARS-CoV2 antibodies were tested with Elecsys® Anti-SARSCoV-2 S assay.

resultspwMS taking high-efficacy DMTs had a significantly higher chance of having negative titer of SARS-CoV2 antibodies compared to healthy controls (33 negative pwMS [44.6%] compared to one negative HC [2.3%], p < 0.001). pwMS taking B-cell depleting therapy (ocrelizumab and ublituximab) had a significantly higher chance of having negative titer of SARS-CoV2 antibodies compared to pwMS on all other DMTs (29 negative pwMS on B-cell therapy [64.4%] compared to four negative pwMS on all other DMTs [13.8%], p < 0.001). Out of other DMTs, two (33.3%) pwMS taking fingolimod and two (16.7%) pwMS taking cladribine failed to develop IgG SARS-COV-2 antibodies. B-cell depleting therapy independently predicted negative titer of IgG SARS-CoV-2 antibody (Exp[B] =0.014, 95%CI 0.002-0.110, p < 0.001).

conclusionsA significant proportion of convalescent COVID-19 pwMS on high-efficacy DMTs will not develop IgG SARS-CoV-2 antibodies. B-cell depleting therapies independently predict negative and low titer of IgG SARS-CoV-2 antibody.

Indexed as

COVID-19 Drug TreatmentAdultAntibodies, ViralCase-Control StudiesCOVID-19FemaleHumansImmunity, HumoralImmunologic FactorsImmunosuppressive AgentsMaleMiddle AgedSARS-CoV-2Treatment OutcomeAntibodies, ViralImmunologic FactorsImmunosuppressive AgentsCOVID-19Disease modifying therapyMultiple sclerosisSARS-CoV-2 IgG antibody

Identifiers

PMID34418815
PMCPMC8366037
OpenAlexW3194742611

What OpenQuestion holds

Textmetadata
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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.