Evidence map›Paper›PMID 34498507›Full record

Trial reportMultiple sclerosis (Houndmills, Basingstoke, England)2022

Eculizumab monotherapy for NMOSD: Data from PREVENT and its open-label extension.

Sean J Pittock, Kazuo Fujihara, Jacqueline Palace, Achim Berthele, Ho Jin Kim, Celia Oreja-Guevara, Ichiro Nakashima, Michael Levy, Shulian Shang, Marcus Yountz and 4 more

2 registry-linked trialsOpen access · hybridAbstract readClinical Trial, Phase IIIRandomized Controlled Trial
In one paragraph

Trial report 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. It is linked to 2 registered trials, which are not on this map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
7.4field-weighted citation impact, top 2% 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.

NCT01892345 phase3terminatednot on this map

A Randomized, Double-Blind, Placebo-Controlled, Multi-Center Trial to Evaluate the Safety and Efficacy of Eculizumab in Patients With Relapsing Neuromyelitis Optica (NMO)

TypeinterventionalSponsorAlexion Pharmaceuticals, Inc.Ran2014 to 2018Enrolled143ConditionsNeuromyelitis Optica, Neuromyelitis Optica Spectrum DisorderArmsEculizumab, Placebo
NCT02003144 phase3completednot on this map

A Phase III, Open-label, Extension Trial of ECU-NMO-301 to Evaluate the Safety and Efficacy of Eculizumab in Patients With Relapsing Neuromyelitis Optica (NMO)

TypeinterventionalSponsorAlexion Pharmaceuticals, Inc.Ran2015 to 2021Enrolled119ConditionsNeuromyelitis Optica, Neuromyelitis Optica Spectrum DisorderArmseculizumab
3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 1 synthesis or guideline pooled it, 76 citations in OpenAlex.

  1. Guideline
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  9. Emerging Role of Targeted Monoclonal Antibodies in Neuromyelitis Optica Spectrum Disorders.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2025
    Review
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  15. Review
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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 9 institutions in 6 countries.

Sean J PittockDepartment of Neurology, Mayo Clinic, Rochester, MN, USA.
Kazuo FujiharaDepartment of Neurology, Tohoku University Graduate School of Medicine, Sendai, Japan/Department of Multiple Sclerosis Therapeutics, Fukushima Medical University, Fukushima City, Japan/Multiple Sclerosis and Neuromyelitis Optica Center, Southern TOHOKU Research Institute for Neuroscience (STRINS), Koriyama, Japan.
Jacqueline PalaceNuffield Department of Clinical Neurosciences, John Radcliffe Hospital, Oxford, UK.
Achim BertheleDepartment of Neurology, School of Medicine, Klinikum rechts der Isar of the Technical University of Munich, Munich, Germany.
Ho Jin KimDepartment of Neurology, Research Institute and Hospital, National Cancer Center, Goyang, South Korea.ORCID 0000-0002-8672-8419
Celia Oreja-GuevaraDepartment of Neurology, Hospital Clinico Universitario San Carlos, Madrid, Spain/Department of Medicine, Universidad Complutense de Madrid, Madrid, Spain/IdISSC, Madrid, Spain.ORCID 0000-0002-9221-5716
Ichiro NakashimaDepartment of Neurology, Tohoku University Graduate School of Medicine, Sendai, Japan/Division of Neurology, Tohoku Medical and Pharmaceutical University, Sendai, Japan.ORCID 0000-0002-2612-8948
Michael LevyDepartment of Neurology, Johns Hopkins University, Baltimore, MD, USA/Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.ORCID 0000-0002-7969-8346
Shulian ShangAlexion Pharmaceuticals, Boston, MA, USA.
Marcus YountzAlexion Pharmaceuticals, Boston, MA, USA.
Larisa MillerAlexion Pharmaceuticals, Boston, MA, USA.
Róisín ArmstrongAlexion Pharmaceuticals, Boston, MA, USA/Rallybio, New Haven, CT, USA.
Dean M WingerchukDepartment of Neurology, Mayo Clinic, Scottsdale, AZ, USA.
PREVENT Study Group
Alexion Pharmaceuticals (United States) · USMayo Clinic in Arizona · USFukushima Medical University · JPHarvard University · USJohn Radcliffe Hospital · GBNational Cancer Center · KRTohoku University · JPTUM Klinikum · DEUniversidad Complutense de Madrid · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

During PREVENT (a phase 3, randomized, double-blind, placebo-controlled, time-to-event study) and its open-label extension (interim analysis), 33 adults with aquaporin-4 immunoglobulin G-positive neuromyelitis optica spectrum disorder (AQP4-IgG + NMOSD) received eculizumab monotherapy for a median of 2.8 years (range, 14 weeks-5.2 years). At 192 weeks (~4 years), 96% of these patients were free from adjudicated relapses (Kaplan-Meier analysis; 95% confidence interval, 75.7-99.4). During PREVENT, 95% (20/21) of patients receiving eculizumab monotherapy had no disability worsening. Eculizumab monotherapy provides effective long-term relapse prevention, relieving the chronic immunosuppression burden in patients with AQP4-IgG + NMOSD. ClinicalTrials.gov; PREVENT: NCT01892345; open-label extension: NCT02003144.

Indexed as

Antibodies, Monoclonal, HumanizedNeuromyelitis OpticaAdultAquaporin 4AutoantibodiesHumansImmunoglobulin GAntibodies, Monoclonal, HumanizedAquaporin 4AutoantibodieseculizumabImmunoglobulin GClinical trialneuromyelitis optica (NMO)

Identifiers

PMID34498507
PMCPMC8894682
OpenAlexW3196401425

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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.