Evidence map›Paper›PMID 34755024›Full record

ArticleRheumatology advances in practice2021

Rituximab for interstitial pneumonia with autoimmune features at two medical centres.

Kristin M D'Silva, Iazsmin Bauer Ventura, Marcy B Bolster, Flavia V Castelino, Amita Sharma, Brent P Little, Ayodeji Adegunsoye, Mary E Strek, Hyon Choi, Sydney B Montesi

Open access · goldAbstract read
In one paragraph

Article in Rheumatology advances in practice, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.2field-weighted citation impact, top 20% 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

5 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Immunomodulatory treatment of interstitial lung disease.Therapeutic advances in respiratory disease
    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

10 authors at 3 institutions in 1 country.

Kristin M D'SilvaDivision of Rheumatology, Allergy, and Immunology.ORCID https://orcid.org/0000-0001-8370-4166
Iazsmin Bauer VenturaSection of Rheumatology, Department of Medicine, University of Chicago, Chicago, IL.
Marcy B BolsterDivision of Rheumatology, Allergy, and Immunology.
Flavia V CastelinoDivision of Rheumatology, Allergy, and Immunology.
Amita SharmaDepartment of Radiology, Division of Thoracic Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, MA.
Brent P LittleDepartment of Radiology, Division of Thoracic Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, MA.
Ayodeji AdegunsoyeSection of Pulmonary and Critical Care, Department of Medicine, University of Chicago, Chicago, IL.
Mary E StrekSection of Pulmonary and Critical Care, Department of Medicine, University of Chicago, Chicago, IL.
Hyon ChoiDivision of Rheumatology, Allergy, and Immunology.
Sydney B MontesiDepartment of Medicine, Division of Pulmonary and Critical Care Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Harvard University · USUniversity of Chicago · USENT and Allergy · US

Funding

The Effects of Urate Lowering Therapy on Inflammation, Endothelial function, andP50AR060772 · NIAMS · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI TERKELTAUB, ROBERT A. · 2012 to 2021
$12.8M
Research Training in Rheumatology at Massachusetts General HospitalT32AR007258 · NIAMS · MASSACHUSETTS GENERAL HOSPITAL · PI ANDREW D LUSTER · 1986 to 2026
$6.9M
Vascular Leak and Outcomes in IPFK23HL150331 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI MONTESI, SYDNEY · 2020 to 2024
$887k
Improving Pulmonary Fibrosis Classification with Genomics Informed Phenotypic ClustersK23HL146942 · NHLBI · UNIVERSITY OF CHICAGO · PI ADEGUNSOYE, AYODEJI · 2020 to 2024
$810k
NHLBI NIH HHS K23 HL146942NHLBI NIH HHS K23 HL150331NIAMS NIH HHS P50 AR060772NIAMS NIH HHS T32 AR007258
6 · The paper itself

Abstract

objectivesMany patients with interstitial lung disease (ILD) have autoimmune manifestations but do not meet criteria for a systemic rheumatic disease. A subset meets criteria for interstitial pneumonia with autoimmune features (IPAF) and have ILD requiring therapy. We conducted a multicentre observational study to examine the use of rituximab (RTX) in IPAF.

methodsPatients from Mass General Brigham (MGB) and University of Chicago Medicine (UCM) were included if they were ≥18 years old, met the 2015 classification criteria for IPAF and were treated with RTX. Clinical improvement was defined as improvement in four out of four domains at 1 year after RTX initiation: documented clinician global assessment; oxygen requirement; need for respiratory-related hospitalization; and survival.

resultsAt MGB, 36 IPAF patients (mean age 61 years, 44% female) were treated with RTX. At 1 year, 18 (50%) were clinically improved, 12 (33%) were stable, and 6 (17%) died from progressive respiratory failure. At UCM, 14 IPAF patients (mean age 53 years, 71% female) were treated with RTX. At 1 year, eight (57%) were improved, two (14%) were stable, three (21%) died from progressive respiratory failure, and one (7%) was lost to follow-up. Two patients experienced minor infusion reactions, and two patients discontinued therapy owing to adverse events (infections).

conclusionIn patients with IPAF treated with RTX at two medical centres, the majority (40 [80%]) demonstrated improvement/stability at 1 year. These findings call for prospective studies, including randomized clinical trials, to determine the risks, benefits and cost effectiveness of RTX in IPAF.

Indexed as

interstitial lung diseaseinterstitial pneumonia with autoimmune featureslung fibrosis

Identifiers

PMID34755024
PMCPMC8570147
OpenAlexW3214683779

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.