Evidence map›Paper›PMID 35111165›Full record

ArticleFrontiers in immunology2021

Replacement and Immunomodulatory Activities of 20% Subcutaneous Immunoglobulin Treatment: A Single-Center Retrospective Study in Autoimmune Myositis and CVID Patients.

Maria Giovanna Danieli, Jacopo Umberto Verga, Cristina Mezzanotte, Irene Terrenato, Silvia Svegliati, Maria Beatrice Bilo, Gianluca Moroncini

Open access · goldAbstract read
In one paragraph

Article in Frontiers in immunology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.8field-weighted citation impact, top 31% 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

6 citing papers in PubMed, 11 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

7 authors at 4 institutions in 2 countries.

Maria Giovanna DanieliDepartment of Clinical and Molecular Sciences, Marche Polytechnic University, Ancona, Italy.
Jacopo Umberto VergaDepartment of Life and Environmental Sciences, Polytechnic University of Marche, Ancona, Italy.
Cristina MezzanotteInternal Medicine Residency Program, Marche Polytechnic University, Ancona, Italy.
Irene TerrenatoBiostatistics and Bioinformatic Unit, Scientific Direction, IRCCS Regina Elena Cancer Institute, Rome, Italy.
Silvia SvegliatiDepartment of Clinical and Molecular Sciences, Marche Polytechnic University, Ancona, Italy.
Maria Beatrice BiloDepartment of Clinical and Molecular Sciences, Marche Polytechnic University, Ancona, Italy.
Gianluca MoronciniDepartment of Clinical and Molecular Sciences, Marche Polytechnic University, Ancona, Italy.
Marche Polytechnic University · ITAzienda Ospedaliero Universitaria Ospedali Riuniti · ITIstituti di Ricovero e Cura a Carattere Scientifico · ITScience Foundation Ireland · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Immunoglobulin (Ig) replacement therapy represents a life-saving treatment in primary antibody deficiencies. The introduction of subcutaneous Ig (SCIg) administration brings a major improvement in quality of life for patients, compared to the traditional intravenous administration. In recent years, an additional role has been proposed for Ig therapy for various inflammatory and immune-mediated diseases. Consequently, the use of SCIg has expanded from immunodeficiencies to immune-mediated diseases, such as polymyositis (PM) and dermatomyositis (DM). Given the rarity of these conditions, it is still difficult to evaluate the real impact of SCIg treatment on PM and DM, and additional data are constantly required on this topic, particularly for long-term treatments in real-life settings. Aim: This study aimed to increase the knowledge about the anti-inflammatory and immunomodulatory effects of SCIg treatment for myositis. To this aim, a long-term evaluation of the effectiveness of 20% human SCIg treatment (20% SCIg, Hizentra Results: Results support the beneficial effect and tolerability of long-term 20% SCIg therapy in PM/DM patients, reporting a significant improvement in creatine kinase levels, muscle strength, skin conditions, dysphagia, disease activity (MITAX score) and disability (HAQ-DI score). None of the patients reported systemic reactions. The duration of the reported local reactions was a few hours in 80% of the patients, and all resolved spontaneously. CVID patients reported an improvement in all the considered effectiveness parameters at the end of 20% SCIg therapy. The frequency of the adverse events reported by PM/DM patients was not different from what reported in CVID patients, where the use of SCIg therapy is more consolidated. Conclusions: This study suggests that 20% SCIg treatment represents a viable and safe treatment for PM/DM patients and a valid therapeutic alternative to IVIg, with important advantages for patients' quality of life.

Indexed as

Immunization, PassiveAdolescentAdultAgedAutoimmune DiseasesBiomarkersClinical Decision-MakingDisease ManagementDisease SusceptibilityFemaleHumansImmunoglobulins, IntravenousInfusions, SubcutaneousMaleMiddle AgedMyositisBiomarkersImmunoglobulins, Intravenouscommon variable immunodeficiencydermatomyositisimmunomodulationintravenous immunoglobulinpolymyositis

Identifiers

PMID35111165
PMCPMC8801806
OpenAlexW4206442075

What OpenQuestion holds

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LicenceCC BY
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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.