Evidence map›Paper›PMID 35379762›Full record

ArticleNeurology2022

Blood Neurofilament Light in Progressive Multiple Sclerosis: Post Hoc Analysis of 2 Randomized Controlled Trials.

David Leppert, Harald Kropshofer, Dieter A Häring, Frank Dahlke, Ashwini Patil, Rolf Meinert, Davorka Tomic, Ludwig Kappos, Jens Kuhle

2 registry-linked trialsOpen access · greenAbstract read
In one paragraph

Article in Neurology, 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 27 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 2 pooled it
6.6field-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.

NCT00731692 phase3terminatednot on this map

A Double-blind, Randomized, Multicenter, Placebo-controlled, Parallel-group Study Comparing the Efficacy and Safety of 0.5mg Fingolimod Administered Orally Once Daily Versus Placebo in Patients With Primary Progressive Multiple Sclerosis and An Open-label, Single-arm Extension Study to the Double-blind, Randomized, Multicenter, Placebo-controlled, Parallel-group Study Comparing the Efficacy and Safety of0.5 mg FTY720 Administered Orally Once Daily Versus Placebo in Patients With Primary Progressive Multiple Sclerosis

TypeinterventionalSponsorNovartis PharmaceuticalsRan2008 to 2015Enrolled970ConditionsPrimary Progressive Multiple SclerosisArmsFTY720, Placebo
NCT01665144 phase3completednot on this map

A Multicenter, Randomized, Double-blind, Parallel-group, Placebo-controlled Variable Treatment Duration Study Evaluating the Efficacy and Safety of Siponimod (BAF312) in Patients With Secondary Progressive Multiple Sclerosis Followed by Extended Treatment With Open-label BAF312.

TypeinterventionalSponsorNovartis PharmaceuticalsRan2012 to 2023Enrolled1,651ConditionsSecondary Progressive Multiple SclerosisArmsBAF312, Placebo
3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 2 syntheses or guidelines pooled it, 49 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 1 institution in 3 countries.

David LeppertFrom the Neurologic Clinic and Policlinic (D.L., L.K., J.K.), MS Center and Research Center for Clinical Neuroimmunology and Neuroscience Basel (RC2NB), University Hospital and University of Basel; Novartis Pharma AG (H.K., D.A.H., F.D., D.T.), Basel, Switzerland; Novartis Healthcare Pvt. Ltd. (A.P.), Hyderabad, India; and DATAMAP GmbH (R.M.), Freiburg, Germany.ORCID 0000-0001-6172-801X
Harald KropshoferFrom the Neurologic Clinic and Policlinic (D.L., L.K., J.K.), MS Center and Research Center for Clinical Neuroimmunology and Neuroscience Basel (RC2NB), University Hospital and University of Basel; Novartis Pharma AG (H.K., D.A.H., F.D., D.T.), Basel, Switzerland; Novartis Healthcare Pvt. Ltd. (A.P.), Hyderabad, India; and DATAMAP GmbH (R.M.), Freiburg, Germany.
Dieter A HäringFrom the Neurologic Clinic and Policlinic (D.L., L.K., J.K.), MS Center and Research Center for Clinical Neuroimmunology and Neuroscience Basel (RC2NB), University Hospital and University of Basel; Novartis Pharma AG (H.K., D.A.H., F.D., D.T.), Basel, Switzerland; Novartis Healthcare Pvt. Ltd. (A.P.), Hyderabad, India; and DATAMAP GmbH (R.M.), Freiburg, Germany.ORCID 0000-0001-5690-8710
Frank DahlkeFrom the Neurologic Clinic and Policlinic (D.L., L.K., J.K.), MS Center and Research Center for Clinical Neuroimmunology and Neuroscience Basel (RC2NB), University Hospital and University of Basel; Novartis Pharma AG (H.K., D.A.H., F.D., D.T.), Basel, Switzerland; Novartis Healthcare Pvt. Ltd. (A.P.), Hyderabad, India; and DATAMAP GmbH (R.M.), Freiburg, Germany.ORCID 0000-0003-3333-6291
Ashwini PatilFrom the Neurologic Clinic and Policlinic (D.L., L.K., J.K.), MS Center and Research Center for Clinical Neuroimmunology and Neuroscience Basel (RC2NB), University Hospital and University of Basel; Novartis Pharma AG (H.K., D.A.H., F.D., D.T.), Basel, Switzerland; Novartis Healthcare Pvt. Ltd. (A.P.), Hyderabad, India; and DATAMAP GmbH (R.M.), Freiburg, Germany.
Rolf MeinertFrom the Neurologic Clinic and Policlinic (D.L., L.K., J.K.), MS Center and Research Center for Clinical Neuroimmunology and Neuroscience Basel (RC2NB), University Hospital and University of Basel; Novartis Pharma AG (H.K., D.A.H., F.D., D.T.), Basel, Switzerland; Novartis Healthcare Pvt. Ltd. (A.P.), Hyderabad, India; and DATAMAP GmbH (R.M.), Freiburg, Germany.
Davorka TomicFrom the Neurologic Clinic and Policlinic (D.L., L.K., J.K.), MS Center and Research Center for Clinical Neuroimmunology and Neuroscience Basel (RC2NB), University Hospital and University of Basel; Novartis Pharma AG (H.K., D.A.H., F.D., D.T.), Basel, Switzerland; Novartis Healthcare Pvt. Ltd. (A.P.), Hyderabad, India; and DATAMAP GmbH (R.M.), Freiburg, Germany.
Ludwig KapposFrom the Neurologic Clinic and Policlinic (D.L., L.K., J.K.), MS Center and Research Center for Clinical Neuroimmunology and Neuroscience Basel (RC2NB), University Hospital and University of Basel; Novartis Pharma AG (H.K., D.A.H., F.D., D.T.), Basel, Switzerland; Novartis Healthcare Pvt. Ltd. (A.P.), Hyderabad, India; and DATAMAP GmbH (R.M.), Freiburg, Germany.
Jens KuhleFrom the Neurologic Clinic and Policlinic (D.L., L.K., J.K.), MS Center and Research Center for Clinical Neuroimmunology and Neuroscience Basel (RC2NB), University Hospital and University of Basel; Novartis Pharma AG (H.K., D.A.H., F.D., D.T.), Basel, Switzerland; Novartis Healthcare Pvt. Ltd. (A.P.), Hyderabad, India; and DATAMAP GmbH (R.M.), Freiburg, Germany. jens.kuhle@usb.ch.
Novartis (Switzerland) · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesTo investigate the potential of plasma neurofilament light (pNfL) as a biomarker of disease progression and treatment response in progressive multiple sclerosis (PMS) with and without acute disease activity.

methodsA post hoc blinded analysis of pNfL levels in 2 placebo-controlled, phase 3 studies in secondary progressive multiple sclerosis (SPMS; EXPAND) and primary progressive multiple sclerosis (PPMS; INFORMS) using siponimod and fingolimod, respectively, as active compounds was performed. pNfL levels were quantified using a single molecule array (Homebrew Simoa) immunoassay from stored ethylenediaminetetraacetic acid (EDTA) plasma samples of all patients who consented for exploratory biomarker analysis in either study; pNfL levels were divided into high (≥30 pg/mL) and low (<30 pg/mL) at baseline. We investigated the association of pNfL levels with disability progression, cognitive decline, and brain atrophy and their sensitivity to indicate treatment response through clinical measures.

resultsWe analyzed pNfL in 4,185 samples from 1,452 patients with SPMS and 1,172 samples from 378 patients with PPMS. Baseline pNfL levels were higher in SPMS (geomean 32.1 pg/mL) than in PPMS (22.0 pg/mL; DISCUSSION: pNfL was associated with future clinical and radiologic disability progression features at the group level. pNfL was reduced by treatment and may be a meaningful outcome measure in PMS studies. TRIAL REGISTRATION INFORMATION: EXPAND (ClinicalTrials.gov identifier: NCT01665144) and INFORMS (ClinicalTrials.gov identifier: NCT00731692).

Indexed as

Multiple SclerosisMultiple Sclerosis, Chronic ProgressiveAcute DiseaseAtrophyBiomarkersDisease ProgressionFingolimod HydrochlorideHumansIntermediate FilamentsRandomized Controlled Trials as TopicBiomarkersFingolimod Hydrochloride

Identifiers

PMID35379762
PMCPMC10263182
OpenAlexW4226153130

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.