Evidence map›Paper›PMID 35383874›Full record

Observational studyRevista de neurologia2022

[Clinical and radiological effectiveness of natalizumab extended dosage interval in patients with relapsing multiple sclerosis].

D A García-Estévez, G Pérez-Lorenzo, M J Fernández-Pérez, C Cid-Rodríguez, G Ozaita-Arteche

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study in Revista de neurologia, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 94% 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

1 citing paper in PubMed, 0 citations in OpenAlex.

  1. Observational
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

5 authors at 2 institutions in 1 country.

D A García-EstévezComplexo Hospitalario Universitario de Ourense, Ourense, España.
G Pérez-LorenzoComplexo Hospitalario Universitario de Ourense, Ourense, España.
M J Fernández-PérezComplexo Hospitalario Universitario de Ourense, Ourense, España.
C Cid-RodríguezComplexo Hospitalario Universitario de Ourense, Ourense, España.
G Ozaita-ArtecheComplexo Hospitalario Universitario de Ourense, Orense, España.
Complexo Hospitalario Universitario A Coruña · ESComplejo Hospitalario de Ourense · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionNatalizumab (NTZ) is a very effective treatment approved for highly active multiple sclerosis. The main risk of treatment with NTZ is the possibility of developing progressive multifocal leukoencephalopathy, which is related to JC virus positivity and the number of NTZ infusions. This risk decreases with the extended dosage interval (EDI), which involves 9 or fewer infusions/year. However, it is a matter of controversy as to whether EDI remains effective in reducing recurrences and the presence of new lesions in magnetic resonance imaging (MRI). PATIENTS AND

methodsA prospective observational study was conducted from 1 April 2019 to 30 June 2021, following up patients on NTZ treatment who switched to EDI. Patients should have at least one MRI six months after the start of EDI. The presence of attacks or MRI activity (new lesions in T2) during the EDI was recorded.

resultsTwenty-three patients with a mean age of 43.5 ± 9.4 years were included. The median number of NTZ infusions was 68 (minimum, 25; maximum, 127). The median interval between the start of the EDI and the last MRI was 14 months (minimum, 6; maximum, 25), and 23 months from the last medical follow-up visit (minimum, 7; maximum, 28). Two patients (8.7%) presented with attacks and two others (8.7%) showed MRI activity.

conclusionsEDI with NTZ maintains high clinical and activity effectiveness in MRI.

Indexed as

Leukoencephalopathy, Progressive MultifocalMultiple SclerosisMultiple Sclerosis, Relapsing-RemittingAdultHumansImmunologic FactorsMiddle AgedNatalizumabRecurrenceImmunologic FactorsNatalizumab

Identifiers

PMID35383874
PMCPMC11502189
OpenAlexW4226032017

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.