Evidence map›Paper›PMID 35648233›Full record

ArticleJournal of neurology2022

Retinal inner nuclear layer thinning is decreased and associates with the clinical outcome in ocrelizumab-treated primary progressive multiple sclerosis.

Alessandro Miscioscia, Marco Puthenparampil, Silvia Miante, Marta Pengo, Francesca Rinaldi, Paola Perini, Paolo Gallo

Open access · hybridAbstract read
In one paragraph

Article in Journal of neurology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.6field-weighted citation impact, top 17% 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

9 citing papers in PubMed, 13 citations in OpenAlex.

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  8. Observational
  9. Effect of ocrelizumab on rates of retinal atrophy in relapsing multiple sclerosis.Multiple sclerosis journal - experimental, translational and clinical
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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 1 institution in 1 country.

Alessandro MisciosciaDepartment of Neuroscience DNS, School of Medicine, University of Padua, Via Giustiniani, 5, 35128, Padua, Veneto Region, Italy. alessmiscioscia@gmail.com.ORCID http://orcid.org/0000-0001-7465-6246
Marco PuthenparampilDepartment of Neuroscience DNS, School of Medicine, University of Padua, Via Giustiniani, 5, 35128, Padua, Veneto Region, Italy.
Silvia MianteDepartment of Neuroscience DNS, School of Medicine, University of Padua, Via Giustiniani, 5, 35128, Padua, Veneto Region, Italy.
Marta PengoDepartment of Neuroscience DNS, School of Medicine, University of Padua, Via Giustiniani, 5, 35128, Padua, Veneto Region, Italy.
Francesca RinaldiMultiple Sclerosis Centre, University Hospital of Padua, Padua, Veneto Region, Italy.
Paola PeriniMultiple Sclerosis Centre, University Hospital of Padua, Padua, Veneto Region, Italy.
Paolo GalloDepartment of Neuroscience DNS, School of Medicine, University of Padua, Via Giustiniani, 5, 35128, Padua, Veneto Region, Italy.
University of Padua · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOcrelizumab was found to decrease brain atrophy rate in primary progressive multiple sclerosis (PPMS), but no data are currently available on the effect of ocrelizumab on retinal layer thicknesses in the PPMS population.

objectiveTo assess retinal layer changes in ocrelizumab-treated PPMS and test their possible application as biomarkers of therapy response.

methods36 PPMS patients, treated with ocrelizumab for at least 6 months, and 39 sex- and age-matched healthy controls (HC) were included in a blind, longitudinal study. Spectrum-domain optical coherence tomography (SD-OCT) was performed at study entry (T0) and after 6 (T6) and 12 months (T12). At month 24 (T24), patients were divided into responders (no evidence of 1-year confirmed disability progression, 1y-CDP) and non-responders (evidence of 1y-CDP).

resultsAt T24, 23/36 (64%) patients were considered responders and 13/36 (36%) non-responders. At T0, peripapillary retinal nerve fiber layer (pRNFL) thickness, macular ganglion cell-inner plexiform layer (GCIPL) and inner retinal layer (IRL) volume were significantly lower in PPMS compared to HC (p = 0.001 for all comparisons). At T6 and T12, non-responders significantly differed in the inner nuclear layer (INL) thinning rate compared to responders (p = 0.005 at both time-points).

conclusionsOcrelizumab significantly slows down INL thinning rate in PPMS responders. The longitudinal analysis of retina layer changes by means of OCT may be a promising prognostic test, and merits further investigations.

Indexed as

Multiple SclerosisMultiple Sclerosis, Chronic ProgressiveRetinal DegenerationAntibodies, Monoclonal, HumanizedHumansLongitudinal StudiesNerve FibersRetinaRetinal Ganglion CellsTomography, Optical CoherenceAntibodies, Monoclonal, HumanizedocrelizumabBiomarkerInner nuclear layerNeurodegenerationOcrelizumabOptical coherence tomographyPrimary progressive multiple sclerosis

Identifiers

PMID35648233
PMCPMC9467948
OpenAlexW4281814171

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Registered trials

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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.