Evidence map›Paper›PMID 36319066›Full record

Observational studyRMD open2022

Tolerance and efficacy of targeted therapies prescribed for off-label indications in refractory systemic autoimmune diseases: data of the first 100 patients enrolled in the TATA registry (TArgeted Therapy in Autoimmune Diseases).

Jacques-Eric Gottenberg, Aurore Chaudier, Yves Allenbach, Arsène Mekinian, Zahir Amoura, Patrice Cacoub, Divi Cornec, Eric Hachulla, Pierre Quartier, Isabelle Melki and 37 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in RMD open, 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
0.4field-weighted citation impact, top 36% 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, 4 citations in OpenAlex.

  1. 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

47 authors at 20 institutions in 1 country.

Jacques-Eric GottenbergRheumatology, Hôpitaux universitaires de Strasbourg, Strasbourg, France jacques-eric.gottenberg@chru-strasbourg.fr.ORCID 0000-0002-9469-946X
Aurore ChaudierRheumatology, Hôpitaux universitaires de Strasbourg, Strasbourg, France.
Yves AllenbachDepartment of Internal Medicine and Clinical Immunology, Hospital University Department: Inflammation, Immunopathology and Biotherapy (DHU i2B), University Hospital Pitié Salpêtrière, Paris, France.ORCID 0000-0002-3185-7993
Arsène MekinianService de Médecine Interne, DHUi2B, Hospital Saint-Antoine, Paris, France.ORCID 0000-0003-2849-3049
Zahir AmouraInternal Medicine, University Hospital Pitié Salpêtrière, Paris, France.
Patrice CacoubInternal Medicine, Ile-De-France Reference Center, Paris, France.
Divi CornecRhumatologie, Cavale Blanche Hospital, Brest, France.ORCID 0000-0002-9159-702X
Eric HachullaInternal Medicine, Lille University School of Medicine, Lille, France.ORCID 0000-0001-7432-847X
Pierre QuartierPediatric Immuno-Hematology and Rheumatology Unit, Hopital universitaire Necker-Enfants malades, Paris, France.
Isabelle MelkiLaboratory of Neurogenetics and Neuroinflammation, Imagine Institute, Paris, France.ORCID 0000-0002-8057-333X
Christophe RichezService de Rhumatologie, CHU Bordeaux GH Pellegrin, Bordeaux, France.ORCID 0000-0002-3029-8739
Raphaele SerorRheumatology, Hôpital Bicêtre, Le Kremlin-Bicetre, France.ORCID 0000-0002-5523-1856
Benjamin TerrierInternal Medicine, Ile-De-France Reference Center, Paris, France.ORCID 0000-0001-6612-7336
Valérie Devauchelle-PensecRhumatologie, Cavale Blanche Hospital, Brest, France.
Julien HenryRheumatology, Hôpital Bicêtre, Le Kremlin-Bicetre, France.
Marc GatfosseMédecine Interne, Hôpital Saint-Antoine, Paris, France.
Laurence BouilletInternal Medicine, University Hospital Centre Grenoble Alpes, Grenoble, France.
Emeline GaigneuxRheumatology, Centre Hospitalier Départemental Vendée, La Roche-sur-Yon, France.
Vincent AndreRheumatology, Centre Hospitalier Départemental Vendée, La Roche-sur-Yon, France.
Gildas BaulierInternal Medicine, Centre Hospitalier de Périgueux, Perigueux, France.
Aurélie SaunierInternal Medicine, Centre Hospitalier de Périgueux, Perigueux, France.
Marie DesmursRheumatology, Hospital Emile Muller, Mulhouse, France.
Antoine PouletInternal Medicine, Saint Joseph Hospital, Marseille, France.
Mathieu EteSaint Joseph Hospital, Marseille, France.
Boris BienvenuInternal Medicine, Saint Joseph Hospital, Marseille, France.
Marie-Elise TruchetetRheumatology, East and South-West Reference Center, Bordeaux, France.ORCID 0000-0001-8045-0180
Martin MichaudInternal Medicine, Hopital Joseph Ducuing, Toulouse, France.
Claire LarrocheService de médecine interne, Hopital Avicenne, Bobigny, France.
Azeddine DellalRheumatology, Groupe Hospitalier Intercommunal Le Raincy-Montfermeil, Montfermeil, France.
Amélie LeursInternal Medicine, Centre Hospitalier de Dunkerque, Dunkerque, France.
Sebastien OttavianiRheumatology, Hospital Bichat-Claude-Bernard, Paris, France.
Hubert NiellyInternal Medicine, Begin Armed Forces Training Hospital, Paris, France.ORCID 0000-0002-8042-5716
Guillaume VialDepartment of Internal Medicine and Clinical Immunology, CHU de Bordeaux, Bordeaux, France.
Roland JaussaudBarbois Hospital, Vandoeuvre-les-Nancy, France.
Bénedicte RouvièreInternal Medicine, Cavale Blanche Hospital, Brest, France.
Pierre-Yves JeandelService de Médecine Interne, University Hospital Centre Nice, Nice, France.
Aurelien GuffroyRheumatology, East and South-West Reference Center, Strasbourg, France.
Anne-Sophie KorganowRheumatology, East and South-West Reference Center, Strasbourg, France.
Mathieu JouvrayInternal Medicine, Begin Armed Forces Training Hospital, Paris, France.
Alain MeyerRheumatology, Hôpitaux universitaires de Strasbourg, Strasbourg, France.ORCID 0000-0003-0893-6041
Emmanuel ChatelusRheumatology, Hôpitaux universitaires de Strasbourg, Strasbourg, France.
Christelle SordetRheumatology, Hôpitaux universitaires de Strasbourg, Strasbourg, France.
Renaud FeltenRheumatology, Hôpitaux universitaires de Strasbourg, Strasbourg, France.ORCID 0000-0002-4951-4032
Jean SibiliaRheumatology, Hôpitaux universitaires de Strasbourg, Strasbourg, France.
Samira Litim-Ahmed-YahiaRheumatology, Hôpitaux universitaires de Strasbourg, Strasbourg, France.
Jean-Francois KleinmannRheumatology, Hôpitaux universitaires de Strasbourg, Strasbourg, France.ORCID 0000-0001-9062-7883
Xavier MarietteRheumatology, Hôpital Bicêtre, Le Kremlin-Bicetre, France.ORCID 0000-0002-4244-5417
Hôpitaux Universitaires de Strasbourg · FRSorbonne Université · FRBicêtre Hospital · FRHôpital Maison Blanche · FRHôpital Saint Joseph · FRHôpital d'Instruction des Armées Bégin · FRRoche (France) · FRCentre Hospitalier de Vitré · FRCentre Hospitalier Régional et Universitaire de Nancy · FRCentre Hospitalier Universitaire de Bordeaux · FRCentre Hospitalier Universitaire de Nice · FRGroupe Hospitalier Intercommunal Le Raincy Montfermeil · FRHôpital Avicenne · FRHôpital Bichat-Claude-Bernard · FRHôpital Cochin · FRHôpital Joseph-Ducuing · FRHôpital Necker-Enfants Malades · FRHôpital Pellegrin · FRHôpital Robert-Debré · FRUniversité de Lille · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo assess the tolerance and efficacy of targeted therapies prescribed off-label in refractory low-prevalence autoimmune and inflammatory systemic diseases.

methodsThe TATA registry (TArgeted Therapy in Autoimmune Diseases) is a prospective, observational, national and independent cohort follow-up. The inclusion criteria in the registry are as follows: age >18 years; low-prevalence autoimmune and inflammatory systemic disease treated with off-label drugs started after 1 January 2019.

resultsHundred (100) patients (79 women) were enrolled. The median age was 52.5 years (95% CI 49 to 56) and the median disease duration before enrolment was 5 years (3 to 7). The targeted therapies at enrolment were as follows: Janus kinase/signal transducers and activators of transcription inhibitors (44%), anti-interleukin (IL)-6R (22%), anti-IL-12/23, anti-IL-23 and anti-IL-17 (9%), anti-B cell activating factor of the tumour necrosis factor family (5%), abatacept (5%), other targeted treatments (9%) and combination of targeted treatments (6%). 73% of patients were receiving corticosteroid therapy at enrolment (median dose 10 mg/day). The current median follow-up time is 9 months (8 to 10).

conclusionThese initial results of the TATA registry confirm the diversity of targeted treatments prescribed off-label in refractory autoimmune diseases and their corticosteroid-sparing effect when effective. Tolerance was acceptable in these refractory patients with a long history of treatment with immunosuppressive drugs.

Indexed as

Autoimmune DiseasesCOVID-19AdolescentFemaleHumansInterleukin-23Middle AgedOff-Label UseProspective StudiesRegistriesInterleukin-23Autoimmune DiseasesAutoimmunityBiological Therapy

Identifiers

PMID36319066
PMCPMC9628685
OpenAlexW4307794037

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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.