Evidence map›Paper›PMID 36723685›Full record

ArticleJournal of neurology2023

Temporal evolution of new T1-weighted hypo-intense lesions and central brain atrophy in patients with a first clinical demyelinating event treated with subcutaneous interferon β-1a.

H Vrenken, M Battaglini, M L de Vos, G J Nagtegaal, B C A Teixeira, A Seitzinger, D Jack, M P Sormani, B M J Uitdehaag, A Versteeg and 4 more

Open access · hybridFull text readEvaluation Study
In one paragraph

Article in Journal of neurology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.5field-weighted citation impact, top 34% 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

0 citing papers in PubMed, 2 citations in OpenAlex.

No citing paper in PubMed yet.

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

14 authors at 10 institutions in 6 countries.

H Vrenken *Department of Radiology and Nuclear Medicine, Amsterdam UMC, Location VUmc, Amsterdam, The Netherlands. H.Vrenken@amsterdamumc.nl.ORCID http://orcid.org/0000-0001-9106-1172
M Battaglini *Department of Medicine, Surgery and Neurosciences, University of Siena, Siena, Italy.ORCID http://orcid.org/0000-0002-9188-4408
M L de VosDepartment of Radiology and Nuclear Medicine, Amsterdam UMC, Location VUmc, Amsterdam, The Netherlands.
G J Nagtegaal *Department of Radiology and Nuclear Medicine, Amsterdam UMC, Location VUmc, Amsterdam, The Netherlands.
B C A TeixeiraDepartment of Radiology, Federal University of Paraná, Curitiba, Paraná, Brazil.ORCID http://orcid.org/0000-0003-4769-6562
A SeitzingerGlobal Biostatistics, Merck Healthcare KGaA, Darmstadt, Germany.ORCID http://orcid.org/0000-0001-8088-9695
D JackGlobal Medical Affairs, Merck Serono Ltd, (an affiliate of Merck KGaA), Feltham, UK.ORCID http://orcid.org/0000-0001-8629-553X
M P SormaniDepartment of Health Sciences, University of Genoa and Ospedale Policlinico San Martino IRCCS, Genoa, Italy.ORCID http://orcid.org/0000-0001-6892-104X
B M J UitdehaagDepartment of Neurology, Amsterdam UMC, Location VUmc, Amsterdam, The Netherlands.ORCID http://orcid.org/0000-0002-9226-7364
A VersteegDepartment of Radiology and Nuclear Medicine, Amsterdam UMC, Location VUmc, Amsterdam, The Netherlands.
G ComiUniversità Vita-Salute San Raffaele, Casa di Cura Privata del Policlinico, Milan, Italy.ORCID http://orcid.org/0000-0002-6989-1054
L KapposResearch Center for Clinical Neuroimmunology and Neuroscience Basel (RC2NB) and Neurology Departments of Head, Spine and Neuromedicine, Biomedical Engineering and Clinical Research, University Hospital, University of Basel, Basel, Switzerland.ORCID http://orcid.org/0000-0003-4175-5509
N De Stefano *Department of Medicine, Surgery and Neurosciences, University of Siena, Siena, Italy.ORCID http://orcid.org/0000-0003-4930-7639
F Barkhof *Department of Radiology and Nuclear Medicine, Amsterdam UMC, Location VUmc, Amsterdam, The Netherlands.ORCID http://orcid.org/0000-0003-3543-3706
Amsterdam University Medical Centers · NLUniversity of Siena · ITAmsterdam Neuroscience · NLErasmus MC · NLInstituto de Neurologia de Curitiba · BRMerck (Germany) · DEMerck (United Kingdom) · GBOspedale Policlinico San Martino · ITUniversity of Basel · CHVita-Salute San Raffaele University · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveEvaluate the effect of subcutaneous interferon β-1a (sc IFN β-1a) versus placebo on the evolution of T1-weighted MRI lesions and central brain atrophy in in patients with a first clinical demyelinating event (FCDE).

methodsPost hoc analysis of baseline-to-24 month MRI data from patients with an FCDE who received sc IFN β-1a 44 μg once- (qw) or three-times-weekly (tiw), or placebo, in REFLEX. Patients were grouped according to treatment regimen or conversion to clinically definite MS (CDMS) status. The intensity of new lesions on unenhanced T1-weighted images was classified as T1 iso- or hypo-intense (black holes) and percentage ventricular volume change (PVVC) was assessed throughout the study.

resultsIn patients not converting to CDMS, sc IFN β-1a tiw or qw, versus placebo, reduced the overall number of new lesions (P < 0.001 and P = 0.005) and new T1 iso-intense lesions (P < 0.001 and P = 0.002) after 24 months; only sc IFN β-1a tiw was associated with fewer T1 hypo-intense lesions versus placebo (P < 0.001). PVVC findings in patients treated with sc IFN β-1a suggested pseudo-atrophy that was ~ fivefold greater versus placebo in the first year of treatment (placebo 1.11%; qw 4.28%; tiw 6.76%; P < 001); similar findings were apparent for non-converting patients.

conclusionsIn patients with an FCDE, treatment with sc IFN β-1a tiw for 24 months reduced the number of new lesions evolving into black holes.

Indexed as

Magnetic Resonance ImagingMultiple Sclerosis, Relapsing-RemittingAdjuvants, ImmunologicAtrophyBrainHumansInterferon beta-1aTreatment OutcomeAdjuvants, ImmunologicInterferon beta-1aBlack-hole lesionsBrain atrophyFirst clinical demyelinating eventInterferon β-1aLesion evolutionWhite matter tracts

Identifiers

PMID36723685
PMCPMC10025187
OpenAlexW4318753706

What OpenQuestion holds

Textfull text, public
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.