Evidence map›Paper›PMID 36748649›Full record

ArticleMultiple sclerosis (Houndmills, Basingstoke, England)2023

Humoral COVID-19 vaccine response in patients with NMOSD/MOGAD during anti-IL-6 receptor therapy compared to other immunotherapies.

Carolin Schwake, Thivya Pakeerathan, Ingo Kleiter, Marius Ringelstein, Orhan Aktas, Mirjam Korporal-Kuhnke, Brigitte Wildemann, Sven Jarius, Antonios Bayas, Refik Pul and 14 more

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in Multiple sclerosis (Houndmills, Basingstoke, England), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.3field-weighted citation impact, top 21% 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

5 citing papers in PubMed, 5 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Review
  5. Therapy challenges for NMOSD in a patient with HIV.Multiple sclerosis (Houndmills, Basingstoke, England) · 2023
    Article
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

24 authors at 9 institutions in 2 countries.

Carolin SchwakeDepartment of Neurology, St. Josef-Hospital, Ruhr-University Bochum, Bochum, Germany.ORCID 0000-0003-3669-7244
Thivya PakeerathanDepartment of Neurology, St. Josef-Hospital, Ruhr-University Bochum, Bochum, Germany.
Ingo KleiterMarianne-Strauß-Klinik, Behandlungszentrum Kempfenhausen für Multiple Sklerose Kranke, Berg, Germany/Department of Neurology, St. Josef-Hospital, Ruhr-University Bochum, Bochum, Germany.
Marius RingelsteinDepartment of Neurology, Medical Faculty, Heinrich Heine University Düsseldorf, Düsseldorf, Germany/Department of Neurology, Center for Neurology and Neuropsychiatry, LVR-Klinikum, Heinrich Heine University Düsseldorf, Düsseldorf, Germany.
Orhan AktasDepartment of Neurology, Medical Faculty, Heinrich Heine University Düsseldorf, Düsseldorf, Germany.
Mirjam Korporal-KuhnkeMolecular Neuroimmunology Group, Department of Neurology, University Hospital Heidelberg, Heidelberg, Germany.
Brigitte WildemannMolecular Neuroimmunology Group, Department of Neurology, University Hospital Heidelberg, Heidelberg, Germany.
Sven JariusMolecular Neuroimmunology Group, Department of Neurology, University Hospital Heidelberg, Heidelberg, Germany.
Antonios BayasDepartment of Neurology and Clinical Neurophysiology, Medical Faculty, University of Augsburg, Augsburg, Germany.
Refik PulDepartment of Neurology, University of Duisburg-Essen, Essen, Germany.
Ulas CeylanDepartment of Neurology, St. Josef-Hospital, Ruhr-University Bochum, Bochum, Germany.
Simon FaissnerDepartment of Neurology, St. Josef-Hospital, Ruhr-University Bochum, Bochum, Germany.
Kerstin HellwigDepartment of Neurology, St. Josef-Hospital, Ruhr-University Bochum, Bochum, Germany.
Ana Beatriz Ayroza Galvao Ribeiro GomesDepartments of Neurology, Biomedicine and Clinical Research and Research Center for Neuroimmunology and Neuroscience, University Hospital Basel, University of Basel, Basel, Switzerland.
Philipp LippsDepartments of Neurology, Biomedicine and Clinical Research and Research Center for Neuroimmunology and Neuroscience, University Hospital Basel, University of Basel, Basel, Switzerland.
Anne-Katrin PröbstelDepartments of Neurology, Biomedicine and Clinical Research and Research Center for Neuroimmunology and Neuroscience, University Hospital Basel, University of Basel, Basel, Switzerland.
Tania KümpfelInstitute of Clinical Neuroimmunology, LMU Hospital, Ludwig-Maximilians-Universität München, Munich, Germany.
Eva OswaldInstitute of Clinical Neuroimmunology, LMU Hospital, Ludwig-Maximilians-Universität München, Munich, Germany.
Florian Then BerghDepartment of Neurology, University of Leipzig, Leipzig, Germany.
Clemens GödelDepartment of Neurology, University of Leipzig, Leipzig, Germany.
Martin W HümmertDepartment of Neurology, Hannover Medical School, Hannover, Germany.ORCID 0000-0002-5928-2343
Corinna TrebstDepartment of Neurology, Hannover Medical School, Hannover, Germany.
Ralf GoldDepartment of Neurology, St. Josef-Hospital, Ruhr-University Bochum, Bochum, Germany.
Ilya AyzenbergDepartment of Neurology, St. Josef-Hospital, Ruhr-University Bochum, Bochum, Germany.
St. Josef-Hospital · DEHeidelberg University · DEUniversity of Basel · CHHeinrich Heine University Düsseldorf · DELeipzig University · DELudwig-Maximilians-Universität München · DEMedizinische Hochschule Hannover · DEUniversity of Augsburg · DEUniversity of Duisburg-Essen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundData on the humoral vaccine response in patients on anti-interleukin-6 (IL-6) receptor therapy remain scarce.

objectiveThe main objective of our study was to investigate the humoral response after vaccination against SARS-CoV-2 in neuromyelitis optica spectrum disorder (NMOSD)/myelin oligodendrocyte glycoprotein antibody-associated disease (MOGAD) patients treated with anti-IL-6 receptor therapy. Secondarily, we analyzed relapse activity timely associated with vaccination.

methodsIn this retrospective cross-sectional multicenter study, we included 15 healthy controls and 48 adult NMOSD/MOGAD patients without previous COVID-19 infection. SARS-CoV-2 spike protein antibody titers during anti-IL-6 receptor therapy were compared to anti-CD20 antibody therapy, oral immunosuppressants, and to nonimmunosuppressed individuals.

resultsWe observed 100% seroconversion in the anti-IL-6 receptor treatment group. Titers of SARS-CoV-2 spike protein antibodies were lower compared to healthy controls (720 vs 2500 binding antibody units (BAU)/mL,

conclusionsDespite being lower than in healthy controls, the humoral vaccine response during anti-IL-6 receptor therapy was evident in all patients and substantially stronger compared to anti-CD20 treatment. No relevant disease activity occurred after mRNA vaccination against SARS-CoV-2.

Indexed as

COVID-19Neuromyelitis OpticaAntibodiesAntibodies, ViralCOVID-19 VaccinesCross-Sectional StudiesHumansImmunosuppressive AgentsImmunotherapyRecurrenceRetrospective StudiesRNA, MessengerSARS-CoV-2Spike Glycoprotein, CoronavirusVaccinationAntibodiesAntibodies, ViralCOVID-19 VaccinesImmunosuppressive AgentsRNA, MessengerSpike Glycoprotein, Coronavirusspike protein, SARS-CoV-2COVID-19MOGADSARS-CoV-2satralizumabtocilizumabVaccinationvaccine response

Identifiers

PMID36748649
PMCPMC9908518
OpenAlexW4319333254

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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.