Evidence map›Paper›PMID 36762319›Full record

ArticleTherapeutic advances in neurological disorders2023

Immunoadsorption as maintenance therapy for refractory neuromyelitis optica spectrum disorder.

Franz Heigl, Reinhard Hettich, Cordula Fassbender, Reinhard Klingel, Erich Mauch, Joachim Durner, Rolf Kern, Ingo Kleiter

Open access · goldAbstract readCase Reports
In one paragraph

Article in Therapeutic advances in neurological disorders, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 18% 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, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Guideline
  2. Article
  3. Article
  4. Review
  5. 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

8 authors at 6 institutions in 1 country.

Franz HeiglMedical Care Center Kempten-Allgäu, Kempten, Germany.
Reinhard HettichMedical Care Center Kempten-Allgäu, Kempten, Germany.
Cordula FassbenderApheresis Research Institute, Cologne, Germany.ORCID https://orcid.org/0000-0001-6498-0210
Reinhard KlingelApheresis Research Institute, Cologne, Germany; 1st Department of Internal Medicine, University of Mainz, Mainz, Germany.
Erich MauchClinic for Neurology Dietenbronn, Academic Hospital of University of Ulm, Schwendi, Germany.
Joachim DurnerNeurology Department, M&I Fachklinik Ichenhausen, Ichenhausen, Germany.
Rolf KernDepartment of Neurology, Klinikum Worms, Worms, Germany.
Ingo KleiterMarianne-Strauß-Klinik, Behandlungszentrum Kempfenhausen für Multiple Sklerose Kranke gGmbH, Milchberg 21, 82335 Berg, Germany.
Kempten University of Applied Sciences · DEJohannes Gutenberg University Mainz · DEMax Planck Institute for Metabolism Research · DERuhr University Bochum · DEUniversität Ulm · DEUniversity of Applied Sciences Worms · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Neuromyelitis optica spectrum disorder (NMOSD) is a rare relapsing autoimmune disease of the central nervous system, affecting mainly optic nerves and spinal cord. NMOSD pathophysiology is associated with anti-aquaporin-4 (AQP4) immunoglobulin G (IgG) autoantibodies. Rapid extracorporeal elimination of autoantibodies with apheresis techniques, such as immunoadsorption (IA), was proven to be an effective treatment of NMOSD attacks. Data on the long-term use of IA to prevent attacks or progression of NMOSD are lacking. Objectives: The aim of this study was to evaluate efficacy and safety of maintenance IA for preventing recurrence of NMOSD attacks in patients refractory to other immunotherapies. Design: Case study. Methods: Retrospective analysis of two female patients with severe NMOSD refractory to conventional immunotherapies was performed. Both patients had responded to tryptophan IA (Tr-IA) as attack therapy and subsequently were treated with biweekly maintenance Tr-IA. Results: Conclusion: Tr-IA was well tolerated as maintenance treatment and resulted in clinical stabilization of two patients with highly active NMOSD, who were refractory to standard drug therapy.

Indexed as

apheresisaquaporin-4case reportimmunotherapyneuromyelitis optica spectrum disorder

Identifiers

PMID36762319
PMCPMC9905021
OpenAlexW4319443688

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.