Evidence map›Paper›PMID 36789243›Full record

ArticleRheumatology advances in practice2023

Dual biologic therapy for the treatment of rheumatic diseases and asthma: a case series.

Mariam Malik, Bryony Jones, Emma Williams, Ramesh Kurukulaaratchy, Chris Holroyd, Alice Mason

Open access · goldAbstract read
In one paragraph

Article in Rheumatology advances in practice, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.4field-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

4 citing papers in PubMed, 8 citations in OpenAlex.

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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

6 authors at 2 institutions in 1 country.

Mariam MalikRheumatology Department, University Hospital Southampton, Southampton, UK.
Bryony JonesRheumatology Department, University Hospital Southampton, Southampton, UK.
Emma WilliamsRheumatology Department, Royal Hampshire County Hospital, Winchester, UK.
Ramesh KurukulaaratchyDepartment of Respiratory Medicine, University Hospital Southampton, Southampton, UK.
Chris HolroydRheumatology Department, University Hospital Southampton, Southampton, UK.
Alice MasonRheumatology Department, University Hospital Southampton, Southampton, UK.
University Hospital Southampton NHS Foundation Trust · GBRoyal Hampshire County Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Combination biological therapies are being considered increasingly for patients with multiple co-morbidities requiring biologics. There are limited data available on this approach, and concerns remain about the possible risk of adverse events, particularly infection. Methods: We present three patients on dual biologics for rheumatic disease and asthma. The biologic combinations used were etanercept and mepolizumab, infliximab and omalizumab, and etanercept and omalizumab. The time on combination biologic therapies ranged from 24 to 36 months. Patients were monitored for any serious adverse events. Results: All three patients were able to tolerate combined biologic therapies, with no serious adverse events. All three patients gained improvement in their rheumatic and asthma disease control, with reduction in disease activity scores and reduction in steroid usage. Conclusion: The decision to start dual biologic therapy should be considered carefully, on a case-by-case basis. The number of patients who are on combination biological therapy is small, and data are sparse. Real-world data are needed to examine the long-term benefits and risks of different forms of combination biologic therapies.

Indexed as

asthmabiological therapiesetanerceptimmunosuppressantsinfections and arthritisinfliximabmepolizumabomalizumabquality of liferheumatic disease

Identifiers

PMID36789243
PMCPMC9923700
OpenAlexW4319080072

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.