Evidence map›Paper›PMID 36946484›Full record

ArticleCurrent neuropharmacology2024

Real-World Effectiveness of Cladribine for Patients with Multiple Sclerosis: A Sicilian Multicentric Experience (Rewind Study).

Sebastiano Arena, Clara Grazia Chisari, Simona Toscano, Sebastiano Bucello, Luigi Maria Grimaldi, Paolo Ragonese, Sabrina Realmuto, Salvatore Cottone, Davide Maimone, Chiara Finocchiaro and 2 more

Abstract readMulticenter Study
In one paragraph

Article in Current neuropharmacology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Cladribine tablets in the new multiple sclerosis era.Therapeutic advances in neurological disorders · 2025
    Review
  7. Identifying Cladribine prescription pattern in MS: an Italian multicentre study.Therapeutic advances in neurological disorders · 2025
    Article
  8. Article
  9. Review
  10. 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

12 authors.

Sebastiano ArenaDepartment "GF Ingrassia" Section of Neurosciences, University of Catania, Catania, Italy.
Clara Grazia ChisariDepartment "GF Ingrassia" Section of Neurosciences, University of Catania, Catania, Italy.
Simona ToscanoDepartment "GF Ingrassia" Section of Neurosciences, University of Catania, Catania, Italy.
Sebastiano BucelloMultiple Sclerosis Center- PO Muscatello di Augusta, ASP Siracusa, Siracusa, Italy.
Luigi Maria GrimaldiInstitute Foundation "G. Giglio", Multiple Sclerosis Centre, Cefalù-Palermo, Italy.
Paolo RagoneseDepartment of Biomedicine, Neurosciences and Advanced Diagnostics (BiND), University of Palermo, Palermo, Italy.
Sabrina RealmutoMultiple Sclerosis Centre, Neurology Unit and Stroke Unit, AOOR "Villa Sofia- Cervello", United Hospitals, Palermo, Italy.
Salvatore CottoneAzienda Ospedaliera di Rilievo Nazionale e di Alta Specializzazione "Civico Di Cristina e Benfratelli", Palermo, Italy.
Davide MaimoneCentro Sclerosi Multipla, UOC Neurologia, ARNAS Garibaldi, Catania, Italy.
Chiara FinocchiaroDepartment "GF Ingrassia" Section of Neurosciences, University of Catania, Catania, Italy.
Paola ReitanoDepartment "GF Ingrassia" Section of Neurosciences, University of Catania, Catania, Italy.
Francesco PattiDepartment "GF Ingrassia" Section of Neurosciences, University of Catania, Catania, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCladribine tablets are a highly effective option for the treatment of relapsingremitting multiple sclerosis (RRMS).

objectiveThe study aims to evaluate the effectiveness of cladribine in a real-world setting.

methodsThis prospective real-world study consecutively screened all RRMS patients from seven different MS centers in Sicily (Italy) who completed the 2-year treatment course of cladribine tablets in the period between 11

resultsA total of 217 patients (70% women, with a mean age of 38.4 ± 11.3 years) were enrolled. Fifty patients (23.0%) were naïve to treatment and 167 (77%) switched from other disease modifying therapies. After the second year of treatment, about 80% were EDSS progression free, 88% remained relapse-free at T24, and 48% of patients were MRI activity-free. Kaplan Meier analyses showed significant differences between MT and HAT in terms of time to first clinical relapse (HR: 2.43, IC 1.02- 5.76;

conclusionThis study confirmed that cladribine is an effective treatment for MS, particularly in naïve patients and those who have switched from MATs.

Indexed as

CladribineImmunosuppressive AgentsMultiple Sclerosis, Relapsing-RemittingAdultFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedProspective StudiesSicilyTreatment OutcomeCladribineImmunosuppressive Agentscladribinedisease modifying therapieshighly active treatment.moderately active treatmentMultiple sclerosisswitching therapies

Identifiers

PMID36946484
PMCPMC10964096

What OpenQuestion holds

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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.