Evidence map›Paper›PMID 37221052›Full record

Trial reportJournal of neurology, neurosurgery, and psychiatry2023

Serum neurofilament light chain levels at attack predict post-attack disability worsening and are mitigated by inebilizumab: analysis of four potential biomarkers in neuromyelitis optica spectrum disorder.

Orhan Aktas, Hans-Peter Hartung, Michael A Smith, William A Rees, Kazuo Fujihara, Friedemann Paul, Romain Marignier, Jeffrey L Bennett, Ho Jin Kim, Brian G Weinshenker and 9 more

Registry-linked trialOpen access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of neurology, neurosurgery, and psychiatry, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02200770 (A Double-masked, Placebo-controlled Study With Open-label Period to Evaluate the Efficacy and Safety of MEDI-551 in Adult Subjects With Neuromyelitis Optica and Neuromyelitis Optica Spectrum Disorders.), which is not on this map. Cited by 36 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 1 pooled it
9.9field-weighted citation impact, top 1% 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.

NCT02200770 phase2 / phase3completednot on this map

A Double-masked, Placebo-controlled Study With Open-label Period to Evaluate the Efficacy and Safety of MEDI-551 in Adult Subjects With Neuromyelitis Optica and Neuromyelitis Optica Spectrum Disorders.

TypeinterventionalSponsorMedImmune LLCRan2015 to 2020Enrolled231ConditionsNeuromyelitis Optica and Neuromyelitis Optica Spectrum DisordersArmsInebilizumab, Placebo
3 · Its place in the literature

Who cites it

36 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Use of Fluid Biomarkers in NMOSD and MOGAD: Clinical and Research Applications.Neurology(R) neuroimmunology & neuroinflammation · 2026
    Review
  5. Review
  6. Article
  7. Observational
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Neuroglial markers of damage in autoimmune neurology.Therapeutic advances in neurological disorders · 2026
    Review
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. Emerging Role of Targeted Monoclonal Antibodies in Neuromyelitis Optica Spectrum Disorders.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2025
    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

19 authors at 13 institutions in 8 countries.

Orhan AktasDepartment of Neurology, Medical Faculty, Heinrich Heine University Düsseldorf, Düsseldorf, Germany orhan.aktas@uni-duesseldorf.de bruce.cree@ucsf.edu.ORCID 0000-0002-2020-9210
Hans-Peter HartungDepartment of Neurology, Medical Faculty, Heinrich Heine University Düsseldorf, Düsseldorf, Germany.
Michael A SmithHorizon Therapeutics plc, Gaithersburg, Maryland, USA.
William A ReesHorizon Therapeutics plc, Gaithersburg, Maryland, USA.
Kazuo FujiharaDepartment of Multiple Sclerosis Therapeutics, Fukushima Medical University, Koriyama, Fukushima, Japan.
Friedemann PaulExperimental and Clinical Research Center, Max Delbrück Center for Molecular Medicine and Charité, Universitätsmedizin Berlin, Berlin, Germany.
Romain MarignierCentre de Référence des Maladies Inflammatoires Rares du Cerveau et de la Moelle (MIRCEM), Service de Neurologie, Sclérose en Plaques, Pathologies de la Myéline et Neuro-inflammation, Hopital Neurologique et Neurochirurgical Pierre Wertheimer Centre de reference des syndromes neurologiques paraneoplasiques et encephalites auto-immun, Lyon, Auvergne-Rhône-Alpes, France.
Jeffrey L BennettDepartments of Neurology and Ophthalmology, Programs in Neuroscience and Immunology, University of Colorado - Anschutz Medical Campus, Aurora, Colorado, USA.
Ho Jin KimDepartment of Neurology, Research Institute and Hospital of National Cancer Center, Goyang, Republic of Korea.ORCID 0000-0002-8672-8419
Brian G WeinshenkerDepartment of Neurology, University of Virginia, Charlottesville, Virginia, USA.
Sean J PittockDepartment of Neurology and Center for MS and Autoimmune Neurology, Mayo Clinic, Rochester, Minnesota, USA.ORCID 0000-0002-6140-5584
Dean M WingerchukDepartment of Neurology, Mayo Clinic, Scottsdale, Arizona, USA.
Gary CutterDepartment of Biostatistics, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Dewei SheHorizon Therapeutics plc, Gaithersburg, Maryland, USA.
Michele GunsiorHorizon Therapeutics plc, Gaithersburg, Maryland, USA.
Daniel CimboraHorizon Therapeutics plc, Gaithersburg, Maryland, USA.
Eliezer KatzHorizon Therapeutics plc, Gaithersburg, Maryland, USA.
Bruce A CreeDepartment of Neurology, UCSF, Weill Institute for Neurosciences, University California of San Francisco, San Francisco, California, USA orhan.aktas@uni-duesseldorf.de bruce.cree@ucsf.edu.
N-MOmentum study investigators
Horizon Therapeutics (United States) · USFukushima Medical University · JPHeinrich Heine University Düsseldorf · DEMax Delbrück Center · DEMayo Clinic · USMayo Clinic in Arizona · USNational Cancer Center · KRObservatoire Français de la Sclérose en Plaques · FRThe University of Sydney · AUUniversity of Alabama at Birmingham · USUniversity of California, San Francisco · USUniversity of Colorado Anschutz Medical Campus · USUniversity of Virginia · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate relationships between serum neurofilament light chain (sNfL), ubiquitin C-terminal hydrolase L1 (sUCHL1), tau (sTau) and glial fibrillary acidic protein (sGFAP) levels and disease activity/disability in neuromyelitis optica spectrum disorder (NMOSD), and the effects of inebilizumab on these biomarkers in N-MOmentum.

methodsN-MOmentum randomised participants to receive inebilizumab or placebo with a randomised controlled period (RCP) of 28 weeks and an open-label follow-up period of ≥2 years. The sNfL, sUCHL1, sTau and sGFAP were measured using single-molecule arrays in 1260 scheduled and attack-related samples from N-MOmentum participants (immunoglobulin G (IgG) autoantibodies to aquaporin-4-positive, myelin oligodendrocyte glycoprotein-IgG-positive or double autoantibody-negative) and two control groups (healthy donors and patients with relapsing-remitting multiple sclerosis).

resultsThe concentration of all four biomarkers increased during NMOSD attacks. At attack, sNfL had the strongest correlation with disability worsening during attacks (Spearman R

conclusionsCompared with sGFAP, sTau and sUCHL1, sNfL at attack was the strongest predictor of disability worsening at attack and follow-up, suggesting a role for identifying participants with NMOSD at risk of limited post-relapse recovery. Treatment with inebilizumab was associated with lower levels of sGFAP and sNfL than placebo. TRIAL REGISTRATION NUMBER: NCT02200770.

Indexed as

Neuromyelitis OpticaAntibodies, Monoclonal, HumanizedBiomarkersDouble-Blind MethodHumansAntibodies, Monoclonal, HumanizedBiomarkersinebilizumabCLINICAL NEUROLOGYRANDOMISED TRIALS

Identifiers

PMID37221052
PMCPMC10447388
OpenAlexW4377819687

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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.