Evidence map›Paper›PMID 37614240›Full record

ArticleFrontiers in immunology2023

Rituximab at lower dose for neuromyelitis optica spectrum disorder: a multicenter, open-label, self-controlled, prospective follow-up study.

Daidi Zhao, Kaixi Ren, Jiarui Lu, Zhiqin Liu, Zunbo Li, Jun Wu, Zhihao Xu, Songdi Wu, Tao Lei, Chao Ma and 4 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Frontiers in immunology, 2023. 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
3.1field-weighted citation impact, top 9% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Guideline
  2. Article
  3. Review
  4. Relapse-related outcomes in the Danish population-based AQP4- antibody seropositive neuromyelitis optica spectrum disorder cohort.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Article
  5. Article
  6. Early versus escalation treatment of tocilizumab in neuromyelitis optica spectrum disorder: a retrospective study.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
    Article
  7. Article
  8. Article
  9. Article
  10. Long-term efficacy and safety of rituximab in the treatment of neuromyelitis Optica Spectrum disorder.Multiple sclerosis journal - experimental, translational and clinical
    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

14 authors at 6 institutions in 1 country.

Daidi ZhaoDepartment of Neurology, Tangdu Hospital, Air Force Medical University, Xi'an, China.
Kaixi RenDepartment of Neurology, Tangdu Hospital, Air Force Medical University, Xi'an, China.
Jiarui LuDepartment of Neurology, Tangdu Hospital, Air Force Medical University, Xi'an, China.
Zhiqin LiuDepartment of Neurology, Xi'an Central Hospital, Xi'an, China.
Zunbo LiDepartment of Neurology, Xi'an Gaoxin Hospital, Xi'an, China.
Jun WuDepartment of Neurology, Xianyang Central Hospital, Xianyang, China.
Zhihao XuDepartment of Neurology, Baoji Central Hospital, Baoji, China.
Songdi WuDepartment of Neurology, The First Hospital of Xi'an, Xi'an, China.
Tao LeiDepartment of Neuroophthalmology, Xi'an Fourth Hospital, Xi'an, China.
Chao MaDepartment of Cardiology, Tangdu Hospital, Air Force Medical University, Xi'an, China.
Sijia ZhaoDepartment of Neurology, Tangdu Hospital, Air Force Medical University, Xi'an, China.
Miao BaiDepartment of Neurology, Tangdu Hospital, Air Force Medical University, Xi'an, China.
Hongzeng LiDepartment of Neurology, Tangdu Hospital, Air Force Medical University, Xi'an, China.
Jun GuoDepartment of Neurology, Tangdu Hospital, Air Force Medical University, Xi'an, China.
Air Force Medical University · CNBaoji City Central Hospital · CNFirst Hospital of Xi'an · CNXian Central Hospital · CNXi'an Chest Hospital · CNXian Yang Central Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To address a novel lower-dose rituximab (RTX) therapy strategy based on our clinical experience and assess its efficacy and safety in neuromyelitis optica spectrum disorder (NMOSD). Methods: A multicenter, open-label, self-controlled, prospective follow-up study. Totally, 108 NMOSD patients were enrolled and a lower-dose RTX strategy was applied including 100 mg weekly for 3 weeks and then reinfusions every 6 months. Annualized relapse rate (ARR), the expanded disability status scale (EDSS) score and length of spinal cord lesions were included to evaluate the efficacy. Side effects were recorded to assess the safety profile. Results: Of 108 patients, 80 (74.1%) initiated low-dose RTX therapy immediately after acute attack treatment and 33 (30.6%) initiated it after the first attack. During a median treatment period of 35.5 (22.0-48.8) months, significant decreases were observed in median ARR (1.1 [0.8-2.0] versus 0 [0-0.2], Conclusion: Our research provided evidence supporting the lower-dose RTX strategy in treating NMOSD and reopened the issues of optimal dosage and therapy initiation timing.

Indexed as

Drug-Related Side Effects and Adverse ReactionsNeuromyelitis OpticaBenzamidesFollow-Up StudiesHumansPhenylenediaminesProspective StudiesRituximabSecondary PreventionBenzamidesPhenylenediaminesRituximabtacedinalineefficacylow-doseneuromyelitis optica spectrum disorderrituximabsafety

Identifiers

PMID37614240
PMCPMC10442836
OpenAlexW4385659837

What OpenQuestion holds

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LicenceCC BY
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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.