Evidence map›Paper›PMID 37676297›Full record

ReviewJournal of neurology2024

Update on the diagnosis and treatment of neuromyelitis optica spectrum disorders (NMOSD) - revised recommendations of the Neuromyelitis Optica Study Group (NEMOS). Part II: Attack therapy and long-term management.

Tania Kümpfel, Katrin Giglhuber, Orhan Aktas, Ilya Ayzenberg, Judith Bellmann-Strobl, Vivien Häußler, Joachim Havla, Kerstin Hellwig, Martin W Hümmert, Sven Jarius and 15 more

Erratum issued Registry-linked trialOpen access · hybridAbstract readReview
In one paragraph

Review in Journal of neurology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT07010302 (A Comparative Clinical Effectiveness Trial of Rituximab Versus Ravulizumab, Inebilizumab, Satralizumab and Eculizumab To Prevent Relapses in Neuromyelitis Optica Spectrum Disorder), which is not on this map. Cited by 148 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
148citing papers in PubMed, 7 pooled it
49.2field-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.

NCT07010302 phase4not yet recruitingnot on this mapstarted 2026, after this paper: background citation

A Comparative Clinical Effectiveness Trial of Rituximab Versus Ravulizumab, Inebilizumab, Satralizumab and Eculizumab To Prevent Relapses in Neuromyelitis Optica Spectrum Disorder

TypeinterventionalSponsorMassachusetts General HospitalRan2026 to 2030Enrolled540ConditionsNMOSDArmsRituximab (R), Eculizumab (Soliris®), Ravulizumab, Satralizumab, Inebilizumab
3 · Its place in the literature

Who cites it

148 citing papers in PubMed, 7 syntheses or guidelines pooled it, 193 citations in OpenAlex.

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88 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

25 authors at 17 institutions in 3 countries.

Tania KümpfelInstitute of Clinical Neuroimmunology, LMU Hospital, Ludwig-Maximilians-Universität München, Munich, Germany. Tania.Kuempfel@med.uni-muenchen.de.ORCID http://orcid.org/0000-0001-7509-5268
Katrin GiglhuberDepartment of Neurology, School of Medicine, Technical University Munich, Klinikum Rechts der Isar, Munich, Germany.
Orhan AktasDepartment of Neurology, Medical Faculty, Heinrich Heine University Düsseldorf, Düsseldorf, Germany.
Ilya AyzenbergDepartment of Neurology, St. Josef Hospital, Ruhr University Bochum, Bochum, Germany.
Judith Bellmann-StroblDepartment of Neurology, Charité-Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany.
Vivien HäußlerDepartment of Neurology and Institute of Neuroimmunology and MS (INIMS), University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Joachim HavlaInstitute of Clinical Neuroimmunology, LMU Hospital, Ludwig-Maximilians-Universität München, Munich, Germany.
Kerstin HellwigDepartment of Neurology, St. Josef Hospital, Ruhr University Bochum, Bochum, Germany.
Martin W HümmertDepartment of Neurology, Hannover Medical School, Hannover, Germany.
Sven JariusMolecular Neuroimmunology Group, Department of Neurology, University of Heidelberg, Heidelberg, Germany.
Ingo KleiterDepartment of Neurology, St. Josef Hospital, Ruhr University Bochum, Bochum, Germany.
Luisa KlotzDepartment of Neurology with Institute of Translational Neurology, University of Münster, Münster, Germany.
Markus KrumbholzDepartment of Neurology and Pain Treatment, Immanuel Klinik Rüdersdorf, University Hospital of the Brandenburg Medical School Theodor Fontane, Rüdersdorf bei Berlin, Germany.
Friedemann PaulDepartment of Neurology, Charité-Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany.
Marius RingelsteinDepartment of Neurology, Medical Faculty, Heinrich Heine University Düsseldorf, Düsseldorf, Germany.
Klemens RuprechtDepartment of Neurology, Charité-Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany.
Makbule SenelDepartment of Neurology, University of Ulm, Ulm, Germany.
Jan-Patrick StellmannDepartment of Neurology and Institute of Neuroimmunology and MS (INIMS), University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Florian Then BerghDepartment of Neurology, University of Leipzig, Leipzig, Germany.
Corinna TrebstMolecular Neuroimmunology Group, Department of Neurology, University of Heidelberg, Heidelberg, Germany.
Hayrettin TumaniAPHM, Hopital de la Timone, CEMEREM, Marseille, France.
Clemens WarnkeDepartment of Neurology, Faculty of Medicine, University Hospital Cologne, University of Cologne, Cologne, Germany.
Brigitte WildemannMarianne-Strauß-Klinik, Behandlungszentrum Kempfenhausen für Multiple Sklerose Kranke, Berg, Germany.
Achim BertheleDepartment of Neurology, School of Medicine, Technical University Munich, Klinikum Rechts der Isar, Munich, Germany. achim.berthele@tum.de.
Neuromyelitis Optica Study Group (NEMOS)
Medizinische Hochschule Hannover · DEHeidelberg University · DESt. Josef-Hospital · DETUM Klinikum · DEUniversity Children's Hospital Tübingen · DECentre National de la Recherche Scientifique · FRHeinrich Heine University Düsseldorf · DEHumboldt-Universität zu Berlin · DELudwig-Maximilians-Universität München · DEMax Delbrück Center · DEGoethe University Frankfurt · DEHôpital de la Timone · FRLeipzig University · DEUniversität Hamburg · DEUniversität Ulm · DEUniversity of Cologne · DEUniversity of Münster · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This manuscript presents practical recommendations for managing acute attacks and implementing preventive immunotherapies for neuromyelitis optica spectrum disorders (NMOSD), a rare autoimmune disease that causes severe inflammation in the central nervous system (CNS), primarily affecting the optic nerves, spinal cord, and brainstem. The pillars of NMOSD therapy are attack treatment and attack prevention to minimize the accrual of neurological disability. Aquaporin-4 immunoglobulin G antibodies (AQP4-IgG) are a diagnostic marker of the disease and play a significant role in its pathogenicity. Recent advances in understanding NMOSD have led to the development of new therapies and the completion of randomized controlled trials. Four preventive immunotherapies have now been approved for AQP4-IgG-positive NMOSD in many regions of the world: eculizumab, ravulizumab - most recently-, inebilizumab, and satralizumab. These new drugs may potentially substitute rituximab and classical immunosuppressive therapies, which were as yet the mainstay of treatment for both, AQP4-IgG-positive and -negative NMOSD. Here, the Neuromyelitis Optica Study Group (NEMOS) provides an overview of the current state of knowledge on NMOSD treatments and offers statements and practical recommendations on the therapy management and use of all available immunotherapies for this disease. Unmet needs and AQP4-IgG-negative NMOSD are also discussed. The recommendations were developed using a Delphi-based consensus method among the core author group and at expert discussions at NEMOS meetings.

Indexed as

Neuromyelitis OpticaAquaporin 4AutoantibodiesCentral Nervous SystemHumansImmunoglobulin GSpinal CordAquaporin 4AutoantibodiesImmunoglobulin GAquaporin-4 (AQP4)AttacksDisabilityDouble-negative NMOSDImmunotherapiesLong-term managementNeuromyelitis optica spectrum disorders (NMOSD)

Identifiers

PMID37676297
PMCPMC10770020
OpenAlexW4386501955

What OpenQuestion holds

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LicenceCC BY
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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.