Evidence map›Paper›PMID 37808246›Full record

ArticleTherapeutic advances in neurological disorders2023

Alemtuzumab following natalizumab is more effective in adult-onset than paediatric-onset multiple sclerosis.

Marco Puthenparampil, Marta Gaggiola, Alessandro Miscioscia, Valentina Annamaria Mauceri, Federica De Napoli, Giovanni Zanotelli, Mariagiulia Anglani, Margherita Nosadini, Stefano Sartori, Paola Perini and 2 more

Open access · goldAbstract read
In one paragraph

Article in Therapeutic advances in neurological disorders, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
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

7 citing papers in PubMed, 12 citations in OpenAlex.

  1. Review
  2. Article
  3. Pediatric multiple sclerosis: Improving outcome through high-efficacy therapies.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2025
    Review
  4. Review
  5. Observational
  6. Article
  7. 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

12 authors at 2 institutions in 1 country.

Marco PuthenparampilMultiple Sclerosis Centre, Clinica Neurologica, Dipartimento di Neuroscienze, Università degli Studi di Padova, Via Giustiniani 5, 35128 Padova, Italy.ORCID https://orcid.org/0000-0002-2313-8462
Marta GaggiolaDepartment of Neurosciences, University of Padua, Padova, Italy.
Alessandro MisciosciaDepartment of Neurosciences, University of Padua, Padova, Italy.
Valentina Annamaria MauceriDepartment of Neurosciences, University of Padua, Padova, Italy.
Federica De NapoliDepartment of Neurosciences, University of Padua, Padova, Italy.
Giovanni ZanotelliDepartment of Neurosciences, University of Padua, Padova, Italy.
Mariagiulia AnglaniNeuroradiology Unit, Azienda Ospedaliera di Padova, Padova, Italy.
Margherita NosadiniPaediatric Neurology and Neurophysiology Unit, Department of Women's and Children's Health, University Hospital of Padova, Padova, Italy.
Stefano SartoriPaediatric Neurology and Neurophysiology Unit, Department of Women's and Children's Health, University Hospital of Padova, Padova, Italy.
Paola PeriniMultiple Sclerosis Centre, Azienda Ospedaliera di Padova, Padova, Italy.
Francesca RinaldiMultiple Sclerosis Centre, Azienda Ospedaliera di Padova, Padova, Italy.
Paolo GalloDepartment of Neurosciences, University of Padua, Padova, Italy.
University of Padua · ITAzienda Ospedale - Università Padova · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Paediatric-onset multiple sclerosis (POMS) therapeutic approach derives from of adult-onset multiple sclerosis (AOMS) tailored algorithms. Objectives: To evaluate in a common clinical scenario the efficacy and safety of alemtuzumab (ALZ) in POMS and AOMS. Methods: All patients switching from natalizumab (NTZ) to ALZ for safety concerns (high anti-John Cunningham Virus Antibody Index value, anti-JCV Index) were enrolled in this single-centre, retrospective, case-control open-label study. Results: Ten POMS and 27 AOMS were followed up for 51.3 months. After month 12, we found a lower risk of clinical or radiological relapses among AOMS patients and among patients with older age at ALZ (both Conclusion: ALZ seems more effective in AOMS than in POMS following NTZ. These findings underrate ALZ effectiveness when shifting from NTZ in POMS.

Indexed as

alemtuzumabmultiple sclerosisnatalizumabpaediatric-onset multiple sclerosis

Identifiers

PMID37808246
PMCPMC10559704
OpenAlexW4387401172

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.