Evidence map›Paper›PMID 37954917›Full record

ArticleTherapeutic advances in neurological disorders2023

Disease activity 4.5 years after starting cladribine: experience in 264 patients with multiple sclerosis.

Kimberley Allen-Philbey, Stefania De Trane, Amy MacDougall, Ashok Adams, Lucia Bianchi, Thomas Campion, Gavin Giovannoni, Sharmilee Gnanapavan, David W Holden, Monica Marta and 4 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 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.8field-weighted citation impact, top 15% 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

4 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Identifying Cladribine prescription pattern in MS: an Italian multicentre study.Therapeutic advances in neurological disorders · 2025
    Article
  3. Article
  4. 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

14 authors at 3 institutions in 2 countries.

Kimberley Allen-PhilbeyClinical Board Medicine (Neuroscience), The Royal London Hospital, Barts Health NHS Trust, London, UK.ORCID https://orcid.org/0000-0003-1207-8625
Stefania De TraneClinical Board Medicine (Neuroscience), The Royal London Hospital, Barts Health NHS Trust, London, UK.
Amy MacDougallDepartment of Medical Statistics, London School of Hygiene and Tropical Medicine, London, UK.
Ashok AdamsDepartment of Neuroradiology, The Royal London Hospital, Barts Health NHS Trust, London, UK.
Lucia BianchiClinical Board Medicine (Neuroscience), The Royal London Hospital, Barts Health NHS Trust, London, UK.
Thomas CampionDepartment of Neuroradiology, The Royal London Hospital, Barts Health NHS Trust, London, UK.
Gavin GiovannoniClinical Board Medicine (Neuroscience), The Royal London Hospital, Barts Health NHS Trust, London, UK.ORCID https://orcid.org/0000-0001-9995-1700
Sharmilee GnanapavanClinical Board Medicine (Neuroscience), The Royal London Hospital, Barts Health NHS Trust, London, UK.
David W HoldenClinical Board Medicine (Neuroscience), The Royal London Hospital, Barts Health NHS Trust, London, UK.
Monica MartaClinical Board Medicine (Neuroscience), The Royal London Hospital, Barts Health NHS Trust, London, UK.
Joela MathewsClinical Board Medicine (Neuroscience), The Royal London Hospital, Barts Health NHS Trust, London, UK.
Benjamin P TurnerClinical Board Medicine (Neuroscience), The Royal London Hospital, Barts Health NHS Trust, London, UK.
David BakerCentre for Neuroscience, Surgery and Trauma, Faculty of Medicine and Dentistry, The Blizard Institute, Queen Mary University of London, London, UK.
Klaus SchmiererThe Blizard Institute, 4 Newark Street, London E1 2AT, UK.ORCID https://orcid.org/0000-0002-9293-8893
Queen Mary University of London · GBBarts Health NHS Trust · GBLondon School of Hygiene & Tropical Medicine · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Cladribine is an effective immunotherapy for people with multiple sclerosis (pwMS). Whilst most pwMS do not require re-treatment following standard dosing (two treatment courses), disease activity re-emerges in others. The characteristics of pwMS developing re-emerging disease activity remain incompletely understood. Objectives: To explore whether clinical and/or paraclinical baseline characteristics, including the degree of lymphocyte reduction, drug dose and lesions on magnetic resonance imaging (MRI) are associated with re-emerging disease activity. Design: Service evaluation in pwMS undergoing subcutaneous cladribine (SClad) treatment. Methods: Demographics, clinical, laboratory and MRI data of pwMS receiving two courses of SClad were extracted from health records. To assess associations of predictor variables with re-emerging disease activity, a series of Cox proportional hazards models was fitted (one for each predictor variable). Results: Of Conclusion: Re-emerging disease activity was associated with baseline MRI activity and low dose second course of SClad.

Indexed as

cladribinedisease activitydisease breakthroughmultiple sclerosisre-treatmenttreatment switch

Identifiers

PMID37954917
PMCPMC10638874
OpenAlexW4388578806

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.