Evidence map›Paper›PMID 37978852›Full record

ArticleMultiple sclerosis (Houndmills, Basingstoke, England)2023

Improvements in quality of life over 2 years with cladribine tablets in people with relapsing multiple sclerosis: The CLARIFY-MS study.

Bruno Brochet, Alessandra Solari, Jeannette Lechner-Scott, Fredrik Piehl, Dawn Langdon, Raymond Hupperts, Krzysztof Selmaj, Francesco Patti, Luis Brieva, Eva Maria Maida and 6 more

Abstract read
In one paragraph

Article in Multiple sclerosis (Houndmills, Basingstoke, England), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
–field-weighted citation impact
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

18 citing papers in PubMed.

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  14. Cladribine tablets in the new multiple sclerosis era.Therapeutic advances in neurological disorders · 2025
    Review
  15. Review
  16. Improved quality of life with MS treatment.Nature reviews. Neurology · 2024
    Article
  17. Article
  18. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors.

Bruno BrochetINSERM U 1215, University of Bordeaux, Bordeaux, France.ORCID 0000-0003-3824-2796
Alessandra SolariUnit of Neuroepidemiology, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy.ORCID 0000-0001-9930-7579
Jeannette Lechner-ScottUniversity of Newcastle, Newcastle, NSW, Australia/Division of Neurology, John Hunter Hospital, Newcastle, NSW, Australia.
Fredrik PiehlDepartment of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.ORCID 0000-0001-8329-5219
Dawn LangdonDepartment of Psychology, Royal Holloway, University of London, Egham, UK.
Raymond HuppertsZuyderland Medisch Centrum Sittard, Maastricht University Medical Center, Maastricht, The Netherlands.
Krzysztof SelmajCenter for Neurology, Lodz, Poland.
Francesco PattiDepartment of Medical and Surgical Sciences and Advanced Technologies, GF Ingrassia, University of Catania, and Azienda Ospedaliero Universitaria Policlinico "G. Rodolico" - San Marco, University of Catania, Italy.ORCID 0000-0002-6923-0846
Luis BrievaIRBlLeida, Hospital Arnau de Vilanova, Lérida, Spain.
Eva Maria MaidaMultiple Sclerosis Center, Vienna, Austria.
Nektaria AlexandriMerck Healthcare KGaA, Darmstadt, Germany.
Andrzej SmykMerck Healthcare KGaA, Darmstadt, Germany.
Axel NoltingMerck Healthcare KGaA, Darmstadt, Germany.
Birgit KellerMerck Healthcare KGaA, Darmstadt, Germany.
Xavier MontalbanDepartment of Neurology-Neuroimmunology Centre of Multiple Sclerosis of Catalonia (Cemcat), University Hospital Vall d'Hebron, Barcelona, Spain.
Eva Kubala HavrdovaDepartment of Neurology and Center for Clinical Neuroscience, First Medical Faculty, Charles University, Prague, Czech Republic.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMultiple sclerosis (MS) negatively affects health-related quality of life (HRQoL).

objectiveTo evaluate HRQoL in people with highly active relapsing MS treated with cladribine tablets (CladT; 3.5 mg/kg cumulative dose over 2 years) in CLARIFY-MS.

methodsChanges in the MS quality of life (MSQoL)-54 scores were analysed using a repeated mixed-effects linear model. Subgroup analyses were performed for participants who were pretreatment-naïve and those pretreated with disease-modifying therapies (DMTs) before initiating CladT. Safety and tolerability of CladT were also assessed.

resultsMSQoL-54 physical (mean change = 4.86; 95% confidence interval (CI) = 3.18, 6.53) and mental health (4.80; 95% CI = 3.13, 6.46) composite scores (primary endpoints) showed significant improvement at Month 24 versus Baseline (

conclusionsCladT treatment significantly improved the mean MSQoL-54 physical and mental health composite scores over 2 years. CladT efficacy in HRQoL, relapse rates and Expanded Disability Status Scale scores demonstrates its multidimensional effects in MS treatment.

Indexed as

LymphopeniaMultiple SclerosisMultiple Sclerosis, Relapsing-RemittingCladribineHumansImmunosuppressive AgentsQuality of LifeTabletsCladribineImmunosuppressive AgentsTabletsCladribine tabletsCLARIFY-MSdisease-modifying therapiesmultiple sclerosisquality of life

Identifiers

PMID37978852
PMCPMC10687821

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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.