Evidence map›Paper›PMID 38018696›Full record

Observational studyRevista de neurologia2023

Real-world effectiveness of fingolimod in patients with multiple sclerosis in Bulgaria.

I Milanov, S Ivanova, I Tournev, T Chamova, A Kaprelyan, G Slavov, V Chervenkov, K Kipriyanovska

Open access · greenAbstract readObservational Study
In one paragraph

Observational study in Revista de neurologia, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 36% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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

8 authors at 5 institutions in 1 country.

I MilanovHospital Multiperfil de Tratamiento Activo en Neurología y Psiquiatría Clínica Sveti Naum, Sofía, Bulgaria.
S IvanovaHospital Multiperfil de Tratamiento Activo en Neurología y Psiquiatría Clínica Sveti Naum, Sofía, Bulgaria.
I TournevUMHAT Alexandrovska EAD. Clínica de Enfermedades Neurológicas, Sofía, Bulgaria.
T ChamovaUMHAT Alexandrovska EAD. Clínica de Enfermedades Neurológicas, Sofía, Bulgaria.
A KaprelyanMHAT Sveta Marina EAD. Primera Clínica de Enfermedades Nerviosas, Varna, Bulgaria.
G SlavovMHAT Sveti Georgi EAD. Clínica de Enfermedades Nerviosas, Plovdiv, Bulgaria.
V ChervenkovNovartis Bulgaria EOOD, Sofía, Bulgaria.
K KipriyanovskaNovartis Bulgaria EOOD, Sofía, Bulgaria.
Alexandrovska Hospital · BGMinistry of Foreign Affairs · BGMultiprofile Hospital for Active Treatment in Neurology and Psychiatry St. Naum · BGUniversity Hospital St. Marina · BGUniversity Multipurpose Hospital for Active Treatment "Sveti Georgi" · BG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionFingolimod, a sphingosine-1-phosphate receptor agonist used for the treatment of multiple sclerosis (MS). Our goal was to assess the impact of fingolimod on quality of life in patients with relapsing-remitting multiple sclerosis (RRMS) after 2 years of treatment in this real-world study. PATIENTS AND

methodsThis was a 2-year, prospective, observational study conducted in Bulgaria in RRMS patients treated with fingolimod. Quality of life was assessed using the Bulgarian-language version of the MSQoL-54 scale. The primary endpoint was the change from baseline in the MSQoL-54 score after 2 years of treatment. Secondary endpoints included the change from baseline in the MSQoL-54 score after one year of treatment, furthermore the assessment of depression level using the Hamilton D-17 score.

resultsA total of 87 eligible patients were included in the study with a mean age of 38.7 ± 8.45 years. The median Expanded Disability Status Scale (EDSS) score was 3.5 points. We found statistically significant improvement in 10 subscales at month 12 and in seven subscales at month 24. The mental health composite score increased from 64.0 ± 16.69 points to 67.5 ± 15.94 points at month 24 (p = 0.012). The physical health composite score increased from 61.7 ± 17.61 to 66.3 ± 16.70 (p = 0.001). Depression level measured by the HAM-D17 decreased significantly by month 12 and month 24. The EDSS score decreased or remained stable in more than half of the patients (61.6%). We detected better quality of life in patients with a lower EDSS score.

conclusionsQuality of life scores and the depression level are improved in RRMS patients treated with fingolimod over 2 years in real-life setting.

Indexed as

Multiple SclerosisMultiple Sclerosis, Relapsing-RemittingAdultBulgariaFingolimod HydrochlorideHumansImmunosuppressive AgentsMiddle AgedProspective StudiesQuality of LifeFingolimod HydrochlorideImmunosuppressive Agents

Identifiers

PMID38018696
PMCPMC10831698
OpenAlexW4389152530

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.