Evidence map›Paper›PMID 38077350›Full record

ArticleFrontiers in immunology2023

Assessment of treatment response in cardiac sarcoidosis based on myocardial

Lukas Frischknecht, Jan Schaab, Eloi Schmauch, Ayla Yalamanoglu, Dennis D Arnold, Judith Schwaiger, Christiane Gruner, Ronny R Buechel, Daniel P Franzen, Antonios G A Kolios and 1 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in immunology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.6field-weighted citation impact, top 16% 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

9 citing papers in PubMed, 9 citations in OpenAlex.

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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

11 authors at 2 institutions in 3 countries.

Lukas Frischknecht *Department of Immunology, University Hospital Zurich (USZ), Zurich, Switzerland.
Jan Schaab *Department of Nuclear Medicine, Cardiac Imaging, University Hospital Zurich, Zurich, Switzerland.
Eloi SchmauchBroad Institute of MIT and Harvard, Cambridge, MA, United States.
Ayla YalamanogluDepartment of Immunology, University Hospital Zurich (USZ), Zurich, Switzerland.
Dennis D ArnoldDepartment of Immunology, University Hospital Zurich (USZ), Zurich, Switzerland.
Judith SchwaigerDepartment of Cardiology, University Hospital Zurich, Zurich, Switzerland.
Christiane GrunerDepartment of Cardiology, University Hospital Zurich, Zurich, Switzerland.
Ronny R BuechelDepartment of Nuclear Medicine, Cardiac Imaging, University Hospital Zurich, Zurich, Switzerland.
Daniel P FranzenDepartment of Pulmonology, University Hospital Zurich, Zurich, Switzerland.
Antonios G A Kolios *Department of Immunology, University Hospital Zurich (USZ), Zurich, Switzerland.
Jakob Nilsson *Department of Immunology, University Hospital Zurich (USZ), Zurich, Switzerland.
University Hospital of Zurich · CHBroad Institute · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Immunosuppressive therapy for cardiac sarcoidosis (CS) still largely consists of corticosteroid monotherapy. However, high relapse rates after tapering and insufficient efficacy are significant problems. The objective of this study was to investigate the efficacy and safety of non-biological and biological disease-modifying anti-rheumatic drugs (nb/bDMARDs) considering control of myocardial inflammation assessed by Methods: We conducted a retrospective analysis of treatment response to nb/bDMARDs of all CS patients seen in the sarcoidosis center of the University Hospital Zurich between January 2016 and December 2020. Results: We identified 50 patients with CS. Forty-five patients with at least one follow-up PET/CT scan were followed up for a mean of 20.5 ± 12.8 months. Most of the patients were treated with prednisone and concomitant nb/bDMARDs. At the first follow-up PET/CT scan after approximately 6.7 ± 3 months, only adalimumab showed a significant reduction in cardiac metabolic activity. Furthermore, comparing all serial follow-up PET/CT scans (143), tumor necrosis factor inhibitor (TNFi)-based therapies showed statistically significant better suppression of myocardial Conclusion: TNFi shows better control of myocardial inflammation compared to nbDMARDs and corticosteroid monotherapies in patients with CS. TNFi was efficient and safe even in patients with severely reduced LVEF.

Indexed as

MyocarditisSarcoidosisAdalimumabAdrenal Cortex HormonesFluorodeoxyglucose F18HumansInflammationPositron Emission Tomography Computed TomographyRadiopharmaceuticalsRetrospective StudiesStroke VolumeVentricular Function, LeftAdalimumabAdrenal Cortex HormonesFluorodeoxyglucose F18RadiopharmaceuticalsadalimumabAnti-TNFazathioprincardiac metabolic activitycardiac sarcoidosismyocardial 18F-FDG PETSUVmax

Identifiers

PMID38077350
PMCPMC10704456
OpenAlexW4388974228

What OpenQuestion holds

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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.