Evidence map›Paper›PMID 38525490›Full record

ArticleTherapeutic advances in neurological disorders2024

Comparative efficacy of ofatumumab

Nicholas Riley, Christopher Drudge, Morag Nelson, Anja Haltner, Michael Barnett, Simon Broadley, Helmut Butzkueven, Pamela McCombe, Anneke Van der Walt, Erin O Y Wong and 4 more

Open access · goldAbstract read
In one paragraph

Article in Therapeutic advances in neurological disorders, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.3field-weighted citation impact, top 22% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Real-world effectiveness and safety of ofatumumab in relapsing-remitting multiple sclerosis: Insights from naïve and switch patients.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2025
    Article
  2. T lymphopenia in multiple sclerosis patients treated with ofatumumab: Even with consideration for CD3Multiple sclerosis journal - experimental, translational and clinical
    Article
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 7 institutions in 3 countries.

Nicholas RileyNovartis Pharmaceuticals Australia, Sydney, NSW, Australia.
Christopher DrudgeEVERSANA, Value and Evidence, Burlington, ON, Canada.ORCID https://orcid.org/0000-0001-9721-3069
Morag NelsonNovartis Pharmaceuticals Australia, Sydney, NSW, Australia.ORCID https://orcid.org/0009-0004-7655-4357
Anja HaltnerEVERSANA, Value and Evidence, Chicago, IL, USA.
Michael BarnettBrain and Mind Centre, University of Sydney, Camperdown, NSW, Australia.
Simon BroadleySchool of Medicine, Griffith University, Southport, QLD, Australia.
Helmut ButzkuevenDepartment of Neuroscience, Central Clinical School, Monash University, Melbourne, VIC, Australia.ORCID https://orcid.org/0000-0003-3940-8727
Pamela McCombeUQ Centre for Clinical Research Faculty of Medicine, University of Queensland, St. Lucia, QLD, Australia.
Anneke Van der WaltDepartment of Neuroscience, Central Clinical School, Monash University, Melbourne, VIC, Australia.ORCID https://orcid.org/0000-0002-4278-7003
Erin O Y WongEVERSANA, Value and Evidence, Burlington, ON, Canada.
Martin MerschhemkeNovartis Pharma AG, Basel, Switzerland.
Nicholas AdlardNovartis Pharma AG, Basel, Switzerland.
Rob WalkerNovartis Pharmaceuticals Australia, Sydney, NSW, Australia.ORCID https://orcid.org/0000-0003-0032-9925
Imtiaz A SamjooEVERSANA, Value and Evidence, 113-3228 South Service Road, Burlington, ON, Canada, L7N 3H8.
EVERSANA (Canada) · CANovartis (Australia) · AUMonash University · AUNovartis (Switzerland) · CHGriffith University · AUThe University of Queensland · AUThe University of Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Evidence from network meta-analyses (NMAs) and real-world propensity score (PS) analyses suggest monoclonal antibodies (mAbs) offer a therapeutic advantage over currently available oral therapies and, therefore, warrant consideration as a distinct group of high-efficacy disease-modifying therapies (DMTs) for patients with relapsing multiple sclerosis (RMS). This is counter to the current perception of these therapies by some stakeholders, including payers. Objectives: A multifaceted indirect treatment comparison (ITC) approach was undertaken to clarify the relative efficacy of mAbs and oral therapies. Design: Two ITC methods that use individual patient data (IPD) to adjust for between-trial differences, PS analyses and simulated treatment comparisons (STCs), were used to compare the mAb ofatumumab Data sources and methods: As IPD were available for trials of ofatumumab and fingolimod, PS analyses were conducted. Given summary-level data were available for cladribine, fingolimod, and ozanimod trials, STCs were conducted between ofatumumab and each of these oral therapies. Three efficacy outcomes were compared: annualized relapse rate (ARR), 3-month confirmed disability progression (3mCDP), and 6-month CDP (6mCDP). Results: The PS analyses demonstrated ofatumumab was statistically superior to fingolimod for ARR and time to 3mCDP but not time to 6mCDP. In STCs, ofatumumab was statistically superior in reducing ARR and decreasing the proportion of patients with 3mCDP compared with cladribine, fingolimod, and ozanimod and in decreasing the proportion with 6mCP compared with fingolimod and ozanimod. These findings were largely consistent with recently published NMAs that identified mAb therapies as the most efficacious DMTs for RMS. Conclusion: Complementary ITC methods showed ofatumumab was superior to cladribine, fingolimod, and ozanimod in lowering relapse rates and delaying disability progression among patients with RMS. Our study supports the therapeutic superiority of mAbs over currently available oral DMTs for RMS and the delineation of mAbs as high-efficacy therapies.

Indexed as

annualized relapse rateconfirmed disability progressionindirect treatment comparisonpropensity scorerelapsing multiple sclerosissimulated treatment comparison

Identifiers

PMID38525490
PMCPMC10960976
OpenAlexW4393121545

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.