Evidence map›Paper›PMID 38668126›Full record

ArticleNeurology international2024

Utilization of Ocrelizumab within Different Treatment Strategies for Multiple Sclerosis: A 5-Year Population-Based Study.

Marcello Moccia, Giuseppina Affinito, Giuseppina Marrazzo, Tiziana Ciarambino, Paolo Di Procolo, Licia Confalonieri, Antonio Carotenuto, Maria Petracca, Roberta Lanzillo, Maria Triassi and 2 more

Open access · goldAbstract read
In one paragraph

Article in Neurology international, 2024. 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
1.7field-weighted citation impact, top 17% 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, 4 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

12 authors at 5 institutions in 2 countries.

Marcello MocciaMultiple Sclerosis Unit, Policlinico Federico II University Hospital, Via Sergio Pansini 5, 80131 Naples, Italy.ORCID 0000-0003-2613-3090
Giuseppina AffinitoDepartment of Public Health, University of Naples Federico II, 80131 Naples, Italy.ORCID 0000-0002-5416-0152
Giuseppina MarrazzoROCHE Spa, 20900 Monza, Italy.
Tiziana CiarambinoGeneral Directorate for Healthcare Protection and Management of the Regional Healthcare Service, Strategic Management Office, Caserta Healthcare Authority, 81100 Caserta, Italy.ORCID 0000-0002-3917-1478
Paolo Di ProcoloROCHE Spa, 20900 Monza, Italy.
Licia ConfalonieriROCHE Spa, 20900 Monza, Italy.
Antonio CarotenutoMultiple Sclerosis Unit, Policlinico Federico II University Hospital, Via Sergio Pansini 5, 80131 Naples, Italy.ORCID 0000-0002-1574-9693
Maria PetraccaDepartment of Human Neurosciences, Sapienza University, 00185 Rome, Italy.
Roberta LanzilloMultiple Sclerosis Unit, Policlinico Federico II University Hospital, Via Sergio Pansini 5, 80131 Naples, Italy.
Maria TriassiDepartment of Public Health, University of Naples Federico II, 80131 Naples, Italy.
Vincenzo Brescia MorraMultiple Sclerosis Unit, Policlinico Federico II University Hospital, Via Sergio Pansini 5, 80131 Naples, Italy.
Raffaele PalladinoDepartment of Public Health, University of Naples Federico II, 80131 Naples, Italy.ORCID 0000-0002-3437-812X
Federico II University Hospital · ITRoche (Italy) · ITUniversity of Naples Federico II · ITImperial College London · GBSapienza University of Rome · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe aim to provide up-to-date real-world evidence on the persistence, adherence, healthcare resource utilization, and costs of multiple sclerosis (MS) by comparing ocrelizumab to other disease-modifying treatments (DMTs) and within different DMT sequences.

methodsWe included 3371 people with MS who first received or switched DMT prescriptions from January 2018 to December 2022; they were identified through hospital discharge records, drug prescriptions, and exemption codes from the Campania Region (South Italy). We calculated persistence (time from the first prescription to discontinuation or switching to another DMT), adherence (proportion of days covered (PDC)), DMT costs, and MS hospital admissions and related costs.

resultsThe most frequently prescribed DMT was dimethyl fumarate (n = 815; age 38.90 ± 11.91 years; 69.5% females), followed by ocrelizumab (n = 682; age 46.46 ± 11.29 years; 56.3%); 28.8% of the patients treated with ocrelizumab were naïve to DMTs. Using ocrelizumab as a statistical reference, the risk of discontinuation was higher for other highly active (HR = 6.32; 95%CI = 3.16, 12.63;

conclusionsFrom 2018 to 2022, ocrelizumab was among the most frequently prescribed DMTs, with 28.8% prescriptions to incident MS patients, confirming its relevance in clinical practice. Ocrelizumab was associated with the highest persistence and adherence, pointing towards its favorable benefit-risk profile. The costs of ocrelizumab were lower than those of other highly active DMTs.

Indexed as

adherencecostsmultiple sclerosisocrelizumabpersistencetreatment

Identifiers

PMID38668126
PMCPMC11054722
OpenAlexW4393377380

What OpenQuestion holds

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LicenceCC BY
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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.