Evidence map›Paper›PMID 39387403›Full record

ArticleFuture cardiology2024

Methotrexate, blood pressure and arterial function in rheumatoid arthritis: study protocol.

Arduino A Mangoni, Michael D Wiese, Richard J Woodman, Salvatore Sotgia, Angelo Zinellu, Ciriaco Carru, Julie-Ann Hulin, E Michael Shanahan, Sara Tommasi

Abstract readClinical Trial Protocol
In one paragraph

Article in Future cardiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. 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

9 authors.

Arduino A MangoniCollege of Medicine & Public Health, Flinders Health & Medical Research Institute, Flinders University, Adelaide, Australia.ORCID 0000-0001-8699-1412
Michael D WieseCentre for Pharmaceutical Innovation, Clinical & Health Sciences, University of South Australia, Adelaide, Australia.ORCID 0000-0002-3255-9242
Richard J WoodmanCentre for Epidemiology & Biostatistics, College of Medicine & Public Health, Flinders University, Adelaide, Australia.ORCID 0000-0002-4094-1222
Salvatore SotgiaDepartment of Biomedical Sciences, University of Sassari, Sassari, Italy.ORCID 0000-0002-3717-3437
Angelo ZinelluDepartment of Biomedical Sciences, University of Sassari, Sassari, Italy.ORCID 0000-0002-8396-0968
Ciriaco CarruDepartment of Biomedical Sciences, University of Sassari, Sassari, Italy.ORCID 0000-0002-6985-4907
Julie-Ann HulinCollege of Medicine & Public Health, Flinders Health & Medical Research Institute, Flinders University, Adelaide, Australia.ORCID 0000-0003-4886-0416
E Michael ShanahanCollege of Medicine & Public Health, Flinders Health & Medical Research Institute, Flinders University, Adelaide, Australia.ORCID 0000-0001-8309-3289
Sara TommasiCollege of Medicine & Public Health, Flinders Health & Medical Research Institute, Flinders University, Adelaide, Australia.ORCID 0000-0002-9449-2602

Funding

Medac Investigator-initiated trial
6 · The paper itself

Abstract

This article discusses the rationale and design of the study "Methotrexate, blood pressure, and arterial function in rheumatoid arthritis". The recognition that immune activation and excess inflammation favor atherosclerosis has stimulated a significant body of research not only to identify new drugs targeting these pathways but also to repurpose (reposition) existing immunomodulatory medications as atheroprotective agents. Observational studies in patients with rheumatoid arthritis have reported that treatment with methotrexate, a traditional disease-modifying antirheumatic drug, is associated with a significantly lower risk of cardiovascular morbidity and mortality when compared with other disease-modifying antirheumatic drugs. One potential mechanism accounting for the reduced cardiovascular risk associated with methotrexate is the lowering effect on arterial blood pressure. However, such effect has only been observed in cross-sectional and observational studies. Given the established role of hypertension as a leading cardiovascular risk factor, these observations justify an intervention comparison study, the focus of this article, investigating the temporal effects of methotrexate on blood pressure and various surrogate markers of atherosclerosis in patients with rheumatoid arthritis. The results of this study might lead to the repurposing of methotrexate for cardiovascular prevention in patients with and without autoimmune disorders.

Indexed as

Antirheumatic AgentsArthritis, RheumatoidBlood PressureMethotrexateCross-Sectional StudiesFemaleHumansHypertensionMaleAntirheumatic AgentsMethotrexateactivearthritisatherosclerosisblood inflammationdrug repositioningimmunitymethotrexatepressurepreventive medicinerheumatoidstiffness

Identifiers

PMID39387403
PMCPMC11552479

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.