Evidence map›Paper›PMID 39660535›Full record

ArticleAnnals of clinical and translational neurology2025

Efficacy and safety of combined low-dose rituximab regimen for chronic inflammatory demyelinating polyradiculoneuropathy.

Ying Du, Qi Yan, Chuan Li, Wenping Zhu, Chao Zhao, Yunfeng Hao, Lin Li, Dan Yao, Xuan Zhou, Ying Li and 16 more

Abstract read
In one paragraph

Article in Annals of clinical and translational neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. 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

26 authors.

Ying Du *Department of Neurology, Tangdu Hospital, Fourth Military Medical University, Xi'an, 710038, Shaanxi, China.
Qi Yan *Department of Neurology, Tangdu Hospital, Fourth Military Medical University, Xi'an, 710038, Shaanxi, China.
Chuan Li *Department of Neurology, Tangdu Hospital, Fourth Military Medical University, Xi'an, 710038, Shaanxi, China.
Wenping Zhu *Department of Neurology, Tangdu Hospital, Fourth Military Medical University, Xi'an, 710038, Shaanxi, China.
Chao ZhaoDepartment of Neurology, Tangdu Hospital, Fourth Military Medical University, Xi'an, 710038, Shaanxi, China.
Yunfeng HaoDepartment of Neurology, Tangdu Hospital, Fourth Military Medical University, Xi'an, 710038, Shaanxi, China.
Lin LiDepartment of Neurology, Tangdu Hospital, Fourth Military Medical University, Xi'an, 710038, Shaanxi, China.
Dan YaoDepartment of Neurology, Tangdu Hospital, Fourth Military Medical University, Xi'an, 710038, Shaanxi, China.
Xuan ZhouDepartment of Neurology, Tangdu Hospital, Fourth Military Medical University, Xi'an, 710038, Shaanxi, China.
Ying LiDepartment of Neurology, Tangdu Hospital, Fourth Military Medical University, Xi'an, 710038, Shaanxi, China.
Yuting DangDepartment of Neurology, Tangdu Hospital, Fourth Military Medical University, Xi'an, 710038, Shaanxi, China.
Rong ZhangDepartment of Neurology, Tangdu Hospital, Fourth Military Medical University, Xi'an, 710038, Shaanxi, China.
Lin HanDepartment of Neurology, Tangdu Hospital, Fourth Military Medical University, Xi'an, 710038, Shaanxi, China.
Yuanyuan WangDepartment of Internal Medicine, Qianxian Traditional Chinese Medicine Hospital, Xianyang, 713300, Shaanxi, China.
Tao HouDepartment of Neurology, Fuping County Hospital, Weinan, 711700, Shaanxi, China.
Juan LiDepartment of Neurology, Lantian Country People's Hospital, Xi'an, 710500, Shaanxi, China.
Hailin LiDepartment of Neurology, Pingli County Hospital, Ankang, 725500, Shaanxi, China.
Panpan JiangDepartment of Neurology, The Second Hospital of Weinan, Weinan, 711700, Shaanxi, China.
Pei WangDepartment of Internal Medicine, Baishui County Hospital, Weinan, 715600, Shaanxi, China.
Fenying ChenDepartment of Neurology, Tangdu Hospital, Fourth Military Medical University, Xi'an, 710038, Shaanxi, China.
Tingge ZhuDepartment of Neurology, Tangdu Hospital, Fourth Military Medical University, Xi'an, 710038, Shaanxi, China.
Juntong LiuDepartment of Neurology, Tangdu Hospital, Fourth Military Medical University, Xi'an, 710038, Shaanxi, China.
Shuyu LiuDepartment of Neurology, Tangdu Hospital, Fourth Military Medical University, Xi'an, 710038, Shaanxi, China.
Lan GaoDepartment of Neurology, Tangdu Hospital, Fourth Military Medical University, Xi'an, 710038, Shaanxi, China.
Yingjun ZhaoDepartment of Neurology and Department of Neuroscience, the First Affiliated Hospital of Xiamen University, Institute of Neuroscience, Fujian Provincial Key Laboratory of Neurodegenerative Disease and Aging Research, School of Medicine, Xiamen University, Xiamen, 361005, Fujian, China.
Wei ZhangDepartment of Neurology, Tangdu Hospital, Fourth Military Medical University, Xi'an, 710038, Shaanxi, China.ORCID 0000-0002-5063-1551

Funding

Shaanxi Innovative Team for Science and Technology 2024RS-CXTD-87Shaanxi Province Health Research and Innovation Team for Cognitive Dysfunction Disease 2023TD-06Tangdu hospital clinical research project 2021LCYJ040Tangdu hospital discipline promotion project 2024JCRH022Tangdu hospital foundation for social recruitment talent 2021SHRC011Tangdu hospital innovation development foundation 2018QYTS010Tangdu hospital innovation development foundation 2019QYTS002the National Natural Science Foundation of China 82171406the National Natural Science Foundation of China 82271457Xi'an medical key project for science and technology 2024JH-YXZD-0047
6 · The paper itself

Abstract

objectiveTo determine the efficacy and safety of combined low-dose rituximab with conventional therapy for chronic inflammatory demyelinating polyradiculoneuropathy (CIDP) treatment.

methodsTotal 73 patients with CIDP were enrolled for the retrospective cohort study, and divided into conventional first-line therapy cohort (n = 40) and combined low-dose rituximab (100 mg per infusion) cohort (n = 33). The outcome measures include scores of I-RODS, mRS, INCAT, ONLS, TSS, and COMPASS 31 scale at baseline and regular four visits (4, 16, 28, and 52 weeks), as well as proportion of favorable response and outcome, corticosteroids dosage, and deterioration occurrence during follow-up.

resultsCompared to conventional therapy cohort, combined rituximab cohort presented better improvements and higher proportion of favorable response in scales assessments at each visit, as well as significantly reduced corticosteroids dosage and deterioration occurrence during the follow-up. Analyses of subgroups showed better improvements in both typical CIDP and CIDP variants in combined rituximab cohort than those in conventional therapy cohort, but had no differences between each other. Early initiating combined rituximab regimen (<10 weeks) showed better improvements than delayed initiation (≥10 weeks) at the first three visits within 28 weeks, while had no difference in favorable prognoses at the last visit of 52 weeks after once reinfusion. No rituximab correlated serious adverse events were reported in our patients.

interpretationOur simplified regimen of combined low-dose rituximab has been firstly demonstrated for the better efficacy and safety than conventional therapy in CIDP treatment.

Indexed as

Immunologic FactorsOutcome Assessment, Health CarePolyradiculoneuropathy, Chronic Inflammatory DemyelinatingRituximabAdultAgedDrug Therapy, CombinationFemaleHumansMaleMiddle AgedRetrospective StudiesTreatment OutcomeImmunologic FactorsRituximab

Identifiers

PMID39660535
PMCPMC11752089

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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.