Evidence map›Paper›PMID 39918968›Full record

Trial reportRheumatology (Oxford, England)2025

Predictors of response to intravenous immunoglobulin in patients with dermatomyositis: the ProDERM study.

Christina Charles-Schoeman, Joachim Schessl, Zsuzsanna Bata-Csörgő, Mazen M Dimachkie, Zoltan Griger, Sergey Moiseev, Chester V Oddis, Elena Schiopu, Jiri Vencovský, Elisabeth Clodi and 2 more

Registry-linked trialAbstract readRandomized Controlled TrialClinical Trial, Phase IIIMulticenter Study
In one paragraph

Trial report in Rheumatology (Oxford, England), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02728752 (Prospective, Double-blind, Randomized, Placebo-Controlled Phase III Study Evaluating Efficacy and Safety of Octagam 10% in Patients With Dermatomyositis), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

NCT02728752 phase3completednot on this map

Prospective, Double-blind, Randomized, Placebo-Controlled Phase III Study Evaluating Efficacy and Safety of Octagam 10% in Patients With Dermatomyositis ("ProDERM Study")

TypeinterventionalSponsorOctapharmaRan2017 to 2019Enrolled95ConditionsDermatomyositisArmsOctagam 10%, Placebo
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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

12 authors.

Christina Charles-SchoemanDivision of Rheumatology, Department of Medicine, University of California, Los Angeles, CA, USA.
Joachim SchesslDepartment of Neurology, Friedrich-Baur-Institute, Ludwig-Maximilians University of Munich, Munich, Germany.
Zsuzsanna Bata-CsörgőDepartment of Dermatology and Allergology, University of Szeged, Szeged, Hungary.
Mazen M DimachkieDepartment of Neurology, University of Kansas Medical Center, Kansas City, KS, USA.
Zoltan GrigerDivision of Clinical Immunology, Faculty of Medicine, University of Debrecen, Debrecen, Hungary.
Sergey MoiseevTareev Clinic of Internal Diseases, Sechenov First Moscow State Medical University, Moscow, Russia.
Chester V OddisDivision of Rheumatology and Clinical Immunology, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Elena SchiopuDivision of Rheumatology, Medical College of Georgia at Augusta University, Augusta, GA, USA.
Jiri VencovskýInstitute of Rheumatology, Research Department, and Department of Rheumatology, 1st Medical Faculty, Charles University, Prague, Czech Republic.ORCID 0000-0002-0851-0713
Elisabeth ClodiGlobal Medical and Scientific Affairs, Octapharma Pharmazeutika Produktionsges m.b.H., Vienna, Austria.
Todd LevinePhoenix Neurological Associates, Ltd, Phoenix, AZ, USA.
Rohit AggarwalDivision of Rheumatology and Clinical Immunology, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.ORCID 0000-0001-7531-8038

Funding

AstraZenecaOctapharmaOctapharma Pharmazeutika Produktionsges.m.b.H.Portland Medical Communications Ltd
6 · The paper itself

Abstract

objectivesThe phase 3 ProDERM study demonstrated intravenous immunoglobulin (IVIg) was safe and effective in patients with dermatomyositis (DM). This analysis assessed clinical and serological predictors of IVIg response in DM patients from ProDERM.

methodsProDERM was a prospective, randomized, placebo-controlled study of DM patients. For weeks 0-16, patients received 2.0 g/kg IVIg (Octagam, 10%) or placebo every 4 weeks. Eligible patients entered the open-label extension phase, where all received IVIg to week 40. Univariate and multivariate analyses examined associations between baseline variables and total improvement score (TIS), including myositis disease activity assessment tool (MDAAT; assessing different organ involvement), and myositis-specific and myositis-associated autoantibodies.

resultsNinety-five patients were enrolled. Univariate analyses found no significant association between TIS at week 16 or 40 and age; sex; ethnicity; disease duration/activity; cutaneous, skeletal, gastrointestinal or muscle disease activity; or previous failed or concomitant medications. Multivariate analysis found patients with higher MDAAT cutaneous scores had a better chance of at least minimal TIS improvement. Higher MDAAT pulmonary scores were associated with a lower, but still considerable, chance of improvement. Patients with TIF1-γ antibodies had a better TIS response; however, after controlling for cutaneous disease activity, there was no significant association between antibody classification (including anti-TIF1-γ) and efficacy outcome.

conclusionIVIg was effective in treating DM patients regardless of demographic features and autoantibody status (for most autoantibodies). Patients with higher cutaneous disease activity and/or anti-TIF1-γ responded best to IVIg, while pulmonary disease activity predicted a lower, but still effective, IVIg response, warranting further investigation.

trial registrationClinicalTrials.gov, http://clinicaltrials.gov, NCT02728752.

Indexed as

DermatomyositisImmunoglobulins, IntravenousImmunologic FactorsAdultAgedAutoantibodiesDouble-Blind MethodFemaleHumansMaleMiddle AgedProspective StudiesSeverity of Illness IndexTreatment OutcomeAutoantibodiesImmunoglobulins, IntravenousImmunologic Factorsanti-TIF1-γautoantibodyautoimmunecutaneousdermatomyositisintravenous immunoglobulinmyositis-associated antibodiesmyositis-specific antibodies

Identifiers

PMID39918968
PMCPMC12107041

What OpenQuestion holds

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Registered trials

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.