Evidence map›Paper›PMID 40014125›Full record

SynthesisNaunyn-Schmiedeberg's archives of pharmacology2025

A systematic review of efgartigimod as an effective treatment for myasthenic crisis.

Ping Tang, Yi He, Kaiqiang Xiao, Liang Wang

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Naunyn-Schmiedeberg's archives of pharmacology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

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

  1. Pooled it
  2. Article
  3. Article
  4. 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

4 authors.

Ping TangDepartment of Neurology, First Affiliated Hospital, Chongqing Medical University, Chongqing, China.
Yi HeDepartment of Neurology, First Affiliated Hospital, Chongqing Medical University, Chongqing, China.
Kaiqiang XiaoDepartment of Neurology, First Affiliated Hospital, Chongqing Medical University, Chongqing, China.
Liang WangDepartment of Neurology, First Affiliated Hospital, Chongqing Medical University, Chongqing, China. wang0128_0@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Efgartigimod is a neonatal Fc receptor (FcRn) inhibitor that primarily diminishes antibody levels by inhibiting antibody (IgG) reabsorption and is noted for its rapid onset of action and low immunogenicity. Currently, efgartigimod is approved for the treatment of anti-acetylcholine receptor (AChR) antibody-positive generalized myasthenia gravis (gMG), yet there are no relevant clinical trials for myasthenic crisis (MC). Consequently, we performed a systematic review of the available literature to evaluate the clinical efficacy of efgartigimod for the treatment of MC. We conducted a search of the PubMed, Web of science, Embase, and Scopus databases for all observational studies published until September 30, 2024. Risk of bias was assessed using the Joanna Briggs Institute (JBI) Case Report and Series Critical Assessment Checklist for quality assessment of included studies. A total of nine case reports/series, all observational studies, were included. Twenty MC patients were included, all of whom exhibited clinically significant improvement after treatment with Efgartigimod, with a sustained decrease in AChR antibody serum titers and a significant decrease in IgG levels throughout the treatment cycle. Efgartigimod demonstrates favorable clinical efficacy. Efgartigimod may serve as an effective treatment for patients with MC. However, further studies are required to clarify the efficacy of Efgartigimod alone. PROSPERO registration number: CRD42023430032.

Indexed as

Myasthenia GravisSingle-Domain AntibodiesAutoantibodiesHistocompatibility Antigens Class IHumansImmunoglobulin GObservational Studies as TopicReceptors, CholinergicReceptors, FcTreatment OutcomeAutoantibodiesFc receptor, neonatalHistocompatibility Antigens Class IImmunoglobulin GReceptors, CholinergicReceptors, FcSingle-Domain AntibodiesEfgartigimodMyasthenia gravisMyasthenic crisisSystematic review

Identifiers

What OpenQuestion holds

Textmetadata
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.