Evidence map›Paper›PMID 40050008›Full record

ArticleJournal of neurology, neurosurgery, and psychiatry2025

Factors associated with outcomes following autologous haematopoietic stem cell transplantation for multiple sclerosis.

Yassine Noui, Christina Zjukovskaja, Thomas Silfverberg, Per Ljungman, Kim Kultima, Andreas Tolf, Tobias Tolf, Kristina Carlson, Joachim Burman, AutoMS-Swe Investigators

Abstract readMulticenter Study
In one paragraph

Article in Journal of neurology, neurosurgery, and psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

10 authors.

Yassine NouiDepartment of Medical Sciences, Uppsala University, Uppsala, Sweden.ORCID http://orcid.org/0000-0002-0513-7546
Christina ZjukovskajaDepartment of Medical Sciences, Uppsala University, Uppsala, Sweden.
Thomas SilfverbergDepartment of Medical Sciences, Uppsala University, Uppsala, Sweden.
Per LjungmanDepartment of Medicine Huddinge, Karolinska Institutet, Stockholm, Sweden.
Kim KultimaDepartment of Medical Sciences, Uppsala University, Uppsala, Sweden.
Andreas TolfDepartment of Medical Sciences, Uppsala University, Uppsala, Sweden.ORCID http://orcid.org/0000-0002-0580-8821
Tobias TolfDepartment of Medical Sciences, Division of Hematology, Uppsala University, Uppsala, Sweden.
Kristina CarlsonDepartment of Medical Sciences, Division of Hematology, Uppsala University, Uppsala, Sweden.
Joachim BurmanDepartment of Medical Sciences, Uppsala University, Uppsala, Sweden joachim.burman@uu.se.
AutoMS-Swe Investigators

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAutologous haematopoietic stem cell transplantation (AHSCT) has emerged as a highly effective treatment for relapsing-remitting multiple sclerosis (RRMS), though patient selection remains challenging. The degree to which disease-modifying therapies (DMTs) and procedure-related complications affect treatment outcomes is unclear. The objective of this study was to investigate the factors that might influence outcomes following AHSCT.

methodsData from the multicentre, retrospective cohort study Haematopoietic Stem Cell Transplantation for Treatment of Multiple Sclerosis in Sweden (AutoMS-Swe) were analysed, comprising 174 patients with RRMS who received AHSCT before 1 January 2020. Primary outcomes included inflammatory disease activity, confirmed disability worsening (CDW) and overall evidence of disease activity. Confirmed disability improvement was investigated as a secondary outcome. Associations between variables of interest and outcomes were assessed using univariable Cox proportional hazards models.

resultsPatients who received rituximab as the last DMT before AHSCT had a reduced hazard of inflammatory disease activity (HR 0.18, 95% CI 0.04 to 0.78). Epstein-Barr virus detection was associated with a higher hazard of inflammatory disease activity (HR 2.3, 95% CI 1.05 to 5.07). CDW was associated with longer disease durations (HR 1.09, 95% CI 1.00 to 1.19) and was negatively associated with gadolinium-enhancing lesions (HR 0.08, 95% CI 0.01 to 0.64). No CDW events occurred in treatment-naive patients.

conclusionsPrior rituximab treatment appears to be protective against inflammatory activity after AHSCT. Disease duration and gadolinium-enhancing lesions are major determinants of disability following AHSCT.

Indexed as

Hematopoietic Stem Cell TransplantationMultiple Sclerosis, Relapsing-RemittingAdultFemaleHumansImmunologic FactorsMaleMiddle AgedRetrospective StudiesRituximabSwedenTransplantation, AutologousTreatment OutcomeImmunologic FactorsRituximabMULTIPLE SCLEROSISNEUROIMMUNOLOGY

Identifiers

PMID40050008
PMCPMC12505080

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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.