Evidence map›Paper›PMID 40146951›Full record

ReviewNeurology2025

The Clinical Trial Landscape in Autoimmune Encephalitis: Challenges and Opportunities.

Hesham Abboud, Stacey L Clardy, Divyanshu Dubey, Jonathan Wickel, Gregory Scott Day, Christian Geis, Jeffrey M Gelfand, Sarosh R Irani, Soon-Tae Lee, Maarten J Titulaer

Abstract readReview
In one paragraph

Review in Neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

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

  1. Pooled it
  2. Review
  3. Review
  4. Article
  5. Article
  6. Review
  7. Review
  8. Article
  9. Article
  10. Autoimmune encephalitis.Nature reviews. Disease primers · 2025
    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

10 authors.

Hesham AbboudMultiple Sclerosis and Neuroimmunology Program, University Hospitals Cleveland Medical Center, OH.ORCID 0000-0001-5346-8254
Stacey L ClardyVA Salt Lake City Healthcare System, UT.ORCID 0000-0001-6600-9428
Divyanshu DubeyMayo Clinic, Rochester, MN.ORCID 0000-0001-6865-9045
Jonathan WickelSection Translational Neuroimmunology, Department of Neurology, Jena University Hospital, Germany.ORCID 0000-0002-5854-3759
Gregory Scott DayDepartments of Neurology and Neurosciences, Mayo Clinic, Jacksonville, FL.ORCID 0000-0001-5133-5538
Christian GeisSection Translational Neuroimmunology, Department of Neurology, Jena University Hospital, Germany.ORCID 0000-0002-9859-581X
Jeffrey M GelfandUniversity of California, San Francisco.ORCID 0000-0002-5121-3319
Sarosh R IraniDepartments of Neurology and Neurosciences, Mayo Clinic, Jacksonville, FL.ORCID 0000-0002-7667-9748
Soon-Tae LeeSeoul National University Hospital, South Korea; and.ORCID 0000-0003-4767-7564
Maarten J TitulaerErasmus University Medical Center, Rotterdam, the Netherlands.ORCID 0000-0002-1033-3840

Funding

Clinical Coordinating Center Network of Excellence in Neuroscience Clinical TrialU01NS077179 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI Merit E CUDKOWICZ, Aleksandar Videnovic · 2011 to 2026
$43.4M
Network of Excellence in Neuroscience Clinical Trials (NEXT)-DCCU01NS077352 · NINDS · UNIVERSITY OF IOWA · PI CHRISTOPHER S. COFFEY · 2011 to 2026
$28.1M
NINDS NIH HHS U01 NS077179NINDS NIH HHS U01 NS077352
6 · The paper itself

Abstract

Autoimmune encephalitis (AE) is an important cause of neurologic morbidity and mortality. Treatment algorithms are primarily based on observational studies, retrospective series, and expert opinion. Despite clinical improvement with empiric therapy, recovery is often incomplete with a substantial burden of residual neurologic deficits and recurring symptoms. There is a pressing need for higher quality evidence-based therapies. However, designing and conducting clinical trials for patients with rare diseases such as AE has specific challenges, including slow recruitment, suboptimal outcome measures, and inclusivity vs exclusivity of the various disease subtypes. The anticipated knowledge gained from AE clinical trials emphasizes the need to overcome these challenges and support the development of the next generation of clinical trials. Yet, given these challenges, alternative approaches may be required. In this article, we review past and present clinical trials in AE with a focus on studies enrolling patients with neural surface antibodies. We discuss the potential challenges and opportunities inherent to clinical trials in rare diseases and provide an outlook for the field.

Indexed as

Clinical Trials as TopicEncephalitisHashimoto DiseaseHumans

Identifiers

PMID40146951
PMCPMC11966526

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.