Evidence map›Paper›PMID 41019324›Full record

ReviewFrontiers in endocrinology2025

Current concepts of tocilizumab efficacy in active moderate-to-severe corticosteroid-resistant cases of Graves' orbitopathy.

Georgios Boutzios, Anastasia Nikolopoulou, Sofia Chatzi, Athanasios G Tzioufas, Andreas V Goules

Abstract readReview
In one paragraph

Review in Frontiers in endocrinology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Georgios Boutzios *Department of Pathophysiology, National and Kapodistrian University of Athens, Athens, Greece.
Anastasia Nikolopoulou *Department of Pathophysiology, National and Kapodistrian University of Athens, Athens, Greece.
Sofia ChatziDepartment of Pathophysiology, National and Kapodistrian University of Athens, Athens, Greece.
Athanasios G TzioufasDepartment of Pathophysiology, National and Kapodistrian University of Athens, Athens, Greece.
Andreas V GoulesDepartment of Pathophysiology, National and Kapodistrian University of Athens, Athens, Greece.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Graves' orbitopathy (GO) is an autoimmune disease affecting the orbit and the retro-ocular tissues. GO pathogenesis involves multiple complex mechanisms, including the contribution of many inflammatory cytokines, such as interleukin-6 (IL-6). GO severity ranges from mild to severe and sight-threatening cases, with the latter affecting only a small percentage of patients. A considerable number of these patients do not respond to first-line immunosuppressive therapy with weekly intravenous pulses of corticosteroids and therefore, there is an unmet need for a second-line treatment, based on immunosuppressive drugs. In recent years tocilizumab (TCZ), an IL-6 inhibitor, has emerged as an effective and safe alternative option for the treatment of active, moderate-to-severe, refractory to steroids cases of GO. This review focuses on the up-to-date concepts regarding TCZ administration for the management of these patients.

Indexed as

Adrenal Cortex HormonesAntibodies, Monoclonal, HumanizedDrug ResistanceGraves OphthalmopathyHumansImmunosuppressive AgentsInterleukin-6 InhibitorsSeverity of Illness IndexTreatment OutcomeAdrenal Cortex HormonesAntibodies, Monoclonal, HumanizedImmunosuppressive AgentsInterleukin-6 InhibitorstocilizumabefficacyGraves’ orbitopathyIL-6thyroid eye diseasetocilizumab

Identifiers

PMID41019324
PMCPMC12460138

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Registered trials

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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.