Evidence map›Paper›PMID 41080586›Full record

ArticleFrontiers in immunology2025

Eculizumab for the acute attack of neuromyelitis optica spectrum disorder.

Qingqing Zhuang, Wenjuan Huang, Jingzi ZhangBao, Zhouzhou Wang, Lei Zhou, Xiang Li, Yuxin Fan, Liang Wang, Yiqin Xiao, Jian Yu and 3 more

Abstract read
In one paragraph

Article in Frontiers in immunology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

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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

13 authors.

Qingqing Zhuang *Department of Neurology, Wenzhou Central Hospital & Dingli Clinical Institute of Wenzhou Medical University, Wenzhou, Zhejiang, China.
Wenjuan Huang *Department of Neurology, Huashan Hospital, Shanghai Medical College, Fudan University, Shanghai, China.
Jingzi ZhangBao *Department of Neurology, Huashan Hospital, Shanghai Medical College, Fudan University, Shanghai, China.
Zhouzhou WangDepartment of Neurology, Huashan Hospital, Shanghai Medical College, Fudan University, Shanghai, China.
Lei ZhouDepartment of Neurology, Huashan Hospital, Shanghai Medical College, Fudan University, Shanghai, China.
Xiang LiDepartment of Neurology, Huashan Hospital, Shanghai Medical College, Fudan University, Shanghai, China.
Yuxin FanDepartment of Neurology, Huashan Hospital, Shanghai Medical College, Fudan University, Shanghai, China.
Liang WangDepartment of Neurology, Huashan Hospital, Shanghai Medical College, Fudan University, Shanghai, China.
Yiqin XiaoDepartment of Ophthalmology, Huashan Hospital, Shanghai Medical College, Fudan University, Shanghai, China.
Jian YuEye Institute and Department of Ophthalmology, Eye & ENT Hospital, Shanghai Medical College, Fudan University, Shanghai, China.
Min WangEye Institute and Department of Ophthalmology, Eye & ENT Hospital, Shanghai Medical College, Fudan University, Shanghai, China.
Hongmei TanDepartment of Neurology, Huashan Hospital, Shanghai Medical College, Fudan University, Shanghai, China.
Chao QuanDepartment of Neurology, Huashan Hospital, Shanghai Medical College, Fudan University, Shanghai, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To assess clinical outcomes in patients treated with eculizumab for acute attacks of aquaporin-4 antibody-positive neuromyelitis optica spectrum disorder (NMOSD). Methods: We retrospectively analyzed prospectively collected data from the Huashan NMOSD registry cohort, and included patients who received eculizumab within 30 days of attack onset. Eculizumab was administered at 900 mg weekly for four weeks, followed by an eight-week observation period. Primary outcomes included visual acuity and visual field for optic neuritis (ON) and muscle strength, assessed using the Medical Research Council (MRC) scale for longitudinally extensive transverse myelitis (LETM). Serum neurofilament light chain (sNfL) and glial fibrillary acidic protein (sGFAP) levels were also monitored. Results: Nine patients (seven with ON, two with LETM) were included. All patients received high-dose intravenous methylprednisolone prior to eculizumab treatment. Following eculizumab, six of the seven ON patients showed significant improvements in visual acuity and visual fields, with five recovering to near-normal or pre-attack vision. Visual field mean deviation improved from -22.4 dB to -2.0 dB ( Conclusion: Eculizumab may yield favorable outcomes in acute NMOSD attacks, with infection monitoring being particularly important in severe cases.

Indexed as

Antibodies, Monoclonal, HumanizedNeuromyelitis OpticaAcute DiseaseAdultAquaporin 4FemaleHumansMaleMiddle AgedRetrospective StudiesTreatment OutcomeVisual AcuityVisual FieldsYoung AdultAntibodies, Monoclonal, HumanizedAQP4 protein, humanAquaporin 4eculizumabacute attackeculizumabglial fibrillary acidic proteinneurofilament lightneuromyelitis optica spectrum disorder

Identifiers

PMID41080586
PMCPMC12507865

What OpenQuestion holds

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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.