Evidence map›Paper›PMID 41182210›Full record

ReviewThe Journal of investigative dermatology2026

Boom or Bust: Clinical Trials in Pemphigus and Other B-Cell-Mediated Autoimmune Diseases.

Chuda Rujitharanawong, Victoria P Werth, Aimee S Payne

Abstract readReview
In one paragraph

Review in The Journal of investigative dermatology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Article
  3. 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

3 authors.

Chuda RujitharanawongDepartment of Dermatology, Columbia University, New York, New York, USA; Department of Dermatology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand and.
Victoria P WerthDepartment of Dermatology, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Aimee S PayneDepartment of Dermatology, Columbia University, New York, New York, USA. Electronic address: asp2261@cumc.columbia.edu.

Funding

Immunomodulatory effects of desmoglein 3 chimeric autoantibody receptor T cells (DSG3-CAART) in mucosal pemphigus vulgarisR01AR082675 · NIAMS · UNIVERSITY OF PENNSYLVANIA · PI Aimee S Payne · 2023 to 2026
$1.6M
Optimization of Clinical Trial Design in Cutaneous LupusR01AR071653 · NIAMS · UT SOUTHWESTERN MEDICAL CENTER · PI CHONG, BENJAMIN FRANKLIN, WERTH, VICTORIA P · 2018 to 2020
$653k
NIAMS NIH HHS R01 AR071653NIAMS NIH HHS R01 AR082675
6 · The paper itself

Abstract

Pemphigus vulgaris (PV) is a B-cell-mediated autoimmune blistering disease characterized by autoantibodies targeting skin cell adhesion proteins. Despite the well-defined pathophysiology and unmet need for safe and effective therapies for pemphigus, multiple therapeutics have failed to advance through clinical development. Prednisone and rituximab are clinically approved for PV, but the neonatal Fc receptor inhibitor efgartigimod and Bruton's tyrosine kinase inhibitor rilzabrutinib failed to receive clinical approval in pemphigus, despite success in other autoantibody-mediated diseases. Conversely, the success of rituximab for PV has not been reproduced for several other B cell-mediated autoimmune diseases. We review learnings from the successes and failures of rituximab, efgartigimod, and rilzabrutinib across B-cell-mediated autoimmune diseases and compare trial designs and endpoints to identify key issues affecting clinical outcomes.

Indexed as

Autoimmune DiseasesB-LymphocytesPemphigusAutoantibodiesClinical Trials as TopicHumansRituximabTreatment OutcomeAutoantibodiesRituximabANCA-associated vasculitisChronic immune demyelinating polyradiculopathyImmune thrombocytopenic purpuraMyasthenia gravisRheumatoid arthritis

Identifiers

PMID41182210
PMCPMC12616581

What OpenQuestion holds

Textmetadata
LicenceTDM
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.