Evidence map›Paper›PMID 41806161›Full record

ArticleAnnals of clinical and translational neurology2026

Quantifying the Impact of Ocrelizumab on Paramagnetic Rim Lesions in Multiple Sclerosis.

Kimberly H Markowitz, Neha V Safi, Iliana Pliska-Bloch, Ulrike W Kaunzner, Ha Luu, Mert Sisman, Yi Wang, Thanh D Nguyen, Sandra Hurtado Rúa, Susan A Gauthier

Abstract read
In one paragraph

Article in Annals of clinical and translational neurology, 2026. 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. 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.

Kimberly H MarkowitzDepartment of Neurology, Weill Cornell Medicine, New York, New York, USA.ORCID https://orcid.org/0009-0005-0699-0134
Neha V SafiDepartment of Neurology, Weill Cornell Medicine, New York, New York, USA.
Iliana Pliska-BlochDepartment of Neurology, Weill Cornell Medicine, New York, New York, USA.
Ulrike W KaunznerDepartment of Neurology, Weill Cornell Medicine, New York, New York, USA.
Ha LuuDepartment of Neurology, Weill Cornell Medicine, New York, New York, USA.
Mert SismanDepartment of Radiology, Weill Cornell Medicine, New York, New York, USA.
Yi WangDepartment of Radiology, Weill Cornell Medicine, New York, New York, USA.
Thanh D NguyenDepartment of Radiology, Weill Cornell Medicine, New York, New York, USA.
Sandra Hurtado RúaMathematics and Statistics, Cleveland State University, Cleveland, Ohio, USA.
Susan A GauthierDepartment of Neurology, Weill Cornell Medicine, New York, New York, USA.ORCID https://orcid.org/0000-0002-4015-1781

Funding

Clinical and Translational Science AwardUL1TR001873 · NCATS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI REILLY, MUREDACH P · 2016 to 2025
$99.0M
Disparities in COVID Disease Severity and Outcomes in New York CityUL1TR002384 · NCATS · WEILL MEDICAL COLL OF CORNELL UNIV · PI JULIANNE L IMPERATO-MCGINLEY · 2017 to 2026
$86.2M
GenentechNCATS NIH HHS UL1 TR001873NCATS NIH HHS UL1 TR002384
6 · The paper itself

Abstract

Paramagnetic rim lesions (PRLs) are a subset of chronic active multiple sclerosis (MS) lesions marked by iron-laden microglia and macrophages. Ocrelizumab, a monoclonal antibody targeting CD20+ B cells, suppresses acute MS activity, but its effect on PRLs remains unclear. In a longitudinal study of 29 ocrelizumab-treated patients with at least one PRL on quantitative susceptibility mapping (QSM), 97 PRLs were identified. Before treatment, PRLs showed higher QSM values than non-PRLs (p = 0.001), indicating iron enrichment. After treatment, PRLs demonstrated a greater QSM reduction (p < 0.001), with an accelerated decline in susceptibility. These findings suggest ocrelizumab may attenuate iron-related inflammation in PRLs.

Indexed as

Antibodies, Monoclonal, HumanizedBrainImmunologic FactorsMultiple SclerosisAdultFemaleHumansLongitudinal StudiesMagnetic Resonance ImagingMaleMiddle AgedAntibodies, Monoclonal, HumanizedImmunologic Factorsocrelizumabmultiple sclerosisocrelizumabquantitative susceptibility mapping

Identifiers

PMID41806161
PMCPMC13358547

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.