Evidence map›Paper›PMID 42344942›Full record

ArticleTherapeutic advances in neurological disorders2026

Cladribine use for multiple sclerosis with autoimmune comorbidities: retrospective analysis of the French MS registry, case series, and therapeutic considerations.

Vito A G Ricigliano, Ines Masmoudi, Marine Boudot de la Motte, Eric Manchon, Jérôme De Seze

Registry-linked trialAbstract read
In one paragraph

Article in Therapeutic advances in neurological disorders, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02889965 (The French Multiple Sclerosis Registry), which is not on this map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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.

NCT02889965 unknown statusnot on this map

The French Multiple Sclerosis Registry

TypeobservationalSponsorHospices Civils de LyonRan2011 to 2019Enrolled54,000ConditionsMultiple Sclerosis, Neuromyelitis Optica Spectrum Disorders
3 · Its place in the literature

Who cites it

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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

5 authors.

Vito A G RiciglianoNeurology Unit, GHNE Paris-Saclay Hospital, 1 parvis de l'Hopital, Orsay 91400, France.ORCID https://orcid.org/0000-0002-8860-3548
Ines MasmoudiDepartment of Neurology, Amiens University Hospital, Amiens, France.
Marine Boudot de la MotteDepartment of Neurology, Hôpital Fondation Adolphe de Rothschild, Paris, France.
Eric ManchonDepartment of Neurology, CH de Gonesse, Gonesse, France.
Jérôme De SezeDepartment of Neurology, Strasbourg University Hospital, Strasbourg, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Autoimmune (AI) comorbidities are common in people with multiple sclerosis (MS) and may complicate therapeutic management, particularly when dual immunosuppression is required. Cladribine, an immune reconstitution therapy approved for relapsing MS, has shown potential benefit in selected autoimmune disorders. Objectives: To evaluate the prevalence of AI comorbidities in a large French MS cohort and explore the potential efficacy of cladribine in MS patients with concomitant autoimmune diseases. Design: Retrospective multicenter registry analysis combined with a descriptive case series and literature review. Data sources and methods: Data were retrospectively extracted from the European Database for MS across five French tertiary MS centers. Adults with MS and documented autoimmune comorbidities were identified, including a subgroup treated with oral cladribine. In addition, eight detailed clinical cases of MS associated with autoimmune diseases treated with cladribine were reviewed to assess outcomes on both MS and the associated autoimmune condition. Results: Among 11,410 people with MS, 901 had at least one autoimmune comorbidity, corresponding to a prevalence of 7.9 ± 0.25% (age 50.8 years), with a predominance of women. Of 385 cladribine-treated patients, 39 (10.1% ± 1.54%) had concurrent autoimmune disorders, although this proportion did not significantly differ from the overall cohort ( Conclusion: Autoimmune comorbidities affect approximately 8% of the French MS population and are more frequent in women. Cladribine may represent a useful therapeutic option in selected patients with concomitant autoimmune disorders, potentially limiting prolonged dual immunosuppression. Larger prospective studies are required to confirm efficacy and safety. Trial registration: OFSEP/EDMUS registry, ClinicalTrials.gov: NCT02889965.

Indexed as

autoimmune comorbiditiescase seriescladribinemultiple sclerosisregistry

Identifiers

PMID42344942
PMCPMC13287422

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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.