Evidence map›Paper›PMID 42741498›Full record

ArticleNeuroprotection (Chichester, England)2026

Effectiveness and safety of efgartigimod in patients with anti-NMDAR or anti-LGI1 encephalitis and its

Huanyu Meng, Siqi Tu, Yifan Zhou, Ruinan Shen, Xiaoyu Chen, Zhaozhao Cheng, Limei Wang, Yan Wu, Jie Lu, Shengjun Wang and 3 more

Abstract read
In one paragraph

Article in Neuroprotection (Chichester, England), 2026. 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

13 authors.

Huanyu MengDepartment of Neurology and Institute of Neurology, Ruijin Hospital Shanghai Jiao Tong University School of Medicine Shanghai China.ORCID https://orcid.org/0000-0003-4038-7206
Siqi TuDepartment of Neurology and Institute of Neurology, Ruijin Hospital Shanghai Jiao Tong University School of Medicine Shanghai China.ORCID https://orcid.org/0009-0007-0759-1121
Yifan ZhouDepartment of Neurology and Institute of Neurology, Ruijin Hospital Shanghai Jiao Tong University School of Medicine Shanghai China.
Ruinan ShenDepartment of Neurology and Institute of Neurology, Ruijin Hospital Shanghai Jiao Tong University School of Medicine Shanghai China.
Xiaoyu ChenDepartment of Neurology and Institute of Neurology, Ruijin Hospital Shanghai Jiao Tong University School of Medicine Shanghai China.
Zhaozhao ChengDepartment of Neurology The First Affiliated Hospital of University of Science and Technology of China Hefei Anhui China.
Limei WangDepartment of Neurology The First Affiliated Hospital of Zhengzhou University Zhengzhou Henan China.
Yan WuDepartment of Neurology, Union Hospital, Tongji Medical College Huazhong University of Science and Technology Wuhan Hubei China.
Jie LuDepartment of Neurology Nanjing Brain Hospital Nanjing Jiangsu China.
Shengjun WangDepartment of Neurology Qilu Hospital of Shandong University Jinan Shandong China.
Yan XuDepartment of Neurology Zhongnan Hospital of Wuhan University Wuhan Hubei China.
Wanhui LinDepartment of Neurology Union Hospital Affiliated to Fujian Medical University Fuzhou Fujian China.
Sheng ChenDepartment of Neurology and Institute of Neurology, Ruijin Hospital Shanghai Jiao Tong University School of Medicine Shanghai China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Efgartigimod disrupts the recycling of pathogenic IgG autoantibodies and may represent a candidate therapy for autoimmune encephalitis. This real-world study evaluated the clinical efficacy, safety, and impact of efgartigimod on brain inflammation. Methods: This multicenter, single-arm, prospective, observational real-world study enrolled 18 patients, including 10 with anti-N-methyl-d-aspartate receptor (NMDAR) encephalitis and 8 with anti-leucine-rich glioma-inactivated 1 (LGI1) encephalitis. Participants received intravenous efgartigimod at a dose of 10 mg/kg weekly for a total of two to four doses, with or without concomitant immunosuppressive therapy. Anti-NMDAR-IgG/LGI1-IgG antibody titers, modified Rankin scale (mRS), Clinical Assessment Scale in Autoimmune Encephalitis (CASE), Montreal Cognitive Assessment, Mini-Mental State Examination, and Glasgow Coma Scale scores were assessed at baseline and at 1, 2, 3, 8, and 12 weeks after treatment. Results: At the final follow-up, median mRS scores in patients with anti-NMDAR encephalitis decreased significantly from 3 (range, 1-5) before treatment to 1 (range, 0-3) after treatment ( Conclusion: Efgartigimod may represent a novel therapeutic option for anti-NMDAR and anti-LGI1 encephalitis, potentially improving clinical outcomes in affected patients. Registration Info: This study was registered at the National Clinical Research Center (https://www.medicalresearch.org.cn; No. MR-31-24-053225).

Indexed as

anti‐N‐methyl‐d‐aspartate receptor encephalitisautoimmuneEfgartigimodencephalitisFcImmunoglobulin GLGI1 proteinneonatalN‐Methyl‐d‐Aspartatereceptorstreatment outcome

Identifiers

PMID42741498
PMCPMC13572831

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.