Evidence mapPaperPMID 22569835Full record

Trial reportJournal of neurology2012

Atorvastatin added to interferon β for relapsing multiple sclerosis: a randomized controlled trial.

Christian Philipp Kamm, Marwan El-Koussy, Sebastian Humpert, Oliver Findling, Ferdinand von Bredow, Yuliya Burren, Guido Schwegler, Dagmar Schött, Filippo Donati, Martin Müller and 7 more

Open access · hybridAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of neurology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
3.7field-weighted citation impact, top 7% of its field
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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Review
  5. Article
  6. Review
  7. Review
  8. Review
  9. Review
  10. Statins for treatment of chronic liver disease.Current opinion in gastroenterology · 2021
    Review
  11. A pathogenic and clonally expanded B cell transcriptome in active multiple sclerosis.Proceedings of the National Academy of Sciences of the United States of America · 2020
    Article
  12. Review
  13. Article
  14. Cladribine tablets added to IFN-β in active relapsing MS: The ONWARD study.Neurology(R) neuroimmunology & neuroinflammation · 2018
    Article
  15. Review
  16. Article
  17. Atorvastatin: multiple sclerosis.Hospital pharmacy · 2014
    Article
  18. Article
  19. Article
  20. 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

17 authors at 8 institutions in 1 country.

Christian Philipp KammUniversity Department of Neurology, Inselspital, Bern University Hospital and University of Bern, Freiburgstrasse, 3010, Bern, Switzerland.
Marwan El-Koussy
Sebastian Humpert
Oliver Findling
Ferdinand von Bredow
Yuliya Burren
Guido Schwegler
Dagmar Schött
Filippo Donati
Martin Müller
Norbert Goebels
Felix Müller
Johannes Slotboom
Barbara Tettenborn
Ludwig Kappos
Yvonne Naegelin
Heinrich Paul Mattle
University of Bern · CHUniversity of Basel · CHUniversity of St.Gallen · CHKantonsspital Aarau · CHSpital Thurgau (Switzerland) · CHSpitalzentrum Centre hospitalier Biel- Bienne · CHUniversity Hospital of Zurich · CHUniversity of Lucerne · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Statins have anti-inflammatory and immunomodulatory properties in addition to lipid-lowering effects. The present study evaluated the effect of atorvastatin added to interferon beta-1b in multiple sclerosis (MS) in a multicenter, randomized, parallel-group, rater-blinded study performed in eight Swiss hospitals. Seventy-seven patients with relapsing-remitting MS started interferon beta-1b every other day. After 3 months, they were randomized 1:1 to receive atorvastatin 40 mg/day or not in addition to interferon beta-1b until month 15. The primary endpoint was the proportion of patients with new lesions on T2-weighted images at month 15 compared to baseline at month three. At study end, the proportion of patients with new lesions on T2-weighted images was equal in both groups (odds ratio 1.14; 95 % CI 0.36-3.56; p = 0.81). All predefined secondary endpoints including number of new lesions and total lesion volume on T2-weighted images, total number of new Gd-enhancing lesions on T1-weighted images, total brain volume, volume of grey matter, volume of white matter, EDSS, MSFC, relapse rate, time to first relapse, number of relapse-free patients and neutralizing antibodies did not show any significant differences (all p values >0.1). Transient elevations of liver enzymes were more frequent with atorvastatin (p = 0.02). In conclusion, atorvastatin 40 mg/day in addition to interferon beta-1b did not have a beneficial effect on relapsing-remitting MS compared to interferon beta-1b monotherapy over a 12-month period.

Indexed as

AdolescentAdultAtorvastatinDrug Therapy, CombinationFemaleHeptanoic AcidsHumansInterferon-betaInterferon beta-1bMaleMiddle AgedMultiple Sclerosis, Relapsing-RemittingProspective StudiesPyrrolesSingle-Blind MethodTreatment OutcomeAtorvastatinHeptanoic AcidsInterferon-betaInterferon beta-1bPyrroles

Identifiers

PMID22569835
PMCPMC3484273
OpenAlexW2064752893

What Socratic holds

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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 Socratic graph.