Evidence map›Paper›PMID 33747132›Full record

ArticleTherapeutic advances in neurological disorders2021

Treatment response to cyclophosphamide, rituximab, and bortezomib in chronic immune-mediated sensorimotor neuropathies: a retrospective cohort study.

Jeremias Motte, Anna Lena Fisse, Nuray Köse, Thomas Grüter, Hannah Mork, Diamantis Athanasopoulos, Miriam Fels, Susanne Otto, Ines Siglienti, Christiane Schneider-Gold and 4 more

Open access · goldAbstract read
In one paragraph

Article in Therapeutic advances in neurological disorders, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.7field-weighted citation impact, top 13% 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

11 citing papers in PubMed, 22 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Review
  6. Article
  7. Article
  8. Skin Biopsy as a Novel Diagnostic Aid in Immune-Mediated Neuropathies.Journal of neuropathology and experimental neurology · 2022
    Article
  9. Article
  10. Review
  11. Article
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

14 authors at 2 institutions in 1 country.

Jeremias MotteDepartment of Neurology, St. Josef-Hospital, Ruhr-University Bochum, Gudrunstrasse 56, Bochum, 44791, Germany.ORCID https://orcid.org/0000-0002-6624-8565
Anna Lena FisseDepartment of Neurology, St. Josef-Hospital, Ruhr-University Bochum, Bochum, Germany.ORCID https://orcid.org/0000-0003-0493-8656
Nuray KöseDepartment of Neurology, St. Josef-Hospital, Ruhr-University Bochum, Bochum, Germany.
Thomas GrüterDepartment of Neurology, St. Josef-Hospital, Ruhr-University Bochum, Bochum, Germany.
Hannah MorkDepartment of Neurology, St. Josef-Hospital, Ruhr-University Bochum, Bochum, Germany.
Diamantis AthanasopoulosDepartment of Neurology, St. Josef-Hospital, Ruhr-University Bochum, Bochum, Germany.
Miriam FelsDepartment of Neurology, St. Josef-Hospital, Ruhr-University Bochum, Bochum, Germany.
Susanne OttoDepartment of Neurology, St. Josef-Hospital, Ruhr-University Bochum, Bochum, Germany.
Ines SiglientiDepartment of Neurology, St. Josef-Hospital, Ruhr-University Bochum, Bochum, Germany.
Christiane Schneider-GoldDepartment of Neurology, St. Josef-Hospital, Ruhr-University Bochum, Bochum, Germany.
Kerstin HellwigDepartment of Neurology, St. Josef-Hospital, Ruhr-University Bochum, Bochum, Germany.ORCID https://orcid.org/0000-0003-4467-9011
Min-Suk YoonImmunmediated Neuropathies Biobank (INHIBIT), Ruhr-University Bochum, Bochum, Germany.
Ralf GoldDepartment of Neurology, St. Josef-Hospital, Ruhr-University Bochum, Bochum, Germany.ORCID https://orcid.org/0000-0002-7223-3052
Kalliopi PitarokoiliDepartment of Neurology, St. Josef-Hospital, Ruhr-University Bochum, Bochum, Germany.
St. Josef-Hospital · DEEvangelisches Krankenhaus Mettmann · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUp to 20% of patients with chronic immune-mediated sensorimotor neuropathies (CIN) do not respond adequately to first-line therapies. However, studies on further treatment are scarce.

methodsWe analyzed retrospectively 200 CIN patients regarding disease characteristics and response to therapy with cyclophosphamide (CYP), rituximab (RTX), and bortezomib (BTZ). Treatment response was defined as improvement or stabilization of inflammatory neuropathy cause and treatment overall disability score (INCAT-ODSS).

resultsA total of 48 of 181 patients (26.5%) received therapy with CYP, RTX, or BTZ. The most frequently and first used therapy was CYP (69%). More than 40% of patients needed a second or third treatment. Overall, 71 treatments were applied in 48 patients. The combination of up to all three treatments enhanced the response-rate to 90%. Treatment within 24 months after initial diagnosis resulted in significantly higher response rate than late treatment (79%

conclusionTreatment with CYP, RTX, or BTZ was effective in this cohort of CIN refractory to first-line treatment. Our data increase evidence for an early use of these therapies. High efficacy of RTX in Lewis-Sumner syndrome in contrast to typical CIDP suggests a distinct pathophysiology.

Indexed as

bortezomibchronic inflammatory demyelinating polyneuropathyCIDPcyclophosphamideefficacyrituximabsafetytreatment

Identifiers

PMID33747132
PMCPMC7940507
OpenAlexW3134489769

What Socratic holds

Textmetadata
LicenceCC BY-NC
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 Socratic graph.