Evidence map›Paper›PMID 35110179›Full record

ArticleEuropean journal of rheumatology2021

Combination of denosumab and biologic DMARDs in inflammatory muscle-skeletal diseases and connective tissue diseases.

Cosimo Bruni, Cosimo Cigolini, Giulia Tesei, Laura Cometi, Francesca Bartoli, Ginevra Fiori, Francesca Nacci, Silvia Bellando-Randone, Serena Guiducci, Marco Matucci-Cerinic

Open access · diamondAbstract read
In one paragraph

Article in European journal of rheumatology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.5field-weighted citation impact, top 32% 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

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. 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

10 authors at 2 institutions in 1 country.

Cosimo BruniDivision of Rheumatology, Department of Experimental and Clinical Medicine, University of Firenze, Firenze, Italy.
Cosimo CigoliniDivision of Rheumatology, Department of Experimental and Clinical Medicine, University of Firenze, Firenze, Italy.
Giulia TeseiDivision of Rheumatology, Department of Experimental and Clinical Medicine, University of Firenze, Firenze, Italy.
Laura CometiDivision of Rheumatology, Department of Experimental and Clinical Medicine, University of Firenze, Firenze, Italy.
Francesca BartoliDivision of Rheumatology, Department of Geriatric Medicine, Azienda Ospedaliero Universitaria Careggi, Firenze, Italy.
Ginevra FioriDivision of Rheumatology, Department of Geriatric Medicine, Azienda Ospedaliero Universitaria Careggi, Firenze, Italy.
Francesca NacciDivision of Rheumatology, Department of Experimental and Clinical Medicine, University of Firenze, Firenze, Italy.
Silvia Bellando-RandoneDivision of Rheumatology, Department of Experimental and Clinical Medicine, University of Firenze, Firenze, Italy;Division of Rheumatology, Department of Geriatric Medicine, Azienda Ospedaliero Universitaria Careggi, Firenze, Italy.
Serena GuiducciDivision of Rheumatology, Department of Experimental and Clinical Medicine, University of Firenze, Firenze, Italy;Division of Rheumatology, Department of Geriatric Medicine, Azienda Ospedaliero Universitaria Careggi, Firenze, Italy.
Marco Matucci-CerinicDivision of Rheumatology, Department of Experimental and Clinical Medicine, University of Firenze, Firenze, Italy;Division of Rheumatology, Department of Geriatric Medicine, Azienda Ospedaliero Universitaria Careggi, Firenze, Italy.
University of Florence · ITAzienda Ospedaliero-Universitaria Careggi · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveOsteoporosis (OP) can complicate the course of rheumatic musculoskeletal diseases (RMDs) and connective tissue diseases (CTDs). Denosumab, a monoclonal antibody against RANK-L, showed beneficial effect in rheumatoid arthritis in inhibiting radiographic progression and erosive burden. We tested the efficacy, safety, and persistence on the treatment of the combination of biologic disease-modifying antirheumatic drugs (bDMARDs)/denosumab versus bDMARD in patients with RMD and CTD.

methodsThis is a retrospective evaluation of a single center, including patients with RMD/CTD (including rheumatoid arthritis, ankylosing spondylitis, psoriatic arthritis, systemic sclerosis, and overlap syndromes) treatment with bDMARD/denosumab, compared to age, gender, disease, bDMARD, and conventional synthetic disease-modifying antirheumatic drugs-matched controls.

resultsTwenty-eight bDMARD/denosumab patients and 49 bDMARD patients were eligible. Despite a statistically significant difference during the first-year efficacy (due to the different baseline timepoint), there was no difference in the efficacy profile in the second year of treatment and in the safety profile (including local, systemic, and serious adverse events). Moreover, no statistically significant difference in the persistence of bDMARD treatment over 2 years of evaluation was found. The combination of bDMARD and denosumab was not an independent predictor of disease flare or bDMARD treatment withdrawal.

conclusionThe combination of bDMARD and denosumab does not alter the efficacy and the safety profile of the bDMARD in patients with RMD/CTD. Future studies verifying the radiological disease inhibition could support denosumab use in RMD/CTD other than rheumatoid arthritis, when complicated by OP.

Identifiers

PMID35110179
PMCPMC10176229
OpenAlexW3215552972

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.