Evidence map›Paper›PMID 38001504›Full record

ArticleArthritis research & therapy2023

Impact of IL6R genetic variants on treatment efficacy and toxicity response to sarilumab in rheumatoid arthritis.

Luis Sainz, Pau Riera, Patricia Moya, Sara Bernal, Jordi Casademont, Cesar Díaz-Torné, Ana Milena Millán, Hye Sang Park, Adriana Lasa, Hector Corominas

Open access · goldAbstract read
In one paragraph

Article in Arthritis research & therapy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.2field-weighted citation impact, top 19% 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

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. 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

10 authors at 2 institutions in 2 countries.

Luis Sainz *Rheumatology Department, Hospital de La Santa Creu I Sant Pau, Barcelona, Spain.
Pau Riera *Institut d'Investigació Biomèdica Sant Pau (IIB SANT PAU), Barcelona, Spain. priera@santpau.cat.
Patricia MoyaRheumatology Department, Hospital de La Santa Creu I Sant Pau, Barcelona, Spain.
Sara BernalInstitut d'Investigació Biomèdica Sant Pau (IIB SANT PAU), Barcelona, Spain.
Jordi CasademontDepartment of Medicine, Universitat Autònoma de Barcelona (UAB), Barcelona, Spain.
Cesar Díaz-TornéRheumatology Department, Hospital de La Santa Creu I Sant Pau, Barcelona, Spain.
Ana Milena MillánRheumatology Department, Hospital de La Santa Creu I Sant Pau, Barcelona, Spain.
Hye Sang ParkRheumatology Department, Hospital de La Santa Creu I Sant Pau, Barcelona, Spain.
Adriana LasaInstitut d'Investigació Biomèdica Sant Pau (IIB SANT PAU), Barcelona, Spain.
Hector CorominasRheumatology Department, Hospital de La Santa Creu I Sant Pau, Barcelona, Spain. hcorominas@santpau.cat.
Hospital de Sant Pau · ESUniversitat Autònoma de Barcelona · ES

Funding

Instituto de Salud Carlos III JR20/00008Societat Catalana de Reumatologia 2020-2021
6 · The paper itself

Abstract

backgroundSarilumab, an IL-6 receptor antagonist, is a first-line biologic disease-modifying anti-rheumatic drug for rheumatoid arthritis. The identification of genetic biomarkers as predictors of response to sarilumab could allow for a personalized treatment strategy to improve clinical outcomes.

methodsWe conducted a retrospective cohort study of 62 patients treated with sarilumab to determine whether single-nucleotide polymorphisms (SNP) in the IL6R gene could predict efficacy and toxicity responses. Six SNPs previously described in the IL6R gene (rs12083537, rs11265618, rs4329505, rs2228145, rs4537545, and rs4845625) were genotyped in DNA samples obtained from these patients. Using parametric tests, we evaluated the association between these polymorphisms and clinicopathological features. Treatment response was assessed six months after treatment initiation. Satisfactory response was based on EULAR criteria. Low disease activity was determined according to DAS28 and CDAI and quantitative improvements in DAS28 and CDAI scores.

resultsThree SNPs (rs4845625, rs4329505 and rs11265618) were significantly associated with response outcomes. All of the SNPs, except for rs12083537, had at least one significant association with dyslipidemia or hepatotoxicity.

conclusionsThese findings support the potential clinical value of SNPs, particularly rs4845625, as potentially useful biomarkers to predict response to sarilumab in patients with RA.

Indexed as

Antirheumatic AgentsArthritis, RheumatoidAntibodies, Monoclonal, HumanizedBiomarkersHumansReceptors, Interleukin-6Retrospective StudiesTreatment OutcomeAntibodies, Monoclonal, HumanizedAntirheumatic AgentsBiomarkersIL6R protein, humanReceptors, Interleukin-6sarilumabGenetic variantsIL6RPredictive factorsRheumatoid arthritisSarilumab

Identifiers

PMID38001504
PMCPMC10668502
OpenAlexW4388976005

What Socratic holds

Textmetadata
LicenceCC BY
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.