Evidence map›Paper›PMID 40366381›Full record

ArticleGraefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie2025

Time to improvement following teprotumumab treatment of thyroid eye disease: real world experience.

Yael Lustig-Barzelay, Daniel Yagoda, Eran Zunz, Shirin Hamed-Azzam, Inbal Avisar, Shay Kehat-Ophir, Zvi Gur, Tali Cukierman-Yaffe, Nancy Agmon-Levin, Daphna Landau-Prat and 1 more

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. Review
  5. 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

11 authors.

Yael Lustig-Barzelay *Goldschleger Eye Institute, Sheba Medical Center, Tel Hashomer, Israel.
Daniel Yagoda *Goldschleger Eye Institute, Sheba Medical Center, Tel Hashomer, Israel.
Eran ZunzDepartment of Ophthalmology, Soroka Medical Center, Be'er Sheva, Israel.
Shirin Hamed-AzzamDepartment of Ophthalmology, Tzafon Medical center, Poriya, Israel.
Inbal AvisarDepartment of Ophthalmology, Rabin Medical Center, Petah Tiqwa, Israel.
Shay Kehat-OphirOphthalmology Department, Hadassah Medical Organization and Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem, Israel.
Zvi GurOphthalmology Department, Hadassah Medical Organization and Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem, Israel.
Tali Cukierman-YaffeGertner Institute for Epidemiology and Health Policy Research, Endocrinology Institute, Sheba Medical Center, Tel Hashomer, Israel.
Nancy Agmon-LevinClinical Immunology, Angioedema and Allergy institute, The Zabludowicz Center for Autoimmune Diseases, Sheba Medical Center, Tel Aviv, Israel.
Daphna Landau-PratGoldschleger Eye Institute, Sheba Medical Center, Tel Hashomer, Israel.
Guy J Ben-SimonGoldschleger Eye Institute, Sheba Medical Center, Tel Hashomer, Israel. guybensimon@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTeprotumumab is the only FDA-approved medication for thyroid eye disease (TED), showing benefits in reducing proptosis, diplopia, clinical activity score (CAS), and improving quality of life. This study describes the clinical outcomes of TED patients treated with Teprotumumab across 5 medical centers in Israel and evaluates time-to-improvement.

methodsA retrospective cohort study of electronic medical records for Israeli patients treated with Teprotumumab between 2021 and 2024 in five medical centers. The main outcome included changes in proptosis and diplopia.

resultsThirty-two TED patients (mean age 53.3, 19 females) received partial or complete treatment with Teprotumumab. All had previously failed IV glucocorticoids, and some also failed other biologics. Four patients had decompression surgery prior; 3 with optic neuropathy and 1 with proptosis improved after 1-7 doses. Proptosis decreased by 2.4mm (right) and 2.0mm (left) (p < 0.001, p = 0.002, paired sample t-test), with significant reductions in primary gaze diplopia (p = 0.015, chi-square test). Four patients (12.5%) had symptom recurrence 8-12 months post-treatment; one improved with additional treatment. Thirteen patients (40.6%) had significant improvement within 3 infusions. Adverse events included myalgia (n = 4), hyperglycemia (n = 3), diarrhea (n = 3), and hearing issues (n = 4). One patient developed encephalopathy, successfully treated with plasmapheresis.

conclusionsTeprotumumab was effective in reducing diplopia and proptosis among Israeli TED patients, with rapid improvement in nearly half of the cases. Further studies are warranted to confirm these findings in real-world settings.

Indexed as

Antibodies, Monoclonal, HumanizedGraves OphthalmopathyQuality of LifeAdultAgedFemaleFollow-Up StudiesHumansMaleMiddle AgedRetrospective StudiesTime FactorsTreatment OutcomeAntibodies, Monoclonal, HumanizedteprotumumabProptosisTeprotumumabThyroid eye disease

Identifiers

What Socratic holds

Textmetadata
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.