Evidence map›Paper›PMID 40785430›Full record

ArticleCNS neuroscience & therapeutics2025

Safety and Efficacy of a Neonatal Fc Receptor Antagonist in Patients With Anti-NMDAR Encephalitis.

Zhihong Bian, Han Cai, Haotian Wu, Ping Liu, Yanfang Zuo, Fuhua Peng, Wei Qiu, Zhengqi Lu, Bingjun Zhang

Abstract read
In one paragraph

Article in CNS neuroscience & therapeutics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–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

6 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
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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

9 authors.

Zhihong BianDepartment of Neurology, The Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China.
Han CaiDepartment of Neurology, The Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China.
Haotian WuDepartment of Neurology, The Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China.
Ping LiuDepartment of Neurology, The Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China.
Yanfang ZuoDepartment of Neurology, Longgang Central Hospital of Shenzhen, Shenzhen, China.
Fuhua PengDepartment of Neurology, The Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China.ORCID 0000-0001-7500-205X
Wei QiuDepartment of Neurology, The Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China.ORCID 0000-0001-8102-8192
Zhengqi LuDepartment of Neurology, The Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China.ORCID 0000-0002-2118-0368
Bingjun ZhangDepartment of Neurology, The Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China.ORCID 0000-0002-9641-2485

Funding

Third Affiliated Hospital of Sun Yat-Sen University, Clinical Research Program QHJH201907
6 · The paper itself

Abstract

backgroundThis retrospective study investigates the safety and effectiveness of efgartigimod in improving clinical outcomes for patients with anti-NMDAR encephalitis in a real-world setting.

methodsWe analyzed data from 26 patients diagnosed with anti-NMDAR encephalitis at the Third Affiliated Hospital of Sun Yat-sen University between October 2022 and June 2024. The patients were divided into two groups: 13 received efgartigimod treatment, while 13 did not. Clinical outcomes were assessed using the modified Rankin Scale (mRS), the Clinical Assessment Scale in Autoimmune Encephalitis (CASE), and clinical symptoms, along with an analysis of treatment-emergent adverse events (TEAEs), cerebrospinal fluid (CSF) antibody titers, and blood serum IgG levels.

resultsEfgartigimod treatment was associated with significant clinical improvement, as indicated by greater reductions in mRS and CASE scores at discharge and follow-up compared to the control group. At follow-up, 84.6% of patients in the efgartigimod group achieved an mRS score of ≤ 2, compared to 46.2% in the control group. Additionally, patients receiving Efgartigimod exhibited a notable reduction in CSF anti-NMDAR antibody titers and serum IgG levels. The most common TEAEs were mild to moderate infections, with no significant safety concerns identified.

conclusionIn this exploratory study, efgartigimod demonstrated a favorable safety profile for patients with anti-NMDAR encephalitis and appeared to facilitate the recovery of clinical symptoms and neurological function. However, further prospective randomized studies with larger patient cohorts are necessary to confirm the safety and efficacy of efgartigimod.

Indexed as

Anti-N-Methyl-D-Aspartate Receptor EncephalitisReceptors, FcAdolescentAdultAutoantibodiesChildFemaleHumansMaleMiddle AgedRetrospective StudiesTreatment OutcomeYoung AdultAutoantibodiesReceptors, Fcanti‐NMDAR encephalitisautoimmune encephalitisefgartigimodFcRn receptorimmunotherapy

Identifiers

PMID40785430
PMCPMC12336417

What Socratic holds

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LicenceCC BY
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Registered trials

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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.