Evidence map›Paper›PMID 40878863›Full record

ArticleAnnals of clinical and translational neurology2025

Real World Effectiveness and Tolerability of Novel Monoclonal Antibodies and Rituximab for NMOSD.

Zarmina Javed, Mengke Du, Mary Rensel, Le H Hua, Carrie M Hersh, Justin R Abbatemarco, Devon S Conway, Daniel Ontaneda, Jeffrey A Cohen, Amy Kunchok

Abstract readMulticenter Study
In one paragraph

Article in Annals of clinical and translational neurology, 2025. 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
–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

2 citing papers in PubMed.

  1. Article
  2. 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.

Zarmina JavedMellen Center for Multiple Sclerosis Treatment and Research, Neurological Institute, Cleveland Clinic, Cleveland, Ohio, USA.ORCID 0009-0003-4097-3421
Mengke DuDepartment of Quantitative Health Sciences, Cleveland, Ohio, USA.ORCID 0009-0004-6283-1990
Mary RenselMellen Center for Multiple Sclerosis Treatment and Research, Neurological Institute, Cleveland Clinic, Cleveland, Ohio, USA.
Le H HuaLou Ruvo Center for Brain Health Las Vegas, Cleveland Clinic, Las Vegas, Nevada, USA.
Carrie M HershLou Ruvo Center for Brain Health Las Vegas, Cleveland Clinic, Las Vegas, Nevada, USA.
Justin R AbbatemarcoMellen Center for Multiple Sclerosis Treatment and Research, Neurological Institute, Cleveland Clinic, Cleveland, Ohio, USA.
Devon S ConwayMellen Center for Multiple Sclerosis Treatment and Research, Neurological Institute, Cleveland Clinic, Cleveland, Ohio, USA.
Daniel OntanedaMellen Center for Multiple Sclerosis Treatment and Research, Neurological Institute, Cleveland Clinic, Cleveland, Ohio, USA.
Jeffrey A CohenMellen Center for Multiple Sclerosis Treatment and Research, Neurological Institute, Cleveland Clinic, Cleveland, Ohio, USA.
Amy KunchokMellen Center for Multiple Sclerosis Treatment and Research, Neurological Institute, Cleveland Clinic, Cleveland, Ohio, USA.ORCID 0000-0002-8387-6491

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In this multicenter retrospective cohort study of 135 people with aquaporin-4 IgG+ neuromyelitis optica spectrum disorder (NMOSD), some of whom were exposed to multiple therapies, we evaluated the effectiveness and tolerability of rituximab (n = 111) and novel monoclonal antibodies (nMAbs): eculizumab (n = 9), inebilizumab (n = 23), and satralizumab (n = 14). Over a median follow-up of 3.92 years, 21/111 rituximab-treated patients relapsed. In contrast, relapse occurred in only 1/23 inebilizumab-treated patients (median follow-up 1.27 years), with no relapses observed in those receiving eculizumab or satralizumab. Twelve-month relapse-free probabilities were 92% (rituximab), 94% (inebilizumab), and 100% (eculizumab and satralizumab). Among those with available MRI data, 10/73 rituximab and 1/14 inebilizumab developed new lesions. There were no serious adverse events. These findings support nMAbs as effective and well-tolerated first-line therapies for NMOSD.

Indexed as

Antibodies, Monoclonal, HumanizedImmunologic FactorsNeuromyelitis OpticaRituximabAdultAgedAquaporin 4FemaleFollow-Up StudiesHumansMaleMiddle AgedRetrospective StudiesYoung AdultAntibodies, Monoclonal, HumanizedAquaporin 4eculizumabImmunologic FactorsinebilizumabRituximabeffectivenessmonoclonal antibodiesNMOSDrituximabtolerability

Identifiers

PMID40878863
PMCPMC12516216

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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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.