Evidence map›Paper›PMID 20050849›Full record

ArticleBritish journal of pharmacology2010

Apremilast, a cAMP phosphodiesterase-4 inhibitor, demonstrates anti-inflammatory activity in vitro and in a model of psoriasis.

P H Schafer, A Parton, A K Gandhi, L Capone, M Adams, L Wu, J B Bartlett, M A Loveland, A Gilhar, Y-F Cheung and 5 more

2 registry-linked trialsOpen access · bronzeAbstract read
In one paragraph

Article in British journal of pharmacology, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 151 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
151citing papers in PubMed, 2 pooled it
4.2field-weighted citation impact, top 6% 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.

NCT03442088 phase2completednot on this mapstarted 2018, after this paper: background citation

An Investigator Initiated Study of Monocyte Biomarkers in Moderate to Severe Plaque Psoriasis Subjects Treated With Apremilast

TypeinterventionalSponsorUniversity Hospitals Cleveland Medical CenterRan2018 to 2021Enrolled28ConditionsPlaque PsoriasisArmsApremilast
NCT04822909 phase4completednot on this mapstarted 2019, after this paper: background citation

A Pilot Study to Evaluate the Efficacy and Safety of Apremilast in Patients of Chronic and Recurrent Erythema Nodosum Leprosum

TypeinterventionalSponsorPost Graduate Institute of Medical Education and Research, ChandigarhRan2019 to 2020Enrolled10ConditionsErythema Nodosum LeprosumArmsApremilast, Apremilast, Apremilast 10 MG, 20 MG, 30 MG Oral Tablet
3 · Its place in the literature

Who cites it

151 citing papers in PubMed, 2 syntheses or guidelines pooled it, 397 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Apremilast in Japanese patients with palmoplantar pustulosis: A randomized, Phase 3 trial.Journal of the European Academy of Dermatology and Venereology : JEADV · 2026
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  8. The effects of apremilast on the QTc interval in healthy male volunteers: a formal, thorough QT study.International journal of clinical pharmacology and therapeutics · 2016
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  15. Disposition, metabolism and mass balance of [(14)C]apremilast following oral administration.Xenobiotica; the fate of foreign compounds in biological systems · 2011
    Trial
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91 more citing papers are in PubMed but not listed here.

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

15 authors at 3 institutions in 3 countries.

P H SchaferDepartment of Drug Discovery, Celgene Corporation, Summit, NJ 07901, USA. pschafer@celgene.com
A Parton
A K Gandhi
L Capone
M Adams
L Wu
J B Bartlett
M A Loveland
A Gilhar
Y-F Cheung
G S Baillie
M D Houslay
H-W Man
G W Muller
D I Stirling
University of Glasgow · GBBristol-Myers Squibb (Switzerland) · CHTechnion – Israel Institute of Technology · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeApremilast is an orally administered phosphodiesterase-4 inhibitor, currently in phase 2 clinical studies of psoriasis and other chronic inflammatory diseases. The inhibitory effects of apremilast on pro-inflammatory responses of human primary peripheral blood mononuclear cells (PBMC), polymorphonuclear cells, natural killer (NK) cells and epidermal keratinocytes were explored in vitro, and in a preclinical model of psoriasis. EXPERIMENTAL APPROACH: Apremilast was tested in vitro against endotoxin- and superantigen-stimulated PBMC, bacterial peptide and zymosan-stimulated polymorphonuclear cells, immunonoglobulin and cytokine-stimulated NK cells, and ultraviolet B light-activated keratinocytes. Apremilast was orally administered to beige-severe combined immunodeficient mice, xenotransplanted with normal human skin and triggered with human psoriatic NK cells. Epidermal skin thickness, proliferation index and inflammation markers were analysed. KEY

resultsApremilast inhibited PBMC production of the chemokines CXCL9 and CXCL10, cytokines interferon-gamma and tumour necrosis factor (TNF)-alpha, and interleukins (IL)-2, IL-12 and IL-23. Production of TNF-alpha by NK cells and keratinocytes was also inhibited. In vivo, apremilast significantly reduced epidermal thickness and proliferation, decreased the general histopathological appearance of psoriasiform features and reduced expression of TNF-alpha, human leukocyte antigen-DR and intercellular adhesion molecule-1 in the lesioned skin. CONCLUSIONS AND IMPLICATIONS: Apremilast displayed a broad pattern of anti-inflammatory activity in a variety of cell types and decreased the incidence and severity of a psoriasiform response in vivo. Inhibition of TNF-alpha, IL-12 and IL-23 production, as well as NK and keratinocyte responses by this phosphodiesterase-4 inhibitor suggests a novel approach to the treatment of psoriasis.

Indexed as

Phosphodiesterase 4 InhibitorsAdministration, OralAdultAnimalsAnti-Inflammatory AgentsCell ProliferationCyclic Nucleotide Phosphodiesterases, Type 4CytokinesDisease Models, AnimalDose-Response Relationship, DrugEnterotoxinsGene Expression RegulationHumansInflammation MediatorsKeratinocytesKiller Cells, NaturalAnti-Inflammatory AgentsapremilastCyclic Nucleotide Phosphodiesterases, Type 4Cytokinesenterotoxin B, staphylococcalEnterotoxinsInflammation MediatorsLipopolysaccharidesPhosphodiesterase 4 InhibitorsPhosphodiesterase InhibitorsRNA, MessengerThalidomideZymosan

Identifiers

PMID20050849
PMCPMC2829210
OpenAlexW1604295258

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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 OpenQuestion graph.