Evidence map›Paper›PMID 21841160›Full record

Trial reportBlood2011

Partial immune reconstitution of X-linked hyper IgM syndrome with recombinant CD40 ligand.

Ashish Jain, Joseph A Kovacs, David L Nelson, Stephen A Migueles, Stefania Pittaluga, William Fanslow, Xiying Fan, Duane W Wong, Justin Massey, Ronald Hornung and 7 more

Open access · bronzeAbstract readClinical Trial
In one paragraph

Trial report in Blood, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 14% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 44 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Review
  10. Review
  11. Article
  12. Review
  13. Review
  14. The hyper IgM syndromes.Clinical reviews in allergy & immunology · 2014
    Review
  15. Article
  16. Primary antibody deficiencies.Nature reviews. Immunology · 2013
    Review
  17. Review
  18. 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

17 authors at 10 institutions in 1 country.

Ashish JainLaboratory of Host Defenses, National Institute of Allergy and Infectious Diseases (NIAID), National Institutes of Health (NIH), Bethesda, MD, USA. ajain@nih.gov
Joseph A Kovacs
David L Nelson
Stephen A Migueles
Stefania Pittaluga
William Fanslow
Xiying Fan
Duane W Wong
Justin Massey
Ronald Hornung
Margaret R Brown
Jacob J Spinner
Shuying Liu
Victoria Davey
Harry A Hill
Hans Ochs
Thomas A Fleisher
National Institute of Allergy and Infectious Diseases · USNational Institutes of Health · USNational Institutes of Health Clinical Center · USAllergy Associates Research Center · USAmgen (United States) · USNational Cancer Institute · USOffice of the Director · USScience Applications International Corporation (United States) · USUniversity of Utah · USUniversity of Washington · US

Funding

Studies of Hyper- IgM SyndromeZIAAI001078 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI JAIN, ASHISH · 2009 to 2011
$1.2M
Mutation Analysis Of Selected Lymphoid Immune DisordersZIACL010304 · CLC · CLINICAL CENTER · PI ROSENZWEIG, SERGIO · 2009 to 2025
$0k
Intramural NIH HHSNCI NIH HHS N01 CO012400NCI NIH HHS N01-CO-12400
6 · The paper itself

Abstract

X-linked hyper IgM syndrome (XHM) is a combined immune deficiency disorder caused by genetic alterations in CD40 ligand. The purpose of this study was to investigate the safety and efficacy of recombinant CD40 ligand (rCD40L) in the treatment of the disease. Three children were administered rCD40L subcutaneously 3 times per week at 0.03 mg/kg for 22 weeks, and after a 12-week drug-free interval, the dose was increased to 0.05 mg/kg for an additional 22 weeks of treatment. Although specific antibody responses to T cell-dependent antigens was lacking, administration of rCD40 resulted in acquisition of the capacity to mount cutaneous delayed type hypersensitivity reactions that disappeared during the drug-free interval as well as the postbiologic follow-up period. With rCD40L treatment, patient T cells developed a new capacity to respond to T-cell mitogens with synthesis of IFN-γ and TNF-α. Intracellular cytokine staining studies showed that both CD4(+) and CD8(+) T cells participated in this response. Finally, CD40L therapy was associated with changes in lymph node size and architecture based on comparison of biopsies taken before and after therapy. This clinical study showed that rCD40L is capable of improving T cell-immune function in patients with XHM.

Indexed as

AdolescentAnimalsCD40 LigandChildFollow-Up StudiesHumansHyper-IgM Immunodeficiency Syndrome, Type 1ImmunotherapyInterferon-gammaLymph NodesMiceRecombinant ProteinsT-LymphocytesTumor Necrosis Factor-alphaCD40 LigandInterferon-gammaRecombinant ProteinsTumor Necrosis Factor-alpha

Identifiers

PMID21841160
PMCPMC3193261
OpenAlexW2017393465

What OpenQuestion 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 OpenQuestion graph.