Evidence map›Paper›PMID 22459705›Full record

Trial reportClinical immunology (Orlando, Fla.)2012

CD40 agonist antibody mediated improvement of chronic Cryptosporidium infection in patients with X-linked hyper IgM syndrome.

Xiying Fan, Bhaskar Upadhyaya, Liming Wu, Christopher Koh, Mónica Santín-Durán, Stefania Pittaluga, Gulbu Uzel, David Kleiner, Ester Williams, Chi A Ma and 10 more

Open access · greenAbstract readClinical Trial
In one paragraph

Trial report in Clinical immunology (Orlando, Fla.), 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.0field-weighted citation impact, top 16% 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

11 citing papers in PubMed, 24 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Review
  9. The hyper IgM syndromes.Clinical reviews in allergy & immunology · 2014
    Review
  10. Review
  11. 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

20 authors at 7 institutions in 1 country.

Xiying FanLaboratory of Host Defenses, National Institutes of Allergy and Infectious Diseases, NIH, Bethesda, MD, USA.
Bhaskar Upadhyaya
Liming Wu
Christopher Koh
Mónica Santín-Durán
Stefania Pittaluga
Gulbu Uzel
David Kleiner
Ester Williams
Chi A Ma
Aaron Bodansky
Joao B Oliveira
Pamela Edmonds
Ronald Hornung
Duane W Wong
Ronald Fayer
Tom Fleisher
Theo Heller
Calman Prussin
Ashish Jain
National Institute of Allergy and Infectious Diseases · USNational Institutes of Health · USAgricultural Research Service · USNational Cancer Institute · USNational Institute of Diabetes and Digestive and Kidney Diseases · USAllergy Associates Research Center · USScience Applications International Corporation (United States) · US

Funding

Histology Core LaboratoryZICBC010687 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI CHINQUEE, JOSEPH · 2009 to 2025
$35.1M
Multidisciplinary Collaborative Research in NIDDK Program Area DiseasesZIDDK070013 · NIDDK · NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND KIDNEY DISEASES · PI KOH, CHRISTOPHER · 2009 to 2025
$19.9M
The Genetics, Pathogenesis, and Treatment of Primary ImmunodeficiencyZIAAI000924 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI JAIN, ASHISH · 2009 to 2013
$4.8M
Investigation of non-cirrhotic portal hypertension.ZIADK075008 · NIDDK · NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND KIDNEY DISEASES · PI HELLER, THEO · 2009 to 2025
$4.5M
T Cell Pathogenesis of Food AllergyZIAAI000993 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI PRUSSIN, CALMAN · 2009 to 2015
$4.1M
Functional and Epigenetic Analysis of Th2 HeterogeneityZIAAI001128 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI PRUSSIN, CALMAN · 2010 to 2012
$1.4M
Studies of Hyper- IgM SyndromeZIAAI001078 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI JAIN, ASHISH · 2009 to 2011
$1.2M
Intramural NIH HHS ZIA AI001078NCI 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 mutations in CD40 ligand. We tested CP-870,893, a human CD40 agonist monoclonal antibody, in the treatment of two XHM patients with biliary Cryptosporidiosis. CP-870,893 activated B cells and APCs in vitro, restoring class switch recombination in XHM B cells and inducing cytokine secretion by monocytes. CP-870,893 infusions were well tolerated and showed significant activity in vivo, decreasing leukocyte concentration in peripheral blood. Although specific antibody responses were lacking, frequent dosing in one subject primed T cells to secrete IFN-g and suppressed oocyst shedding in the stool. Nevertheless, relapse occurred after discontinuation of therapy. The CD40 receptor was rapidly internalized following binding with CP-870,893, potentially explaining the limited capacity of CP-870,893 to mediate immune reconstitution. This study demonstrates that CP-870,893 suppressed oocysts shedding in XHM patients with biliary cryptosporidiosis. The continued study of CD40 agonists in XHM is warranted.

Indexed as

AdolescentAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedCD40 LigandCryptosporidiosisCryptosporidiumCytokinesFecesHumansHyper-IgM Immunodeficiency Syndrome, Type 1Leukocyte CountLeukocytes, MononuclearMaleT-LymphocytesAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedCD40 LigandCytokinesselicrelumab

Identifiers

PMID22459705
PMCPMC3365556
OpenAlexW2041177050

What OpenQuestion holds

Textmetadata
LicenceTDM
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.