Evidence map›Paper›PMID 22550117›Full record

Trial reportClinical infectious diseases : an official publication of the Infectious Diseases Society of America2012

Effects of recombinant human interleukin 7 on T-cell recovery and thymic output in HIV-infected patients receiving antiretroviral therapy: results of a phase I/IIa randomized, placebo-controlled, multicenter study.

Y Lévy, I Sereti, G Tambussi, J P Routy, J D Lelièvre, J F Delfraissy, J M Molina, M Fischl, C Goujard, B Rodriguez and 9 more

Registry-linked trialOpen access · bronzeAbstract readClinical Trial, Phase IClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01368107 (A Randomised, Multicentric, Phase 2a Study Evaluating the Impact of an Immunotherapy by IL-7 on CD4 Lymphopenia, Risks of Severe Haematological Toxicity and Tumor Progression in Metastatic Breast Cancer Patients), which is not on this map. Cited by 145 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
145citing papers in PubMed, 1 pooled it
10.8field-weighted citation impact, top 1% 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.

NCT01368107 phase2completednot on this map

A Randomised, Multicentric, Phase 2a Study Evaluating the Impact of an Immunotherapy by IL-7 on CD4 Lymphopenia, Risks of Severe Haematological Toxicity and Tumor Progression in Metastatic Breast Cancer Patients

TypeinterventionalSponsorCentre Leon BerardRan2011 to 2014Enrolled24ConditionsMetastatic Breast CancerArmsplacebo, interleukin 7
3 · Its place in the literature

Who cites it

145 citing papers in PubMed, 1 synthesis or guideline pooled it, 239 citations in OpenAlex.

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  17. Immunosenescence: signaling pathways, diseases and therapeutic targets.Signal transduction and targeted therapy · 2025
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85 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

19 authors at 13 institutions in 4 countries.

Y LévyInserm, U955, France. yves.levy@hmn.aphp.fr
I Sereti
G Tambussi
J P Routy
J D Lelièvre
J F Delfraissy
J M Molina
M Fischl
C Goujard
B Rodriguez
C Rouzioux
V Avettand-Fenoël
T Croughs
S Beq
M Morre
J F Poulin
R P Sekaly
R Thiebaut
M M Lederman
Inserm · FRInstitut de Readaptation Gingras Lindsay de Montreal · CAAssistance Publique – Hôpitaux de Paris · FRBicêtre Hospital · FRCase Western Reserve University · USHôpital Saint-Louis · FRMcGill University · CANational Institute of Allergy and Infectious Diseases · USNational Institutes of Health · USSan Raffaele University of Rome · ITUniversité Paris Cité · FRUniversity Hospitals Case Medical Center · USUniversity of Miami · US

Funding

Immunopathogenic Mechanisms of Human Immunodeficiency Virus (HIV) DiseaseZIAAI001121 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI SERETI, IRINI · 2010 to 2025
$27.2M
Novel Concepts for the Eradication of HIVDP1DA028871 · NIDA · VGTI FLORIDA · PI SEKALY, RAFICK PIERRE · 2009 to 2013
$4.5M
Intramural NIH HHSNIDA NIH HHS DP1 DA028871
6 · The paper itself

Abstract

backgroundThe immune deficiency of human immunodeficiency virus (HIV) infection is not fully corrected with ARV therapy. Interleukin-7 (IL-7) can boost CD4 T-cell counts, but optimal dosing and mechanisms of cellular increases need to be defined.

methodsWe performed a randomized placebo-controlled dose escalation (10, 20 and 30 µg/kg) trial of 3 weekly doses of recombinant human IL-7 (rhIL-7) in ARV-treated HIV-infected persons with CD4 T-cell counts between 101 and 400 cells/µL and plasma HIV levels <50 copies/mL. Toxicity, activity and the impact of rhIL-7 on immune reconstitution were monitored.

resultsDoses of rhIL-7 up to 20 µg/kg were well tolerated. CD4 increases of predominantly naive and central memory T cells were brisk (averaging 323 cells/µL at 12 weeks) and durable (up to 1 year). Increased cell cycling and transient increased bcl-2 expression were noted. Expanded cells did not have the characteristics of regulatory or activated T cells. Transient low-level HIV viremia was seen in 6 of 26 treated patients; modest increases in total levels of intracellular HIV DNA were proportional to CD4 T-cell expansions. IL-7 seemed to increase thymic output and tended to improve the T-cell receptor (TCR) repertoire in persons with low TCR diversity.

conclusionsThree weekly doses of rhIL-7 at 20 µg/kg are well tolerated and lead to a dose-dependent CD4 T-cell increase and the broadening of TCR diversity in some subjects. These data suggest that this rhIL-7 dose could be advanced in future rhIL-7 clinical studies. CLINICAL TRIALS REGISTRATION: NCT0047732.

Indexed as

Anti-HIV AgentsAntiretroviral Therapy, Highly ActiveCD4 Lymphocyte CountCD4-Positive T-LymphocytesHIV InfectionsHumansImmunologic FactorsInterleukin-7PlacebosRecombinant ProteinsTreatment OutcomeAnti-HIV AgentsIL7 protein, humanImmunologic FactorsInterleukin-7PlacebosRecombinant Proteins

Identifiers

PMID22550117
PMCPMC3381639
OpenAlexW2146666488

What OpenQuestion holds

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LicenceCC BY-NC
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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.