Evidence map›Paper›PMID 22717454›Full record

Trial reportGut2013

A randomised phase I study of etrolizumab (rhuMAb β7) in moderate to severe ulcerative colitis.

Paul J Rutgeerts, Richard N Fedorak, Daan W Hommes, Andreas Sturm, Daniel C Baumgart, Brian Bressler, Stefan Schreiber, John C Mansfield, Marna Williams, Meina Tang and 7 more

Open access · hybridAbstract readClinical Trial, Phase IMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Gut, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 61 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
61citing papers in PubMed, 7 pooled it
12.2field-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.

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

61 citing papers in PubMed, 7 syntheses or guidelines pooled it, 150 citations in OpenAlex.

  1. Pooled it
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  3. Anti-Drug Antibody Formation Against Biologic Agents in Inflammatory Bowel Disease: A Systematic Review and Meta-Analysis.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2021
    Pooled it
  4. Pooled it
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  6. Etrolizumab for induction of remission in ulcerative colitis.The Cochrane database of systematic reviews · 2015
    Pooled it
  7. Pooled it
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  16. Meta-analysis of etrolizumabTherapeutic advances in gastroenterology · 2024
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  20. Article

1 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors at 7 institutions in 5 countries.

Paul J RutgeertsDepartment of Medicine, Division of Gastroenterology, University of Leuven, Herestraat 49, 3052 Leuven, Belgium. paul.rutgeerts@uz.kuleuven.ac.be
Richard N Fedorak
Daan W Hommes
Andreas Sturm
Daniel C Baumgart
Brian Bressler
Stefan Schreiber
John C Mansfield
Marna Williams
Meina Tang
Jennifer Visich
Xiaohui Wei
Mary Keir
Diana Luca
Dimitri Danilenko
Jackson Egen
Sharon O'Byrne
Humboldt-Universität zu Berlin · DEChristian-Albrechts-Universität zu Kiel · DEKU Leuven · BENewcastle University · GBUniversity of Alberta · CAUniversity of British Columbia · CAUniversity of California, Los Angeles · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveEtrolizumab (rhuMAb β7, anti-β7, PRO145223) is a humanised monoclonal antibody targeting the β7 subunit of the heterodimeric integrins α4β7 and αEβ7, which are implicated in leucocyte migration and retention in ulcerative colitis (UC). This randomised phase I study evaluated the safety and pharmacology of etrolizumab in patients with moderate to severe UC.

designIn the single ascending dose (SAD) stage, etrolizumab (0.3, 1.0, 3.0, 10 mg/kg intravenous, 3.0 mg/kg subcutaneous (SC) or placebo) was administered 4:1 (n=25) in each cohort. In the multiple dose (MD) stage, new patients received monthly etrolizumab (0.5 mg/kg SC (n=4), 1.5 mg/kg SC (n=5), 3.0 mg/kg SC (n=4), 4.0 mg/kg intravenous (n=5)) or placebo (n=5). The pharmacokinetics was studied and Mayo Clinic Score evaluated at baseline, day 29 (SAD), and days 43 and 71 (MD).

resultsIn the SAD stage, there were no dose limiting toxicities, infusion or injection site reactions. Two impaired wound healing serious adverse events occurred in two patients receiving etrolizumab. In the MD stage, there were no dose limiting toxicities, and no infusion or injection site reactions. Headache was the most common adverse event, occurring more often in etrolizumab patients. Antietrolizumab antibodies were detected in two subjects. The duration of β7 receptor full occupancy was dose related. A clinical response was observed in 12/18 patients, and clinical remission in 3/18 patients treated with etrolizumab in the MD stage, compared with 4/5 and 1/5 placebo patients, respectively.

conclusionEtrolizumab is well tolerated in moderate to severe UC. Further investigation is warranted.

Indexed as

AdolescentAdultAgedAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedColitis, UlcerativeDose-Response Relationship, DrugDouble-Blind MethodFemaleGastrointestinal AgentsHumansInfusions, IntravenousInjections, SubcutaneousMaleMiddle AgedSeverity of Illness IndexAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedetrolizumabGastrointestinal Agentsantibody targeted therapyapoptosisarthritisautoimmune diseasecell cycleCrohn's diseasecytokinesdendritic cellsdrug developmentEtrolizumabgeneticsIBDIBD basic researchIBD clinicalIBD–geneticsIBD modelsimmunologyinflammatory bowel disordersintegrinspharmacokineticsrhuMAb β7safetysignal transductionulcerative colitis

Identifiers

PMID22717454
PMCPMC3711369
OpenAlexW2111615347

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.