Evidence map›Paper›PMID 22726593›Full record

Trial reportRespiratory research2012

Repeated intranasal TLR7 stimulation reduces allergen responsiveness in allergic rhinitis.

Lennart Greiff, Anders Cervin, Cecilia Ahlström-Emanuelsson, Gun Almqvist, Morgan Andersson, Jan Dolata, Leif Eriksson, Edward Högestätt, Anders Källén, Per Norlén and 2 more

2 registry-linked trialsOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Respiratory research, 2012. 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 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
2.9field-weighted citation impact, top 9% 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.

NCT00688779 phase1completednot on this map

A Double Blind, Placebo Controlled, Randomised, First Time In Man. Study to Investigate the Tolerability, Safety, Pharmacokinetics and Pharmacodynamics of Single Ascending Doses of AZD8848 Administered Intranasally to Healthy Male Volunteers and Seasonal Allergic Rhinitis Male Patients Out Of Season

TypeinterventionalSponsorAstraZenecaRan2008 to 2009Enrolled130ConditionsHealthy, Allergic RhinitisArmsAZD8848, Placebo
NCT00770003 phase1completednot on this map

A Double-blind, Placebo Controlled, Randomized, Parallel Group Study to Investigate the Tolerability, Safety, Pharmacodynamics and Pharmacokinetics of Repeated Weekly Doses of AZD8848 Administered Intranasally to Seasonal Allergic Rhinitis Patients

TypeinterventionalSponsorAstraZenecaRan2008 to 2010Enrolled103ConditionsAllergic RhinitisArmsAZD8848, Placebo
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 50 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Soft drugs: design principles and topical applications.Nature reviews. Drug discovery · 2026
    Review
  4. Article
  5. Review
  6. Review
  7. Review
  8. Article
  9. EAACI Allergen Immunotherapy User's Guide.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2020
    Review
  10. Targeting Antiviral Pathways for Treatment of Allergic Diseases.Journal of the Pediatric Infectious Diseases Society · 2018
    Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Expression of Toll-like receptors in nasal epithelium in allergic rhinitis.APMIS : acta pathologica, microbiologica, et immunologica Scandinavica · 2015
    Article
  16. New therapies for allergic rhinitis.Current allergy and asthma reports · 2014
    Review
  17. Innate immunity and its regulation by mast cells.Journal of immunology (Baltimore, Md. : 1950) · 2013
    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

12 authors at 3 institutions in 2 countries.

Lennart GreiffDepartment of ORL, Head & Neck Surgery, Skane University Hospital, Lund, Sweden. lennart.greiff@live.se
Anders Cervin
Cecilia Ahlström-Emanuelsson
Gun Almqvist
Morgan Andersson
Jan Dolata
Leif Eriksson
Edward Högestätt
Anders Källén
Per Norlén
Inga-Lisa Sjölin
Henrik Widegren
Skåne University Hospital · SEAstraZeneca (United Kingdom) · GBHelsingborgs lasarett · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInteractions between Th1 and Th2 immune responses are of importance to the onset and development of allergic disorders. A Toll-like receptor 7 agonist such as AZD8848 may have potential as a treatment for allergic airway disease by skewing the immune system away from a Th2 profile.

objectiveTo evaluate the efficacy and safety of intranasal AZD8848.

methodsIn a placebo-controlled single ascending dose study, AZD8848 (0.3-600 μg) was given intranasally to 48 healthy subjects and 12 patients with allergic rhinitis (NCT00688779). In a placebo-controlled repeat challenge/treatment study, AZD8848 (30 and 60 μg) was given once weekly for five weeks to 74 patients with allergic rhinitis out of season: starting 24 hours after the final dose, daily allergen challenges were given for seven days (NCT00770003). Safety, tolerability, pharmacokinetics, and biomarkers were monitored. During the allergen challenge series, nasal symptoms and lavage fluid levels of tryptase and α2-macroglobulin, reflecting mast cell activity and plasma exudation, were monitored.

resultsAZD8848 produced reversible blood lymphocyte reductions and dose-dependent flu-like symptoms: 30-100 μg produced consistent yet tolerable effects. Plasma interleukin-1 receptor antagonist was elevated after administration of AZD8848, reflecting interferon production secondary to TLR7 stimulation. At repeat challenge/treatment, AZD8848 reduced nasal symptoms recorded ten minutes after allergen challenge up to eight days after the final dose. Tryptase and α2-macroglobulin were also reduced by AZD8848.

conclusionsRepeated intranasal stimulation of Toll-like receptor 7 by AZD8848 was safe and produced a sustained reduction in the responsiveness to allergen in allergic rhinitis.

trial registrationNCT00688779 and NCT00770003 as indicated above.

Indexed as

Administration, IntranasalAdultAllergensDouble-Blind MethodFemaleHumansMaleRhinitis, AllergicRhinitis, Allergic, PerennialToll-Like Receptor 7Young AdultAllergensTLR7 protein, humanToll-Like Receptor 7

Identifiers

PMID22726593
PMCPMC3487914
OpenAlexW2101918575

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.