Evidence map›Paper›PMID 23303999›Full record

Trial reportTransactions of the American Clinical and Climatological Association2012

Sickle cell disease (SCD), iNKT cells, and regadenoson infusion.

David G Nathan, Joshua Field, Gene Lin, Donna Neuberg, Elaine Majerus, Onyinye Onyekwere, Jeffrey Keefer, Maureen Okam, Ainsley Ross, Joel Linden

Open access · greenAbstract readClinical Trial, Phase IIControlled Clinical Trial
In one paragraph

Trial report in Transactions of the American Clinical and Climatological Association, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.2field-weighted citation impact, top 49% 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

4 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Inflammatory targets of therapy in sickle cell disease.Translational research : the journal of laboratory and clinical medicine · 2016
    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

10 authors at 2 institutions in 1 country.

David G NathanDana-Farber Cancer Institute, Boston MA, USA.
Joshua Field
Gene Lin
Donna Neuberg
Elaine Majerus
Onyinye Onyekwere
Jeffrey Keefer
Maureen Okam
Ainsley Ross
Joel Linden
Dana-Farber Cancer Institute · USPalmetto Hematology Oncology · US

Funding

Targeted CEU Imaging of Atherosclerosis and AngiogenesisR01HL078610 · NHLBI · UNIVERSITY OF VIRGINIA CHARLOTTESVILLE · PI LINDNER, JONATHAN R · 2004 to 2022
$6.8M
Biomarkers of Inflammation and Vaso-occlusion in Sickle Cell DiseaseR01HL111969 · NHLBI · LA JOLLA INSTITUTE FOR IMMUNOLOGY · PI FIELD, JOSHUA JEFFREY, LINDEN, JOEL M. · 2012 to 2016
$4.0M
Lymphocyte Activation in Sickle Cell Lung DiseaseR01HL095704 · NHLBI · LA JOLLA INSTITUTE FOR IMMUNOLOGY · PI LINDEN, JOEL M. · 2010 to 2014
$2.3M
NHLBI NIH HHS R01 HL078610NHLBI NIH HHS R01 HL095704NHLBI NIH HHS R01 HL111969
6 · The paper itself

Abstract

A humanized murine sickle cell-disease (SCD) model (NY1DD) has been used to study ischemia/reperfusion injury (IRI) in sickle cell anemia, and iNKT cells (a very small subset of murine and human T cells) have been found to instigate such injury in this model. Furthermore, levels of activated iNKT cells are generally elevated in the circulation of patients with SCD. Because activated iNKT cells are rich in adenosine A2A receptors which, when agonized, down-regulate the inflammatory cytokine expression that characterizes the cells, we have conducted a phase 1 trial of a constant infusion of low-dose regadenoson (an adenosine analogue with high A2A receptor specificity) to determine its safety and the capacity of a safe dose to down-regulate circulating iNKT cells in patients with SCD. We have found two dose rates that are both safe and effective and now plan a controlled Phase 2B clinical trial to determine whether our highest dose, administered as a 48-hour constant infusion, will induce faster remission in both painful vaso-occlusive crisis (pVOC) and acute chest syndrome (ACS).

Indexed as

Adenosine A2 Receptor AgonistsAnemia, Sickle CellCell CountDose-Response Relationship, DrugHumansInfusions, IntravenousNatural Killer T-CellsPurinesPyrazolesRemission InductionTime FactorsTreatment OutcomeAdenosine A2 Receptor AgonistsPurinesPyrazolesregadenoson

Identifiers

PMID23303999
PMCPMC3540605
OpenAlexW1870293322

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.