Evidence map›Paper›PMID 23949620›Full record

ArticleInflammatory bowel diseases2013

AVX-470: a novel oral anti-TNF antibody with therapeutic potential in inflammatory bowel disease.

Kailash C Bhol, Daniel E Tracey, Brenda R Lemos, Gregory D Lyng, Emma C Erlich, David M Keane, Michael S Quesenberry, Amy D Holdorf, Lisa D Schlehuber, Shawn A Clark and 1 more

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Inflammatory bowel diseases, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03765450 (Pharmacokinetics of Infliximab and Tumor Necrosis Factor Concentrations in Serum, Stool, and Colonic Mucosa in Acute Severe Ulcerative Colitis), which is not on this map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
4.9field-weighted citation impact, top 5% 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.

NCT03765450 active not recruitingnot on this mapstarted 2018, after this paper: background citation

Pharmacokinetics of Infliximab and Tumor Necrosis Factor Concentrations in Serum, Stool, and Colonic Mucosa in Acute Severe Ulcerative Colitis

TypeobservationalSponsorAlimentiv Inc.Ran2018 to 2027Enrolled18ConditionsUlcerative ColitisArmsInfliximab
3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 62 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
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  7. Localised Delivery of Macromolecules to the Large Intestine: Translation to Clinical Trials.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2022
    Article
  8. Review
  9. Review
  10. Oral Delivery of Biologics in Inflammatory Bowel Disease Treatment.Frontiers in bioengineering and biotechnology · 2021
    Review
  11. Article
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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

11 authors at 1 institution in 1 country.

Kailash C Bhol*Avaxia Biologics, Inc., Lexington, Massachusetts; †Biomodels, LLC, Watertown, Massachusetts; and ‡Xtal BioStructures, Natick, Massachusetts.
Daniel E Tracey
Brenda R Lemos
Gregory D Lyng
Emma C Erlich
David M Keane
Michael S Quesenberry
Amy D Holdorf
Lisa D Schlehuber
Shawn A Clark
Barbara S Fox
Avaxia Biologics (United States) · US

Funding

Oral anti-TNF antibody for inflammatory bowel diseaseR44DK083810 · NIDDK · AVAXIA BIOLOGICS, INC. · PI TRACEY, DANIEL E · 2012 to 2013
$1.5M
Oral anti-TNF antibody for inflammatory bowel diseaseR43DK083810 · NIDDK · AVAXIA BIOLOGICS, INC. · PI FOX, BARBARA S. · 2010 to 2010
$214k
NIDDK NIH HHS R43 DK083810NIDDK NIH HHS R44 DK083810
6 · The paper itself

Abstract

backgroundInflammatory bowel disease (IBD) is a chronic inflammatory disease of the gastrointestinal tract, which is currently treated with injected monoclonal antibodies specific for tumor necrosis factor (TNF). We developed and characterized AVX-470, a novel polyclonal antibody specific for human TNF. We evaluated the oral activity of AVX-470m, a surrogate antibody specific for murine TNF, in several well-accepted mouse models of IBD.

methodsAVX-470 and AVX-470m were isolated from the colostrum of dairy cows that had been immunized with TNF. The potency, specificity, and affinity of both AVX-470 and AVX-470m were evaluated in vitro and compared with infliximab. AVX-470m was orally administered to mice either before or after induction of colitis, and activity was measured by endoscopy, histopathology, immunohistochemistry, and quantitative measurement of messenger RNA levels. Colitis was induced using either 2,4,6-trinitrobenzene sulfonate or dextran sodium sulfate.

resultsAVX-470 and AVX-470m were shown to be functionally comparable in vitro. Moreover, the specificity, neutralizing potency, and affinity of AVX-470 were comparable with infliximab. Orally administered AVX-470m effectively reduced disease severity in several mouse models of IBD. Activity was comparable with that of oral prednisolone or parenteral etanercept. The antibody penetrated the colonic mucosa and inhibited TNF-driven mucosal inflammation with minimal systemic exposure.

conclusionsAVX-470 is a novel polyclonal anti-TNF antibody with an in vitro activity profile comparable to that of infliximab. Oral administration of a surrogate antibody specific for mouse TNF is effective in treating mouse models of IBD, delivering the anti-TNF to the site of inflammation with minimal systemic exposure.

Indexed as

Disease Models, AnimalAdministration, OralAnimalsAntibodiesAntibodies, MonoclonalAnti-Inflammatory Agents, Non-SteroidalBlotting, WesternCattleColitisDextran SulfateEnzyme-Linked Immunosorbent AssayHumansImmunoenzyme TechniquesImmunoglobulin GInflammationInfliximabAntibodiesAntibodies, MonoclonalAnti-Inflammatory Agents, Non-SteroidalAVX-470Dextran SulfateImmunoglobulin GInfliximabRNA, MessengerTrinitrobenzenesulfonic AcidTumor Necrosis Factor-alpha

Identifiers

PMID23949620
PMCPMC3894572
OpenAlexW2032677988

What OpenQuestion holds

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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.