Evidence map›Paper›PMID 24224471›Full record

Trial reportClinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology2014

OX40L blockade and allergen-induced airway responses in subjects with mild asthma.

G M Gauvreau, L-P Boulet, D W Cockcroft, J M FitzGerald, I Mayers, C Carlsten, M Laviolette, K J Killian, B E Davis, M Larché and 9 more

Registry-linked trialOpen access · bronzeAbstract readClinical Trial, Phase IIRandomized Controlled Trial
In one paragraph

Trial report in Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00983658 (A Phase II, Double-Blind, Placebo-Controlled, Parallel-Group Study to Evaluate the Efficacy, Safety, and Tolerability of Intravenous huMAb OX40L), which is not on this map. Cited by 44 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 2 pooled it
6.7field-weighted citation impact, top 3% 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.

NCT00983658 phase2completednot on this map

A Phase II, Double-Blind, Placebo-Controlled, Parallel-Group Study to Evaluate the Efficacy, Safety, and Tolerability of Intravenous huMAb OX40L (RO4989991) in the Prevention of Allergen-Induced Airway Obstruction in Adults With Mild Allergic Asthma

TypeinterventionalSponsorGenentech, Inc.Ran2009 to 2011Enrolled29ConditionsAsthmaArmshuMAb OX40L, placebo
3 · Its place in the literature

Who cites it

44 citing papers in PubMed, 2 syntheses or guidelines pooled it, 105 citations in OpenAlex.

  1. Anti-IL-5 therapies for asthma.The Cochrane database of systematic reviews · 2022
    Pooled it
  2. Anti-IL5 therapies for asthma.The Cochrane database of systematic reviews · 2017
    Pooled it
  3. Trial
  4. Review
  5. Review
  6. Targeting alarmins in asthma: From bench to clinic.The Journal of allergy and clinical immunology · 2025
    Review
  7. Article
  8. Review
  9. Review
  10. Review
  11. Article
  12. Review
  13. Article
  14. Promising treatment biomarkers in asthma.Frontiers in drug safety and regulation · 2023
    Review
  15. Review
  16. Review
  17. Pathogenesis of IgE-mediated food allergy and implications for future immunotherapeutics.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2021
    Review
  18. Combination blockade of OX40L and CD30L inhibits allergen-driven memory TThe Journal of allergy and clinical immunology · 2021
    Article
  19. Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

19 authors at 5 institutions in 1 country.

G M GauvreauDepartment of Medicine, McMaster University, Hamilton, ON, Canada.
L-P Boulet
D W Cockcroft
J M FitzGerald
I Mayers
C Carlsten
M Laviolette
K J Killian
B E Davis
M Larché
C Kipling
B Dua
S Mosesova
W Putnam
Y Zheng
H Scheerens
D McClintock
J G Matthews
P M O'Byrne
McMaster University · CAInstitut universitaire de cardiologie et de pneumologie de Québec · CAUniversity of British Columbia · CAUniversity of Saskatchewan · CAUniversity of Alberta · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe OX40/OX40L interaction contributes to an optimal T cell response following allergic stimuli and plays an important role in the maintenance and reactivation of memory T effector cells.

objectiveWe tested whether treatment with an anti-OX40L monoclonal antibody (MAb) would inhibit allergen-induced responses in subjects with asthma.

methodsTwenty-eight mild, atopic asthmatic subjects were recruited for a double-blind, randomized, placebo-controlled, parallel-group trial (ClinicalTrials.gov identifier NCT00983658) to compare blockade of OX40L using a humanized anti-OX40L MAb to placebo-administered intravenously in 4 doses over 3 months. Allergen inhalation challenges were carried out 56 and 113 days after the first dose of study drug. The primary outcome variable was the late-phase asthmatic response. Other outcomes included the early-phase asthmatic response, airway hyperresponsiveness, serum IgE levels, blood and sputum eosinophils, safety and tolerability.

resultsTreatment with anti-OX40L MAb did not attenuate the early- or late-phase asthmatic responses at days 56 or 113 compared with placebo. In the anti-OX40L MAb treatment group, total IgE was reduced 17% from pre-dosing levels, and sputum eosinophils decreased 75% by day 113 (both P = 0.04). There was no effect of anti-OX40L MAb on airway hyperresponsiveness or blood eosinophils. The frequency of AEs was similar in both groups. CONCLUSION AND CLINICAL RELEVANCE: Pharmacological activity of anti-OX40L MAb was observed by decreases in serum total IgE and airway eosinophils at 16 weeks post-dosing, but there was no effect on allergen-induced airway responses. It is possible that the treatment duration or dose of antibody was insufficient to impact the airway responses.

Indexed as

AdultAllergensAnti-Asthmatic AgentsAntibodies, MonoclonalAsthmaCD40 AntigensCD40 LigandDendritic CellsEosinophilsFemaleForced Expiratory VolumeHumansImmunoglobulin ELeukocyte CountMaleMiddle AgedAllergensAnti-Asthmatic AgentsAntibodies, MonoclonalCD40 AntigensCD40 LigandImmunoglobulin Eallergen inhalation challengeanti-OX40Lmild atopic asthmaproof-of-activity

Identifiers

PMID24224471
PMCPMC4253735
OpenAlexW2111974349

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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.