Evidence map›Paper›PMID 24357810›Full record

Trial reportRheumatology (Oxford, England)2014

Suppression of soluble T cell-associated proteins by an anti-interferon-α monoclonal antibody in adult patients with dermatomyositis or polymyositis.

Xiang Guo, Brandon W Higgs, Marlon Rebelatto, Wei Zhu, Warren Greth, Yihong Yao, Lorin K Roskos, Wendy I White

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

Trial report in Rheumatology (Oxford, England), 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
2.2field-weighted citation impact, top 12% 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

18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 38 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
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  5. Review
  6. Article
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  9. Article
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  13. Article
  14. Review
  15. Cutaneous Manifestations of Dermatomyositis: a Comprehensive Review.Clinical reviews in allergy & immunology · 2017
    Review
  16. Review
  17. Cytokine Therapies in Neurological Disease.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2016
    Review
  18. 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

8 authors at 1 institution in 1 country.

Xiang GuoMedImmune, One MedImmune Way, Gaithersburg, MD 20878, USA. guox@medimmune.com.
Brandon W Higgs
Marlon Rebelatto
Wei Zhu
Warren Greth
Yihong Yao
Lorin K Roskos
Wendy I White
Altimmune (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe aim of this study was to identify serum markers that are modulated by an investigational anti-IFN-α mAb, sifalimumab, in adult DM or PM patients.

methodsIn a phase 1b clinical trial, sera were collected from a total of 48 DM or PM adult patients receiving either placebo for 3 months or sifalimumab for 6 months. Samples were tested for 128 selected proteins using a multiplex luminex immunoassay. Muscle biopsies from selected patients were stained for T cell infiltration using an anti-CD3 antibody.

resultsA robust overexpression of multiple serum proteins in DM or PM patients was observed, particularly in patients with an elevated baseline type I IFN gene signature in the blood or muscle. Neutralization of the type I IFN gene signature by sifalimumab resulted in coordinated suppression of T cell-related proteins such as soluble IL-2RA, TNF receptor 2 (TNFR2) and IL-18. Muscle biopsies from two patients with the highest serum protein suppression were selected and found to have a pronounced reduction of muscle T cell infiltration. Down-regulation of IL-2RA correlated with favourable manual muscle test 8 (MMT-8) alterations in sifalimumab-dosed patients.

conclusionA reduced level of multiple T cell-associated proteins after sifalimumab but not placebo administration suggests a suppressive effect of blocking type I IFN signalling on T cell activation and chemoattraction that may lead to a reduction of T cell infiltration in the muscle of myositis patients. Further, soluble IL-2RA changes from baseline may serve as a responsive and/or predictive marker for type I IFN-targeted therapy in adult DM or PM patients.

Indexed as

Angiopoietin-2Antibodies, MonoclonalAntibodies, Monoclonal, HumanizedDermatomyositisDouble-Blind MethodDown-RegulationFemaleHumansInterferon-alphaInterleukin-18Interleukin-2 Receptor alpha SubunitMaleMiddle AgedMuscle, SkeletalPolymyositisReceptors, Tumor Necrosis Factor, Type IIAngiopoietin-2ANGPT2 protein, humanAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedIL2RA protein, humanInterferon-alphaInterleukin-18Interleukin-2 Receptor alpha SubunitReceptors, Tumor Necrosis Factor, Type IIsifalimumabdermatomyositispolymyositissoluble interleukin-2 receptorT cell infiltrationtype I interferon

Identifiers

PMID24357810
PMCPMC3970566
OpenAlexW2164015231

What OpenQuestion holds

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Registered trials

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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.