Evidence map›Paper›PMID 24669841›Full record

Trial reportBMC infectious diseases2014

Interferon-gamma as adjunctive immunotherapy for invasive fungal infections: a case series.

Corine E Delsing, Mark S Gresnigt, Jenneke Leentjens, Frank Preijers, Florence Allantaz Frager, Matthijs Kox, Guillaume Monneret, Fabienne Venet, Chantal P Bleeker-Rovers, Frank L van de Veerdonk and 4 more

Registry-linked trialOpen access · goldAbstract readClinical Trial, Phase IIIRandomized Controlled Trial
In one paragraph

Trial report in BMC infectious diseases, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01270490 (A Multicentre, Prospective, Randomized Open-label Pilot Study to Assess the Feasibility and Preliminary Efficacy of Interferon-gamma in Combination With Anidulafungin for the Treatment of Candidemia), which is not on this map. Cited by 132 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
132citing papers in PubMed, 1 pooled it
10.8field-weighted citation impact, top 1% 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.

NCT01270490 phase3unknown statusnot on this map

A Multicentre, Prospective, Randomized Open-label Pilot Study to Assess the Feasibility and Preliminary Efficacy of Interferon-gamma in Combination With Anidulafungin for the Treatment of Candidemia

TypeinterventionalSponsorRadboud University Medical CenterRan2011Enrolled20ConditionsCandidemiaArmsInterferon-gamma, Recombinant
3 · Its place in the literature

Who cites it

132 citing papers in PubMed, 1 synthesis or guideline pooled it, 242 citations in OpenAlex.

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72 more citing papers are in PubMed but not listed here.

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

14 authors at 5 institutions in 2 countries.

Corine E Delsing
Mark S Gresnigt
Jenneke Leentjens
Frank Preijers
Florence Allantaz Frager
Matthijs Kox
Guillaume Monneret
Fabienne Venet
Chantal P Bleeker-Rovers
Frank L van de Veerdonk
Peter Pickkers
Alexandre Pachot
Bart Jan Kullberg
Mihai G NeteaDepartment of Internal Medicine, Division of Experimental Internal Medicine, Radboud University Medical Center, Nijmegen, The Netherlands. mihai.netea@radboudumc.nl.
Radboud University Medical Center · NLRadboud University Nijmegen · NLbioMérieux (France) · FRHôpital Edouard Herriot · FRHospices Civils de Lyon · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInvasive fungal infections are very severe infections associated with high mortality rates, despite the availability of new classes of antifungal agents. Based on pathophysiological mechanisms and limited pre-clinical and clinical data, adjunctive immune-stimulatory therapy with interferon-gamma (IFN-γ) may represent a promising candidate to improve outcome of invasive fungal infections by enhancing host defence mechanisms.

methodsIn this open-label, prospective case series, we describe eight patients with invasive Candida and/or Aspergillus infections who were treated with recombinant IFN-γ (rIFN-γ, 100 μg s.c., thrice a week) for 2 weeks in addition to standard antifungal therapy.

resultsRecombinant IFN-γ treatment in patients with invasive Candida and/or Aspergillus infections partially restored immune function, as characterized by an increased HLA-DR expression in those patients with a baseline expression below 50%, and an enhanced capacity of leukocytes from treated patients to produce proinflammatory cytokines involved in antifungal defence.

conclusionsThe present study provides evidence that adjunctive immunotherapy with IFN-γ can restore immune function in fungal sepsis patients, warranting future clinical studies to assess its potential clinical benefit.

trial registrationClinicalTrials.gov--NCT01270490.

Indexed as

AdultAgedAnidulafunginAntifungal AgentsAspergillosisCandidiasis, InvasiveCombined Modality TherapyEchinocandinsFemaleHumansImmunotherapyInterferon-gammaMaleMiddle AgedProspective StudiesRecombinant ProteinsAnidulafunginAntifungal AgentsEchinocandinsInterferon-gammaRecombinant Proteins

Identifiers

PMID24669841
PMCPMC3987054
OpenAlexW2162553756

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.