Evidence map›Paper›PMID 25637055›Full record

ArticleHaematologica2015

GRP78-directed immunotherapy in relapsed or refractory multiple myeloma - results from a phase 1 trial with the monoclonal immunoglobulin M antibody PAT-SM6.

Leo Rasche, Johannes Duell, Inês C Castro, Valentina Dubljevic, Manik Chatterjee, Stefan Knop, Frank Hensel, Andreas Rosenwald, Hermann Einsele, Max S Topp and 1 more

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

Article in Haematologica, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01727778 (Open-label, Single-centre, Phase I, Multi-dose Escalating Study to Investigate the Safety and Preliminary Efficacy of an i.v. Infusion of the Anti-GRP78 Monoclonal IgM Antibody PAT-SM6 in Patients With Relapsed or Refractory Multiple Myeloma), which is not on this map. Cited by 51 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed, 3 pooled it
5.5field-weighted citation impact, top 4% 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.

NCT01727778 phase1completednot on this map

Open-label, Single-centre, Phase I, Multi-dose Escalating Study to Investigate the Safety and Preliminary Efficacy of an i.v. Infusion of the Anti-GRP78 Monoclonal IgM Antibody PAT-SM6 in Patients With Relapsed or Refractory Multiple Myeloma

TypeinterventionalSponsorPatrys Ltd.Ran2012 to 2014Enrolled12ConditionsDrug SafetyArmsAnti-GRP78 monoclonal IgM antibody PAT-SM6
3 · Its place in the literature

Who cites it

51 citing papers in PubMed, 3 syntheses or guidelines pooled it, 101 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Article
  6. Review
  7. Review
  8. Review
  9. Review
  10. Review
  11. Review
  12. Review
  13. Review
  14. Article
  15. Review
  16. Review
  17. Review
  18. Review
  19. Review
  20. 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

11 authors at 5 institutions in 2 countries.

Leo RascheDepartment of Internal Medicine II, University Hospital Würzburg, Germany.
Johannes DuellDepartment of Internal Medicine II, University Hospital Würzburg, Germany.
Inês C CastroPatrys GmbH, Würzburg, Germany.
Valentina DubljevicPatrys Ltd., Melbourne, Australia.
Manik ChatterjeeDepartment of Internal Medicine II, University Hospital Würzburg, Germany.
Stefan KnopDepartment of Internal Medicine II, University Hospital Würzburg, Germany.
Frank HenselPatrys GmbH, Würzburg, Germany.
Andreas RosenwaldInstitute of Pathology, University of Würzburg, Germany, and Comprehensive Cancer Center Mainfranken, Germany.
Hermann EinseleDepartment of Internal Medicine II, University Hospital Würzburg, Germany.
Max S ToppDepartment of Internal Medicine II, University Hospital Würzburg, Germany.
Stephanie BrändleinInstitute of Pathology, University of Würzburg, Germany, and Comprehensive Cancer Center Mainfranken, Germany stephanie.braendlein@uni-wuerzburg.de.
Universitätsklinikum Würzburg · DEPatrys (Germany) · DEComprehensive Cancer Center Mainfranken · DEPatrys (Australia) · AUUniversity of Würzburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

unlabelledThe primary objective of this phase 1 study was to evaluate the safety and tolerability of the anti-glucose regulated protein 78 monoclonal immunoglobulin M antibody PAT-SM6 in subjects with relapsed or refractory multiple myeloma. Twelve heavily pretreated patients received four intravenous infusions of PAT-SM6 at doses of 0.3, 1, 3, and 6 mg/kg within 2 weeks. Efficacy, pharmacokinetics and immunogenicity were followed up until the end of the trial (day 36). In addition, immune cell patterns in peripheral blood were assessed by flow cytometry and glucose regulated protein 78 expression status was evaluated in bone marrow specimens by immunohistochemistry and flow cytometry at screening. All doses administered were found to be safe and well tolerated; the maximum tolerated dose was not reached. The most common treatment emergent adverse event was leukopenia (grades 1 and 2) in eight out of the 12 multiple myeloma patients. Pharmacokinetic analysis demonstrated dose-proportional increases in drug serum concentration. The terminal half-life ranged from 5.86 to 8.41 h, the apparent volume of distribution ranged from 101 to 150 mL/kg, and clearance ranged from 8.11 to 16.1 mL/h/kg. All patients showed glucose regulated protein 78 surface expression on multiple myeloma cells. Four out of the 12 patients (33.3 %) had stable disease, according to the International Myeloma Working Group criteria, after PAT-SM6 treatment across the doses 1, 3 and 6 mg/kg. In summary, single-agent PAT-SM6 was well tolerated with modest clinical activity in relapsed or refractory multiple myeloma. Further trials exploring the combination of PAT-SM6 with existing myeloma therapies are planned.

trial registrationclinicaltrials.gov identifier: NCT01727778.

Indexed as

AgedAntibodies, MonoclonalBone MarrowDose-Response Relationship, ImmunologicEndoplasmic Reticulum Chaperone BiPFemaleGene ExpressionHalf-LifeHeat-Shock ProteinsHumansImmunization, PassiveImmunoglobulin MInfusions, IntravenousLeukopeniaMaleMultiple MyelomaAntibodies, MonoclonalEndoplasmic Reticulum Chaperone BiPHeat-Shock ProteinsHSPA5 protein, humanImmunoglobulin M

Identifiers

PMID25637055
PMCPMC4349277
OpenAlexW1973669726

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.