Evidence map›Paper›PMID 25834391›Full record

ReviewDrug design, development and therapy2015

Profile of atacicept and its potential in the treatment of systemic lupus erythematosus.

Estefania Cogollo, Estafania Cogollo, Marta Amaral Silva, David Isenberg

Erratum issuedOpen access · goldAbstract readReview
In one paragraph

Review in Drug design, development and therapy, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
4.6field-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.

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

22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 39 citations in OpenAlex.

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  19. Targeting B cells in treatment of autoimmunity.Current opinion in immunology · 2016
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 3 countries.

Estefania Cogollo
Estafania CogolloDepartment of Internal Medicine, Hospital Principe de Asturias, Alcala de Henares, Madrid, Spain.
Marta Amaral SilvaDepartment of Internal Medicine, Hospital Distrital da Figueira da Foz, Coimbra, Portugal.
David IsenbergCentre for Rheumatology, Department of Medicine, University College London, London, UK.
Hospital da Luz · PTHospital Universitario Príncipe de Asturias · ESUniversity College London · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The importance of B cell activating factors in the generation of autoantibodies in patients with systemic lupus erythematosus (SLE) is now recognized. The two key factors, known as BAFF and APRIL, produced by a variety of cells including monocytes, dendritic cells and T cells, also help to regulate B cell maturation, function and survival. Biologic agents that block these factors have now been developed and tried out in large scale clinical trials in SLE patients. Benlysta which blocks BAFF has met some of its end points in clinical trials and is approved for use in patients with skin and joint disease who have failed conventional drugs. In contrast, clinical trials using atacicept which blocks both BAFF and APRIL have been more challenging to interpret. An early study in lupus nephritis was, mistakenly, abandoned due to serious infections thought to be linked to the biologic when in fact the dramatic fall in the immunoglobulin levels took place when the patients were given mycophenolate, prior to the introduction of the atacicept. Likewise the higher dose arm (150 mgm) of a flare prevention study was terminated prematurely when 2 deaths occurred. However, the mortality rate in this study was identical to that seen in the Benlysta studies and a post hoc analysis found a highly significant benefit for the 150mgm arm compared to the lower dose (75 mgm) and placebo arms. Other trials with both Benlysta and atacicept are on-going.

Indexed as

B-Cell Activating FactorClinical Trials as TopicDose-Response Relationship, DrugHumansLupus Erythematosus, SystemicRecombinant Fusion ProteinsStructure-Activity RelationshipTumor Necrosis Factor Ligand Superfamily Member 13B-Cell Activating FactorRecombinant Fusion ProteinsTACI receptor-IgG Fc fragment fusion proteinTNFSF13B protein, humanTumor Necrosis Factor Ligand Superfamily Member 13APRILBLyScytokineslupus nephritis

Identifiers

PMID25834391
PMCPMC4357613
OpenAlexW2063249692

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.