Evidence map›Paper›PMID 26648084›Full record

Trial reportBritish journal of clinical pharmacology2016

Pharmacokinetics and safety of single doses of tabalumab in subjects with rheumatoid arthritis or systemic lupus erythematosus.

Jennifer Witcher, Roy Fleischmann, Vishala L Chindalore, Ryan J Hansen, Leijun Hu, David Radtke, James Voelker, Elisa Gomez, Juliet McColm

Abstract readClinical Trial, Phase IRandomized Controlled Trial
In one paragraph

Trial report in British journal of clinical pharmacology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
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

7 citing papers in PubMed.

  1. Trial
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  4. Review
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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

9 authors.

Jennifer WitcherEli Lilly and Company, Indianapolis, Indiana.
Roy FleischmannMetroplex Clinical Research Center, Dallas, Texas.
Vishala L ChindalorePinnacle Research Group, Anniston, Alabama, USA.
Ryan J HansenEli Lilly and Company, Indianapolis, Indiana.
Leijun HuEli Lilly and Company, Indianapolis, Indiana.
David RadtkeEli Lilly and Company, Indianapolis, Indiana.
James VoelkerEli Lilly and Company, Indianapolis, Indiana.
Elisa GomezEli Lilly and Company, Indianapolis, Indiana.
Juliet McColmEli Lilly and Company, Windlesham, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsTwo phase 1 studies evaluated the pharmacokinetics (PK), safety and biological activity of tabalumab, a human monoclonal antibody against B-cell activating factor (BAFF), administered intravenously (i.v.) or subcutaneously (s.c.) in subjects with rheumatoid arthritis (RA) or systemic lupus erythematosus (SLE).

methodsIn study A, subjects with RA (n = 23) or SLE (n = 6) received a single i.v. dose of tabalumab (RA 0.01, 0.04, 0.125, 0.5, 2.0, and 8.0 mg kg(-1) and SLE 0.125 or 2.0 mg kg(-1) ) or placebo. In study B, subjects with RA received a single tabalumab dose i.v. (10 mg) (n = 12) or s.c. (20 mg) (n = 12). Serum tabalumab and CD20+ B cells were evaluated and safety was assessed throughout both studies.

resultsTabalumab PK were non-linear across the 0.01 to 8.0 mg kg(-1) dose range. Clearance (CL) decreased from 2.9 to 0.1 l day(-1) and terminal half-life (t1/2 ) increased from about 1.6 to 25 days. Subjects with RA or SLE had similar PK. After s.c. dosing, tabalumab time to maximal concentration (tmax ) was 5.5 days. Absolute bioavailability (F) was approximately 62%. Following tabalumab dosing, CD20+ B cells transiently increased from baseline followed by a progressive decrease below baseline.

conclusionA single tabalumab dose administered i.v. or s.c. was well tolerated and had non-linear CL over the dose range investigated in subjects with RA and SLE. The non-linearity likely reflects target-mediated CL due to binding to BAFF. Tabalumab showed biological activity based on changes in peripheral CD20+ lymphocyte numbers in both subjects with RA and SLE.

Indexed as

AdultAgedAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedAntigens, CD20Arthritis, RheumatoidB-Cell Activating FactorB-Lymphocyte SubsetsFemaleHumansInjections, IntravenousInjections, SubcutaneousLupus Erythematosus, SystemicMaleMiddle AgedAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedAntigens, CD20B-Cell Activating FactortabalumabTNFSF13B protein, humanB-cell activating factorpharmacokineticsrheumatoid arthritissystemic lupus erythematosustabalumab

Identifiers

PMID26648084
PMCPMC4834597

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.