Evidence map›Paper›PMID 26830468›Full record

Trial reportBMC infectious diseases2016

A phase 1 randomized, double-blind, placebo-controlled, crossover trial of DAS181 (Fludase®) in adult subjects with well-controlled asthma.

Rhonda E Colombo, Charles Fiorentino, Lori E Dodd, Sally Hunsberger, Carissa Haney, Kevin Barrett, Linda Nabha, Richard T Davey, Kenneth N Olivier

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

Trial report in BMC infectious diseases, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01113034 (A Phase 1 Randomized Double-Blind Placebo-Crossover Safety Trial of DAS181), which is not on this map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 19% 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.

NCT01113034 phase1completednot on this map

A Phase 1 Randomized Double-Blind Placebo-Crossover Safety Trial of DAS181 (Fludase®) in Adult Subjects With Well-Controlled Asthma or Bronchiectasis

TypeinterventionalSponsorAnsun Biopharma, Inc.Ran2010 to 2011Enrolled11ConditionsAsthma, BronchiectasisArmsDAS181 dry powder, formulation F02, Respitose ML006 (DMV-Fonterra)
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. Journal of investigative medicine : the official publication of the American Federation for Clinical Research · 2017
    Trial
  3. Principles and Therapeutics ofJournal of pharmacy & bioallied sciences · 2024
    Review
  4. Review
  5. Article
  6. Review
  7. Article
  8. Destabilization of the human RED-SMU1 splicing complex as a basis for host-directed antiinfluenza strategy.Proceedings of the National Academy of Sciences of the United States of America · 2019
    Article
  9. Article
  10. Influenza antivirals currently in late-phase clinical trial.Influenza and other respiratory viruses · 2017
    Review
  11. Article
  12. 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

9 authors at 4 institutions in 1 country.

Rhonda E ColomboDivision of Infectious Diseases, Georgia Regents University, Augusta, GA, USA. rcolombo@gru.edu.
Charles FiorentinoDivision of Clinical Research, National Institute of Allergy and Infectious Diseases, Bethesda, MD, USA. chuckfiorentino@gmail.com.
Lori E DoddBiostatistics Research Branch, National Institute of Allergy and Infectious Diseases, Bethesda, MD, USA. doddl@niaid.nih.gov.
Sally HunsbergerBiostatistics Research Branch, National Institute of Allergy and Infectious Diseases, Bethesda, MD, USA. sallyh@niaid.nih.gov.
Carissa HaneyLaboratory of Clinical Infectious Diseases, National Institute of Allergy and Infectious Diseases, Bethesda, MD, USA. carissahaney@aol.com.
Kevin BarrettDivision of Clinical Research, National Institute of Allergy and Infectious Diseases, Bethesda, MD, USA. kevin.barrett@nih.gov.
Linda NabhaDivision of Clinical Research, National Institute of Allergy and Infectious Diseases, Bethesda, MD, USA. linda.nabha@gmail.com.
Richard T DaveyLaboratory of Immunoregulation, National Institute of Allergy and Infectious Diseases, Bethesda, MD, USA. rdavey@niaid.nih.gov.
Kenneth N OlivierLaboratory of Clinical Infectious Diseases, National Institute of Allergy and Infectious Diseases, Bethesda, MD, USA. kenneth.olivier@nih.gov.
National Institute of Allergy and Infectious Diseases · USAugusta University · USGeorgetown University · USNational Heart Lung and Blood Institute · US

Funding

Influenza and Emerging Infectious DiseasesZIAAI000984 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI DAVEY, RICHARD · 2009 to 2025
$44.1M
Inflammatory and immune dysregulation associated lung diseaseZIAHL006201 · NHLBI · NATIONAL HEART, LUNG, AND BLOOD INSTITUTE · PI OLIVIER, KENNETH · 2015 to 2022
$2.1M
Intramural NIH HHS
6 · The paper itself

Abstract

backgroundInfluenza virus (IFV) infection is associated with increased morbidity and mortality in people with underlying lung disease. Treatment options for IFV are currently limited and antiviral resistance is a growing concern. DAS181, an inhaled antiviral with a unique mechanism of action, has shown promise in early clinical trials involving generally healthy human subjects. This study was undertaken to assess the safety and tolerability of DAS181 in individuals with underlying reactive airway disease.

methodsThis was a randomized, double-blind, placebo-controlled, crossover phase 1 study of DAS181-F02. Dry particle inhaler administration of 10 mg was done on 3 consecutive days in ten adult volunteers with well-controlled asthma. The primary outcome was the frequency of adverse events (AEs), grade 1 or higher that occurred during each study period.

resultsThere were 280 AEs among ten evaluable subjects (56.8 % active; 43.2 % placebo); 90.7 % were grade 1. No grade 3 or higher AEs occurred. A statistically significant association between exposure to DAS181 and experiencing any AE, a grade 1 AE, or a grade 2 AE was not detected. Overall, the majority of AEs were classified as possibly related (35.7 %), unlikely related (38.9 %), or unrelated (15.4 %) to study drug administration. However, there was a statistically significant association between exposure to DAS181 and experiencing a definitely or probably related AE. Respiratory effects, including dyspnea, dry cough, and chest discomfort related to respirations, accounted for all of the definitely related AEs and one of the most common probably related AEs.

conclusionsDAS181 was safe in this small study of otherwise healthy subjects with well-controlled asthma. However, the generalizability of these results is limited by the small sample size and generally mild nature of the subjects' asthma at baseline. The increased association of respiratory events classified as probably or definitely related to DAS181 administration suggests caution may need to be employed when administering DAS181 to individuals with less stable reactive airway disease. Further investigation in a controlled setting of the safety and efficacy of DAS181 in a larger population of asthmatic subjects with varying disease activity is warranted.

trial registrationClinicalTrials.gov NCT01113034 Trial Registration Date: April 27, 2010.

Indexed as

Administration, InhalationAdultAntiviral AgentsAsthmaCross-Over StudiesDouble-Blind MethodFemaleHumansMaleRecombinant Fusion ProteinsSample SizeYoung AdultAntiviral AgentsoplunofuspRecombinant Fusion Proteins

Identifiers

PMID26830468
PMCPMC4736611
OpenAlexW2273457468

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.