Evidence map›Paper›PMID 27099766›Full record

ArticleLupus science & medicine2016

Inducible T-cell co-stimulator ligand (ICOSL) blockade leads to selective inhibition of anti-KLH IgG responses in subjects with systemic lupus erythematosus.

B A Sullivan, W Tsuji, A Kivitz, J Peng, G E Arnold, M J Boedigheimer, K Chiu, C L Green, A Kaliyaperumal, C Wang and 2 more

2 registry-linked trialsAbstract read
In one paragraph

Article in Lupus science & medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 39 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 3 pooled it
–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.

NCT00774943 phase1completednot on this map

A Randomized, Double-blind, Placebo-controlled, Ascending, Multiple Dose Study to Evaluate the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of AMG 557 in Subjects With Systemic Lupus Erythematosus

TypeinterventionalSponsorAmgenRan2008 to 2012Enrolled58ConditionsSystemic Lupus ErythematosusArmsAMG 557
NCT02391259 phase1completednot on this map

Randomized, Multicenter, Double-Blind, Placebo-Controlled, Rising Single Dose Study to Evaluate the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of AMG 557 in Subjects With Systemic Lupus Erythematosus

TypeinterventionalSponsorAmgenRan2006 to 2011Enrolled57ConditionsSystemic Lupus ErythematosusArmsAMG 557, Placebo
3 · Its place in the literature

Who cites it

39 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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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

12 authors.

B A SullivanDepartment of Medical Sciences , Amgen Inc., One Amgen Center Drive , Thousand Oaks, California , USA.
W TsujiDepartment of Medical Sciences , Amgen Inc., One Amgen Center Drive , Thousand Oaks, California , USA.
A KivitzThe Altoona Arthritis & Osteoporosis Center , Duncansville, Pennsylvania , USA.
J PengDepartment of Medical Sciences , Amgen Inc., One Amgen Center Drive , Thousand Oaks, California , USA.
G E ArnoldDepartment of Medical Sciences , Amgen Inc., One Amgen Center Drive , Thousand Oaks, California , USA.
M J BoedigheimerDepartment of Medical Sciences , Amgen Inc., One Amgen Center Drive , Thousand Oaks, California , USA.
K ChiuDepartment of Medical Sciences , Amgen Inc., One Amgen Center Drive , Thousand Oaks, California , USA.
C L GreenDepartment of Medical Sciences , Amgen Inc., One Amgen Center Drive , Thousand Oaks, California , USA.
A KaliyaperumalDepartment of Medical Sciences , Amgen Inc., One Amgen Center Drive , Thousand Oaks, California , USA.
C WangDepartment of Medical Sciences , Amgen Inc., One Amgen Center Drive , Thousand Oaks, California , USA.
J FerbasDepartment of Medical Sciences , Amgen Inc., One Amgen Center Drive , Thousand Oaks, California , USA.
J B ChungDepartment of Medical Sciences , Amgen Inc., One Amgen Center Drive , Thousand Oaks, California , USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo evaluate the safety, tolerability, pharmacokinetics (PK) and pharmacodynamics (PD) of single-dose and multiple-dose administration of AMG 557, a human anti-inducible T cell co-stimulator ligand (ICOSL) monoclonal antibody, in subjects with systemic lupus erythematosus (SLE).

methodsPatients with mild, stable SLE (n=112) were enrolled in two clinical trials to evaluate the effects of single (1.8-210 mg subcutaneous or 18 mg intravenous) and multiple (6 -210 mg subcutaneous every other week (Q2W)×7) doses of AMG 557. Subjects received two 1 mg intradermal injections 28 days apart of keyhole limpet haemocyanin (KLH), a neoantigen, to assess PD effects of AMG 557. Safety, PK, target occupancy, anti-KLH antibody responses, lymphocyte subset analyses and SLE-associated biomarkers and clinical outcomes were assessed.

resultsAMG 557 demonstrated an acceptable safety profile. The PK properties were consistent with an antibody directed against a cell surface target, with non-linear PK observed at lower concentrations and linear PK at higher concentrations. Target occupancy by AMG 557 was dose dependent and reversible, and maximal occupancy was achieved in the setting of this trial. Anti-AMG 557 antibodies were observed, but none were neutralising and without impact on drug levels. A significant reduction in the anti-KLH IgG response was observed with AMG 557 administration without discernible changes in the anti-KLH IgM response or on the overall IgG levels. No discernible changes were seen in lymphocyte subsets or in SLE-related biomarkers and clinical measures.

conclusionsThe selective reduction in anti-KLH IgG demonstrates a PD effect of AMG 557 in subjects with SLE consistent with the biology of the ICOS pathway and supports further studies of AMG 557 as a potential therapeutic for autoimmune diseases. TRIAL REGISTRATION NUMBERS: NCT02391259 and NCT00774943.

Indexed as

B cellsInflammationSystemic Lupus ErythematosusT Cells

Identifiers

PMID27099766
PMCPMC4836284

What OpenQuestion holds

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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.