Evidence map›Paper›PMID 27324887›Full record

Trial reportJournal of clinical immunology2016

Efficacy, Safety, and Pharmacokinetics of a New 10 % Liquid Intravenous Immunoglobulin Containing High Titer Neutralizing Antibody to RSV and Other Respiratory Viruses in Subjects with Primary Immunodeficiency Disease.

Richard L Wasserman, William Lumry, James Harris, Robyn Levy, Mark Stein, Lisa Forbes, Charlotte Cunningham-Rundles, Isaac Melamed, Ai Lan Kobayashi, Wei Du and 1 more

Open access · hybridAbstract readClinical Trial, Phase III
In one paragraph

Trial report in Journal of clinical immunology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 14% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

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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

11 authors at 8 institutions in 1 country.

Richard L WassermanAllergy Partners of North Texas Research, 7777 Forest Lane, Building B, Suite 332, Dallas, TX, 75230, USA. drrichwasserman@gmail.com.
William LumryAllergy and Asthma Specialists, 10100 North Central Expressway, Suite 100, Dallas, TX, 75231, USA.
James HarrisThe South Bend Clinic, LLP, 211 North Eddy Street, South Bend, IN, 46617, USA.
Robyn LevyFamily Allergy & Asthma Center, PC, 5555 Peachtree Dunwoody Road NE, Atlanta, GA, 30342, USA.
Mark SteinAllergy Associates of Palm Beaches, 840 US Highway 1, Suite 250, North Palm Beach, FL, 33408, USA.
Lisa ForbesBaylor College of Medicine, Feigin Center, 1102 Bates Street, Suite 330, Houston, TX, 77030, USA.
Charlotte Cunningham-RundlesIcahn School of Medicine at Mount Sinai, 1425 Madison Avenue, New York, NY, 10029, USA.
Isaac MelamedImmunoe International Research Centers, 6801 South Yosemite Street, Centennial, CO, 80112, USA.
Ai Lan KobayashiMidlands Pediatrics, P.C., 401 East Goldcoast Road, Suite 325, Papillion, NE, 68046, USA.
Wei DuClinical Statistics Consulting, 110 Chatsworth Court, Blue Bell, PA, 19422, USA.
Roger KobayashiUCLA, School of Medicine, 10833 Le Conte Avenue, Los Angeles, CA, 90095, USA.
Allergy Associates of the Palm Beaches · USAsthma and Allergy Specialists · USBaylor College of Medicine · USENT and Allergy · USIcahn School of Medicine at Mount Sinai · USIMMUNOe Research Center · USIndiana University South Bend · USUniversity of California, Los Angeles · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeImmune globulins for IgG supplementation have been produced for over 35 years with essentially no differentiating features regarding their specific antibody composition. Furthermore, the compositions of plasma donor pools used for IG manufacturing are not standardized. While all immune globulin products meet the specifications set by the US FDA for antibodies to pathogens like measles and polio, they have variable levels of antibodies to other important viruses and infectious pathogens, particularly respiratory syncytial virus (RSV).

methodsAn IVIG was developed that satisfies the requirements for treating patients with primary immune deficiency disease (PIDD) and also has standardized elevated levels of RSV neutralizing antibodies (RI-002). Plasma donors who have naturally occurring high circulating levels of neutralizing anti-RSV antibody were selected as the source for manufacturing IVIG to treat patients with PIDD to prevent serious bacterial infections. While the introduction of the monoclonal antibody Palivizumab has had a dramatic impact in diminishing the burden of RSV disease in the pediatric population, it does not meet the standards for replacing the deficient immune compartments of patients with PIDD.

resultsFifty-nine patients with PIDD at 9 different sites across the US were enrolled in this study and received regular infusions of RI-002 over the course of 1 year.

conclusionsThere were zero serious bacterial infections, thus meeting the primary endpoint for this trial. The secondary endpoints including days missed from work due to infection, unscheduled visits to the physician, and days of hospitalization due to infection compared favorably to published reports of other IVIG products.

Indexed as

AdolescentAdultAgedAntibodies, NeutralizingAntibodies, ViralChildChild, PreschoolDrug MonitoringFemaleHumansImmunoglobulins, IntravenousImmunologic Deficiency SyndromesMaleMiddle AgedRespiratory Syncytial VirusesRespiratory Syncytial Virus InfectionsAntibodies, NeutralizingAntibodies, ViralImmunoglobulins, Intravenousclinical trialefficacyIntravenous immunoglobulin (IVIG)pharmacokineticsprimary immunodeficiency (PIDD)safety

Identifiers

PMID27324887
PMCPMC4940435
OpenAlexW2465473010

What OpenQuestion holds

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LicenceCC BY
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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.