Evidence map›Paper›PMID 27381392›Full record

Trial reportAntimicrobial agents and chemotherapy2016

Two Phase 1, Randomized, Double-Blind, Placebo-Controlled, Single-Ascending-Dose Studies To Investigate the Safety, Tolerability, and Pharmacokinetics of an Anti-Influenza A Virus Monoclonal Antibody, MHAA4549A, in Healthy Volunteers.

Jeremy J Lim, Rong Deng, Michael A Derby, Richard Larouche, Priscilla Horn, Malia Anderson, Mauricio Maia, Stephanie Carrier, Isabelle Pelletier, Tracy Burgess and 3 more

2 registry-linked trialsOpen access · bronzeAbstract readClinical Trial, Phase IRandomized Controlled Trial
In one paragraph

Trial report in Antimicrobial agents and chemotherapy, 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 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
4.8field-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.

NCT01877785 phase1completednot on this map

A Phase I, Randomized, Double-Blind, Placebo-Controlled, Single-Ascending Dose Study to Investigate the Safety, Tolerability, and Pharmacokinetics of MHAA4549A in Healthy Volunteers

TypeinterventionalSponsorGenentech, Inc.Ran2013 to 2013Enrolled21ConditionsHealthy VolunteerArmsMHAA4549A, Placebo
NCT02284607 phase1completednot on this map

A phase i, randomized, double-blind, placebo-controlled, single-ascending dose study to investigate the safety, tolerability, and pharmacokinetics of high dose mhaa4549a in healthy volunteers

TypeinterventionalSponsorGenentech, Inc.Ran2014 to 2015Enrolled14ConditionsHealthy VolunteerArmsMHAA4549A, Placebo
3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 49 citations in OpenAlex.

  1. Safety and Efficacy of CR6261 in an Influenza A H1N1 Healthy Human Challenge Model.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2021
    Trial
  2. Trial
  3. Trial
  4. Trial
  5. Trial
  6. Trial
  7. Trial
  8. Review
  9. Article
  10. Monoclonal Antibodies and Hyperimmune Immunoglobulins in the Next Pandemic.Current topics in microbiology and immunology · 2025
    Review
  11. AI-based antibody design targeting recent H5N1 avian influenza strains.Computational and structural biotechnology journal · 2025
    Article
  12. Review
  13. Article
  14. Article
  15. Antiviral Approaches against Influenza Virus.Clinical microbiology reviews · 2023
    Review
  16. Review
  17. Article
  18. Influenza Virus Entry inhibitors.Advances in experimental medicine and biology · 2022
    Review
  19. Review
  20. Structural Insights for Anti-Influenza Vaccine Design.Computational and structural biotechnology journal · 2019
    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

13 authors at 1 institution in 1 country.

Jeremy J LimGenentech, Inc., South San Francisco, California, USA lim.jeremy@gene.com.
Rong DengGenentech, Inc., South San Francisco, California, USA.
Michael A DerbyGenentech, Inc., South San Francisco, California, USA.
Richard LaroucheinVentiv Health Clinical, Québec, Canada.
Priscilla HornGenentech, Inc., South San Francisco, California, USA.
Malia AndersonGenentech, Inc., South San Francisco, California, USA.
Mauricio MaiaGenentech, Inc., South San Francisco, California, USA.
Stephanie CarrierinVentiv Health Clinical, Québec, Canada.
Isabelle PelletierinVentiv Health Clinical, Québec, Canada.
Tracy BurgessGenentech, Inc., South San Francisco, California, USA.
Priya KulkarniGenentech, Inc., South San Francisco, California, USA.
Elizabeth NewtonGenentech, Inc., South San Francisco, California, USA.
Jorge A TavelGenentech, Inc., South San Francisco, California, USA.
inVentiv Health Clinical · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hospitalized patients with severe influenza are at significant risk for morbidity and mortality. MHAA4549A is a human monoclonal immunoglobulin (Ig) G1 antibody that binds to a highly conserved stalk region of the influenza A virus hemagglutinin protein and neutralizes all tested seasonal human influenza A virus strains. Two phase 1 trials examined the safety, tolerability, and pharmacokinetics of MHAA4549A in healthy volunteers. Both single ascending-dose trials were randomized, double blinded, and placebo controlled. Trial 1 randomized 21 healthy adults into four cohorts receiving a single intravenous dose of 1.5, 5, 15, or 45 mg/kg MHAA4549A or placebo. Trial 2 randomized 14 healthy adults into two cohorts receiving a single intravenous fixed dose of 8,400 mg or 10,800 mg of MHAA4549A or placebo. Subjects were followed for 120 days after dosing. No subject was discontinued in either trial, and no serious adverse events were reported. The most common adverse event in both studies was mild headache (trial 1, 4/16 subjects receiving MHAA4549A and 1/5 receiving placebo; trial 2, 4/8 subjects receiving MHAA4549A and 2/6 receiving placebo). MHAA4549A produced no relevant time- or dose-related changes in laboratory values or vital signs compared to those with placebo. No subjects developed an antitherapeutic antibody response following MHAA4549A administration. MHAA4549A showed linear serum pharmacokinetics, with a mean half-life of 22.5 to 23.7 days. MHAA4549A is safe and well tolerated in healthy volunteers up to a single intravenous dose of 10,800 mg and demonstrates linear serum pharmacokinetics consistent with those of a human IgG1 antibody lacking known endogenous targets in humans. (These trials have been registered at ClinicalTrials.gov under registration no. NCT01877785 and NCT02284607).

Indexed as

AdultAntibodies, MonoclonalAntiviral AgentsDrug Administration ScheduleFemaleGene ExpressionHalf-LifeHeadacheHealthy VolunteersHemagglutinin Glycoproteins, Influenza VirusHumansInfluenza, HumanInjections, IntravenousMaleMiddle AgedPatient SafetyAntibodies, MonoclonalAntiviral AgentsHemagglutinin Glycoproteins, Influenza Virus

Identifiers

PMID27381392
PMCPMC4997859
OpenAlexW2464424169

What OpenQuestion holds

Textmetadata
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.