Evidence map›Paper›PMID 28035551›Full record

ArticleDigestive diseases and sciences2017

AGY, a Novel Egg Yolk-Derived Anti-gliadin Antibody, Is Safe for Patients with Celiac Disease.

Dory A Sample, Hoon H Sunwoo, Hien Q Huynh, Heather L Rylance, Cheri L Robert, Bi-Wen Xu, Sung H Kang, Naiyana Gujral, Levinus A Dieleman

Abstract read
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In one paragraph

Article in Digestive diseases and sciences, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
0.8field-weighted citation impact, top 24% 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

22 citing papers in PubMed, 43 citations in OpenAlex.

  1. Review
  2. Review
  3. Review
  4. Review
  5. Article
  6. Review
  7. New therapies in celiac disease.Current opinion in gastroenterology · 2025
    Review
  8. Celiac Disease: Beyond Diet and Food Awareness.Foods (Basel, Switzerland) · 2025
    Review
  9. Article
  10. Review
  11. Celiac disease: mechanisms and emerging therapeutics.Trends in pharmacological sciences · 2023
    Review
  12. Review
  13. Review
  14. New Developments in Celiac Disease Treatment.International journal of molecular sciences · 2023
    Review
  15. Review
  16. IgY Antibodies as Biotherapeutics in Biomedicine.Antibodies (Basel, Switzerland) · 2022
    Review
  17. Review
  18. Review
  19. Current and emerging therapies for coeliac disease.Nature reviews. Gastroenterology & hepatology · 2021
    Review
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Dory A SampleFaculty of Pharmacy and Pharmaceutical Sciences, University of Alberta, 3-142H Katz Centre for Pharmacy and Health Research, 11361-87 Ave, Edmonton, AB, T6G 2E1, Canada.
Hoon H SunwooFaculty of Pharmacy and Pharmaceutical Sciences, University of Alberta, 3-142H Katz Centre for Pharmacy and Health Research, 11361-87 Ave, Edmonton, AB, T6G 2E1, Canada. hsunwoo@ualberta.ca.
Hien Q HuynhDivision of Pediatric GI Nutrition, Faculty of Medicine, University of Alberta, 4-579 Edmonton Clinic Health Academy, 11405-87 Ave, Edmonton, AB, T6G 1C9, Canada.
Heather L RylanceWomen and Children's Health Research Institute, University of Alberta, 4-081 Edmonton Clinic Health Academy, 11405-87 Ave, Edmonton, AB, T6G 1C9, Canada.
Cheri L RobertWomen and Children's Health Research Institute, University of Alberta, 4-081 Edmonton Clinic Health Academy, 11405-87 Ave, Edmonton, AB, T6G 1C9, Canada.
Bi-Wen XuFaculty of Pharmacy and Pharmaceutical Sciences, University of Alberta, 3-142H Katz Centre for Pharmacy and Health Research, 11361-87 Ave, Edmonton, AB, T6G 2E1, Canada.
Sung H KangWomen and Children's Health Research Institute, University of Alberta, 4-081 Edmonton Clinic Health Academy, 11405-87 Ave, Edmonton, AB, T6G 1C9, Canada.
Naiyana GujralFaculty of Pharmacy and Pharmaceutical Sciences, University of Alberta, 3-142H Katz Centre for Pharmacy and Health Research, 11361-87 Ave, Edmonton, AB, T6G 2E1, Canada.
Levinus A DielemanDivision of Gastroenterology, Faculty of Medicine, University of Alberta, Zeidler Bld 2-24, 130 University Campus, Edmonton, AB, T6G 2X8, Canada.
University of Alberta · CAWomen and Children’s Health Research Institute · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCeliac disease (CD) is a gluten-triggered autoimmune disorder of the small intestine. A lifelong gluten-free diet (GFD) is the only approved treatment; however, strict adherence is difficult and many suffer from inadvertent gluten exposure. Oral egg yolk anti-gliadin antibody (AGY) is a novel treatment to neutralize gluten and may improve the efficacy of the GFD.

aimsTo determine the safety, tolerability, and potential efficacy of AGY in patients with CD.

methodsThis 6-week, open-label, single-arm study was conducted in adults with biopsy-proven CD on a GFD. Safety measures included adverse events, physical examination, and clinical laboratory tests. Additional measures included a daily Celiac Symptom Index, Health-Related Quality of life, anti-tissue transglutaminase and anti-gliadin IgA/IgG, and lactulose/mannitol excretion ratio (LMER). A 2-week run-in period to assess questionnaire compliance and acceptability of baseline safety laboratory results was followed by a 4-week treatment period with two AGY capsules taken before meals.

resultsTen patients completed the study (mean age 43.4 years, nine female). All followed a GFD for at least 6 months (mean 5 years). No safety concerns were identified. Most patients had fewer celiac symptoms (especially tiredness, headache, and bloating), improved quality of life, lowered antibodies, and lowered LMER when taking AGY compared to the run-in period.

conclusionIn our cohort, AGY was safe and potentially associated with improved CD-related outcome measures in patients on a GFD. A larger study powered for further safety and efficacy evaluation is planned.

Indexed as

AdolescentAdultAgedAntibodiesCeliac DiseaseEgg YolkFemaleGliadinHumansMaleMiddle AgedQuality of LifeTransaminasesYoung AdultAntibodiesGliadinTransaminasesAGYAnti-gliadin antibodyCeliac diseaseGluten-free diet

Identifiers

PMID28035551
OpenAlexW2566770108

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.