Evidence map›Paper›PMID 28270187›Full record

Trial reportArthritis research & therapy2017

Multiplex serum protein analysis reveals potential mechanisms and markers of response to hyperimmune caprine serum in systemic sclerosis.

Niamh Quillinan, Kristina E N Clark, Bryan Youl, Jeffrey Vernes, Deirdre McIntosh, Syed Haq, Christopher P Denton

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

Trial report in Arthritis research & therapy, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00769028 (A Double-Blind Placebo-Controlled Pilot Study of Safety and Tolerability of AIMSPRO in Established Diffuse Cutaneous Systemic Sclerosis), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.9field-weighted citation impact, top 27% 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.

NCT00769028 phase2unknown statusnot on this map

A Double-Blind Placebo-Controlled Pilot Study of Safety and Tolerability of AIMSPRO in Established Diffuse Cutaneous Systemic Sclerosis

TypeinterventionalSponsorDaval International LimitedRan2008 to 2011Enrolled20ConditionsSystemic SclerosisArmsHyperimmune caprine serum, Albumin
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. 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

7 authors at 5 institutions in 1 country.

Niamh QuillinanCentre for Rheumatology, UCL Division of Medicine, Royal Free Campus, Rowland Hill Street, London, NW3 2PF, UK.
Kristina E N ClarkCentre for Rheumatology, UCL Division of Medicine, Royal Free Campus, Rowland Hill Street, London, NW3 2PF, UK.
Bryan YoulDepartment of Neurophysiology, Royal Free London NHS Foundation Trust, London, UK.
Jeffrey VernesDaval International, London, UK.
Deirdre McIntoshDaval International, London, UK.
Syed HaqDaval International, London, UK.
Christopher P DentonCentre for Rheumatology, UCL Division of Medicine, Royal Free Campus, Rowland Hill Street, London, NW3 2PF, UK. c.denton@uc.ac.uk.
Daval International (United Kingdom) · GBRoland Hill (United Kingdom) · GBRoyal Free London NHS Foundation Trust · GBThe Royal Free Hospital · GBUniversity College London · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHyperimmune caprine serum (HICS) is a novel biological therapy with potential benefit for skin in established diffuse cutaneous systemic sclerosis. Here we report multiplex protein analysis of blood samples from a placebo-controlled phase II clinical trial and explore mechanisms of action and markers of response.

methodsPatients were treated with HICS (n = 10) or placebo (n = 10) over 26 weeks, with follow-up open-label treatment to 52 weeks in 14 patients. Serum or plasma samples at baseline, 26 and 52 weeks were analysed using multiplex or individual immunoassays for 41 proteins. Patterns of change were analysed by clustering using Netwalker 1.0, Pearson coefficient and significance analysis of microarrays (SAM) correction.

resultsCluster analysis, SAM multiplex testing and paired comparison of individual analytes identified proteins that were upregulated or downregulated during treatment with HICS. There was upregulation of the hypothalamo-pituitary-adrenal axis after HICS treatment evidenced by increases in α-MSH and ACTH in cases treated with HICS. Interestingly, significant increase in PIIINP was associated with HICS treatment and improved MRSS suggesting that this may be a marker of extracellular matrix turnover. Other relevant factors reduced in HICS-treated patients compared with controls, although not reaching statistical significance included COMP, CCL2, IL6, TIMP2, Fractalkine and TGFβ1 levels.

conclusionsOur results suggest mechanisms of action for HICS, including upregulation of α-MSH, that has been shown to be anti-fibrotic in preclinical models, and possible markers to be included in future trials targeting skin in diffuse cutaneous systemic sclerosis.

trial registrationEudract, No. 2007-003122-24. ClinTrials.gov, No. NCT00769028 . Registered 7 October 2008.

Indexed as

AdultAgedAnimalsBiomarkersBlood ProteinsFemaleGoatsHumansImmunologic FactorsMaleMiddle AgedMultiplex Polymerase Chain ReactionScleroderma, DiffuseSkinBiomarkersBlood ProteinsImmunologic FactorsBiomarkerClinical trialGoat serumMelanocortinScleroderma

Identifiers

PMID28270187
PMCPMC5341430
OpenAlexW2592901552

What OpenQuestion holds

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LicenceCC BY
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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.