Evidence map›Paper›PMID 28510323›Full record

SynthesisJournal of clinical pharmacology2017

A Systematic Review and Pooled Analysis of Select Safety Parameters Among Normal Healthy Volunteers Taking Placebo in Phase 1 Clinical Trials.

Tina C Young, Subasree Srinivasan, Marion L Vetter, Venkat Sethuraman, Zubin Bhagwagar, Ricardo Zwirtes, Premkumar Narasimhan, Tilda Chuang, Brendan J Smyth

Abstract readSystematic Review
In one paragraph

Synthesis in Journal of clinical pharmacology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–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.

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

6 citing papers in PubMed.

  1. Safety of healthy subjects in first-in-human multiple-dose studies: A pooled analysis.International journal of clinical pharmacology and therapeutics · 2021
    Trial
  2. Trial
  3. Article
  4. Article
  5. Article
  6. 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

9 authors.

Tina C YoungBristol-Myers Squibb, Princeton, NJ, USA.
Subasree SrinivasanBristol-Myers Squibb, Princeton, NJ, USA.
Marion L VetterBristol-Myers Squibb, Princeton, NJ, USA.
Venkat SethuramanBristol-Myers Squibb, Princeton, NJ, USA.
Zubin BhagwagarYale University and Alexion Pharmaceuticals, New Haven, CT, USA.
Ricardo ZwirtesBristol-Myers Squibb, Princeton, NJ, USA.
Premkumar NarasimhanBristol-Myers Squibb, Princeton, NJ, USA.
Tilda ChuangBristol-Myers Squibb, Princeton, NJ, USA.
Brendan J SmythBristol-Myers Squibb, Princeton, NJ, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A systematic review of the Bristol-Myers Squibb normal healthy volunteers (NHVs) database identified phase 1 trials that included NHVs administered placebo with the aim of characterizing normal inter- and intraindividual safety parameter variability. Twenty-five single and multiple ascending dose studies, median duration 28 (2 to 63) days, were included in the pooled analysis (355 NHVs). Laboratory evaluations, vital signs, electrocardiograms, and adverse events were assessed. The most commonly occurring adverse event was headache (28 [7.9%] NHVs; 519.5 events/100 person-years). During the dosing period (on placebo), evaluations showed 5.1 events/100 measures of alanine aminotransferase and 7.3 events/100 measures of creatine kinase 1× above the upper limit of normal. Alanine aminotransferase and creatine kinase elevations occurred in 28 (7.9%) and 39 (11.0%) NHVs, respectively; 105 (30.3%) NHVs had low and 46 (13.3%) had high diastolic blood pressure. This analysis may inform future study designs and provide a context for interpretation of safety signals in early phase clinical trials.

Indexed as

Clinical Trials, Phase I as TopicElectrocardiographyHealthy VolunteersHumansPlacebosRandomized Controlled Trials as TopicVital SignsPlacebosclinical pharmacologyclinical researchclinical trialspharmaceutical R&Dpharmacology

Identifiers

PMID28510323
PMCPMC5573961

What OpenQuestion holds

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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.