Evidence map›Paper›PMID 28859672›Full record

Trial reportJournal of neuroinflammation2017

Safety and in vivo immune assessment of escalating doses of oral laquinimod in patients with RRMS.

Tjalf Ziemssen, Hayrettin Tumani, Tony Sehr, Katja Thomas, Friedemann Paul, Nils Richter, Emil Samara, Ofer Spiegelstein, Ella Sorani, Oren Bar-Ilan and 2 more

Open access · goldAbstract readClinical Trial, Phase IMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of neuroinflammation, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 3 pooled it
4.0field-weighted citation impact, top 7% 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

7 citing papers in PubMed, 3 syntheses or guidelines pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Review
  6. Review
  7. Potential immunotherapies for traumatic brain and spinal cord injury.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2018
    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

12 authors at 6 institutions in 2 countries.

Tjalf ZiemssenDepartment of Neurology, MS Center Dresden, Center of Clinical Neuroscience, University Clinic Carl Gustav Carus Dresden, Dresden, Germany. Tjalf.Ziemssen@uniklinikum-dresden.de.
Hayrettin TumaniMultiple Sclerosis Unit, Department of Neurology, University of Ulm, Ulm, Germany. hayrettin.tumani@uni-ulm.de.
Tony SehrDepartment of Neurology, MS Center Dresden, Center of Clinical Neuroscience, University Clinic Carl Gustav Carus Dresden, Dresden, Germany.
Katja ThomasDepartment of Neurology, MS Center Dresden, Center of Clinical Neuroscience, University Clinic Carl Gustav Carus Dresden, Dresden, Germany.
Friedemann PaulNeuroCure Clinical Research Center and Clinical and Experimental Multiple Sclerosis Research Center, Department of Neurology, Charité University Medicine, Berlin, Germany.
Nils RichterNeurologische Gemeinschaftspraxis, Düsseldorf, Germany.
Emil SamaraPharmaPolaris International, Davis, CA, USA.
Ofer SpiegelsteinTeva Pharmaceutical Industries, Netanya, Israel.
Ella SoraniTeva Pharmaceutical Industries, Netanya, Israel.
Oren Bar-IlanTeva Pharmaceutical Industries, Netanya, Israel.
Dorit MimrodTeva Pharmaceutical Industries, Netanya, Israel.
Liat HayardenyTeva Pharmaceutical Industries, Netanya, Israel.
Teva Pharmaceuticals (Israel) · ILUniversity Hospital Carl Gustav Carus · DEGalmed Pharmaceuticals (Israel) · ILMax Delbrück Center · DEPraxis für Humangenetik · DEUniversität Ulm · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLaquinimod is an oral immunomodulator in clinical development to treat relapsing-remitting multiple sclerosis (RRMS). Laquinimod is in clinical development for the treatment of multiple sclerosis and Huntington Disease (HD). The objective of this study is to assess the safety, tolerability, pharmacokinetics (PK) and cytoimmunologic effects following escalating doses of laquinimod in patients with RRMS.

methodsOne hundred twelve patients were randomly assigned to laquinimod/placebo in a series of separate dose-escalating cohorts starting from a daily oral dose of 0.9 mg/1.2 mg escalating to 2.7 mg, in 0.3 mg increments.

resultsTwenty-eight patients received placebo and 84 received laquinimod ranging from 0.9 to 2.7 mg. No deaths occurred. One serious adverse event (SAE) of perichondritis was reported, which was unrelated to laquinimod (0.9 mg). There was no increased incidence of adverse events (AEs) with escalating doses. Laquinimod-treated patients showed more abnormal laboratory levels in liver enzymes, P-amylase, C-reactive protein (CRP), and fibrinogen, but most shifts were clinically non-significant. The exposure of laquinimod was dose proportional and linear in the tested dose range. An immunological substudy showed significant dose-dependent decreases in 6-sulpho LacNAc + dendritic cell (slanDC) frequency following laquinimod compared to placebo.

conclusionLaquinimod doses up to 2.7 mg were safely administered to patients with RRMS. An in vivo effect of laquinimod on the innate immune system was demonstrated.

trial registrationEudraCT Number: 2009-011234-99 . Registered 23 June 2009.

Indexed as

Administration, OralAdolescentAdultCohort StudiesDose-Response Relationship, DrugDouble-Blind MethodFemaleFollow-Up StudiesHumansImmunity, InnateImmunologic FactorsMaleMiddle AgedMultiple Sclerosis, Relapsing-RemittingQuinolonesYoung AdultImmunologic FactorslaquinimodQuinolonesImmunologyLaquinimodMultiple sclerosisSafetyslanDC

Identifiers

PMID28859672
PMCPMC5577769
OpenAlexW2753623783

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.