Evidence map›Paper›PMID 28963724›Full record

ArticleClinical and experimental immunology2018

The anti-CD6 antibody itolizumab provides clinical benefit without lymphopenia in rheumatoid arthritis patients: results from a 6-month, open-label Phase I clinical trial.

P C Rodríguez, D M Prada, E Moreno, L E Aira, C Molinero, A M López, J A Gómez, I M Hernández, J P Martínez, Y Reyes and 8 more

Open access · bronzeAbstract readClinical Trial, Phase I
In one paragraph

Article in Clinical and experimental immunology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 10% 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.

  1. Pooled it
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  12. Current and Emerging Targeted Therapies for Acute Graft-Versus-Host Disease.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2021
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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

18 authors at 3 institutions in 2 countries.

P C RodríguezDivision of Clinical Research, Center of Molecular Immunology, Havana, Cuba.
D M PradaService for Rheumatology, 10 de Octubre Hospital, Havana, Cuba.
E MorenoFacultad de Ciencias Básicas, Universidad de Medellin, Medellin, Colombia.
L E AiraDivision of Clinical Research, Center of Molecular Immunology, Havana, Cuba.
C MolineroService for Rheumatology, 10 de Octubre Hospital, Havana, Cuba.
A M LópezService for Rheumatology, 10 de Octubre Hospital, Havana, Cuba.
J A GómezService for Rheumatology, 10 de Octubre Hospital, Havana, Cuba.
I M HernándezService for Rheumatology, 10 de Octubre Hospital, Havana, Cuba.
J P MartínezService for Rheumatology, 10 de Octubre Hospital, Havana, Cuba.
Y ReyesService for Rheumatology, 10 de Octubre Hospital, Havana, Cuba.
J M MileraService for Rheumatology, 10 de Octubre Hospital, Havana, Cuba.
M V HernándezService for Rheumatology, 10 de Octubre Hospital, Havana, Cuba.
R TorresService for Rheumatology, 10 de Octubre Hospital, Havana, Cuba.
Y AvilaDepartment of Clinical Trials, National Coordinating Center of Clinical Trials, Havana, Cuba.
Y BarreseDepartment of Clinical Trials, National Coordinating Center of Clinical Trials, Havana, Cuba.
C ViadaDivision of Clinical Research, Center of Molecular Immunology, Havana, Cuba.
E MonteroExperimental Immunotherapy Department, Center of Molecular Immunology, Havana, Cuba.ORCID 0000-0001-9562-493X
P HernándezDivision of Clinical Research, Center of Molecular Immunology, Havana, Cuba.ORCID 0000-0001-6524-3116
Center of Molecular Immunology (Cuba) · CUCuban Neuroscience Center · CUUniversidad de Medellín · CO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Itolizumab is a humanized anti-CD6 monoclonal antibody (mAb) that has previously shown encouraging results, in terms of safety and positive clinical effects, in a 6-week monotherapy clinical trial conducted in rheumatoid arthritis (RA) patients. The current Phase I study evaluated the safety and clinical response for a longer treatment of 12 itolizumab intravenous doses in subjects with active RA despite previous disease-modifying anti-rheumatic drug (DMARD) therapy. Twenty-one subjects were enrolled into four dosage groups (0·1, 0·2, 0·4 and 0·8 mg/kg). Efficacy end-points including American College of Rheumatology (ACR)20, ACR50 and ACR70 response rates and disease activity score in 28 joints (DAS28) were monitored at baseline and at specific time-points during a 10-week follow-up period. Itolizumab was well tolerated up to the highest tested dose. No related serious adverse events were reported and most adverse events were mild. Remarkably, itolizumab treatment did not produce lymphopenia and, therefore, was not associated with infections. All patients achieved a clinical response (ACR20) at least once during the study. Eleven subjects (55%) achieved at least a 20% improvement in ACR just 1 week after the first itolizumab administration. The clinical response was observed from the beginning of the treatment and was sustained during 24 weeks. The efficacy profile of this 12-week treatment was similar to that of the previous study (6-week treatment). These results reinforce the safety profile of itolizumab and provide further evidence on the clinical benefit from the use of this anti-CD6 mAb in RA patients.

Indexed as

AdolescentAdultAgedAntibodies, Monoclonal, HumanizedAntigens, CDAntigens, Differentiation, T-LymphocyteAntirheumatic AgentsArthritis, RheumatoidCubaDisease ProgressionDrug-Related Side Effects and Adverse ReactionsFemaleFollow-Up StudiesHumansLymphopeniaMaleAntibodies, Monoclonal, HumanizedAntigens, CDAntigens, Differentiation, T-LymphocyteAntirheumatic AgentsCD6 antigenitolizumabCD6clinical trialitolizumabPhase Irheumatoid arthritis

Identifiers

PMID28963724
PMCPMC5758380
OpenAlexW2757349481

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.