Evidence map›Paper›PMID 29127458›Full record

Trial reportEuropean journal of clinical pharmacology2018

Safety, pharmacokinetics and pharmacodynamics of single rising doses of BI 655064, an antagonistic anti-CD40 antibody in healthy subjects: a potential novel treatment for autoimmune diseases.

Fredrik N Albach, Frank Wagner, Andreas Hüser, Julia Igel, David Joseph, James Hilbert, Corinna Schoelch, Steven J Padula, Jürgen Steffgen

Registry-linked trialOpen access · hybridAbstract readClinical Trial, Phase IRandomized Controlled Trial
In one paragraph

Trial report in European journal of clinical pharmacology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01510782 (Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of Single Rising Doses), which is not on this map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
3.9field-weighted citation impact, top 6% 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.

NCT01510782 phase1completednot on this map

Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of Single Rising Doses (0.2 mg to 120 mg Administered by Intravenous Infusion and 40 mg to 120 mg Administered by Subcutaneous Injection) of BI 655064 (Buffer Solution for Injection) in Healthy Male Volunteers (Randomised, Single-blind, Placebo-controlled Within Dose Groups, Clinical Phase I Study)

TypeinterventionalSponsorBoehringer IngelheimRan2012 to 2012Enrolled72ConditionsHealthyArmsPlacebo to BI 655064, BI 655064
3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 33 citations in OpenAlex.

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  5. Targeting T follicular helper cells for lifelong health.Nature reviews. Drug discovery · 2026
    Review
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  9. Article
  10. CD40-CD40L in Neurological Disease.International journal of molecular sciences · 2022
    Review
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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

9 authors at 3 institutions in 2 countries.

Fredrik N AlbachCharité Research Organisation GmbH, Berlin, Germany.
Frank WagnerCharité Research Organisation GmbH, Berlin, Germany.
Andreas HüserCharité Research Organisation GmbH, Berlin, Germany.
Julia IgelBoehringer Ingelheim Pharma GmbH & Co. KG, Birkendorfer Str. 65, Biberach/Riss, Germany.
David JosephBoehringer Ingelheim Pharmaceuticals, Inc., Ridgefield, CT, USA.
James HilbertBoehringer Ingelheim Pharmaceuticals, Inc., Ridgefield, CT, USA.
Corinna SchoelchBoehringer Ingelheim Pharma GmbH & Co. KG, Birkendorfer Str. 65, Biberach/Riss, Germany.
Steven J PadulaBoehringer Ingelheim Pharma GmbH & Co. KG, Ingelheim, Germany.
Jürgen SteffgenBoehringer Ingelheim Pharma GmbH & Co. KG, Birkendorfer Str. 65, Biberach/Riss, Germany. juergen.steffgen@boehringer-ingelheim.com.
Boehringer Ingelheim (Germany) · DECharité - Universitätsmedizin Berlin · DEBoehringer Ingelheim (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe CD40-CD40L pathway is a promising treatment target for autoimmune diseases such as rheumatoid arthritis, systemic lupus erythematosus and lupus nephritis. The safety, pharmacokinetics and pharmacodynamics of BI 655064, a novel humanised antagonistic anti-CD40 monoclonal antibody, were investigated in this first-in-human trial.

methodsHealthy male subjects (n = 72) were randomised 3:1, within each BI 655064 dose group, to single intravenous (IV; 0.2-120 mg) or subcutaneous (SC; 40-120 mg) doses of BI 655064 or placebo. Safety, plasma exposure, CD40 receptor occupancy and CD40L-induced CD54 upregulation were assessed over 12 weeks.

resultsAdverse events (AEs) were reported in 43% of subjects (n = 31). Frequency and intensity of AEs were generally similar between BI 655064 and placebo and showed no dose relationship. The most frequent AEs were headache and nasopharyngitis. One mild rash and one local reaction occurred with SC BI 655064; two serious AEs were reported, both judged unrelated to BI 655064. Pharmacokinetic evaluation demonstrated a more than proportional increase in plasma exposure relative to BI 655064 dose, with a terminal half-life between 4 h and 4 days IV and approximately 5 days SC; doses ≥ 20 mg IV and 120 mg SC showed > 90% CD40 receptor occupancy and inhibition of CD54 upregulation, which lasted 7 days in the 120 mg IV and SC groups.

conclusionsSingle doses up to 120 mg BI 655064 IV and SC were well tolerated and showed a high potential to block the CD40-CD40L pathway, supporting further clinical development of BI 655064 in patients with autoimmune disease.

trial registrationClinicalTrials.gov Identifier: NCT01510782.

Indexed as

Administration, IntravenousAdolescentAdultAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedCD40 AntigensCD40 LigandDose-Response Relationship, DrugHealthy VolunteersHumansInjections, SubcutaneousIntercellular Adhesion Molecule-1MaleMiddle AgedRadioligand AssaySingle-Blind MethodAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedBI 655064CD40 AntigensCD40 LigandIntercellular Adhesion Molecule-1Anti-CD40First-in-human trialLupus nephritisMonoclonal antibodyRheumatoid arthritisSystemic lupus erythematosus

Identifiers

PMID29127458
PMCPMC5765193
OpenAlexW2767735239

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.