Evidence map›Paper›PMID 29411337›Full record

SynthesisDrug safety2018

Potential Risks Related to Modulating Interleukin-13 and Interleukin-4 Signalling: A Systematic Review.

Martin Braddock, Nicola A Hanania, Amir Sharafkhaneh, Gene Colice, Mats Carlsson

Open access · hybridAbstract readSystematic Review
In one paragraph

Synthesis in Drug safety, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 1 pooled it
4.0field-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.

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

38 citing papers in PubMed, 1 synthesis or guideline pooled it, 76 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Review
  5. Observational
  6. Article
  7. Review
  8. Article
  9. Review
  10. Managing Atopic Dermatitis with Dupilumab in Special Populations: A Case Series Study.Clinical, cosmetic and investigational dermatology · 2025
    Article
  11. Review
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  13. Review
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  15. Article
  16. Review
  17. Immunomodulation of Myocardial Fibrosis.JACC. Basic to translational science · 2023
    Review
  18. Article
  19. Article
  20. Article
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

5 authors at 5 institutions in 3 countries.

Martin BraddockGlobal Medicines Development, AstraZeneca, Granta Park, Great Abington, Cambridge, CB21 6GH, UK. martin.braddock@astrazeneca.com.
Nicola A HananiaSection of Pulmonary and Critical Care Medicine, Baylor College of Medicine, 6620 Main Street, Houston, TX, 77030, USA.
Amir SharafkhanehSection of Pulmonary and Critical Care Medicine, Baylor College of Medicine, 6620 Main Street, Houston, TX, 77030, USA.
Gene ColiceGlobal Medicines Development, AstraZeneca, One MedImmune Way, Gaithersburg, MD, 20878, USA.
Mats CarlssonGlobal Medicines Development, AstraZeneca, Pepparedsleden 1, 431 83, Mölndal, Sweden.
AstraZeneca (Sweden) · SEAstraZeneca (United Kingdom) · GBAstraZeneca (United States) · USBaylor College of Medicine · USMichael E. DeBakey VA Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionInterleukin-13 and interleukin-4 are type-II cytokines signalling through the shared type II interleukin-4 receptor. As a result of their structural similarity, interleukin-13 and interleukin-4 have overlapping functions in the mediation of type-II-driven diseases and are, therefore, promising targets of biologic drugs currently in development for the treatment of such diseases, including asthma and atopic dermatitis.

objectiveThis systematic review was conducted to assess preclinical evidence of potential safety concerns related to blockade of interleukin-13 alone or interleukin-13 and interleukin-4 in combination.

methodsWe specifically examined risks related to infection, malignancy and the cardiovascular system. We systematically searched the BIOSIS, MEDLINE and EMBASE databases to identify preclinical studies published between January 2006 and October 2016 that addressed the effects of interleukin-13/interleukin-4 blockade and modulation on the risk of infection, malignancy and cardiovascular events. To provide a clinical context, we also performed a search for clinical trials targeting the interleukin-13/interleukin-4 pathways. Relevant data from preclinical and clinical trials were abstracted and presented descriptively.

resultsAside from expected evidence that inhibition of interleukin-13 and interleukin-4 impaired host responses to helminth infections, we did not identify other preclinical evidence suggesting safety risks relating to infection, malignancy or cardiovascular events. We found no evidence in clinical trials suggesting serious safety concerns, i.e. increased risk for infections, malignancy or cardiovascular events from therapeutic modulation of the interleukin-13 pathway alone or the combined interleukin-13/interleukin-4 pathways.

conclusionsAlthough our findings are reassuring, long-term safety assessments of biologics that target the interleukin-13/interleukin-4 pathways currently in clinical development are needed.

Indexed as

AnimalsAsthmaHumansInterleukin-13Interleukin-4RiskSignal TransductionInterleukin-13Interleukin-4

Identifiers

PMID29411337
PMCPMC5938313
OpenAlexW2787874781

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.