Evidence map›Paper›PMID 30415439›Full record

ArticleClinical rheumatology2019

CIGB-814, an altered peptide ligand derived from human heat-shock protein 60, decreases anti-cyclic citrullinated peptides antibodies in patients with rheumatoid arthritis.

Oreste Corrales, Laura Hernández, Dinorah Prada, Jorge Gómez, Yusimy Reyes, Ana Marta López, Luis Javier González, Maria Del Carmen Domínguez Horta

Abstract readClinical Trial, Phase I
PubMed Publisher
In one paragraph

Article in Clinical rheumatology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
2.4field-weighted citation impact, top 11% 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

18 citing papers in PubMed, 25 citations in OpenAlex.

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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

8 authors at 1 institution in 1 country.

Oreste CorralesCenter for Genetic Engineering and Biotechnology (CIGB), P.O. Box 6162, Havana, Cuba.
Laura HernándezCenter for Genetic Engineering and Biotechnology (CIGB), P.O. Box 6162, Havana, Cuba.
Dinorah PradaNational Reference Center for Rheumatic Disease, 10 de Octubre Hospital, Havana, Cuba.
Jorge GómezNational Reference Center for Rheumatic Disease, 10 de Octubre Hospital, Havana, Cuba.
Yusimy ReyesNational Reference Center for Rheumatic Disease, 10 de Octubre Hospital, Havana, Cuba.
Ana Marta LópezNational Reference Center for Rheumatic Disease, 10 de Octubre Hospital, Havana, Cuba.
Luis Javier GonzálezCenter for Genetic Engineering and Biotechnology (CIGB), P.O. Box 6162, Havana, Cuba.
Maria Del Carmen Domínguez HortaCenter for Genetic Engineering and Biotechnology (CIGB), P.O. Box 6162, Havana, Cuba. mcarmen.dominguez@cigb.edu.cu.
Centro de Ingeniería Genética y Biotecnología · CU

Funding

Study sponsorship was provided by CIGB and Ministry of Public Health of Cuba 814
6 · The paper itself

Abstract

Rheumatoid arthritis (RA) is a chronic T cell-mediated autoimmune disease. Serum autoantibodies against cyclic citrullinated peptides (anti-CCP) are significant markers for diagnosis and prognosis of this disease. Induction of immune tolerance as therapeutic approach for RA constitutes a current research focal point. In this sense, we carried out a phase I clinical trial in RA patients with a new therapeutic candidate (called CIGB-814); which induced mechanisms associated with restoration of peripheral tolerance in preclinical studies. CIGB 814 is an altered peptide ligand (APL), derived from a CD4+ T cell epitope of human heat-shock protein 60 (HSP60), an autoantigen involved in the pathogenesis of RA. Twenty patients with moderate disease activity were included in this open label trial. Sequential dose-escalation of 1, 2.5 and 5 mg of CIGB-814 was studied. Consecutive groups of six, five, and nine patients received a subcutaneous dose weekly of the peptide during the first month and one dose monthly during the next 5 months. The peptide was well tolerated and reduced disease activity. Here, we reported the quantification of anti-CCP antibodies during the treatment with this APL and in the follow-up stage. Anti-CCP antibodies were quantified in the plasma from patients by a commercial enzyme immunoassay at baseline (T0) and at weeks 28 and 48. Results showed that CIGB-814 induced a significant reduction of anti-CCP antibodies. In addition, this decrease correlated with clinical improvement in patients assessed by Disease Activity Score in 28 joints (DAS28) criteria. These findings reinforce the therapeutic potential of CIGB-814.

Indexed as

AdultAnti-Citrullinated Protein AntibodiesArthritis, RheumatoidChaperonin 60FemaleHumansMaleMiddle AgedMitochondrial ProteinsPeptidesPeptides, CyclicTreatment OutcomeAnti-Citrullinated Protein AntibodiesChaperonin 60cyclic citrullinated peptideHSPD1 protein, humanMitochondrial ProteinsPeptidesPeptides, CyclicAnti-CCPAPLCIGB-814HSP60Rheumatoid arthritis

Identifiers

PMID30415439
OpenAlexW2899558899

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Registered trials

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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.