Evidence map›Paper›PMID 30429487›Full record

ArticleScientific reports2018

NTG-101: A Novel Molecular Therapy that Halts the Progression of Degenerative Disc Disease.

Ajay Matta, Muhammad Zia Karim, Hoda Gerami, Peter Jun, Martha Funabashi, Greg Kawchuk, Alyssa Goldstein, Warren Foltz, Marshall Sussman, Bjorn C Eek and 1 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
1.2field-weighted citation impact, top 22% 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

21 citing papers in PubMed, 24 citations in OpenAlex.

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  9. Should you adjust that herniated disc? Thoughts from a chiropractor/molecular scientist.The Journal of the Canadian Chiropractic Association · 2023
    Article
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  20. Injectable Biologics for the Treatment of Degenerative Disc Disease.Current reviews in musculoskeletal medicine · 2020
    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

11 authors at 4 institutions in 2 countries.

Ajay MattaNotogen Inc., Toronto, Ontario, Canada.
Muhammad Zia KarimNotogen Inc., Toronto, Ontario, Canada.
Hoda GeramiNotogen Inc., Toronto, Ontario, Canada.
Peter JunUniversity of Alberta, Edmonton, Alberta, Canada.ORCID http://orcid.org/0000-0003-2090-1036
Martha FunabashiUniversity of Alberta, Edmonton, Alberta, Canada.
Greg KawchukUniversity of Alberta, Edmonton, Alberta, Canada.
Alyssa GoldsteinUniversity Health Network, Toronto, Ontario, Canada.
Warren FoltzUniversity Health Network, Toronto, Ontario, Canada.
Marshall SussmanUniversity Health Network, Toronto, Ontario, Canada.
Bjorn C EekPrivate Practice, Irvine, California, USA.
W Mark ErwinNotogen Inc., Toronto, Ontario, Canada. mark.erwin@utoronto.ca.
University Health Network · CAUniversity of Alberta · CASM&A (United States) · USUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The tremendous cost, pain and disability associated with degenerative disc disease (DDD) makes the development of a biological agent that can mitigate the course of DDD, a critical unmet need. We have identified and reported that a single injection of a combination of recombinant human (rh) Transforming growth factor beta 1 (TGF-β1) and Connective tissue growth factor (CTGF) proteins into the injured intervertebral disc (IVD) nucleus pulposus (NP) can mediate DDD in a pre-clinical rodent model. In this study, we developed and evaluated the efficacy of a novel molecular therapy (NTG-101) containing rhTGF-β1 and rhCTGF proteins suspended in an excipient solution using in vivo models of DDD including rat-tail and chondrodystrophic (CD) canines. Needle puncture injury in CD-canine NPs resulted in loss of hydration, disc height and showed radiographic evidence of DDD like humans. However, NTG-101-injected IVDs maintained disc height and demonstrated retention of viscoelastic properties as compared to IVDs injected with phosphate buffer saline (PBS, 1X, pH = 7.2). In addition, a single intra-discal injection of NTG-101 into the injured IVD-NPs resulted in sustained expression of healthy extra-cellular matrix (ECM) proteins (aggrecan, collagen 2A1) and reduced expression of inflammation associated proteins and molecules (IL-1β, IL-6, IL-8, MMP-13, Cox-2 and PGE2) as compared to vehicle controls. In conclusion, we demonstrated that a single intra-discal injection of the novel formulation, NTG-101 confers a robust anti-inflammatory, anti-catabolic and pro-anabolic effects in pre-clinical models of DDD thereby restoring homeostasis. These findings suggest the therapeutic potential of NTG-101 for clinical use.

Indexed as

Disease ProgressionAnimalsAnti-Inflammatory AgentsConnective Tissue Growth FactorDogsDrug CombinationsExtracellular MatrixHumansIntervertebral Disc DegenerationRatsRecombinant ProteinsTransforming Growth Factor beta1Treatment OutcomeAnti-Inflammatory AgentsConnective Tissue Growth FactorDrug CombinationsRecombinant ProteinsTransforming Growth Factor beta1

Identifiers

PMID30429487
PMCPMC6235869
OpenAlexW2899874491

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.