Evidence map›Paper›PMID 30459279›Full record

ArticleAnnals of the rheumatic diseases2019

Humanised effector-null FcγRIIA antibody inhibits immune complex-mediated proinflammatory responses.

Bo Chen, Katherine A Vousden, Brian Naiman, Sean Turman, Hong Sun, Shu Wang, Lisa M K Vinall, Benjamin P Kemp, Srinath Kasturiangan, D Gareth Rees and 21 more

Open access · bronzeAbstract read
In one paragraph

Article in Annals of the rheumatic diseases, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
3.2field-weighted citation impact, top 7% 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

19 citing papers in PubMed, 33 citations in OpenAlex.

  1. Article
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  6. Review
  7. Inflammation and autoimmune myasthenia gravis.Frontiers in immunology · 2023
    Review
  8. Article
  9. Article
  10. Review
  11. Review
  12. Autoimmunity in 2019.Clinical reviews in allergy & immunology · 2020
    Review
  13. Review
  14. Article
  15. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

31 authors at 2 institutions in 1 country.

Bo ChenDepartment of Respiratory, Inflammation and Autoimmunity, MedImmune LLC, Gaithersburg, Maryland, USA Chenb@medimmune.com SimsG@MedImmune.com.
Katherine A VousdenDepartment of Antibody Discovery and Protein Engineering, MedImmune Ltd, Granta Park, Great Abington, UK.
Brian NaimanDepartment of Respiratory, Inflammation and Autoimmunity, MedImmune LLC, Gaithersburg, Maryland, USA.
Sean TurmanDepartment of Respiratory, Inflammation and Autoimmunity, MedImmune LLC, Gaithersburg, Maryland, USA.
Hong SunDepartment of Respiratory, Inflammation and Autoimmunity, MedImmune LLC, Gaithersburg, Maryland, USA.
Shu WangDepartment of Respiratory, Inflammation and Autoimmunity, MedImmune LLC, Gaithersburg, Maryland, USA.
Lisa M K VinallDepartment of Antibody Discovery and Protein Engineering, MedImmune Ltd, Granta Park, Great Abington, UK.
Benjamin P KempDepartment of Antibody Discovery and Protein Engineering, MedImmune Ltd, Granta Park, Great Abington, UK.
Srinath KasturianganDepartment of Antibody Discovery and Protein Engineering, MedImmune LLC, Gaithersburg, Maryland, USA.
D Gareth ReesDepartment of Antibody Discovery and Protein Engineering, MedImmune Ltd, Granta Park, Great Abington, UK.
Ethan GrantDepartment of Translational Medicine, MedImmune LLC, Gaithersburg, Maryland, USA.
Mary Jane HinrichsDepartment of Translational Medicine, MedImmune LLC, Gaithersburg, Maryland, USA.
Steven EckDepartment of Translational Medicine, MedImmune LLC, Gaithersburg, Maryland, USA.
Antonio DiGiandomenicoMicrobial Sciences, MedImmune, LLC, Gaithersburg, Maryland, USA.
M Jack BorrokDepartment of Antibody Discovery and Protein Engineering, MedImmune LLC, Gaithersburg, Maryland, USA.
Neang LyDepartment of Translational Medicine, MedImmune LLC, Gaithersburg, Maryland, USA.
Ximing XiongDepartment of Respiratory, Inflammation and Autoimmunity, MedImmune LLC, Gaithersburg, Maryland, USA.
Carlos GonzalezDepartment of Translational Medicine, MedImmune LLC, Gaithersburg, Maryland, USA.
Christopher MorehouseDepartment of Translational Medicine, MedImmune LLC, Gaithersburg, Maryland, USA.
Yue WangDepartment of Respiratory, Inflammation and Autoimmunity, MedImmune LLC, Gaithersburg, Maryland, USA.
Yebin ZhouDepartment of Respiratory, Inflammation and Autoimmunity, MedImmune LLC, Gaithersburg, Maryland, USA.
Jennifer CannDepartment of Translational Medicine, MedImmune LLC, Gaithersburg, Maryland, USA.
Weiguang ZhaoDepartment of Translational Medicine, MedImmune LLC, Gaithersburg, Maryland, USA.
Holly KoelkebeckDepartment of Translational Medicine, MedImmune LLC, Gaithersburg, Maryland, USA.
Koshu OkuboDepartment of Pathology, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts, USA.
Tanya N MayadasDepartment of Pathology, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts, USA.
David HoweDepartment of Clinical Development, MedImmune Ltd, Granta Park, Great Abington, UK.
Janet GriffithsDepartment of Translational Medicine, MedImmune LLC, Gaithersburg, Maryland, USA.
Roland KolbeckDepartment of Respiratory, Inflammation and Autoimmunity, MedImmune LLC, Gaithersburg, Maryland, USA.
Ronald HerbstDepartment of Respiratory, Inflammation and Autoimmunity, MedImmune LLC, Gaithersburg, Maryland, USA.
Gary P SimsDepartment of Respiratory, Inflammation and Autoimmunity, MedImmune LLC, Gaithersburg, Maryland, USA Chenb@medimmune.com SimsG@MedImmune.com.
Brigham and Women's Hospital · USHarvard University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveImmune complexes (ICs) play a critical role in the pathology of autoimmune diseases. The aim of this study was to generate and characterise a first-in-class anti-FcγRIIA antibody (Ab) VIB9600 (previously known as MEDI9600) that blocks IgG immune complex-mediated cellular activation for clinical development.

methodsVIB9600 was humanised and optimised from the IV.3 Ab. Binding affinity and specificity were determined by Biacore and ELISA. Confocal microscopy, Flow Cytometry-based assays and binding competition assays were used to assess the mode of action of the antibody. In vitro cell-based assays were used to demonstrate suppression of IC-mediated inflammatory responses. In vivo target suppression and efficacy was demonstrated in FcγRIIA-transgenic mice. Single-dose pharmacokinetic (PK)/pharmacodynamic study multiple dose Good Laboratory Practice (GLP) toxicity studies were conducted in non-human primates.

resultsWe generated a humanised effector-deficient anti-FcγRIIA antibody (VIB9600) that potently blocks autoantibody and IC-mediated proinflammatory responses. VIB9600 suppresses FcγRIIA activation by blocking ligand engagement and by internalising FcγRIIA from the cell surface. VIB9600 inhibits IC-induced type I interferons from plasmacytoid dendritic cells (involved in SLE), antineutrophil cytoplasmic antibody (ANCA)-induced production of reactive oxygen species by neutrophils (involved in ANCA-associated vasculitis) and IC-induced tumour necrosis factor α and interleukin-6 production (involved in rheumatoid arthritis). In FcγRIIA transgenic mice, VIB9600 suppressed antiplatelet antibody-induced thrombocytopaenia, acute anti-GBM Ab-induced nephritis and anticollagen Ab-induced arthritis. VIB9600 also exhibited favourable PK and safety profiles in cynomolgus monkey studies.

conclusionsVIB9600 is a specific humanised antibody antagonist of FcγRIIA with null effector function that warrants further clinical development for the treatment of IC-mediated diseases.

Indexed as

AnimalsAntibodies, Anti-IdiotypicAntibodies, Antineutrophil CytoplasmicAntigen-Antibody ComplexAutoimmune DiseasesDendritic CellsHumansImmunoglobulin GImmunologic FactorsInterleukin-6Macaca fascicularisMiceMice, TransgenicNeutrophilsReactive Oxygen SpeciesReceptors, IgGAntibodies, Anti-IdiotypicAntibodies, Antineutrophil CytoplasmicAntigen-Antibody ComplexFc gamma receptor IIAImmunoglobulin GImmunologic FactorsInterleukin-6Reactive Oxygen SpeciesReceptors, IgGTumor Necrosis Factor-alphaantibodyFcγRIIAimmune complexinflammation

Identifiers

PMID30459279
PMCPMC6352406
OpenAlexW2901122141

What OpenQuestion holds

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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.