Evidence map›Paper›PMID 30471715›Full record

Trial reportThe Journal of pediatrics2019

rhIGF-1/rhIGFBP-3 in Preterm Infants: A Phase 2 Randomized Controlled Trial.

David Ley, Boubou Hallberg, Ingrid Hansen-Pupp, Carlo Dani, Luca A Ramenghi, Neil Marlow, Kathryn Beardsall, Faizah Bhatti, David Dunger, Jason D Higginson and 15 more

2 registry-linked trialsOpen access · bronzeAbstract readClinical Trial, Phase IIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in The Journal of pediatrics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 97 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
97citing papers in PubMed, 4 pooled it
10.8field-weighted citation impact, top 1% 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.

NCT01096784 phase2completednot on this map

Determination of the rhIGF-1/rhIGFBP-3 Dose, Administered as a Continuous Infusion, Required to Establish and Maintain Longitudinal Serum IGF-1 Levels Within Physiological Levels in Premature Infants, to Prevent Retinopathy of Prematurity A Phase 2, Randomized Controlled, Assessor-blind, Dose Confirming, Pharmacokinetic, Safety and Efficacy, Multicenter Study

TypeinterventionalSponsorShireRan2010 to 2016Enrolled121ConditionsRetinopathy of Prematurity (ROP)ArmsrhIGF-I/rhIGFBP-3
NCT03253263 phase2active not recruitingnot on this map

A Phase 2b, Multicenter, Randomized, Open-label, Two-Arm Study to Evaluate the Clinical Efficacy and Safety of OHB-607 Compared to Standard Neonatal Care for the Prevention of Bronchopulmonary Dysplasia, the Most Common Cause of Chronic Lung Disease of Prematurity

TypeinterventionalSponsorOHB Neonatology Ltd.Ran2019 to 2028Enrolled295ConditionsBronchopulmonary Dysplasia, Chronic Lung Disease of Prematurity, Intraventricular Hemorrhage, Retinopathy of Prematurity (ROP)ArmsOHB-607
3 · Its place in the literature

Who cites it

97 citing papers in PubMed, 4 syntheses or guidelines pooled it, 152 citations in OpenAlex.

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  20. Targeting adenosine APurinergic signalling · 2025
    Review

37 more citing papers are in PubMed but not listed here.

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

25 authors at 17 institutions in 5 countries.

David LeySkane University Hospital, Department of Clinical Sciences Lund, Pediatrics, Lund University, Lund, Sweden. Electronic address: david.ley@med.lu.se.
Boubou HallbergDepartment of Neonatology, Department of Clinical Science, Intervention and Technology (CLINTEC), Karolinska Institute and Karolinska University Hospital, Stockholm, Sweden.
Ingrid Hansen-PuppSkane University Hospital, Department of Clinical Sciences Lund, Pediatrics, Lund University, Lund, Sweden.
Carlo DaniCareggi University Hospital of Florence, University of Florence, Florence, Italy.
Luca A RamenghiGenova Neonatal Intensive Care Unit, Istituto Giannina Gaslini, Genova, Italy.
Neil MarlowDepartment of Academic Neonatology, UCL EGA Institute for Women's Health, UCL, London, United Kingdom.
Kathryn BeardsallDepartment of Pediatrics and the Wellcome Trust-MRC Institute of Metabolic Science, University of Cambridge, Cambridge, United Kingdom.
Faizah BhattiNeonatal Perinatal Medicine, Department of Pediatrics, The Children's Hospital at the University of Oklahoma Health Sciences Center, Oklahoma City, OK.
David DungerDepartment of Pediatrics and the Wellcome Trust-MRC Institute of Metabolic Science, University of Cambridge, Cambridge, United Kingdom.
Jason D HigginsonDepartment of Pediatrics, Brody School of Medicine, East Carolina University, Greenville, NC.
Ajit MahaveerSt Mary's Hospital, Central Manchester University Hospitals NHS Foundation Trust, Manchester Academic Health Science Centre and Division of Developmental Biology and Medicine, School of Medical Sciences, University of Manchester, Manchester, United Kingdom.
Olachi J Mezu-NdubuisiThe Department of Pediatrics and Ophthalmology, University of Wisconsin, Madison, WI.
Peter ReynoldsNeonatal Intensive Care Unit, St Peter's Hospital, Chertsey, Surrey, United Kingdom.
Carmen GiannantonioDepartment of Woman and Child Health, University Hospital A. Gemelli, IRCCS, Rome, Italy.
Mirjam van WeissenbruchDepartment of Pediatrics, Division of Neonatology, VU University Medical Center, Amsterdam, The Netherlands.
Norman BartonGlobal Clinical Development, Rare Metabolic Diseases, Shire, Lexington, MA.
Adina TocoianGlobal Clinical Development, Rare Metabolic Diseases, Shire, Zug, Switzerland.
Mohamed HamdaniGlobal Clinical Development, Rare Metabolic Diseases, Shire, Lexington, MA.
Emily JochimGlobal Clinical Development, Rare Metabolic Diseases, Shire, Lexington, MA.
Alexandra MangiliGlobal Clinical Development, Rare Metabolic Diseases, Shire, Zug, Switzerland.
Jou-Ku ChungGlobal Clinical Development, Rare Metabolic Diseases, Shire, Lexington, MA.
Mark A TurnerInstitute of Translational Medicine, University of Liverpool, Liverpool, United Kingdom.
Lois E H SmithHarvard Medical School, Boston Children's Hospital, Boston, MA.
Ann HellströmInstitute of Neuroscience and Physiology, Sahlgrenska Academy, Gothenburg, Sweden.
study team
Takeda (United States) · USLund University · SEUniversity of Cambridge · GBAgostino Gemelli University Polyclinic · ITAmsterdam UMC Location Vrije Universiteit Amsterdam · NLBoston Children's Hospital · USEast Carolina University · USIstituto Giannina Gaslini · ITKarolinska University Hospital · SEManchester Academic Health Science Centre · GBSt Peter's Hospital · GBUniversity College London · GBUniversity of Florence · ITUniversity of Gothenburg · SEUniversity of Liverpool · GBUniversity of Oklahoma Health Sciences Center · USUniversity of Wisconsin–Madison · US

Funding

Dietary control of angiogenesis in retinopathy modelsR01EY017017 · NEI · BOSTON CHILDREN'S HOSPITAL · PI Zhongjie Fu, Lois Smith · 2006 to 2026
$11.8M
Novel therapies to inhibit Diabetic RetinopathyR24EY024864 · NEI · UNIVERSITY OF CALIFORNIA-IRVINE · PI KERN, TIMOTHY S · 2015 to 2019
$8.1M
Mouse Neurodevelopmental Behavior CoreU54HD090255 · NICHD · BOSTON CHILDREN'S HOSPITAL · PI KUNKEL, LOUIS M · 2016 to 2020
$5.2M
Medical Research Council MC_UU_12012/5NEI NIH HHS R01 EY017017NEI NIH HHS R24 EY024864NICHD NIH HHS U54 HD090255
6 · The paper itself

Abstract

objectiveTo investigate recombinant human insulin-like growth factor 1 complexed with its binding protein (rhIGF-1/rhIGFBP-3) for the prevention of retinopathy of prematurity (ROP) and other complications of prematurity among extremely preterm infants. STUDY

designThis phase 2 trial was conducted from September 2014 to March 2016. Infants born at a gestational age of 23

resultsOverall, 61 infants were allocated to rhIGF-1/rhIGFBP-3, 60 to standard care (full analysis set); 24 of 61 treated infants achieved target exposure (evaluable set). rhIGF-1/rhIGFBP-3 did not decrease ROP severity or ROP occurrence. There was, however, a 53% decrease in severe bronchopulmonary dysplasia in the full analysis set (21.3% treated vs 44.9% standard care), and an 89% decrease in the evaluable set (4.8% vs 44.9%; P = .04 and P = .02, respectively) for severity distribution between groups. There was also a nonsignificant trend toward decrease in grades 3-4 intraventricular hemorrhage in the full analysis set (13.1% vs 23.3%) and in the evaluable set (8.3% vs 23.3%). Fatal serious adverse events were reported in 19.7% of treated infants (12/61) and 11.7% of control infants (7/60). No effect was observed on time to discharge from neonatal care/growth measures.

conclusionsrhIGF-1/rhIGFBP-3 did not affect development of ROP, but decreased the occurrence of severe bronchopulmonary dysplasia, with a nonsignificant decrease in grades 3-4 intraventricular hemorrhage.

trial registrationClinicalTrials.gov: NCT01096784.

Indexed as

Bronchopulmonary DysplasiaCerebral HemorrhageFemaleGestational AgeHumansInfant, Extremely PrematureInfant, NewbornInfant, PrematureInfusions, IntravenousInsulin-Like Growth Factor Binding Protein 3Insulin-Like Growth Factor IMaleRecombinant ProteinsRetinopathy of PrematuritySeverity of Illness IndexTreatment OutcomeIGFBP3 protein, humanInsulin-Like Growth Factor Binding Protein 3Insulin-Like Growth Factor ImecaserminRecombinant Proteinsbronchopulmonary dysplasiaintraventricular hemorrhageneonatologyretinopathy of prematurity

Identifiers

PMID30471715
PMCPMC6389415
OpenAlexW2900730657

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.