Evidence map›Paper›PMID 30616998›Full record

Trial reportEBioMedicine2019

Senolytics in idiopathic pulmonary fibrosis: Results from a first-in-human, open-label, pilot study.

Jamie N Justice, Anoop M Nambiar, Tamar Tchkonia, Nathan K LeBrasseur, Rodolfo Pascual, Shahrukh K Hashmi, Larissa Prata, Michal M Masternak, Stephen B Kritchevsky, Nicolas Musi and 1 more

Registry-linked trialOpen access · goldAbstract readClinical Trial
In one paragraph

Trial report in EBioMedicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02874989 (Targeted Removal of Pro-Inflammatory Cells), which is not on this map. Cited by 756 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
756citing papers in PubMed, 5 pooled it
101.7field-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.

NCT02874989 phase1completednot on this map

Targeted Removal of Pro-Inflammatory Cells: An Open Label Human Pilot Study in Idiopathic Pulmonary Fibrosis

TypeinterventionalSponsorWake Forest University Health SciencesRan2016 to 2019Enrolled26ConditionsIdiopathic Pulmonary Fibrosis (IPF)ArmsDasatinib + Quercetin, Placebo
3 · Its place in the literature

Who cites it

756 citing papers in PubMed, 5 syntheses or guidelines pooled it, 1,124 citations in OpenAlex.

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  17. The Hallmarks of Aging: From Molecular Mechanisms to Clinical Translation.International journal of molecular sciences · 2026
    Review
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696 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

11 authors at 5 institutions in 1 country.

Jamie N JusticeSticht Center for Healthy Aging and Alzheimer's Prevention, Internal Medicine - Gerontology and Geriatric Medicine, Wake Forest School of Medicine (WFSM), 1 Medical Center Blvd, Winston-Salem, NC 27157, United States. Electronic address: jnjustic@wakehealth.edu.
Anoop M NambiarDivision of Pulmonary Diseases and Critical Care Medicine, Department of Internal Medicine, University of Texas Health Sciences Center at San Antonio (UTHSCSA) and South Texas Veterans Health Care System, San Antonio, TX 78229, United States. Electronic address: Nambiar@uthscsa.edu.
Tamar TchkoniaRobert and Arlene Kogod Center on Aging, Mayo Clinic, Rochester, MN 55905, United States. Electronic address: Tchkonia.Tamar@mayo.edu.
Nathan K LeBrasseurRobert and Arlene Kogod Center on Aging, Mayo Clinic, Rochester, MN 55905, United States. Electronic address: LeBrasseur.Nathan@mayo.edu.
Rodolfo PascualInternal Medicine - Pulmonary, Critical Care, Allergy, Immunologic Medicine, Wake Forest School of Medicine, 1 Medical Center Blvd, Winston-Salem, NC 27157, United States. Electronic address: rpascual@wakehealth.edu.
Shahrukh K HashmiRobert and Arlene Kogod Center on Aging, Mayo Clinic, Rochester, MN 55905, United States. Electronic address: Hashmi.Shahrukh@mayo.edu.
Larissa PrataRobert and Arlene Kogod Center on Aging, Mayo Clinic, Rochester, MN 55905, United States. Electronic address: prata.larissa@mayo.edu.
Michal M MasternakBurnett School of Biomedical Sciences, University of Central Florida, Orlando, FL 32827, United States. Electronic address: michal.masternak@ucf.edu.
Stephen B KritchevskySticht Center for Healthy Aging and Alzheimer's Prevention, Internal Medicine - Gerontology and Geriatric Medicine, Wake Forest School of Medicine (WFSM), 1 Medical Center Blvd, Winston-Salem, NC 27157, United States. Electronic address: skritche@wakehealth.edu.
Nicolas MusiBarshop Institute for Longevity and Aging Studies, Center for Healthy Aging, University of Texas Health Sciences Center at San Antonio and South Texas Veterans Health Care System, San Antonio, TX 78229, United States; San Antonio Geriatric Research, Education and Clinical Center, South Texas Veterans Health Care System, San Antonio, TX 78229, United States. Electronic address: Musi@uthscsa.edu.
James L KirklandRobert and Arlene Kogod Center on Aging, Mayo Clinic, Rochester, MN 55905, United States. Electronic address: Kirkland.James@mayo.edu.
Mayo Clinic in Arizona · USThe University of Texas Health Science Center at San Antonio · USWake Forest University · USAtrium Health Wake Forest Baptist · USUniversity of Central Florida · US

Funding

Wake Forest Claude D. Pepper OAIC - RenewalP30AG021332 · NIA · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI LEON LENCHIK · 2002 to 2026
$36.4M
Wake Forest Clinical and Translational Science AwardUL1TR001420 · NCATS · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI ARD, JAMY D, FOLEY, KRISTIE L · 2015 to 2023
$32.3M
TRANSGENIC COREP30AG013319 · NIA · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI JAMES FLOYD NELSON · 1995 to 2026
$30.6M
Institute for Integration of Medicine & Science: A Partnership to Improve HealthUL1TR002645 · NCATS · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI CLARK, ROBERT A, HARGREAVES, KENNETH M · 2018 to 2022
$20.4M
San Antonio OAIC - Research Education Component (REC)P30AG044271 · NIA · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI Adam Salmon, Elena Volpi · 2015 to 2026
$14.1M
Effect of Aging on Preadipocyte DifferentiationR37AG013925 · NIA · MAYO CLINIC ROCHESTER · PI KIRKLAND, JAMES L. · 2016 to 2025
$6.6M
Senescent Cell Burden in Human Aging and Obesity: Functional Consequences and Reduction by Caloric RestrictionK01AG059837 · NIA · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI JUSTICE, JAMIE NICOLE · 2018 to 2022
$519k
Role of adipose tissue cellular composition on healthy metabolismR15AG059190 · NIA · UNIVERSITY OF CENTRAL FLORIDA · PI MASTERNAK, MICHAL MATEUSZ · 2018 to 2020
$444k
Role of GH/IGF1 signaling pathway on pro-longevity miRNAsR03AG059846 · NIA · UNIVERSITY OF CENTRAL FLORIDA · PI MASTERNAK, MICHAL MATEUSZ · 2018 to 2019
$298k
NCATS NIH HHS UL1 TR001420NCATS NIH HHS UL1 TR002645NIA NIH HHS K01 AG059837NIA NIH HHS P30 AG013319NIA NIH HHS P30 AG021332NIA NIH HHS P30 AG044271NIA NIH HHS R03 AG059846NIA NIH HHS R15 AG059190NIA NIH HHS R37 AG013925
6 · The paper itself

Abstract

backgroundCellular senescence is a key mechanism that drives age-related diseases, but has yet to be targeted therapeutically in humans. Idiopathic pulmonary fibrosis (IPF) is a progressive, fatal cellular senescence-associated disease. Selectively ablating senescent cells using dasatinib plus quercetin (DQ) alleviates IPF-related dysfunction in bleomycin-administered mice.

methodsA two-center, open-label study of intermittent DQ (D:100 mg/day, Q:1250 mg/day, three-days/week over three-weeks) was conducted in participants with IPF (n = 14) to evaluate feasibility of implementing a senolytic intervention. The primary endpoints were retention rates and completion rates for planned clinical assessments. Secondary endpoints were safety and change in functional and reported health measures. Associations with the senescence-associated secretory phenotype (SASP) were explored.

findingsFourteen patients with stable IPF were recruited. The retention rate was 100% with no DQ discontinuation; planned clinical assessments were complete in 13/14 participants. One serious adverse event was reported. Non-serious events were primarily mild-moderate, with respiratory symptoms (n = 16 total events), skin irritation/bruising (n = 14), and gastrointestinal discomfort (n = 12) being most frequent. Physical function evaluated as 6-min walk distance, 4-m gait speed, and chair-stands time was significantly and clinically-meaningfully improved (p < .05). Pulmonary function, clinical chemistries, frailty index (FI-LAB), and reported health were unchanged. DQ effects on circulat.ing SASP factors were inconclusive, but correlations were observed between change in function and change in SASP-related matrix-remodeling proteins, microRNAs, and pro-inflammatory cytokines (23/48 markers r ≥ 0.50).

interpretationOur first-in-humans open-label pilot supports study feasibility and provides initial evidence that senolytics may alleviate physical dysfunction in IPF, warranting evaluation of DQ in larger randomized controlled trials for senescence-related diseases. ClinicalTrials.gov identifier: NCT02874989 (posted 2016-2018).

Indexed as

AgedAged, 80 and overBiomarkersCellular SenescenceDasatinibDrug Therapy, CombinationFemaleHumansIdiopathic Pulmonary FibrosisMaleMiddle AgedPatient CompliancePatient Reported Outcome MeasuresPilot ProjectsQuality of LifeQuercetinBiomarkersDasatinibQuercetinAgingCellular senescenceClinical trialIdiopathic pulmonary fibrosisInterstitial lung diseaseSenolyticsTranslation

Identifiers

PMID30616998
PMCPMC6412088
OpenAlexW2906721882

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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.