Evidence map›Paper›PMID 30649752›Full record

Trial reportDrug safety2019

Evaluation of Antibody Properties and Clinically Relevant Immunogenicity, Anaphylaxis, and Hypersensitivity Reactions in Two Phase III Trials of Tralokinumab in Severe, Uncontrolled Asthma.

Mats Carlsson, Martin Braddock, Yuling Li, Jihong Wang, Weichen Xu, Nicholas White, Ayman Megally, Gillian Hunter, Gene Colice

2 registry-linked trialsOpen access · hybridAbstract readClinical Trial, Phase IIIRandomized Controlled Trial
In one paragraph

Trial report in Drug safety, 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 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 18% 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.

NCT02161757 phase3completednot on this map

A Phase 3 Study to Evaluate the Efficacy and Safety of Tralokinumab in Adults and Adolescents With Asthma Inadequately Controlled on Inhaled Corticosteroid Plus Long-Acting β2-Agonist.

TypeinterventionalSponsorAstraZenecaRan2014 to 2017Enrolled1,207ConditionsUncontrolled AsthmaArmsTralokinumab, Placebo
NCT02194699 phase3completednot on this map

A Phase 3 Study to Evaluate the Efficacy and Safety of Tralokinumab in Adults and Adolescents With Asthma Inadequately Controlled on Inhaled Corticosteroid Plus Long-Acting β2-Agonist

TypeinterventionalSponsorAstraZenecaRan2014 to 2017Enrolled856ConditionsUncontrolled AsthmaArmsExperimental: Tralokinumab, Placebo
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
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  7. Mechanistic modeling of a human IgGCPT: pharmacometrics & systems pharmacology · 2022
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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

9 authors at 4 institutions in 4 countries.

Mats CarlssonPatient Safety, Global Medicines Development, AstraZeneca, Pepparedsleden 1, Mölndal, 431 83, Sweden. Mats.Carlsson@astrazeneca.com.ORCID 0000-0002-1232-4681
Martin BraddockGlobal Medicines Development, AstraZeneca, Granta Park, Great Abington, Cambridge, CB21 6GH, UK.
Yuling LiBiopharmaceutical Development, MedImmune, One MedImmune Way, Gaithersburg, MD, 20878, USA.
Jihong WangBiopharmaceutical Development, MedImmune, One MedImmune Way, Gaithersburg, MD, 20878, USA.
Weichen XuBiopharmaceutical Development, MedImmune, One MedImmune Way, Gaithersburg, MD, 20878, USA.
Nicholas WhiteClinical Pharmacology, Pharmacometrics and DMPK, MedImmune, Granta Park, Great Abington, Cambridge, CB21 6GH, UK.
Ayman MegallyGlobal Medicines Development, AstraZeneca, One MedImmune Way, Gaithersburg, MD, 20878, USA.
Gillian HunterBiometrics and Information Sciences, AstraZeneca, Granta Park, Great Abington, Cambridge, CB21 6GH, UK.
Gene ColiceGlobal Medicines Development, AstraZeneca, One MedImmune Way, Gaithersburg, MD, 20878, USA.
AstraZeneca (United Kingdom) · GBAstraZeneca (United States) · USAstraZeneca (Australia) · AUGranta Design (United Kingdom) · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionTralokinumab is a monoclonal antibody (mAb) that neutralizes interleukin (IL)-13, a cytokine involved in the pathogenesis of asthma.

objectiveThe objectives of this study were to characterize the potential immunogenic properties of tralokinumab and report data for anti-drug antibodies (ADAs) and hypersensitivity reactions from two phase III clinical trials.

methodsThe oligosaccharide structure of tralokinumab, Fab-arm exchange, and ADAs were characterized by standard techniques. Hypersensitivity adverse events (AEs) were evaluated in two pivotal clinical trials of tralokinumab in severe, uncontrolled asthma: STRATOS 1 and 2 (NCT02161757 and NCT02194699).

resultsNo galactose-α-1,3-galactose (α-Gal) epitopes were found in the Fab region of tralokinumab and only 4.5% of glycoforms contained α-Gal in the Fc region. Under non-reducing conditions, Fab-arm exchange did not take place with another immunoglobulin (Ig) G

conclusionPreclinical assessments suggested a low likelihood of immunogenicity for tralokinumab. In STRATOS 1 and 2, ADA incidence was low, no differences were found between tralokinumab-treated and placebo groups in reporting of hypersensitivity reactions, and there were no Sampson criteria-evaluated anaphylaxis events with tralokinumab treatment. Together, the results suggest that tralokinumab treatment would not increase the risk for severe hypersensitivity or anaphylactic reactions.

Indexed as

AdolescentAdultAgedalpha-GalactosidaseAnaphylaxisAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedAntibody FormationAsthmaChildDouble-Blind MethodDrug HypersensitivityFemaleHumansMaleMiddle Agedalpha-GalactosidaseAntibodies, MonoclonalAntibodies, Monoclonal, Humanizedmavrilimumabtralokinumab

Identifiers

PMID30649752
PMCPMC6520328
OpenAlexW2909497384

What OpenQuestion holds

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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.