Evidence map›Paper›PMID 30739130›Full record

Trial reportInflammation research : official journal of the European Histamine Research Society ... [et al.]2019

Toreforant, an orally active histamine H

David L Boyle, Samuel E DePrimo, Cesar Calderon, Dion Chen, Paul J Dunford, William Barchuk, Gary S Firestein, Robin L Thurmond

Abstract readClinical Trial, Phase IIMulticenter StudyRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Inflammation research : official journal of the European Histamine Research Society ... [et al.], 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.6field-weighted citation impact, top 34% 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

7 citing papers in PubMed, 15 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Article
  5. Review
  6. Chemical Probes for Histamine Receptor Subtypes.Current topics in behavioral neurosciences · 2022
    Article
  7. Article
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

8 authors at 3 institutions in 1 country.

David L BoyleDivision of Rheumatology, Allergy and Immunology, UC San Diego School of Medicine, La Jolla, San Diego, CA, USA.
Samuel E DePrimoImmunology Biomarkers, Janssen Research & Development LLC, San Diego, CA, USA.
Cesar CalderonImmunology Clinical Development, Janssen Research & Development LLC, Spring House, PA, USA.
Dion ChenBiostatistics, Janssen Research & Development LLC, Spring House, PA, USA.
Paul J DunfordImmunology Clinical Development, Janssen Research & Development LLC, Spring House, PA, USA.
William BarchukImmunology Clinical Development, Janssen Research & Development LLC, Spring House, PA, USA.
Gary S FiresteinDivision of Rheumatology, Allergy and Immunology, UC San Diego School of Medicine, La Jolla, San Diego, CA, USA.
Robin L ThurmondImmunology Clinical Development, Janssen Research & Development LLC, Spring House, PA, USA. RThurmon@its.jnj.com.
Janssen (United States) · USUniversity of California, San Diego · USEli Lilly (United States) · US

Funding

Janssen Research and Development n/a
6 · The paper itself

Abstract

OBJECTIVE/

designIn a double-blind, placebo-controlled, multiple-dose study, we assessed the molecular mechanism of action of the selective histamine-4-receptor antagonist toreforant. PATIENTS/TREATMENT: Patients with active rheumatoid arthritis (RA) despite methotrexate were randomized (3:1) to toreforant 30 mg/day (weeks 0-52) or placebo (weeks 0-12) followed by toreforant 30 mg/day (weeks 12-52).

methodsPrimary biomarker analyses comprised 39 different proteins/mRNA transcripts measured in synovial biopsy (n = 39) and/or time-matched serum (n = 15) samples collected at baseline and week 6. Clinical response was assessed using C-reactive protein-based 28-joint disease activity scores. Data were summarized using descriptive statistics.

resultsAmong 21 randomized, treated patients (toreforant-16, placebo-5), 18 (toreforant-13, placebo-5) completed the 12-week double-blind period (none completed open-label treatment) prior to the early study termination. Biomarker profiling indicated potential modest effects of toreforant on gene expression of histamine-1-receptor, tumor necrosis factor-alpha, and interleukin-8 in synovium. Potential trends between biomarkers and clinical response were observed with synovial monocyte chemoattractant protein-4 and phosphorylated extracellular-signal-regulated kinases and serum matrix metalloproteinase-3. Minimal synovial gene expression of interleukins-17A and 17F was detected.

conclusionsWhile clear biomarker signals associated with toreforant pharmacology in RA patients were not identified, modest associations between biomarkers and clinical response were noted. Synovial expression of interleukins-17A/17F was minimal. Limited sample size warrants cautious interpretation.

Indexed as

AdolescentAdultAgedAntirheumatic AgentsArthritis, RheumatoidBenzimidazolesDouble-Blind MethodFemaleHistamine AntagonistsHumansInterleukin-17MaleMethotrexateMiddle AgedPiperidinesPyrimidinesAntirheumatic AgentsBenzimidazolesHistamine AntagonistsHRH4 protein, humanIL17A protein, humanIL17F protein, humanInterleukin-17MethotrexatePiperidinesPyrimidinesReceptors, Histamine H4toreforantBiomarkersHistamine receptor antagonistPharmacodynamicsRheumatoid arthritis

Identifiers

PMID30739130
OpenAlexW2914860876

What OpenQuestion holds

Textmetadata
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.