Evidence map›Paper›PMID 31774566›Full record

Trial reportHepatology (Baltimore, Md.)2020

An Open-Label, Dose-Escalation Study to Assess the Safety and Efficacy of IL-22 Agonist F-652 in Patients With Alcohol-associated Hepatitis.

Juan P Arab, Tejasav S Sehrawat, Douglas A Simonetto, Vikas K Verma, Dechun Feng, Tom Tang, Kevin Dreyer, Xiaoqiang Yan, William L Daley, Arun Sanyal and 10 more

Open access · greenAbstract readClinical Trial, Phase II
In one paragraph

Trial report in Hepatology (Baltimore, Md.), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 117 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
117citing papers in PubMed, 2 pooled it
13.1field-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.

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

117 citing papers in PubMed, 2 syntheses or guidelines pooled it, 196 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. [Alcohol liver disease: immunoregulatory mechanisms and precision therapeutic targets].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2026
    Review
  6. Therapeutics for Alcohol-Associated Liver Disease.Annual review of pharmacology and toxicology · 2026
    Review
  7. Review
  8. Review
  9. Review
  10. Review
  11. Article
  12. Review
  13. The Link between Alcohol Consumption and Kidney Injury.The American journal of pathology · 2026
    Review
  14. Current Clinical Trials for Alcohol-Associated Hepatitis.The American journal of pathology · 2026
    Review
  15. Review
  16. Lipid Droplet Dynamics in Alcoholic Steatohepatitis.The American journal of pathology · 2026
    Review
  17. Review
  18. Review
  19. Article
  20. Article

57 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

20 authors at 7 institutions in 2 countries.

Juan P ArabDivision of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN.ORCID 0000-0002-8561-396X
Tejasav S SehrawatDivision of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN.
Douglas A SimonettoDivision of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN.
Vikas K VermaDivision of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN.
Dechun FengLaboratory of Liver Diseases, National Institute on Alcohol Abuse and Alcoholism, National Institutes of Health, Bethesda, MD.
Tom TangGeneron Corporation Ltd., Shanghai, China.
Kevin DreyerGeneron Corporation Ltd., Shanghai, China.
Xiaoqiang YanGeneron Corporation Ltd., Shanghai, China.
William L DaleyGeneron Corporation Ltd., Shanghai, China.
Arun SanyalDivision of Gastroenterology, Hepatology and Nutrition, Department of Internal Medicine, Virginia Commonwealth University, Richmond, VA.
Naga ChalasaniDepartment of Internal Medicine, Indiana University School of Medicine, Indianapolis, IN.
Svetlana RadaevaNational Institute on Alcohol Abuse and Alcoholism, Bethesda, MD.
Liu YangDivision of Gastroenterology and Hepatology, Mayo Clinic, Jacksonville, FL.
Hugo VargasDivision of Gastroenterology and Hepatology, Mayo Clinic, Scottsdale, AZ.
Mauricio IbacacheDivision of Anesthesiology, School of Medicine, Pontifical Catholic University of Chile, Santiago, Chile.
Bin GaoLaboratory of Liver Diseases, National Institute on Alcohol Abuse and Alcoholism, National Institutes of Health, Bethesda, MD.
Gregory J GoresDivision of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN.
Harmeet MalhiDivision of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN.ORCID 0000-0002-0882-4990
Patrick S KamathDivision of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN.
Vijay H ShahDivision of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN.ORCID 0000-0001-7620-573X
Mayo Clinic in Arizona · USNational Institutes of Health · USPontificia Universidad Católica de Chile · CLIndiana University School of MedicineJacksonville College · USNational Institute on Alcohol Abuse and Alcoholism · USVirginia Commonwealth University · US

Funding

Molecular Mechanisms of Portal HypertensionR01DK059615 · NIDDK · MAYO CLINIC ROCHESTER · PI SHAH, VIJAY H. · 2002 to 2023
$6.4M
TREAT-MayoU01AA021788 · NIAAA · MAYO CLINIC ROCHESTER · PI MALHI, HARMEET, SHAH, VIJAY H. · 2012 to 2022
$4.7M
Molecular Mechanisms of Liver Fibrosis (Diversity Supplement)R37AA021171 · NIAAA · MAYO CLINIC ROCHESTER · PI VIJAY H. SHAH · 2019 to 2026
$3.0M
Integrated Therapies for Alcohol use in Alcohol-associated Liver Disease (ITAALD) – Mayo ClinicU01AA026974 · NIAAA · MAYO CLINIC ROCHESTER · PI VICTOR M. KARPYAK, VIJAY H. SHAH · 2018 to 2026
$2.9M
Molecular Mechanisms of Liver FibrosisR01AA021171 · NIAAA · MAYO CLINIC ROCHESTER · PI SHAH, VIJAY H. · 2012 to 2018
$2.5M
Molecular Mechanisms of Portal HypertensionR56DK059615 · NIDDK · MAYO CLINIC ROCHESTER · PI SHAH, VIJAY H · 2007 to 2007
$378k
Randomized Placebo Controlled Pilot Trial to determine the efficacy of an IL22 agonist (F-652) in patients with Alcoholic HepatitisU01AA026886 · NIAAA · MAYO CLINIC ROCHESTER · PI SHAH, VIJAY H., SIMONETTO, DOUGLAS A. · 2018 to 2022
$375k
NIAAA NIH HHS R01 AA021171NIAAA NIH HHS R37 AA021171NIAAA NIH HHS U01 AA021788NIAAA NIH HHS U01 AA026886NIAAA NIH HHS U01 AA026974NIDDK NIH HHS R01 DK059615NIDDK NIH HHS R56 DK059615NIH HHS R01 AA021171NIH HHS R01 DK59615
6 · The paper itself

Abstract

BACKGROUND AND

aimsInterleukin-22 has beneficial effects on inflammation and impaired hepatic regeneration that characterize alcohol-associated hepatitis (AH). F-652 is a recombinant fusion protein of human interleukin-22 and immunoglobulin G2 fragment crystallizable. This study aims to assess the safety and efficacy signals of F-652 in patients with moderate and severe AH. APPROACH AND

resultsA phase-2 dose-escalating study was carried out. F-652 (10 μg/kg, 30 μg/kg, or 45 μg/kg) administered on days 1 and 7 was tested in 3 patients each with moderate (Model for End-Stage Liver Disease [MELD] scores: 11-20) and severe AH (MELD scores: 21-28). Safety was defined by absence of serious adverse events and efficacy was assessed by Lille score, changes in MELD score, and serum bilirubin and aminotransferases at days 28 and 42. Three independent propensity-matched comparator patient cohorts were used. Plasma extracellular vesicles and multiplex serum cytokines were measured to assess inflammation and hepatic regeneration. Eighteen patients (9 moderate and 9 severe AH) were enrolled, 66% were male, and the mean age was 48 years. The half-life of F-652 following the first dose was 61-85 hours. There were no serious adverse events leading to discontinuation. The MELD score and serum aminotransferases decreased significantly at days 28 and 42 from baseline (P < 0.05). Day-7 Lille score was 0.45 or less in 83% patients as compared with 6%, 12%, and 56% among the comparator cohorts. Extracellular vesicle counts decreased significantly at day 28 (P < 0.013). Cytokine inflammatory markers were down-regulated, and regeneration markers were up-regulated at days 28 and 42.

conclusionsF-652 is safe in doses up to 45 μg/kg and associated with a high rate of improvement as determined by Lille and MELD scores, reductions in markers of inflammation and increases in markers of hepatic regeneration. This study supports the need for randomized placebo-controlled trials to test the efficacy of F-652 in AH.

Indexed as

Immunoglobulin GAdultDrug Dosage CalculationsEnd Stage Liver DiseaseFemaleHepatitis, AlcoholicHumansInterleukin-22InterleukinsMaleMiddle AgedModels, TheoreticalRecombinant Fusion ProteinsSeverity of Illness IndexTreatment OutcomeImmunoglobulin GInterleukin-22InterleukinsRecombinant Fusion Proteins

Identifiers

PMID31774566
PMCPMC7250715
OpenAlexW2990235180

What OpenQuestion holds

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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.