Evidence map›Paper›PMID 31852846›Full record

Trial reportJCI insight2019

Immunomodulatory activity of humanized anti-IL-7R monoclonal antibody RN168 in subjects with type 1 diabetes.

Kevan C Herold, Samantha L Bucktrout, Xiao Wang, Bruce W Bode, Stephen E Gitelman, Peter A Gottlieb, Jing Hughes, Tenshang Joh, Janet B McGill, Jeremy H Pettus and 9 more

Registry-linked trialOpen access · goldAbstract readClinical Trial, Phase IRandomized Controlled Trial
In one paragraph

Trial report in JCI insight, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02038764 (A Phase 1 Study To Evaluate The Safety, Tolerability, Immunogenicity, Pharmacokinetics And Pharmacodynamics Of Multiple Ascending Doses Of Pf-06342674), which is not on this map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
3.2field-weighted citation impact, top 8% 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.

NCT02038764 phase1completednot on this map

A Phase 1 Study To Evaluate The Safety, Tolerability, Immunogenicity, Pharmacokinetics And Pharmacodynamics Of Multiple Ascending Doses Of Pf-06342674 (rn168) In Adults With Type 1 Diabetes

TypeinterventionalSponsorPfizerRan2014 to 2016Enrolled37ConditionsDiabetes Mellitus, Type 1ArmsPlacebo, PF-06342674 Dose A, PF-06342674 Dose B, PF-06342674 Dose C, PF-06342674 Dose D
3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 40 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Review
  5. Memory CD4Frontiers in immunology · 2026
    Review
  6. Review
  7. Article
  8. Article
  9. Review
  10. Article
  11. Review
  12. Article
  13. Sequential immunotherapy: towards cures for autoimmunity.Nature reviews. Drug discovery · 2024
    Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. Review
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

19 authors at 5 institutions in 1 country.

Kevan C HeroldDepartment of Immunobiology and.
Samantha L BucktroutRinat, Pfizer Inc., South San Francisco, California, USA.
Xiao WangRinat, Pfizer Inc., South San Francisco, California, USA.
Bruce W BodeAtlanta Diabetes Associates Research, Atlanta, Georgia, USA.
Stephen E GitelmanDepartment of Pediatrics and.
Peter A GottliebDepartment of Pediatrics.
Jing HughesDivision of Endocrinology, Metabolism and Lipid Research, John T. Milliken Department of Internal Medicine, Washington University School of Medicine in Saint Louis, Saint Louis, Missouri, USA.
Tenshang JohWorldwide R&D, Pfizer Inc., San Diego, California, USA.
Janet B McGillDivision of Endocrinology, Metabolism and Lipid Research, John T. Milliken Department of Internal Medicine, Washington University School of Medicine in Saint Louis, Saint Louis, Missouri, USA.
Jeremy H PettusDepartment of Medicine, VA San Diego Healthcare System, San Diego, California, USA.
Shobha PotluriRinat, Pfizer Inc., South San Francisco, California, USA.
Desmond SchatzDepartment of Pediatrics, College of Medicine, University of Florida, Gainesville, Florida, USA.
Megan ShannonWorldwide R&D, Pfizer Inc., San Diego, California, USA.
Chandrasekhar UdataWorldwide R&D, Pfizer Inc., San Diego, California, USA.
Gilbert WongRinat, Pfizer Inc., South San Francisco, California, USA.
Matteo LevisettiRinat, Pfizer Inc., South San Francisco, California, USA.
Bishu J GangulyRinat, Pfizer Inc., South San Francisco, California, USA.
Pamela D GarzoneRinat, Pfizer Inc., South San Francisco, California, USA.
RN168 Working Group
Pediatrics and Genetics · USUniversity of California, San Francisco · USUniversity of Florida · USVA San Diego Healthcare System · USYale University · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Yale Diabetes Research CenterP30DK045735 · NIDDK · YALE UNIVERSITY · PI Kevan C Herold, GERALD I SHULMAN · 1993 to 2026
$44.0M
WU P&FP30DK020579 · NIDDK · WASHINGTON UNIVERSITY · PI Clay F. Semenkovich · 2013 to 2026
$27.1M
NCATS NIH HHS UL1 TR001863NIDDK NIH HHS P30 DK020579NIDDK NIH HHS P30 DK045735
6 · The paper itself

Abstract

backgroundThe cytokine IL-7 is critical for T cell development and function. We performed a Phase Ib study in patients with type 1 diabetes (T1D) to evaluate how blockade of IL-7 would affect immune cells and relevant clinical responses.

methodsThirty-seven subjects with T1D received s.c. RN168, a monoclonal antibody that blocks the IL -7 receptor α (IL7Rα) in a dose-escalating study.

resultsBetween 90% and 100% IL-7R occupancy and near-complete inhibition of pSTAT5 was observed at doses of RN168 1 mg/kg every other week (Q2wk) and greater. There was a significant decline in CD4+ and CD8+ effector and central memory T cells and CD4+ naive cells, but there were fewer effects on CD8+ naive T cells. The ratios of Tregs to CD4+ or CD8+ effector and central memory T cells versus baseline were increased. RNA sequencing analysis showed downmodulation of genes associated with activation, survival, and differentiation of T cells. Expression of the antiapoptotic protein Bcl-2 was reduced. The majority of treatment-emergent adverse events (TEAEs) were mild and not treatment related. Four subjects became anti-EBV IgG+ after RN168, and 2 had symptoms of active infection. The immunologic response to tetanus toxoid was preserved at doses of 1 and 3 mg/kg Q2wk but reduced at higher doses.

conclusionsThis trial shows that, at dosages of 1-3 mg/kg, RN168 selectively inhibits the survival and activity of memory T cells while preserving naive T cells and Tregs. These immunologic effects may serve to eliminate pathologic T cells in autoimmune diseases.

trial registrationNCT02038764.

fundingPfizer Inc.

Indexed as

AdultAntibodies, Monoclonal, HumanizedCD4-Positive T-LymphocytesCD8-Positive T-LymphocytesCell SurvivalDiabetes Mellitus, Type 1Dose-Response Relationship, DrugDose-Response Relationship, ImmunologicFemaleHumansImmunologic MemoryInterleukin-7Interleukin-7 Receptor alpha SubunitMaleMiddle AgedSignal TransductionAntibodies, Monoclonal, HumanizedIL7 protein, humanIL7R protein, humanInterleukin-7Interleukin-7 Receptor alpha Subunitmonoclonal antibody RN168Clinical TrialsDiabetesImmunologyT cells

Identifiers

PMID31852846
PMCPMC6975260
OpenAlexW2996276910

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.