Evidence map›Paper›PMID 31856838›Full record

Trial reportRespiratory research2019

Effects of the Toll-like receptor 7 (TLR7) agonist, AZD8848, on allergen-induced responses in patients with mild asthma: a double-blind, randomised, parallel-group study.

Brian R Leaker, Dave Singh, Sam Lindgren, Gun Almqvist, Leif Eriksson, Barbara Young, Brian O'Connor

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Respiratory research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00999466 (A Double-blind, Placebo-controlled, Randomised, Parallel Group, Phase IIa Study to Investigate the Efficacy, Tolerability and Safety of 8 Doses of AZD8848 Administered Intranasally Once Weekly in Mild to Moderate Allergic Asthma Subjects Challenged With an Inhaled Allergen.), which is not on this map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
2.1field-weighted citation impact, top 12% 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.

NCT00999466 phase2completednot on this map

A Double-blind, Placebo-controlled, Randomised, Parallel Group, Phase IIa Study to Investigate the Efficacy, Tolerability and Safety of 8 Doses of AZD8848 Administered Intranasally Once Weekly in Mild to Moderate Allergic Asthma Subjects Challenged With an Inhaled Allergen.

TypeinterventionalSponsorAstraZenecaRan2009 to 2011Enrolled60ConditionsAllergic AsthmaArmsAZD8848, Placebo
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 30 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Review
  5. Effects of Neutrophil-Activating Protein ofAdvanced biomedical research · 2025
    Article
  6. Article
  7. Update on the association between Helicobacter pylori infection and asthma in terms of microbiota and immunity.Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology · 2024
    Review
  8. Article
  9. Review
  10. Review
  11. Review
  12. Review
  13. Article
  14. Review
  15. The Protective Effects of Helicobacter pylori Infection on Allergic Asthma.International archives of allergy and immunology · 2021
    Review
  16. Review
  17. Review
  18. Regulatory and IgEMethods in molecular biology (Clifton, N.J.) · 2021
    Article
  19. Advancing Adjuvants forFrontiers in immunology · 2021
    Review
  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

7 authors at 4 institutions in 2 countries.

Brian R LeakerRespiratory Clinical Trials Ltd, Queen Anne Street Medical Centre, 18-22 Queen Anne Street, London, W1G 8HU, UK. brian.leaker@qasmc.com.
Dave SinghMedicines Evaluation Unit, University of Manchester, University Hospital of South Manchester, Manchester, UK.
Sam LindgrenBiopharmaceuticals R&D, Late-stage Development RIA, AstraZeneca, Gothenburg, Sweden.
Gun AlmqvistBiopharmaceuticals R&D, Late-stage Development RIA, AstraZeneca, Gothenburg, Sweden.
Leif ErikssonEarly Clinical Development, AstraZeneca R&D, Mölndal, Sweden.
Barbara YoungDiscovery Bioscience, AstraZeneca R&D, Loughborough, UK.
Brian O'ConnorRespiratory Clinical Trials Ltd, Queen Anne Street Medical Centre, 18-22 Queen Anne Street, London, W1G 8HU, UK.
AstraZeneca (Sweden) · SERespiratory Clinical Trials · GBAstraZeneca (United Kingdom) · GBUniversity of Manchester · GB

Funding

AstraZeneca N/ASumitomo Dainippon Pharma N/A
6 · The paper itself

Abstract

backgroundAlthough allergic asthma is a complex area with many interacting factors involved, the 'hygiene hypothesis' proposes that a lack of exposure to infection during childhood may polarise the immune system towards allergen-reactive Th2-type responses in genetically susceptible individuals. Toll-like receptors (TLRs) play a key role within the innate immune system and TLR7 agonists have previously been shown to up-regulate Th1 responses and down-regulate Th2 responses to allergens in murine models of allergic or chronic asthma. This study aimed to examine the efficacy and safety of the novel TRL7 agonist AZD8848, which has been developed as an antedrug.

methodsIn this double-blind, randomised, parallel-group study, AZD8848 60 μg or placebo was administered intranasally once-weekly for 8 weeks in patients with mild-to-moderate allergic asthma (NCT00999466). Efficacy assessments were performed at 1 and 4 weeks after the last dose. The primary outcome was the late asthmatic response (LAR) fall in forced expiratory volume in 1 s (FEV

resultsAZD8848 significantly reduced average LAR fall in FEV CONCLUSIONS AND CLINICAL RELEVANCE: In patients with allergic asthma, TLR7 agonists could potentially reduce allergen responsiveness by stimulating Type 1 interferon responses to down-regulate the dominant Th2 responses.

trial registrationclinicaltrials.gov identifier NCT00999466.

Indexed as

AdenosineAdministration, IntranasalAdolescentAdultAllergensAnti-Asthmatic AgentsAsthmaBronchial Provocation TestsDouble-Blind MethodFemaleHumansMaleMiddle AgedPhenylacetatesToll-Like Receptor 7Treatment OutcomeAdenosineAllergensAnti-Asthmatic AgentsAZD8848PhenylacetatesTLR7 protein, humanToll-Like Receptor 7Allergic asthmaHygiene hypothesisInnate immune systemType 1 interferon

Identifiers

PMID31856838
PMCPMC6924002
OpenAlexW2994680281

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.