Evidence map›Paper›PMID 32015031›Full record

Trial reportAntimicrobial agents and chemotherapy2020

Phase 2 Study of Anti-Human Cytomegalovirus Monoclonal Antibodies for Prophylaxis in Hematopoietic Cell Transplantation.

Johan Maertens, Aaron C Logan, Junho Jang, Gwynn Long, Jih-Luh Tang, William Y K Hwang, Liang Piu Koh, Roy Chemaly, Armin Gerbitz, Julia Winkler and 13 more

Registry-linked trialOpen access · hybridAbstract readClinical Trial, Phase IIRandomized Controlled Trial
In one paragraph

Trial report in Antimicrobial agents and chemotherapy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02268526 (A Multi-center, Randomized, Double-blind, Placebo Controlled, Study to Evaluate the Efficacy and Safety of CSJ148 Compared to Placebo to Prevent Human Cytomegalovirus), which is not on this map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 6% 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.

NCT02268526 phase2completednot on this map

A Multi-center, Randomized, Double-blind, Placebo Controlled, Study to Evaluate the Efficacy and Safety of CSJ148 Compared to Placebo to Prevent Human Cytomegalovirus (HCMV) Replication in Stem Cell Transplant Patients

TypeinterventionalSponsorNovartis PharmaceuticalsRan2015 to 2016Enrolled86ConditionsHCMVArmsCSJ148, Placebo
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Review
  5. Review
  6. Review
  7. Article
  8. Review
  9. Review
  10. Article
  11. Article
  12. Review
  13. Review
  14. Article
  15. Article
  16. Anti-CMV therapy, what next? A systematic review.Frontiers in microbiology · 2023
    Review
  17. Review
  18. Article
  19. Article
  20. Immune Prophylaxis and Therapy for Human Cytomegalovirus Infection.International journal of molecular sciences · 2021
    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

23 authors at 18 institutions in 6 countries.

Johan MaertensUniversitaire Ziekenhuizen Leuven, Leuven, Belgium.
Aaron C LoganUniversity of California, San Francisco Medical Center, San Francisco, California, USA.
Junho JangSamsung Medical Center, Seoul, South Korea.
Gwynn LongDuke University Medical Center, Durham, North Carolina, USA.
Jih-Luh TangNational Taiwan University, Taipei, Taiwan.
William Y K HwangSingapore General Hospital, Singapore.
Liang Piu KohNational University Cancer Institute Singapore, Singapore.
Roy ChemalyUniversity of Texas Anderson Cancer Center, Houston, Texas, USA.
Armin GerbitzUniversitatsklinikum Erlangen, Erlangen, Germany.
Julia WinklerUniversitatsklinikum Erlangen, Erlangen, Germany.
Su-Peng YehChina Medical University Hospital, Taichung, Taiwan.
John HiemenzUniversity of Florida Health Shands Cancer Hospital, Gainesville, Florida, USA.
Sandra ChristophUniversitatsklinikum Essen, Essen, Germany.
Dong-Gun LeeSeoul St. Mary's Hospital, Seoul, South Korea.ORCID 0000-0003-4655-0641
Po-Nan WangChuang Gung Memorial Hospital-Linkou Branch, Linkou, Taiwan.
Ernst HollerUniversitatsklinikum Regensburg, Regensburg, Germany.
Stephan MielkeUniversitatsklinikum Wurzburg, Wurzburg, Germany.
Luke AkardIndiana Blood and Marrow Transplantation Clinic, Indianapolis, Indiana, USA.
Adeline YeoStat4ward LLC, Pittsburgh, Pennsylvania, USA.
Sangana RamachandraUSA Novartis Institutes for BioMedical Research, Cambridge, Massachusetts, USA.
Kristin SmithUSA Novartis Institutes for BioMedical Research, Cambridge, Massachusetts, USA.
Peter PertelUSA Novartis Institutes for BioMedical Research, Cambridge, Massachusetts, USA.
Florencia SegalUSA Novartis Institutes for BioMedical Research, Cambridge, Massachusetts, USA florencia.segal@novartis.com.
Novartis (United States) · USUniversitätsklinikum Erlangen · DEChina Medical University · TWDM-STAT (United States) · USDuke Medical Center · USEssen University Hospital · DEIndiana Cancer Consortium · USNational Taiwan University · TWNational University Cancer Institute, Singapore · SGSamsung Medical Center · KRSingapore General Hospital · SGThe Catholic University of Korea Seoul St. Mary's Hospital · KRThe University of Texas MD Anderson Cancer Center · USUniversitair Ziekenhuis Leuven · BEUniversitätsklinikum Würzburg · DEUniversity Hospital Regensburg · DEUniversity of California San Francisco Medical Center · USUniversity of Florida Health · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Human cytomegalovirus (HCMV) can cause significant disease in immunocompromised patients, and treatment options are limited by toxicities. CSJ148 is a combination of two anti-HCMV human monoclonal antibodies (LJP538 and LJP539) that bind to and inhibit the functions of viral HCMV glycoprotein B (gB) and the pentameric complex, consisting of glycoproteins gH, gL, UL128, UL130, and UL131. In this phase 2, randomized, placebo-controlled trial, we evaluated the safety and efficacy of CSJ148 for prophylaxis of HCMV in patients undergoing allogeneic hematopoietic stem cell transplantation. As would be expected in the study population, all the patients (100%) reported at least one treatment-emergent adverse event. There were 22 deaths during this study, and over 80% of the patients receiving placebo or CSJ148 developed at least one adverse event of grade 3 or higher severity. No subject who received antibody developed a hypersensitivity- or infusion-related reaction. CSJ148-treated patients showed trends toward decreased viral load, shorter median duration of preemptive therapy, and fewer courses of preemptive therapy. However, the estimated probability that CSJ148 decreases the need for preemptive therapy compared to placebo was 69%, with a risk ratio of 0.89 and a 90% credible interval of 0.61 to 1.31. The primary efficacy endpoint was therefore not met, indicating that CSJ148 did not prevent clinically significant HCMV reactivation in recipients of allogeneic hematopoietic cell transplants. (This study has been registered at ClinicalTrials.gov under identifier NCT02268526 and at EudraCT under number 2017-002047-15.).

Indexed as

Antibodies, ViralCytomegalovirus InfectionsHematopoietic Stem Cell TransplantationAdministration, IntravenousAdultAgedAntiviral AgentsFemaleGraft vs Host DiseaseHumansMaleMiddle AgedPlacebosTreatment OutcomeViral LoadYoung AdultAntibodies, ViralAntiviral AgentsPlaceboshematopoietic stem cell transplantationhuman cytomegalovirusprophylaxis

Identifiers

PMID32015031
PMCPMC7179282
OpenAlexW3004742967

What OpenQuestion holds

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LicenceCC BY
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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.