Evidence map›Paper›PMID 32317615›Full record

ArticleTransplantation2020

Targeting Calcium Release-activated Calcium Channel Is Not Sufficient to Prevent Rejection in Nonhuman Primate Kidney Transplantation.

Jean Kwun, Brian Ezekian, Miriam Manook, Jaeberm Park, Janghoon Yoon, Kyle Freischlag, Mingqing Song, Alton B Farris, Joanne Sloan-Lancaster, Caroline Fortier and 2 more

Open access · greenAbstract read
In one paragraph

Article in Transplantation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 97% 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

1 citing paper in PubMed, 0 citations in OpenAlex.

  1. CRAC channels as targets for immunotherapy.Current opinion in immunology · 2026
    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

12 authors at 3 institutions in 1 country.

Jean KwunDuke Transplant Center, Department of Surgery, Duke University, Durham, NC.
Brian EzekianDuke Transplant Center, Department of Surgery, Duke University, Durham, NC.
Miriam ManookDuke Transplant Center, Department of Surgery, Duke University, Durham, NC.
Jaeberm ParkDuke Transplant Center, Department of Surgery, Duke University, Durham, NC.
Janghoon YoonDuke Transplant Center, Department of Surgery, Duke University, Durham, NC.
Kyle FreischlagDuke Transplant Center, Department of Surgery, Duke University, Durham, NC.
Mingqing SongDuke Transplant Center, Department of Surgery, Duke University, Durham, NC.
Alton B FarrisDepartment of Pathology, Emory School of Medicine, Atlanta, GA.
Joanne Sloan-LancasterExploratory Medicine and Pharmacology, Eli Lilly and Company, Indianapolis, IN.
Caroline FortierPRCL Research Inc, Montreal, QC, Canada.
Patricia E RaoSynta Pharmaceuticals Inc, Lexington, MA.
Stuart J KnechtleDuke Transplant Center, Department of Surgery, Duke University, Durham, NC.
Duke University · USEmory University · USSynta Pharmaceuticals (United States) · US

Funding

The Risks and Opportunities of Homeostatic RepopulationU19AI131471 · NIAID · DUKE UNIVERSITY · PI Andrew Serghios Barbas · 2017 to 2026
$30.4M
NIAID NIH HHS U19 AI131471
6 · The paper itself

Abstract

backgroundCalcineurin inhibitors successfully control rejection of transplanted organs but also cause nephrotoxicity. This study, using a rhesus monkey renal transplantation model, sought to determine the applicability of a new immunomodulatory drug inhibiting the store-operated calcium release-activated calcium channel of lymphocytes to control transplant rejection without nephrotoxicity.

methodsAnimals underwent kidney transplantation and were treated with tacrolimus alone (n = 3), a CRACM1 inhibitor (PRCL-02) (n = 6) alone, or with initial tacrolimus monotherapy followed by gradual conversion at 3 weeks to PRCL-02 alone (n = 3). PRCL-02 was administered via a surgically inserted gastrostomy tube BID.

resultsDose-related drug exposure in monkeys was established and renal transplants were then performed using PRCL-02 monotherapy. Oral dosing of PRCL-02 was well tolerated and resulted in suppressed T-cell proliferation in in vitro MLR comparable to animals in the tacrolimus control arm. Animals receiving tacrolimus monotherapy were e on day 100 without rejection. PRCL-02 monotherapy only marginally prolonged graft survival (MST = 13.16 d; group 2) compared with untreated controls. Animals treated initially with tacrolimus and converted to PRCL-02 monotherapy had a mean graft survival of 35.3 days which was prolonged compared with PRCL-02 monotherapy but not compared with the tacrolimus-treated group. Pharmacokinetic studies showed inconsistent drug exposures despite attempts to adjust dose and exposure which may have contributed to the rejections.

conclusionsWe conclude that, in this nonhuman primate model of kidney transplantation, PRCL-02 demonstrated evidence of in vivo immunosuppressive activity but was inferior to tacrolimus treatment with respect to suppressing immune transplant rejection.

Indexed as

Kidney TransplantationAnimalsCalcineurin InhibitorsCalcium Release Activated Calcium ChannelsDisease Models, AnimalGraft RejectionGraft SurvivalImmunosuppression TherapyMacaca mulattaMaleTacrolimusTransplantation, HomologousTreatment OutcomeCalcineurin InhibitorsCalcium Release Activated Calcium ChannelsTacrolimus

Identifiers

PMID32317615
PMCPMC7182068
OpenAlexW3017048434

What OpenQuestion holds

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Registered trials

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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.