Evidence map›Paper›PMID 32360516›Full record

ArticleClinical immunology (Orlando, Fla.)2020

The first case of COVID-19 treated with the complement C3 inhibitor AMY-101.

Sara Mastaglio, Annalisa Ruggeri, Antonio M Risitano, Piera Angelillo, Despina Yancopoulou, Dimitrios C Mastellos, Markus Huber-Lang, Simona Piemontese, Andrea Assanelli, Cecilia Garlanda and 2 more

Registry-linked trialOpen access · greenAbstract readCase Reports
In one paragraph

Article in Clinical immunology (Orlando, Fla.), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04395456 (A Phase 2 Clinical Trial to Assess the Safety and Efficacy of Complement 3 Inhibitor, AMY-101, in Patients With Acute Respiratory Distress Syndrome Due to COVID-19), which is not on this map. Cited by 207 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
207citing papers in PubMed, 2 pooled it
7.1field-weighted citation impact, top 2% 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.

NCT04395456 phase2unknown statusnot on this mapstarted 2021, after this paper: background citation

A Phase 2 Clinical Trial to Assess the Safety and Efficacy of Complement 3 Inhibitor, AMY-101, in Patients With Acute Respiratory Distress Syndrome Due to COVID-19 (SAVE)

TypeinterventionalSponsorAmyndas Pharmaceuticals S.A.Ran2021 to 2022Enrolled144ConditionsAcute Respiratory Distress Syndrome Due to SARS-CoV-2 Infection (Severe COVID19)ArmsAMY-101, WFI 5% glucose
3 · Its place in the literature

Who cites it

207 citing papers in PubMed, 2 syntheses or guidelines pooled it, 294 citations in OpenAlex.

  1. Mucosal immune response in biology, disease prevention and treatment.Signal transduction and targeted therapy · 2025
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  8. Investigation into the Pancreatic Pathogenesis of SFTSV across Multiple Levels.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
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147 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

12 authors at 8 institutions in 4 countries.

Sara MastaglioHematology and Bone Marrow Transplantation Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Annalisa RuggeriHematology and Bone Marrow Transplantation Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Antonio M RisitanoDepartment of Clinical Medicine and Surgery, Federico II University of Naples, Naples, Italy.
Piera AngelilloHematology and Bone Marrow Transplantation Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Despina YancopoulouAmyndas Pharmaceuticals, Glyfada, Greece.
Dimitrios C MastellosNational Center for Scientific Research 'Demokritos', Aghia Paraskevi, Athens, Greece.
Markus Huber-LangInstitute of Experimental Trauma-Immunology, University Hospital of Ulm, Ulm, Germany.
Simona PiemonteseHematology and Bone Marrow Transplantation Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Andrea AssanelliHematology and Bone Marrow Transplantation Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Cecilia GarlandaIRCCS Humanitas Clinical and Research Center, Milan, Italy; Humanitas University, Milan, Italy.
John D LambrisDepartment of Pathology & Laboratory Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA. Electronic address: lambris@pennmedicine.upenn.edu.
Fabio CiceriHematology and Bone Marrow Transplantation Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy; University Vita Salute San Raffaele, Milan, Italy. Electronic address: ciceri.fabio@hsr.it.
Istituto di Ricovero e Cura a Carattere Scientifico San RaffaeleIstituti di Ricovero e Cura a Carattere Scientifico · ITHumanitas University · ITNational Centre of Scientific Research "Demokritos" · GRUniversity Hospital Ulm · DEUniversity of Naples Federico II · ITUniversity of Pennsylvania · USVita-Salute San Raffaele University · IT

Funding

Role of complement in kidney disorders: from hemodialysis to transportationP01AI068730 · NIAID · UNIVERSITY OF PENNSYLVANIA · PI LAMBRIS, JOHN D · 2007 to 2018
$16.0M
NIAID NIH HHS P01 AI068730
6 · The paper itself

Abstract

Acute respiratory distress syndrome (ARDS) is a devastating clinical manifestation of COVID-19 pneumonia and is mainly based on an immune-driven pathology. Mounting evidence suggests that COVID-19 is fueled by a maladaptive host inflammatory response that involves excessive activation of innate immune pathways. While a "cytokine storm" involving IL-6 and other cytokines has been documented, complement C3 activation has been implicated as an initial effector mechanism that exacerbates lung injury in preclinical models of SARS-CoV infection. C3-targeted intervention may provide broader therapeutic control of complement-mediated inflammatory damage in COVID-19 patients. Herein, we report the clinical course of a patient with severe ARDS due to COVID-19 pneumonia who was safely and successfully treated with the compstatin-based complement C3 inhibitor AMY-101.

Indexed as

AgedAntiviral AgentsAtrial FibrillationBetacoronavirusComplement ActivationComplement C3Complement Inactivating AgentsCoronavirus InfectionsCOVID-19HumansHypercholesterolemiaHypertensionLungMalePandemicsPeptides, CyclicAntiviral AgentsComplement C3Complement Inactivating AgentscompstatinPeptides, Cyclic

Identifiers

PMID32360516
PMCPMC7189192
OpenAlexW3022757001

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.