Evidence map›Paper›PMID 32500636›Full record

ArticleJournal of clinical pharmacology2020

Population Pharmacokinetic/Pharmacodynamic Modeling of Glenzocimab (ACT017) a Glycoprotein VI Inhibitor of Collagen-Induced Platelet Aggregation.

Lionel Renaud, Kristell Lebozec, Christine Voors-Pette, Peter Dogterom, Philippe Billiald, Martine Jandrot Perrus, Yannick Pletan, Matthias Machacek

3 registry-linked trialsOpen access · greenAbstract read
In one paragraph

Article in Journal of clinical pharmacology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
3.0field-weighted citation impact, top 7% 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.

NCT03803007 phase1 / phase2completednot on this map

Randomized, Double Blind, Multi Center, Multinational, Placebo Controlled, Single Parallel Escalating Dose Safety and Efficacy Study of ACT017 Used as an Add on Therapy on Top of Standard of Care of Acute Ischemic Stroke

TypeinterventionalSponsorActicor BiotechRan2019 to 2021Enrolled160ConditionsAcute Ischemic StrokeArmsIntravenous ACT017 1000 mg, Intravenous Placebo
NCT04659109 phase2completednot on this map

A Randomized, Double Blind, Multicenter, Placebo Controlled, Parallel Group, Exploratory Efficacy and Safety Study of Glenzocimab in SARS-Cov-2-related Acute Respiratory Distress Syndrome

TypeinterventionalSponsorActicor BiotechRan2020 to 2021Enrolled60ConditionsSARS-CoV Infection, Acute Respiratory Distress Syndrome, COVID-19, ARDSArmsglenzocimab, Placebo
NCT05070260 phase2 / phase3completednot on this mapstarted 2021, after this paper: background citation

A Randomized, Double Blind, Multicenter, Multinational, Placebo Controlled, Parallel Group, Single Dose, Adaptive Efficacy and Safety Study of Glenzocimab Used as an add-on Therapy on Top of Standard of Care un the 4.5 Hours Following an Acute Ischemic Stroke

TypeinterventionalSponsorActicor BiotechRan2021 to 2024Enrolled438ConditionsAcute Ischemic StrokeArmsIntravenous glenzocimab (ACT017) 1000 mg, Intravenous Placebo
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 34 citations in OpenAlex.

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  10. GPVI inhibition: Advancing antithrombotic therapy in cardiovascular disease.European heart journal. Cardiovascular pharmacotherapy · 2024
    Review
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  13. Article
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  20. Glycoprotein VI Blockade: Not Just Targeting Collagen Anymore?Arteriosclerosis, thrombosis, and vascular biology · 2020
    Article
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

8 authors at 4 institutions in 3 countries.

Lionel RenaudLYO-X GmbH, Allschwil, Switzerland.ORCID 0000-0003-1731-2900
Kristell LebozecActicor-Biotech, Paris, France.
Christine Voors-PetteQPS Holdings LLC, Groningen, The Netherlands.
Peter DogteromQPS Holdings LLC, Groningen, The Netherlands.ORCID 0000-0001-8447-2934
Philippe BillialdUniversity Paris Sud, School of Pharmacy, Inserm-S 1193, Châtenay Malabry, France.ORCID 0000-0001-8148-5297
Martine Jandrot PerrusUniversité de Paris, LVTS, Inserm U1148, Paris, France.ORCID 0000-0002-8450-9247
Yannick PletanActicor-Biotech, Paris, France.
Matthias MachacekLYO-X GmbH, Allschwil, Switzerland.ORCID 0000-0003-0541-2365
Inserm · FRActelion (Switzerland) · CHQPS (Netherlands) · NLObservatoire Régional de la Santé d’Alsace · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Glenzocimab (ACT017) is a humanized monoclonal antigen-binding fragment (Fab) directed against the human platelet glycoprotein VI, a key receptor for collagen and fibrin that plays a major role in thrombus growth and stability. Glenzocimab is being developed as an antiplatelet agent to treat the acute phase of ischemic stroke. During a phase I study in healthy volunteers, the population pharmacokinetics (PK) and pharmacodynamics (PD) of glenzocimab were modeled using Monolix software. The PK/PD model thus described glenzocimab plasma concentrations and its effects on ex vivo collagen-induced platelet aggregation. Glenzocimab was found to have dose-proportional, 2-compartmental PK with a central distribution volume of 4.1 L, and first and second half-lives of 0.84 and 9.6 hours. Interindividual variability in clearance in healthy volunteers was mainly explained by its dependence on body weight. The glenzocimab effect was described using an immediate effect model with a dose-dependent half maximal inhibitory concentration: Larger doses resulted in a stronger effect at the same glenzocimab plasma concentration. The mechanism of the overproportional concentration effect at higher doses remained unexplained. PK/PD simulations predicted that 1000-mg glenzocimab given as a 6-hour infusion reduced platelet aggregation to 20% in 100% of subjects at 6 hours and in 60% of subjects at 12 hours after dosing. Simulations revealed a limited impact of creatinine clearance on exposure, suggesting that no dose adjustments were required with respect to renal function. Future studies in patients with ischemic stroke are now needed to establish the relationship between ex vivo platelet aggregation and the clinical effect.

Indexed as

AdultAge FactorsAntibodies, Monoclonal, HumanizedBody WeightClinical Trials, Phase I as TopicCollagenComputer SimulationCreatinineDose-Response Relationship, DrugFemaleHealthy VolunteersHumansInfusions, IntravenousMaleMiddle AgedModels, BiologicalAntibodies, Monoclonal, HumanizedCollagenCreatinineglenzocimabPlatelet Aggregation InhibitorsPlatelet Membrane Glycoproteinsplatelet membrane glycoprotein VIACT017acute phase of ischemic strokeanti-GPVI Fabglenzocimabpopulation PK/PD

Identifiers

PMID32500636
PMCPMC7496554
OpenAlexW3033364143

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.