Evidence map›Paper›PMID 32583957›Full record

ArticleClinical and translational science2020

A Pooled Analysis of Three Randomized Phase I/IIa Clinical Trials Confirms Absence of a Clinically Relevant Effect on the QTc Interval by Umibecestat.

Stefan Viktor Vormfelde, Nicole Pezous, Gilbert Lefèvre, Carine Kolly, Ulf Neumann, Pierre Jordaan, Mike Ufer, Eric Legangneux

Open access · goldAbstract read
In one paragraph

Article in Clinical and translational science, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 30% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. 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

8 authors at 2 institutions in 1 country.

Stefan Viktor VormfeldeDepartment of Translational Medicine, Novartis Institutes for BioMedical Research, Basel, Switzerland.
Nicole PezousDepartment of Translational Medicine, Novartis Institutes for BioMedical Research, Basel, Switzerland.
Gilbert LefèvreDepartment of Translational Medicine, Novartis Institutes for BioMedical Research, Basel, Switzerland.
Carine KollyDepartment of Preclinical Safety, Novartis Institutes for BioMedical Research, Basel, Switzerland.
Ulf NeumannDepartment of Neuroscience, Novartis Institutes for BioMedical Research, Basel, Switzerland.
Pierre JordaanCardiovascular Safety Expert - CMO and Patient Safety - Oncology, Novartis Pharma, Basel, Switzerland.
Mike UferDepartment of Translational Medicine, Novartis Institutes for BioMedical Research, Basel, Switzerland.
Eric LegangneuxDepartment of Translational Medicine, Novartis Institutes for BioMedical Research, Basel, Switzerland.
Novartis (Switzerland) · CHNovartis Institutes for BioMedical Research

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Umibecestat, an orally active β-secretase inhibitor, reduces the production of amyloid beta-peptide that accumulates in the brain of patients with Alzheimer's disease. The echocardiogram effects of umibecestat, on QTcF (Fridericia-corrected QT), on PR and QRS and heart rate (HR), were estimated by concentration-effect modeling. Three phase I/II studies with durations up to 3 months, with 372 healthy subjects over a wide age range, including both sexes and 2 ethnicities, were pooled, providing a large data set with good statistical power. No clinically relevant effect on QTcF, PR interval, QRS duration, or HR were observed up to supratherapeutic doses. The upper bound of 90% confidence intervals of the ∆QTcF was below the 10 ms threshold of regulatory concern for all concentrations measured. Prespecified sensitivity analysis confirmed the results in both sexes, in those over and below 60 years, and in Japanese subjects. All conclusions were endorsed by the US Food and Drug Administration (FDA).

Indexed as

AdultAgedAged, 80 and overAmyloid Precursor Protein SecretasesAspartic Acid EndopeptidasesClinical Trials, Phase I as TopicClinical Trials, Phase II as TopicDose-Response Relationship, DrugElectrocardiographyFemaleHeart RateHumansLong QT SyndromeMaleMiddle AgedMoxifloxacinAmyloid Precursor Protein SecretasesAspartic Acid EndopeptidasesBACE1 protein, humanMoxifloxacinOxazinesUmibecestat

Identifiers

PMID32583957
PMCPMC7719381
OpenAlexW3037133125

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.