Evidence map›Paper›PMID 33013859›Full record

ReviewFrontiers in immunology2020

Anti-inflammatory and Neuroprotective Agents in Clinical Trials for CNS Disease and Injury: Where Do We Go From Here?

Khalil Mallah, Christine Couch, Davis M Borucki, Amer Toutonji, Mohammed Alshareef, Stephen Tomlinson

Open access · goldAbstract readReview
In one paragraph

Review in Frontiers in immunology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed, 3 pooled it
3.1field-weighted citation impact, top 8% 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

51 citing papers in PubMed, 3 syntheses or guidelines pooled it, 100 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. State of the science in inflammation and stroke recovery: A systematic review.Annals of physical and rehabilitation medicine · 2022
    Pooled it
  4. Review
  5. Article
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  7. Review
  8. Ageing, Neurodegeneration and the Endocannabinoid System.Current topics in behavioral neurosciences · 2026
    Review
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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

6 authors at 2 institutions in 1 country.

Khalil MallahDepartment of Microbiology and Immunology, Medical University of South Carolina, Charleston, SC, United States.
Christine CouchDepartment of Microbiology and Immunology, Medical University of South Carolina, Charleston, SC, United States.
Davis M BoruckiDepartment of Microbiology and Immunology, Medical University of South Carolina, Charleston, SC, United States.
Amer ToutonjiDepartment of Microbiology and Immunology, Medical University of South Carolina, Charleston, SC, United States.
Mohammed AlshareefDepartment of Microbiology and Immunology, Medical University of South Carolina, Charleston, SC, United States.
Stephen TomlinsonDepartment of Microbiology and Immunology, Medical University of South Carolina, Charleston, SC, United States.
Medical University of South Carolina · USNeurological Surgery · US

Funding

South Carolina Clinical & Translational Research Institute (SCTR)UL1TR001450 · NCATS · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI BRADY, KATHLEEN T., FLUME, PATRICK A · 2015 to 2024
$41.1M
TRAINING PROGRAM FOR MEDICAL SCIENTISTST32GM008716 · NIGMS · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI DEMORE, NANCY · 1999 to 2024
$9.3M
Proteomics CoreP30DK123704 · NIDDK · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI DON C. ROCKEY · 2020 to 2026
$8.8M
South Carolina Clinical & Translational Research Institute (SCTR)TL1TR001451 · NCATS · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI FEGHALI-BOSTWICK, CAROL A. · 2015 to 2024
$4.6M
Program in Immunology Research and Entrepreneurship (PIRE)T32AI132164 · NIAID · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI TOMLINSON, STEPHEN · 2017 to 2021
$1.2M
Role of complement in TBII01BX004256 · VA · RALPH H JOHNSON VA MEDICAL CENTER · PI Stephen Tomlinson · 2019 to 2026
–
BLR&D Research Career Scientist Award Application for Dr. Stephen TomlinsonIK6BX005235 · VA · RALPH H JOHNSON VA MEDICAL CENTER · PI TOMLINSON, STEPHEN · 2020 to 2024
–
Novel Therapies to Improve Functional Recovery After StrokeI01RX001141 · VA · RALPH H JOHNSON VA MEDICAL CENTER · PI TOMLINSON, STEPHEN · 2014 to 2022
–
BLRD VA I01 BX004256BLRD VA IK6 BX005235NCATS NIH HHS TL1 TR001451NCATS NIH HHS UL1 TR001450NIAID NIH HHS T32 AI132164NIDDK NIH HHS P30 DK123704NIGMS NIH HHS T32 GM008716RRD VA I01 RX001141RRD VA I21 RX002363
6 · The paper itself

Abstract

Neurological disorders are major contributors to death and disability worldwide. The pathology of injuries and disease processes includes a cascade of events that often involve molecular and cellular components of the immune system and their interaction with cells and structures within the central nervous system. Because of this, there has been great interest in developing neuroprotective therapeutic approaches that target neuroinflammatory pathways. Several neuroprotective anti-inflammatory agents have been investigated in clinical trials for a variety of neurological diseases and injuries, but to date the results from the great majority of these trials has been disappointing. There nevertheless remains great interest in the development of neuroprotective strategies in this arena. With this in mind, the complement system is being increasingly discussed as an attractive therapeutic target for treating brain injury and neurodegenerative conditions, due to emerging data supporting a pivotal role for complement in promoting multiple downstream activities that promote neuroinflammation and degeneration. As we move forward in testing additional neuroprotective and immune-modulating agents, we believe it will be useful to review past trials and discuss potential factors that may have contributed to failure, which will assist with future agent selection and trial design, including for complement inhibitors. In this context, we also discuss inhibition of the complement system as a potential neuroprotective strategy for neuropathologies of the central nervous system.

Indexed as

AnimalsAnti-Inflammatory AgentsBrain Injuries, TraumaticCentral Nervous SystemCentral Nervous System DiseasesClinical Trials as TopicHumansNeuroprotective AgentsAnti-Inflammatory AgentsNeuroprotective Agentsamyotrophic lateral sclerosisclinical trialscomplement inhibitionmultiple sclerosisneuromyelitis opticaParkinson's diseasestroketraumatic brain injury

Identifiers

PMID33013859
PMCPMC7513624
OpenAlexW3085355901

What OpenQuestion holds

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LicenceCC BY
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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.