Evidence map›Paper›PMID 33025648›Full record

Trial reportBritish journal of clinical pharmacology2021

A randomized controlled trial with a delayed-type hypersensitivity model using keyhole limpet haemocyanin to evaluate adaptive immune responses in man.

Mahdi Saghari, Pim Gal, Dimitrios Ziagkos, Jacobus Burggraaf, John F Powell, Nuala Brennan, Robert Rissmann, Martijn B A van Doorn, Matthijs Moerland

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in British journal of clinical pharmacology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 18% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
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  5. Impact of oral administration of single strainFrontiers in immunology · 2022
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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

9 authors at 4 institutions in 2 countries.

Mahdi SaghariCentre for Human Drug Research, Leiden, the Netherlands.ORCID 0000-0002-3829-0037
Pim GalCentre for Human Drug Research, Leiden, the Netherlands.
Dimitrios ZiagkosCentre for Human Drug Research, Leiden, the Netherlands.
Jacobus BurggraafCentre for Human Drug Research, Leiden, the Netherlands.
John F PowellKymab Ltd, Cambridge, UK.
Nuala BrennanKymab Ltd, Cambridge, UK.
Robert RissmannCentre for Human Drug Research, Leiden, the Netherlands.ORCID 0000-0002-5867-9090
Martijn B A van DoornDepartment of Dermatology Erasmus Medical Centre, Rotterdam, the Netherlands.
Matthijs MoerlandCentre for Human Drug Research, Leiden, the Netherlands.
Leiden University Medical Center · NLKymab (United Kingdom) · GBCentre for Human Drug Research · NLErasmus MC · NL

Funding

Kymab Ltd
6 · The paper itself

Abstract

aimsKeyhole limpet haemocyanin (KLH) immunization is a clinical model for the evaluation of human antibody responses. The current study evaluated the anti-KLH antibody response after KLH immunization and the delayed-type hypersensitivity response following intradermal KLH administration, using objective imaging techniques.

methodsHealthy male subjects aged 24.5 ± 5.4 years were randomized to intramuscular immunization with 100 μg KLH (n = 12) or placebo (n = 3). Anti-KLH antibody (Ig) M and IgG titres were determined before and every 7 days after KLH immunization for a total of 28 days. Twenty-one days after the immunization, all subjects received 1 μg KLH intradermally. Prior to and 2 days after intradermal KLH administration, skin blood perfusion, erythema and oedema were quantified using noninvasive imaging tools. Repeated measures ANCOVAs were used to analyse data.

resultsAnti-KLH IgM and IgG titres increased after KLH immunization compared to placebo (estimated difference [ED]: 37%, 95% confidence interval [CI]: 19-51% and ED: 68%, 95% CI: 56-76% respectively). Upon intradermal KLH administration an increase in skin blood perfusion (ED: 10.9 arbitrary units (AU), 95% CI: 1.4-20.4 AU) and erythema (ED: 0.3 AU, 95% CI: 0.1-0.5 AU) was observed in KLH-immunized subjects compared to placebo.

conclusionKLH immunization followed by intradermal KLH administration resulted in increased anti-KLH IgM and IgG titres and a delayed-type hypersensitivity response quantified by an increase in skin blood perfusion and erythema. Using noninvasive imaging tools the KLH model has the potential to serve as an objective tool to study the pharmacodynamics of T-cell-directed immunomodulatory drugs.

Indexed as

HemocyaninsImmunoglobulin GAntibody FormationHumansImmunizationMaleT-LymphocytesVaccinationHemocyaninsImmunoglobulin Gantigensbiomarkersdrug developmentefficacyhealthy subjectsimagingimmunosuppressantsinflammationpharmacodynamicsvaccine

Identifiers

PMID33025648
PMCPMC8056735
OpenAlexW3092131604

What OpenQuestion holds

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LicenceCC BY-NC
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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.