Evidence map›Paper›PMID 33336508›Full record

Trial reportExperimental dermatology2021

Safety, pharmacokinetics and pharmacodynamics of a topical SYK inhibitor in cutaneous lupus erythematosus: A double-blind Phase Ib study.

Alex Walker, Lars Erwig, Katie Foster, Katherine Nevin, Joerg Wenzel, Margitta Worm, Nicola Williams, Nirav Ratia, Bao Hoang, Tanja Schneider-Merck and 3 more

Open access · hybridAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Experimental dermatology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
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

10 citing papers in PubMed, 14 citations in OpenAlex.

  1. Trial
  2. Review
  3. Interferon Inhibition in SLE: From Bench to Bedside.Mediterranean journal of rheumatology · 2024
    Review
  4. Review
  5. Review
  6. Review
  7. Recent advances in cutaneous lupus.Journal of autoimmunity · 2022
    Review
  8. Review
  9. Review
  10. Targeted Therapy for Primary Sjögren's Syndrome: Where are We Now?BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2021
    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

13 authors at 6 institutions in 3 countries.

Alex WalkerGSK, Stevenage, UK.ORCID 0000-0001-9934-4150
Lars ErwigGSK, Stevenage, UK.
Katie FosterGSK, Stevenage, UK.
Katherine NevinGSK, Stevenage, UK.
Joerg WenzelUniversity Hospital of Bonn, Bonn, Germany.
Margitta WormDivision of Allergy and Immunology, Department of Dermatology, Venerology and Allergy, Charité, Berlin, Germany.
Nicola WilliamsGSK, Stevenage, UK.
Nirav RatiaGSK, Stevenage, UK.
Bao HoangGSK, Collegeville, PA, USA.
Tanja Schneider-MerckGSK, Hamburg, Germany.
Sophie GisbertGSK, Uxbridge, UK.
Heike CarnariusGSK, Hamburg, Germany.
Marion DicksonGSK, Stevenage, UK.
Age UK · GBGlaxoSmithKline (Germany) · DEBrunel University of London · GBCharité - Universitätsmedizin Berlin · DEGlaxoSmithKline (United States) · USUniversity Hospital Bonn · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The immunoregulator spleen tyrosine kinase (SYK) is upregulated in cutaneous lupus erythematosus (CLE). This double-blind, multicentre, Phase Ib study evaluated the safety, tolerability, pharmacokinetics, pharmacodynamics and clinical efficacy of the selective SYK inhibitor GSK2646264 in active CLE lesions. Two lesions from each participant (n = 11) were each randomized to topical application of 1% (w/w) GSK2646264 or placebo for 28 days; all participants received GSK2646264 and placebo. The primary endpoint was safety and tolerability of GSK2646264, assessed by adverse event incidence and a skin tolerability test. Secondary endpoints included change from baseline in clinical activity and mRNA expression of interferon-related genes in skin biopsies. Levels of several immune cell markers were evaluated over time. Eight (73%) participants experienced ≥ 1 adverse event (all mild in intensity), and maximal dermal response was similar for GSK2646264 and placebo. The expression of several interferon-related genes, including CXCL10 and OAS1, showed modest decreases from baseline after 28 days of treatment with GSK2646264 compared with placebo. Similar findings were observed for CD3 + T cell and CD11c + dendritic cell levels; however, overall clinical activity remained unchanged with GSK2646264 vs. placebo. Further studies are warranted to assess SYK inhibitors as potential treatment for CLE.

Indexed as

Administration, TopicalAdultAgedDouble-Blind MethodFemaleHumansLupus Erythematosus, CutaneousMaleMiddle AgedPyridinesSyk KinaseTreatment OutcomeGSK2646264PyridinesSyk KinaseSYK protein, humancutaneous lupus erythematosusinterferonspharmacologysafetySYK Kinase

Identifiers

PMID33336508
PMCPMC8596667
OpenAlexW3116757615

What OpenQuestion holds

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LicenceCC BY
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.