Evidence map›Paper›PMID 33684160›Full record

Trial reportPloS one2021

A pilot study evaluating GSK1070806 inhibition of interleukin-18 in renal transplant delayed graft function.

E Wlodek, R B Kirkpatrick, S Andrews, R Noble, R Schroyer, J Scott, C J E Watson, M Clatworthy, E M Harrison, S J Wigmore and 13 more

Registry-linked trialOpen access · goldAbstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02723786 (A Phase 2 Pilot, Multicenter, Single Arm Study to Evaluate the Efficacy, Safety, Tolerability, and Pharmacokinetics of GSK1070806 Plus Standard of Care for the Prevention of Delayed Graft Function in Adult Subjects After Renal Transplantation), which is not on this map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
1.5field-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.

NCT02723786 phase2terminatednot on this map

A Phase 2 Pilot, Multicenter, Single Arm Study to Evaluate the Efficacy, Safety, Tolerability, and Pharmacokinetics of GSK1070806 Plus Standard of Care for the Prevention of Delayed Graft Function in Adult Subjects After Renal Transplantation

TypeinterventionalSponsorGlaxoSmithKlineRan2016 to 2018Enrolled7ConditionsKidney Transplantation (Status Post)ArmsGSK1070806, 1) basiliximab 2) mycophenolate mofetil (MMF) OR azathioprine 3) tacrolimus 4) corticosteroids
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 25 citations in OpenAlex.

  1. Trial
  2. Review
  3. Observational
  4. Role of inflammasomes in cancer immunity: mechanisms and therapeutic potential.Journal of experimental & clinical cancer research : CR · 2025
    Review
  5. Review
  6. Review
  7. Review
  8. Review
  9. IL-18 biology in severe asthma.Frontiers in medicine · 2024
    Review
  10. Review
  11. Review
  12. Review
  13. Review
  14. Review
  15. Alloimmune Risk Stratification for Kidney Transplant Rejection.Transplant international : official journal of the European Society for Organ Transplantation · 2022
    Article
  16. Review
  17. 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

23 authors at 7 institutions in 3 countries.

E WlodekGlaxoSmithKline, Clinical Unit Cambridge, Addenbrooke's Hospital, Cambridge, United Kingdom.
R B KirkpatrickGlaxoSmithKline, Philadelphia, Pennsylvania, United States of America.ORCID 0000-0002-8671-2361
S AndrewsGlaxoSmithKline, Philadelphia, Pennsylvania, United States of America.ORCID 0000-0002-5407-7201
R NobleGlaxoSmithKline, Philadelphia, Pennsylvania, United States of America.
R SchroyerGlaxoSmithKline, Philadelphia, Pennsylvania, United States of America.
J ScottJMS Statistics Ltd, Pinner, United Kingdom.
C J E WatsonUniversity of Cambridge and the NIHR Cambridge Biomedical Research Centre and the NIHR Blood and Transplant Research Unit in Organ Donation and Transplantation at the University of Cambridge, Cambridge, United Kingdom.
M ClatworthyUniversity of Cambridge and the NIHR Cambridge Biomedical Research Centre and the NIHR Blood and Transplant Research Unit in Organ Donation and Transplantation at the University of Cambridge, Cambridge, United Kingdom.
E M HarrisonRoyal Infirmary of Edinburgh, Edinburgh, United Kingdom.
S J WigmoreRoyal Infirmary of Edinburgh, Edinburgh, United Kingdom.
K StevensonQueen Elizabeth University Hospital, Glasgow, United Kingdom.
D KingsmoreQueen Elizabeth University Hospital, Glasgow, United Kingdom.
N S SheerinNewcastle Biomedical Research Centre and the NIHR Blood and Transplant Research Unit in Organ Donation and Transplantation, Newcastle University, Newcastle, United Kingdom.
O BestardL'Hospitalet de Llobregat, Bellvitge University Hospital, Kidney Transplant Unit, Barcelona, Spain.
H A Stirnadel-FarrantGlaxoSmithKline, R&D, Stevenage, United Kingdom.
L AbberleyGlaxoSmithKline, Philadelphia, Pennsylvania, United States of America.
M BuszGlaxoSmithKline, Philadelphia, Pennsylvania, United States of America.
S DeWallGlaxoSmithKline, Philadelphia, Pennsylvania, United States of America.
M BirchlerGlaxoSmithKline, Philadelphia, Pennsylvania, United States of America.
D KrullGlaxoSmithKline, Philadelphia, Pennsylvania, United States of America.
K S ThorneloeGlaxoSmithKline, Philadelphia, Pennsylvania, United States of America.ORCID 0000-0003-3640-9839
A WeberGlaxoSmithKline, Philadelphia, Pennsylvania, United States of America.ORCID 0000-0001-6952-5081
L DeveyGlaxoSmithKline, Philadelphia, Pennsylvania, United States of America.
GlaxoSmithKline (United States) · USEdinburgh Royal Infirmary · GBGlaxoSmithKline (United Kingdom) · GBQueen Elizabeth University Hospital · GBUniversity of Cambridge · GBBellvitge University Hospital · ESNIHR Newcastle Biomedical Research Centre · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionDelayed graft function (DGF) following renal transplantation is a manifestation of acute kidney injury (AKI) leading to poor long-term outcome. Current treatments have limited effectiveness in preventing DGF. Interleukin-18 (IL18), a biomarker of AKI, induces interferon-γ expression and immune activation. GSK1070806, an anti-IL18 monoclonal antibody, neutralizes activated (mature) IL18 released from damaged cells following inflammasome activation. This phase IIa, single-arm trial assessed the effect of a single dose of GSK1070806 on DGF occurrence post donation after circulatory death (DCD) kidney transplantation.

methodsThe 3 mg/kg intravenous dose was selected based on prior studies and physiologically based pharmacokinetic (PBPK) modeling, indicating the high likelihood of a rapid and high level of IL18 target engagement when administered prior to kidney allograft reperfusion. Utilization of a Bayesian sequential design with a background standard-of-care DGF rate of 50% based on literature, and confirmed via extensive registry data analyses, enabled a statistical efficacy assessment with a minimal sample size. The primary endpoint was DGF frequency, defined as dialysis requirement ≤7 days post transplantation (except for hyperkalemia). Secondary endpoints included safety, pharmacokinetics and pharmacodynamic biomarkers.

resultsGSK1070806 administration was associated with IL18-GSK1070806 complex detection and increased total serum IL18 levels due to IL18 half-life prolongation induced by GSK1070806 binding. Interferon-γ-induced chemokine levels declined or remained unchanged in most patients. Although the study was concluded prior to the Bayesian-defined stopping point, 4/7 enrolled patients (57%) had DGF, exceeding the 50% standard-of-care rate, and an additional two patients, although not reaching the protocol-defined DGF definition, demonstrated poor graft function. Six of seven patients experienced serious adverse events (SAEs), including two treatment-related SAEs.

conclusionOverall, using a Bayesian design and extensive PBPK dose modeling with only a small sample size, it was deemed unlikely that GSK1070806 would be efficacious in preventing DGF in the enrolled DCD transplant population.

trial registrationNCT02723786.

Indexed as

Acute Kidney InjuryAntibodies, Monoclonal, HumanizedDelayed Graft FunctionKidney TransplantationTissue DonorsAdultAgedFemaleHumansInterleukin-18MaleMiddle AgedPilot ProjectsAntibodies, Monoclonal, HumanizedGSK1070806IL18 protein, humanInterleukin-18

Identifiers

PMID33684160
PMCPMC7939287
OpenAlexW3133870700

What OpenQuestion holds

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LicenceCC BY
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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.