Evidence map›Paper›PMID 33722583›Full record

Trial reportGastroenterology2021

TAK-101 Nanoparticles Induce Gluten-Specific Tolerance in Celiac Disease: A Randomized, Double-Blind, Placebo-Controlled Study.

Ciarán P Kelly, Joseph A Murray, Daniel A Leffler, Daniel R Getts, Adam C Bledsoe, Glennda Smithson, M Roy First, Amy Morris, Michael Boyne, Adam Elhofy and 4 more

2 registry-linked trialsOpen access · greenAbstract readClinical Trial, Phase IClinical Trial, Phase IIRandomized Controlled Trial
In one paragraph

Trial report in Gastroenterology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 100 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
100citing papers in PubMed, 1 pooled it
20.4field-weighted citation impact, top 1% 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.

NCT03486990 phase1completednot on this map

A Phase 1, First-in-Human, 2-Part, Multicenter Dose Escalation and Repeat Dose Study of the Safety, Tolerability and Pharmacokinetics of TIMP-GLIA in Subjects With Celiac Disease

TypeinterventionalSponsorTakedaRan2018 to 2019Enrolled23ConditionsCeliac DiseaseArmsTIMP-GLIA
NCT03738475 phase2completednot on this map

A Randomized, Double-blind, Placebo-controlled Study of the Safety, Pharmacodynamics, Efficacy, and Pharmacokinetics of TIMP-GLIA in Subjects With Well-controlled Celiac Disease Undergoing Oral Gluten Challenge

TypeinterventionalSponsorTakedaRan2018 to 2019Enrolled34ConditionsCeliac DiseaseArmsTIMP-GLIA, Placebo
3 · Its place in the literature

Who cites it

100 citing papers in PubMed, 1 synthesis or guideline pooled it, 170 citations in OpenAlex.

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  6. Beyond gluten-free diet: Novel therapeutic frontiers in celiac disease armamentarium.World journal of gastrointestinal pharmacology and therapeutics · 2026
    Review
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40 more citing papers are in PubMed but not listed here.

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

14 authors at 5 institutions in 1 country.

Ciarán P KellyCeliac Center, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts.
Joseph A MurrayMayo Clinic, Rochester, Minnesota.
Daniel A LefflerBeth Israel Deaconess Medical Center, Harvard Medical School Celiac Research Program, Boston, Massachusetts; Takeda Pharmaceuticals International Co., Cambridge, Massachusetts.
Daniel R GettsCOUR Pharmaceuticals Development Co, Inc, Northbrook, Illinois; Department of Microbiology-Immunology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois.
Adam C BledsoeDivision of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota.
Glennda SmithsonTakeda Pharmaceuticals International Co., Cambridge, Massachusetts.
M Roy FirstCOUR Pharmaceuticals Development Co, Inc, Northbrook, Illinois.
Amy MorrisCOUR Pharmaceuticals Development Co, Inc, Northbrook, Illinois.
Michael BoyneCOUR Pharmaceuticals Development Co, Inc, Northbrook, Illinois.
Adam ElhofyCOUR Pharmaceuticals Development Co, Inc, Northbrook, Illinois.
Tsung-Teh WuDepartment of Pathology, Mayo Clinic, Rochester, Minnesota.
Joseph R PodojilCOUR Pharmaceuticals Development Co, Inc, Northbrook, Illinois; Department of Microbiology-Immunology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois.
Stephen D MillerDepartment of Microbiology-Immunology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois; Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois. Electronic address: s-d-miller@northwestern.edu.
TAK-101 Study Group
Astellas Pharma (United States) · USMayo Clinic · USNorthwestern University · USBeth Israel Deaconess Medical Center · USTakeda (United States) · US

Funding

NPs disguised as apoptotic debris for immune toleranceR01AI155678 · NIAID · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI STEPHEN D MILLER, Lonnie D Shea · 2020 to 2026
$4.7M
Antigen Loaded Particles for Tolerance InductionR01EB013198 · NIBIB · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MILLER, STEPHEN D, SHEA, LONNIE D · 2011 to 2018
$4.1M
NIAID NIH HHS R01 AI155678NIBIB NIH HHS R01 EB013198
6 · The paper itself

Abstract

BACKGROUND &

aimsIn celiac disease (CeD), gluten induces immune activation, leading to enteropathy. TAK-101, gluten protein (gliadin) encapsulated in negatively charged poly(dl-lactide-co-glycolic acid) nanoparticles, is designed to induce gluten-specific tolerance.

methodsTAK-101 was evaluated in phase 1 dose escalation safety and phase 2a double-blind, randomized, placebo-controlled studies. Primary endpoints included pharmacokinetics, safety, and tolerability of TAK-101 (phase 1) and change from baseline in circulating gliadin-specific interferon-γ-producing cells at day 6 of gluten challenge, in patients with CeD (phase 2a). Secondary endpoints in the phase 2a study included changes from baseline in enteropathy (villus height to crypt depth ratio [Vh:Cd]), and frequency of intestinal intraepithelial lymphocytes and peripheral gut-homing T cells.

resultsIn phase 2a, 33 randomized patients completed the 14-day gluten challenge. TAK-101 induced an 88% reduction in change from baseline in interferon-γ spot-forming units vs placebo (2.01 vs 17.58, P = .006). Vh:Cd deteriorated in the placebo group (-0.63, P = .002), but not in the TAK-101 group (-0.18, P = .110), although the intergroup change from baseline was not significant (P = .08). Intraepithelial lymphocyte numbers remained equal. TAK-101 reduced changes in circulating α4β7

conclusionsTAK-101 was well tolerated and prevented gluten-induced immune activation in CeD. The findings from the present clinical trial suggest that antigen-specific tolerance was induced and represent a novel approach translatable to other immune-mediated diseases. ClinicalTrials.gov identifiers: NCT03486990 and NCT03738475.

Indexed as

Celiac DiseaseDouble-Blind MethodGliadinGlycolatesHumansImmune ToleranceInfusions, IntravenousNanoparticlesGliadinGlycolatesPoly D,L-Lactide-Co-Glycolic AcidAntigen-specific Immune ToleranceGliadin

Identifiers

PMID33722583
PMCPMC9053078
OpenAlexW3136361932

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.