Evidence map›Paper›PMID 33875433›Full record

Trial reportAntimicrobial agents and chemotherapy2021

Safety, Tolerability, and Pharmacokinetics of NTM-1632, a Novel Mixture of Three Monoclonal Antibodies against Botulinum Toxin B.

J T Guptill, S M Raja, V C Juel, E B Walter, M Cohen-Wolkowiez, H Hill, E Sendra, B Hauser, P Jackson, G K Swamy

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Antimicrobial agents and chemotherapy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.7field-weighted citation impact, top 13% 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

13 citing papers in PubMed, 18 citations in OpenAlex.

  1. Trial
  2. Article
  3. Emerging and Pandemic Pathogens: Lessons Learned From a Clinical Research Network.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2025
    Review
  4. Article
  5. Monoclonal Antibody Therapies for Infectious Diseases.Current topics in microbiology and immunology · 2025
    Review
  6. Review
  7. Article
  8. Review
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
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

10 authors at 2 institutions in 1 country.

J T GuptillDepartment of Neurology, Duke University, Durham, North Carolina, USA.
S M RajaDepartment of Neurology, Duke University, Durham, North Carolina, USA.
V C JuelDepartment of Neurology, Duke University, Durham, North Carolina, USA.
E B WalterDepartment of Pediatrics, Duke University School of Medicine, Durham, North Carolina, USA.
M Cohen-WolkowiezDuke Clinical Research Institute, Durham, North Carolina, USA.
H HillThe EMMES Corporation, Rockville, Maryland, USA.
E SendraThe EMMES Corporation, Rockville, Maryland, USA.
B HauserDuke Early Phase Clinical Research Unit, Durham, North Carolina, USA.
P JacksonDuke Human Vaccine Institute, Duke University School of Medicine, Durham, North Carolina, USA.
G K SwamyDuke Human Vaccine Institute, Duke University School of Medicine, Durham, North Carolina, USA.
Duke University · USEmmes (United States) · US

Funding

Support for QA/QC for Prior Approval ProcessUL1TR002553 · NCATS · DUKE UNIVERSITY · PI LI, JENNIFER S, MCNAMARA, JAMES O. · 2018 to 2023
$58.5M
Immunological biomarker studies in myasthenia gravisK23NS085049 · NINDS · DUKE UNIVERSITY · PI GUPTILL, JEFFREY T · 2014 to 2018
$924k
HHS | NIH | National Center for Advancing Translational Sciences (NCATS) UL1TR002553HHS | NIH | National Institute of Neurological Disorders and Stroke (NINDS) K23NS085049NCATS NIH HHS UL1 TR002553NIAID NIH HHS HHSN272201300017CNIAID NIH HHS HHSN272201300017INIAID NIH HHS HHSN272201500002CNINDS NIH HHS K23 NS085049
6 · The paper itself

Abstract

Botulism is a rare, life-threatening paralytic disease caused by Clostridium botulinum neurotoxin (BoNT). Available treatments, including an equine antitoxin and human immune globulin, are given postexposure and challenging to produce and administer. NTM-1632 is an equimolar mixture of 3 human IgG monoclonal antibodies, B1, B2, and B3, targeting BoNT serotype B (BoNT/B). This first-in-human study assessed the safety, tolerability, pharmacokinetics (PK), and immunogenicity of NTM-1632. This double-blind, single-center, placebo-controlled dose escalation study randomized 3 cohorts of healthy volunteers to receive a single intravenous dose of NTM-1632 (0.033, 0.165, or 0.330 mg/kg) or saline placebo. Safety monitoring included physical examinations, clinical laboratory studies, and vital signs. Blood sampling was performed at prespecified time points for PK and immunogenicity analyses. Twenty-four subjects received study product (18 NTM-1632; 6 placebo), and no deaths or serious adverse events were reported. Adverse events in the NTM-1632 groups were generally mild and similar in frequency and severity to the placebo group, and no safety signal was identified. NTM-1632 has a favorable PK profile with a half-life of >20 days for the 0.330-mg/kg dose and an approximately linear relationship with respect to maximum concentration and area under the concentration-time curve (AUC

Indexed as

Antibodies, MonoclonalBotulismDouble-Blind MethodHealthy VolunteersHumansImmunoglobulin GAntibodies, MonoclonalImmunoglobulin Gclinical trialsClostridium botulinummonoclonal antibodies

Identifiers

PMID33875433
PMCPMC8218613
OpenAlexW3153988924

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.