Evidence map›Paper›PMID 34153143›Full record

Trial reportTransplant international : official journal of the European Society for Organ Transplantation2021

Anti-interleukin-6 antibody clazakizumab in late antibody-mediated kidney transplant rejection: effect on cytochrome P450 drug metabolism.

Jakob Mühlbacher, Christian Schörgenhofer, Konstantin Doberer, Michael Dürr, Klemens Budde, Farsad Eskandary, Katharina A Mayer, Sabine Schranz, Sarah Ely, Birgit Reiter and 4 more

Registry-linked trialOpen access · bronzeAbstract readClinical Trial, Phase IIRandomized Controlled Trial
In one paragraph

Trial report in Transplant international : official journal of the European Society for Organ Transplantation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03444103 (Safety, Tolerability and Efficacy of Anti-IL-6 Antibody Clazakizumab in Late Antibody-Mediated Rejection After Kidney Transplantation - a Pilot Trial), which is not on this map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 22% 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.

NCT03444103 phase2completednot on this map

Safety, Tolerability and Efficacy of Anti-IL-6 Antibody Clazakizumab in Late Antibody-Mediated Rejection After Kidney Transplantation - a Pilot Trial

TypeinterventionalSponsorMedical University of ViennaRan2018 to 2020Enrolled20ConditionsAntibody-mediated RejectionArmsClazakizumab / Clazakizumab, Placebo / Clazakizumab
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Biologics in Kidney Transplantation: Why and How Should We Personalize Their Dosage?BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2026
    Review
  3. Article
  4. Article
  5. 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

14 authors at 3 institutions in 4 countries.

Jakob MühlbacherDepartment of General Surgery, Medical University of Vienna, Vienna, Austria.
Christian SchörgenhoferDepartment of Clinical Pharmacology, Medical University of Vienna, Vienna, Austria.
Konstantin DobererDivision of Nephrology and Dialysis, Department of Medicine III, Medical University of Vienna, Vienna, Austria.
Michael DürrDepartment of Nephrology, Charité Universitätsmedizin Berlin, Berlin, Germany.ORCID https://orcid.org/0000-0003-1432-421X
Klemens BuddeDepartment of Nephrology, Charité Universitätsmedizin Berlin, Berlin, Germany.ORCID https://orcid.org/0000-0002-7929-5942
Farsad EskandaryDivision of Nephrology and Dialysis, Department of Medicine III, Medical University of Vienna, Vienna, Austria.ORCID https://orcid.org/0000-0002-8971-6149
Katharina A MayerDivision of Nephrology and Dialysis, Department of Medicine III, Medical University of Vienna, Vienna, Austria.ORCID https://orcid.org/0000-0003-2495-790X
Sabine SchranzDepartment of Clinical Pharmacology, Medical University of Vienna, Vienna, Austria.
Sarah ElyDepartment of Clinical Pharmacology, Medical University of Vienna, Vienna, Austria.
Birgit ReiterDepartment of Laboratory Medicine, Medical University of Vienna, Vienna, Austria.
Edward ChongVitaeris Inc. (a subsidiary of CSL Behring, King of Prussia, PA, USA), Vancouver, BC, Canada.
Scott H AdlerCSL Behring, King of Prussia, PA, USA.
Bernd JilmaDepartment of Clinical Pharmacology, Medical University of Vienna, Vienna, Austria.
Georg A BöhmigDivision of Nephrology and Dialysis, Department of Medicine III, Medical University of Vienna, Vienna, Austria.ORCID https://orcid.org/0000-0002-7600-912X
Medical University of Vienna · ATCharité - Universitätsmedizin Berlin · DECSL (United States) · US

Funding

IncVitaeris
6 · The paper itself

Abstract

Targeting interleukin-6 (IL-6) is a promising strategy to counteract antibody-mediated rejection (ABMR). In inflammatory states, IL-6 antagonism was shown to modulate cytochrome P450 (CYP), but its impact on drug metabolism in ABMR treatment was not addressed so far. We report a sub-study of a phase 2 trial of anti-IL-6 antibody clazakizumab in late ABMR (ClinicalTrials.gov, NCT03444103). Twenty kidney transplant recipients were randomized to clazakizumab versus placebo (4-weekly doses; 12 weeks), followed by a 9-month extension where all recipients received clazakizumab. To study CYP2C19/CYP3A4 metabolism, we administered pantoprazole (20 mg intravenously) at prespecified time points. Dose-adjusted C

Indexed as

Kidney TransplantationPharmaceutical PreparationsAntibodies, Monoclonal, HumanizedCytochrome P-450 CYP3ACytochrome P-450 Enzyme SystemGraft RejectionHumansImmunosuppressive AgentsInterleukin-6TacrolimusAntibodies, Monoclonal, HumanizedclazakizumabCytochrome P-450 CYP3ACytochrome P-450 Enzyme SystemImmunosuppressive AgentsInterleukin-6Pharmaceutical PreparationsTacrolimusantibody-mediated rejectionclazakizumabcytochrome P450drug metabolisminterleukin-6kidney transplantation

Identifiers

PMID34153143
PMCPMC8456861
OpenAlexW3174395435

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.