Evidence map›Paper›PMID 34423919›Full record

Trial reportArthritis & rheumatology (Hoboken, N.J.)2021

The Interleukin-1 Receptor-Associated Kinase 4 Inhibitor PF-06650833 Blocks Inflammation in Preclinical Models of Rheumatic Disease and in Humans Enrolled in a Randomized Clinical Trial.

Aaron Winkler, Weiyong Sun, Saurav De, Aiping Jiao, M Nusrat Sharif, Peter T Symanowicz, Shruti Athale, Julia H Shin, Ju Wang, Bruce A Jacobson and 17 more

Registry-linked trialOpen access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Arthritis & rheumatology (Hoboken, N.J.), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02485769 (A Phase 1, Randomized, Double Blind, Sponsor Open, Placebo Controlled, Sequential Group, Multiple Ascending Dose Escalation Study To Evaluate The Safety, Tolerability, And Pharmacokinetics Of Orally Administered Pf 06650833 In Healthy Subjects), which is not on this map. Cited by 58 papers.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed
10.0field-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.

NCT02485769 phase1completednot on this map

A Phase 1, Randomized, Double Blind, Sponsor Open, Placebo Controlled, Sequential Group, Multiple Ascending Dose Escalation Study To Evaluate The Safety, Tolerability, And Pharmacokinetics Of Orally Administered Pf 06650833 In Healthy Subjects

TypeinterventionalSponsorPfizerRan2015 to 2016Enrolled71ConditionsHealthyArmsPF-06650833, Placebo
3 · Its place in the literature

Who cites it

58 citing papers in PubMed, 89 citations in OpenAlex.

  1. Trial
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  5. Emerging Therapeutics in Rheumatoid Arthritis.Current rheumatology reports · 2026
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

27 authors at 3 institutions in 1 country.

Aaron WinklerPfizer, Cambridge, Massachusetts.ORCID 0000-0001-7365-795X
Weiyong SunPfizer, Cambridge, Massachusetts.
Saurav DeThe Feinstein Institute, Manhasset, New York.
Aiping JiaoPfizer, Cambridge, Massachusetts.
M Nusrat SharifPfizer, Cambridge, Massachusetts.
Peter T SymanowiczPfizer, Cambridge, Massachusetts.
Shruti AthaleBaylor Institute for Immunology Research, Dallas, Texas.
Julia H ShinPfizer, Cambridge, Massachusetts.
Ju WangPfizer, Cambridge, Massachusetts.
Bruce A JacobsonPfizer, Cambridge, Massachusetts.
Simeon J RamseyPfizer, Cambridge, Massachusetts.
Ken DowerPfizer, Cambridge, Massachusetts.
Tatyana AndreyevaPfizer, Cambridge, Massachusetts.
Heng LiuPfizer, Cambridge, Massachusetts.
Martin HegenPfizer, Cambridge, Massachusetts.
Bruce L HomerPfizer, Cambridge, Massachusetts.
Joanne BrodfuehrerPfizer, Cambridge, Massachusetts.
Mera TilleyPfizer, Cambridge, Massachusetts.
Steven A GilbertPfizer, Cambridge, Massachusetts.
Spencer I DantoPfizer, Cambridge, Massachusetts.
Jean J BeebePfizer, Cambridge, Massachusetts.
Betsy J BarnesThe Feinstein Institute, Manhasset, New York.
Virginia PascualBaylor Institute for Immunology Research, Dallas, Texas.
Lih-Ling LinPfizer, Cambridge, Massachusetts.
Iain KiltyPfizer, Cambridge, Massachusetts.
Margaret FlemingPfizer, Cambridge, Massachusetts.
Vikram R RaoPfizer, Cambridge, Massachusetts.
Pfizer (United States) · USBaylor Institute for Rehabilitation · USFeinstein Institute for Medical Research · US

Funding

IRF5 and Macrophage Activation Syndrome in systemic Juvenile Idiopathic ArthritisR01AR076242 · NIAMS · BENAROYA RESEARCH INST AT VIRGINIA MASON · PI BARNES, BETSY J, HAMERMAN, JESSICA A · 2019 to 2023
$3.3M
IRF5-TNPO3 locus: Inclusion of TNPO3 as a unique regulator of IRF5 expression anR21AR065959 · NIAMS · RBHS-NEW JERSEY MEDICAL SCHOOL · PI BARNES, BETSY J · 2014 to 2015
$385k
NIAMS NIH HHS R01 AR076242NIAMS NIH HHS R21 AR065959NIH HHS 1R21AR065959-01Pfizer
6 · The paper itself

Abstract

objectiveTo investigate the role of PF-06650833, a highly potent and selective small-molecule inhibitor of interleukin-1-associated kinase 4 (IRAK4), in autoimmune pathophysiology in vitro, in vivo, and in the clinical setting.

methodsRheumatoid arthritis (RA) inflammatory pathophysiology was modeled in vitro through 1) stimulation of primary human macrophages with anti-citrullinated protein antibody immune complexes (ICs), 2) RA fibroblast-like synoviocyte (FLS) cultures stimulated with Toll-like receptor (TLR) ligands, as well as 3) additional human primary cell cocultures exposed to inflammatory stimuli. Systemic lupus erythematosus (SLE) pathophysiology was simulated in human neutrophils, dendritic cells, B cells, and peripheral blood mononuclear cells stimulated with TLR ligands and SLE patient ICs. PF-06650833 was evaluated in vivo in the rat collagen-induced arthritis (CIA) model and the mouse pristane-induced and MRL/lpr models of lupus. Finally, RNA sequencing data generated with whole blood samples from a phase I multiple-ascending-dose clinical trial of PF-06650833 were used to test in vivo human pharmacology.

resultsIn vitro, PF-06650833 inhibited human primary cell inflammatory responses to physiologically relevant stimuli generated with RA and SLE patient plasma. In vivo, PF-06650833 reduced circulating autoantibody levels in the pristane-induced and MRL/lpr murine models of lupus and protected against CIA in rats. In a phase I clinical trial (NCT02485769), PF-06650833 demonstrated in vivo pharmacologic action pertinent to SLE by reducing whole blood interferon gene signature expression in healthy volunteers.

conclusionThese data demonstrate that inhibition of IRAK4 kinase activity can reduce levels of inflammation markers in humans and provide confidence in the rationale for clinical development of IRAK4 inhibitors for rheumatologic indications.

Indexed as

AnimalsArthritis, ExperimentalDendritic CellsDisease Models, AnimalHumansInflammationInterleukin-1 Receptor-Associated KinasesIsoquinolinesLactamsLeukocytes, MononuclearMacrophagesMiceRatsRheumatic DiseasesSynoviocytes1-(((2S,3S,4S)-3-ethyl-4-fluoro-5-oxopyrrolidin-2-yl)methoxy)-7-methoxyisoquinoline-6-carboxamideInterleukin-1 Receptor-Associated KinasesIRAK4 protein, humanIsoquinolinesLactams

Identifiers

PMID34423919
PMCPMC8671219
OpenAlexW3194214992

What OpenQuestion holds

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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.