Evidence map›Paper›PMID 34424490›Full record

ArticleNeurocritical care2022

CN-105 in Participants with Acute Supratentorial Intracerebral Hemorrhage (CATCH) Trial.

Michael L James, Jesse Troy, Nathaniel Nowacki, Jordan Komisarow, Christa B Swisher, Kristi Tucker, Kevin Hatton, Marc A Babi, Bradford B Worrall, Charles Andrews and 6 more

Erratum issuedAbstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Neurocritical care, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.0field-weighted citation impact, top 21% 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

10 citing papers in PubMed, 13 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
  4. Review
  5. Review
  6. Article
  7. ApoE Mimetic Peptides as Therapy for Traumatic Brain Injury.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2023
    Review
  8. Review
  9. Apolipoprotein E and Alzheimer's disease.Acta pharmaceutica Sinica. B · 2022
    Review
  10. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors at 8 institutions in 1 country.

Michael L JamesDepartment of Anesthesiology, Duke University, Durham, NC, USA. michael.james@duke.edu.ORCID http://orcid.org/0000-0002-8715-5210
Jesse TroyDepartment of Biostatistics and Bioinformatics, Duke University, Durham, NC, USA.
Nathaniel NowackiHospital Care, Hattiesburg Clinic Neurology, Hattiesburg, MS, USA.
Jordan KomisarowDepartment of Neurosurgery, Duke University, Durham, NC, USA.
Christa B SwisherDepartment of Neurology, Duke University, Durham, NC, USA.
Kristi TuckerDepartment of Neurology, Wake Forest-Baptist Health, Winston-Salem, NC, USA.
Kevin HattonDepartment of Anesthesiology, University of Kentucky, Lexington, KY, USA.
Marc A BabiDepartments of Neurology and Neurosurgery, University of Florida, Gainesville, FL, USA.
Bradford B WorrallDepartments of Neurology and Public Health Sciences, University of Virginia, Charlottesvile, VA, USA.
Charles AndrewsDepartment of Neurosurgery, Medical University of South Carolina, Charleston, SC, USA.
Daniel WooDepartment of Neurology, University of Cincinnati, Cincinnati, OH, USA.
Peter G KranzDepartment of Radiology, Duke University, Durham, NC, USA.
Christopher LascolaDepartment of Radiology, Duke University, Durham, NC, USA.
Maureen MaughanAegisCN, LLC, Durham, NC, USA.
Daniel T LaskowitzDepartment of Anesthesiology, Duke University, Durham, NC, USA.
CATCH Investigators
Duke University · USAtrium Health Wake Forest Baptist · USHattiesburg Clinic · USMedical University of South Carolina · USUniversity of Cincinnati · USUniversity of Florida · USUniversity of Kentucky · USUniversity of Virginia · US

Funding

U.S. Food and Drug Administration FD-R-5387
6 · The paper itself

Abstract

backgroundEndogenous apolipoprotein (apo) E mediates neuroinflammatory responses and recovery after brain injury. Exogenously administered apoE-mimetic peptides effectively penetrate the central nervous system compartment and downregulate acute inflammation. CN-105 is a novel apoE-mimetic pentapeptide with excellent evidence of functional and histological improvement in preclinical models of intracerebral hemorrhage (ICH). The CN-105 in participants with Acute supraTentorial intraCerebral Hemorrhage (CATCH) trial is a first-in-disease-state multicenter open-label trial evaluating safety and feasability of CN-105 administration in patients with acute primary supratentorial ICH.

methodsEligible patients were aged 30-80 years, had confirmed primary supratentorial ICH, and were able to intiate CN-105 administration (1.0 mg/kg every 6 h for 72 h) within 12 h of symptom onset. A priori defined safety end points, including hematoma volume, pharmacokinetics, and 30-day neurological outcomes, were analyzed. For clinical outcomes, CATCH participants were compared 1:1 with a closely matched contemporary ICH cohort through random selection. Hematoma volumes determined from computed tomography images on days 0, 1, 2, and 5 and ordinal modified Rankin Scale score at 30 days after ICH were compared.

resultsIn 38 participants enrolled across six study sites in the United States, adverse events occurred at an expected rate without increase in hematoma expansion or neurological deterioration. CN-105 treatment had an odds ratio (95% confidence interval) of 2.69 (1.31-5.51) for lower 30-day modified Rankin Scale score, after adjustment for ICH score, sex, and race/ethnicity, as compared with a matched contemporary cohort.

conclusionsCN-105 administration represents an excellent translational candidate for treatment of acute ICH because of its safety, dosing feasibility, favorable pharmacokinetics, and possible improvement in neurological recovery.

Indexed as

Cerebral HemorrhageHematomaAdultAgedAged, 80 and overCohort StudiesEthnicityHumansMiddle AgedOdds RatioApolipoprotein EClinical trialCN-105Intracerebral hemorrhageTherapeutic

Identifiers

PMID34424490
OpenAlexW3194822747

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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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.