Evidence map›Paper›PMID 34723652›Full record

Trial reportMolecular and cellular biology2022

The Activin/FLRG Pathway Associates with Poor COVID-19 Outcomes in Hospitalized Patients.

Megan McAleavy, Qian Zhang, Peter J Ehmann, Jianing Xu, Matthew F Wipperman, Dharani Ajithdoss, Li Pan, Matthew Wakai, Raphael Simonson, Abhilash Gadi and 7 more

Open access · hybridAbstract readClinical Trial, Phase IIClinical Trial, Phase IIIMulticenter Study
In one paragraph

Trial report in Molecular and cellular biology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.0field-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.

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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. Review
  7. 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

17 authors at 1 institution in 1 country.

Megan McAleavy *Regeneron Pharmaceuticals Inc., Tarrytown, New York, USA.
Qian Zhang *Regeneron Pharmaceuticals Inc., Tarrytown, New York, USA.
Peter J EhmannRegeneron Pharmaceuticals Inc., Tarrytown, New York, USA.
Jianing XuRegeneron Pharmaceuticals Inc., Tarrytown, New York, USA.
Matthew F WippermanRegeneron Pharmaceuticals Inc., Tarrytown, New York, USA.
Dharani AjithdossRegeneron Pharmaceuticals Inc., Tarrytown, New York, USA.
Li PanRegeneron Pharmaceuticals Inc., Tarrytown, New York, USA.
Matthew WakaiRegeneron Pharmaceuticals Inc., Tarrytown, New York, USA.
Raphael SimonsonRegeneron Pharmaceuticals Inc., Tarrytown, New York, USA.
Abhilash GadiRegeneron Pharmaceuticals Inc., Tarrytown, New York, USA.
Adelekan OyejideRegeneron Pharmaceuticals Inc., Tarrytown, New York, USA.
Sara C HamonRegeneron Pharmaceuticals Inc., Tarrytown, New York, USA.
Anita BoyapatiRegeneron Pharmaceuticals Inc., Tarrytown, New York, USA.
Lori G MortonRegeneron Pharmaceuticals Inc., Tarrytown, New York, USA.
Tea ShavlakadzeRegeneron Pharmaceuticals Inc., Tarrytown, New York, USA.
Christos A KyratsousRegeneron Pharmaceuticals Inc., Tarrytown, New York, USA.
David J GlassRegeneron Pharmaceuticals Inc., Tarrytown, New York, USA.ORCID 0000-0001-6187-4164
Regeneron (United States) · US

Funding

HHS HHSO100201700020CRegeneron Pharmaceuticals (Regeneron)
6 · The paper itself

Abstract

A subset of hospitalized COVID-19 patients, particularly the aged and those with comorbidities, develop the most severe form of the disease, characterized by acute respiratory disease syndrome (ARDS), coincident with experiencing a "cytokine storm." Here, we demonstrate that cytokines which activate the NF-κB pathway can induce activin A. Patients with elevated activin A, activin B, and FLRG at hospital admission were associated with the most severe outcomes of COVID-19, including the requirement for mechanical ventilation, and all-cause mortality. A prior study showed that activin A could decrease viral load, which indicated there might be a risk to giving COVID-19 patients an inhibitor of activin. To evaluate this, the role for activin A was examined in a hamster model of SARS-CoV-2 infection, via blockade of activin A signaling. The hamster model demonstrated that use of an anti-activin A antibody did not worsen the disease and there was no evidence for increase in lung viral load and pathology. The study indicates blockade of activin signaling may be beneficial in treating COVID-19 patients experiencing ARDS.

Indexed as

COVID-19 Drug TreatmentActivinsAdultAgedAnimalsAntibodies, Monoclonal, HumanizedCell LineCells, CulturedCOVID-19CricetinaeDouble-Blind MethodFemaleFollistatin-Related ProteinsHospitalizationHumansMaleactivin Aactivin BActivinsAntibodies, Monoclonal, HumanizedFollistatin-Related Proteinssarilumabactivin Aactivin Bacute respiratory disease syndromeARDSCOVID-19FLRGFSTL3SARS-Cov-2

Identifiers

PMID34723652
PMCPMC8773081
OpenAlexW3210490105

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.