Evidence map›Paper›PMID 34803999›Full record

SynthesisFrontiers in immunology2021

Bruton's Tyrosine Kinase (BTK) Inhibitors and Autoimmune Diseases: Making Sense of BTK Inhibitor Specificity Profiles and Recent Clinical Trial Successes and Failures.

Garth E Ringheim, Matthew Wampole, Kinsi Oberoi

2 registry-linked trialsOpen access · goldAbstract readMeta-AnalysisReview
In one paragraph

Synthesis in Frontiers in immunology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 80 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
80citing papers in PubMed, 3 pooled it
11.6field-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.

NCT05922839 phase2unknown statusnot on this mapstarted 2023, after this paper: background citation

Zanubrutinib in Relapsed or Refractory Warm Autoimmune Hemolytic Anemia: a Prospective Cohort Study

TypeinterventionalSponsorChen MiaoRan2023 to 2025Enrolled22ConditionsWarm Autoimmune Hemolytic AnemiaArmsZanubrutinib
NCT07453368 phase2recruitingnot on this mapstarted 2026, after this paper: background citation

Orelabrutinib in the Treatment of Relapsed/Refractory Autoimmune Hemolytic Anemia: A Prospective, Dose-Escalation Cohort Study

TypeinterventionalSponsorPeking Union Medical College HospitalRan2026 to 2028Enrolled50ConditionsAutoimmune Hemolytic Anemia (AIHA)ArmsOrelabrutinib-50, Orelabrutinib-100, Orelabrutinib-150
3 · Its place in the literature

Who cites it

80 citing papers in PubMed, 3 syntheses or guidelines pooled it, 127 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Trial
  6. Trial
  7. Trial
  8. Review
  9. Article
  10. Review
  11. Review
  12. Review
  13. Review
  14. Review
  15. Review
  16. Article
  17. Review
  18. Review
  19. Review
  20. Review

20 more citing papers are in PubMed but not listed here.

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

3 authors at 2 institutions in 1 country.

Garth E RingheimClinical Pharmacology and Translational Medicine, Eisai Inc, Woodcliff Lake, NJ, United States.
Matthew WampoleScience Group, Clarivate, Philadelphia, PA, United States.
Kinsi OberoiScience Group, Clarivate, Philadelphia, PA, United States.
Clarivate (United States) · USEisai (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Clinical development of BTK kinase inhibitors for treating autoimmune diseases has lagged behind development of these drugs for treating cancers, due in part from concerns over the lack of selectivity and associated toxicity profiles of first generation drug candidates when used in the long term treatment of immune mediated diseases. Second generation BTK inhibitors have made great strides in limiting off-target activities for distantly related kinases, though they have had variable success at limiting cross-reactivity within the more closely related TEC family of kinases. We investigated the BTK specificity and toxicity profiles, drug properties, disease associated signaling pathways, clinical indications, and trial successes and failures for the 13 BTK inhibitor drug candidates tested in phase 2 or higher clinical trials representing 7 autoimmune and 2 inflammatory immune-mediated diseases. We focused on rheumatoid arthritis (RA), multiple sclerosis (MS), and systemic lupus erythematosus (SLE) where the majority of BTK nonclinical and clinical studies have been reported, with additional information for pemphigus vulgaris (PV), Sjogren's disease (SJ), chronic spontaneous urticaria (CSU), graft

Indexed as

Agammaglobulinaemia Tyrosine KinaseAnimalsAutoimmune DiseasesClinical Trials as TopicHumansProtein Kinase InhibitorsSignal TransductionAgammaglobulinaemia Tyrosine KinaseProtein Kinase Inhibitorsautoimmune diseaseB cellBruton’s tyrosine kinase (BTK)multiple sclerosispemphigus vulgarisrheumatoid arthritisSjogren’s syndromesystemic lupus erythematosus

Identifiers

PMID34803999
PMCPMC8595937
OpenAlexW3210474562

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.