Evidence map›Paper›PMID 35152886›Full record

Trial reportBMC cardiovascular disorders2022

Pharmacodynamic evaluation and safety assessment of treatment with antibodies to serum amyloid P component in patients with cardiac amyloidosis: an open-label Phase 2 study and an adjunctive immuno-PET imaging study.

Ashutosh Wechalekar, Gunnar Antoni, Wasfi Al Azzam, Mats Bergström, Swethajit Biswas, Chao Chen, Joseph Cheriyan, Matthew Cleveland, Louise Cookson, Paul Galette and 15 more

2 registry-linked trialsOpen access · goldAbstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in BMC cardiovascular disorders, 2022. 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 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
3.3field-weighted citation impact, top 7% 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.

NCT03044353 phase2terminatednot on this map

A Multiple Treatment Session, Open Label Phase 2 Clinical Study of GSK2398852 Administered Following and Together With GSK2315698 in Cohorts of Patients With Cardiac Amyloidosis

TypeinterventionalSponsorGlaxoSmithKlineRan2017 to 2019Enrolled7ConditionsAmyloidosisArmsGSK2315698 (CPHPC), GSK2398852 (anti-SAP mAb)
NCT03417830 phase1terminatednot on this map

An Adaptive, Open-Label Study to Evaluate the Biodistribution of 89Zirconium-labelled GSK2398852 in the Heart and Other Organs of Patients With Transthyretin Cardiomyopathy (ATTR-CM) Using Positron Emission Tomography (PET) Imaging

TypeinterventionalSponsorGlaxoSmithKlineRan2018 to 2018Enrolled2ConditionsAmyloidosisArmsGSK2315698 (CPHPC), GSK2398852 (unlabeled anti-SAP mAb), 89Zr-GSK2398852 (89Zr-labeled anti-SAP mAb)
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 40 citations in OpenAlex.

  1. Review
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  14. Targeting Amyloid Fibrils by Passive Immunotherapy in Systemic Amyloidosis.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2022
    Review
  15. Observational
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

25 authors at 7 institutions in 4 countries.

Ashutosh WechalekarUniversity College London, Gower Street, Bloomsbury, London, WC1E 6BT, UK. a.wechalekar@ucl.ac.uk.ORCID 0000-0002-4406-7237
Gunnar AntoniInstitutionen för Medicinska Vetenskaper, Uppsala University, Uppsala, Sweden.
Wasfi Al AzzamGlaxoSmithKline, Philadelphia, USA.
Mats BergströmGlaxoSmithKline, Stevenage, Hertfordshire, UK.
Swethajit BiswasGlaxoSmithKline, Stevenage, Hertfordshire, UK.
Chao ChenGlaxoSmithKline, Stevenage, Hertfordshire, UK.
Joseph CheriyanCambridge University Hospitals NHS Foundation Trust, Cambridge, UK.
Matthew ClevelandGlaxoSmithKline, Stevenage, Hertfordshire, UK.
Louise CooksonGlaxoSmithKline, Cambridge, UK.
Paul GaletteGlaxoSmithKline, Philadelphia, USA.
Robert L JaniczekGlaxoSmithKline, Stevenage, Hertfordshire, UK.
Raymond Y KwongBrigham and Women's Hospital, Boston, MA, USA.
Mary Ann LukasGlaxoSmithKline, Philadelphia, USA.
Helen MillnsGlaxoSmithKline, Stevenage, Hertfordshire, UK.
Duncan RichardsGlaxoSmithKline, Stevenage, Hertfordshire, UK.
Ian SchneiderGlaxoSmithKline, Cambridge, UK.
Scott D SolomonBrigham and Women's Hospital, Boston, MA, USA.
Jens SörensenInstitutionen för Medicinska Vetenskaper, Uppsala University, Uppsala, Sweden.
James StoreyGlaxoSmithKline, Stevenage, Hertfordshire, UK.
Douglas ThompsonGlaxoSmithKline, Stevenage, Hertfordshire, UK.
Guus van DongenAmsterdam UMC, VU University, Amsterdam, The Netherlands.
Danielle J VugtsAmsterdam UMC, VU University, Amsterdam, The Netherlands.
Anders WallInstitutionen för Medicinska Vetenskaper, Uppsala University, Uppsala, Sweden.
Gerhard WikströmInstitutionen för Medicinska Vetenskaper, Uppsala University, Uppsala, Sweden.
Rodney H FalkBrigham and Women's Hospital, Boston, MA, USA.
GlaxoSmithKline (United Kingdom) · GBUppsala University · SEBrigham and Women's Hospital · USGlaxoSmithKline (United States) · USAmsterdam University Medical Centers · NLCambridge University Hospitals NHS Foundation Trust · GBUniversity College London · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn a Phase I study treatment with the serum amyloid P component (SAP) depleter miridesap followed by monoclonal antibody to SAP (dezamizumab) showed removal of amyloid from liver, spleen and kidney in patients with systemic amyloidosis. We report results from a Phase 2 study and concurrent immuno-positron emission tomography (PET) study assessing efficacy, pharmacodynamics, pharmacokinetics, safety and cardiac uptake (of dezamizumab) following the same intervention in patients with cardiac amyloidosis.

methodsBoth were uncontrolled open-label studies. After SAP depletion with miridesap, patients received ≤ 6 monthly doses of dezamizumab in the Phase 2 trial (n = 7), ≤ 2 doses of non-radiolabelled dezamizumab plus [

resultsDezamizumab produced no appreciable or consistent reduction in LVM nor improvement in cardiac function in the Phase 2 study. In the immuno-PET study, measurable cardiac uptake of [

conclusionsUnlike previous observations of visceral amyloid reduction, there was no appreciable evidence of amyloid removal in patients with cardiac amyloidosis in this Phase 2 trial, potentially related to limited cardiac uptake of dezamizumab as demonstrated in the immuno-PET study. The benefit-risk assessment for dezamizumab in cardiac amyloidosis was considered unfavourable after the incidence of large-vessel vasculitis and development for this indication was terminated. Trial registration NCT03044353 (2 February 2017) and NCT03417830 (25 January 2018).

Indexed as

AmyloidosisAntibodies, MonoclonalCarboxylic AcidsCardiomyopathiesPositron-Emission TomographyPyrrolidinesSerum Amyloid P-ComponentAgedAged, 80 and overDrug Therapy, CombinationFemaleHumansMagnetic Resonance ImagingMaleMyocardiumPredictive Value of TestsAntibodies, MonoclonalCarboxylic AcidsdezamizumabmiridesapPyrrolidinesSerum Amyloid P-ComponentCardiac amyloidosisDezamizumabImmuno-PETMiridesapPositron emission tomographySerum amyloid P componentSystemic amyloidosis

Identifiers

PMID35152886
PMCPMC8843022
OpenAlexW4213011159

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.