Evidence map›Paper›PMID 35298440›Full record

Trial reportJCI insight2022

RAGE has potential pathogenetic and prognostic value in nonintubated hospitalized patients with COVID-19.

Katherine D Wick, Lianne Siegel, James D Neaton, Cathryn Oldmixon, Jens Lundgren, Robin L Dewar, H Clifford Lane, B Taylor Thompson, Michael A Matthay, ACTIV-3/TICO study group

Registry-linked trialOpen access · goldAbstract readClinical Trial
In one paragraph

Trial report in JCI insight, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04501978 (A Multicenter, Adaptive, Randomized, Blinded Controlled Trial of the Safety and Efficacy of Investigational Therapeutics for Hospitalized Patients With COVID-19), which is not on this map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
3.6field-weighted citation impact, top 6% 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.

NCT04501978 phase3completednot on this map

A Multicenter, Adaptive, Randomized, Blinded Controlled Trial of the Safety and Efficacy of Investigational Therapeutics for Hospitalized Patients With COVID-19

TypeinterventionalSponsorNational Institute of Allergy and Infectious Diseases (NIAID)Ran2020 to 2023Enrolled2,753ConditionsCovid19ArmsLY3819253, Placebo, Remdesivir, VIR-7831, BRII-196/BRII-198
3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

  1. Novel inflammatory biomarkers in the prognosis of COVID-19.Therapeutic advances in respiratory disease
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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

10 authors at 7 institutions in 2 countries.

Katherine D WickCardiovascular Research Institute, University of California, San Francisco, San Francisco, California, USA.
Lianne SiegelDivision of Biostatistics and.
James D NeatonDivision of Biostatistics and.
Cathryn OldmixonDivision of Biostatistics, Massachusetts General Hospital, Boston, Massachusetts, USA.
Jens LundgrenCentre of Excellence for Health, Immunity and Infections, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.
Robin L DewarVirus Isolation and Serology Laboratory, Applied and Developmental Research Directorate, Frederick National Laboratory, Frederick, Maryland, USA.
H Clifford LaneDivision of Clinical Research, National Institute of Allergy and Infectious Diseases (NIAID), NIH, Bethesda, Maryland, USA.
B Taylor ThompsonDivision of Pulmonary and Critical Care Medicine, Massachusetts General Hospital, Boston, Maryland, USA.
Michael A MatthayCardiovascular Research Institute, University of California, San Francisco, San Francisco, California, USA.
ACTIV-3/TICO study group
Massachusetts General Hospital · USUniversity of California, San Francisco · USCancer Research And Biostatistics · USLeidos (United States) · USNational Institute of Allergy and Infectious Diseases · USUniversity of Copenhagen · DKUniversity of Minnesota · US

Funding

ACTIV Integration of Host-targeting Therapies for COVID-19 Administrative Coordinating CenterOT2HL156812 · NHLBI · RESEARCH TRIANGLE INSTITUTE · PI NOLEN, TRACY L, THOMAS, SONIA M · 2020 to 2024
$1270.7M
Precision Medicine in the Acute Respiratory Distress SyndromeR35HL140026 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI CALFEE, CAROLYN · 2018 to 2024
$6.8M
Pathogenesis, Treatment and Prevention of Emerging Infectious DiseasesZIAAI000936 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI LANE, CLIFFORD · 2009 to 2025
$6.4M
Comprehensive Anesthesia Research TrainingT32GM008440 · NIGMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Judith Hellman · 1996 to 2026
$5.5M
NCI NIH HHS HHSN261201500003CNCI NIH HHS HHSN261201500003INHLBI NIH HHS OT2 HL156812NHLBI NIH HHS R35 HL140026NIGMS NIH HHS T32 GM008440
6 · The paper itself

Abstract

BackgroundThe value of the soluble receptor for advanced glycation end-products (sRAGE) as a biomarker in COVID-19 is not well understood. We tested the association between plasma sRAGE and illness severity, viral burden, and clinical outcomes in hospitalized patients with COVID-19 who were not mechanically ventilated.MethodsBaseline sRAGE was measured among participants enrolled in the ACTIV-3/TICO trial of bamlanivimab for hospitalized patients with COVID-19. Spearman's rank correlation was used to assess the relationship between sRAGE and other plasma biomarkers, including viral nucleocapsid antigen. Fine-Gray models adjusted for baseline supplemental oxygen requirement, antigen level, positive endogenous anti-nucleocapsid antibody response, sex, age, BMI, diabetes mellitus, renal impairment, corticosteroid treatment, and log2-transformed IL-6 level were used to assess the association between baseline sRAGE and time to sustained recovery. Cox regression adjusted for the same factors was used to assess the association between sRAGE and mortality.ResultsAmong 277 participants, baseline sRAGE was strongly correlated with viral plasma antigen concentration (ρ = 0.57). There was a weaker correlation between sRAGE and biomarkers of systemic inflammation, such as IL-6 (ρ = 0.36) and CRP (ρ = 0.20). Participants with plasma sRAGE in the highest quartile had a significantly lower rate of sustained recovery (adjusted recovery rate ratio, 0.64 [95% CI, 0.43-0.90]) and a higher unadjusted risk of death (HR, 4.70 [95% CI, 2.01-10.99]) compared with participants in the lower quartiles.ConclusionElevated plasma sRAGE in hospitalized, nonventilated patients with COVID-19 was an indicator of both clinical illness severity and plasma viral load. Plasma sRAGE in the highest quartile was associated with a lower likelihood of sustained recovery and higher unadjusted risk of death. These findings, which we believe to be novel, indicate that plasma sRAGE may be a promising biomarker for COVID-19 prognostication and clinical trial enrichment.Trial RegistrationClinicalTrials.gov NCT04501978.FundingNIH (5T32GM008440-24, 18X107CF6, HHSN261201500003I, R35HL140026, and OT2HL156812).

Indexed as

COVID-19Antibodies, Monoclonal, HumanizedAntibodies, NeutralizingBiomarkersHumansInterleukin-6PrognosisReceptor for Advanced Glycation End ProductsAntibodies, Monoclonal, HumanizedAntibodies, NeutralizingbamlanivimabBiomarkersInterleukin-6Receptor for Advanced Glycation End ProductsAntigenClinical practiceCOVID-19CytokinesPulmonology

Identifiers

PMID35298440
PMCPMC9090244
OpenAlexW4220825872

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.