Evidence map›Paper›PMID 36365186›Full record

ArticlePharmaceutics2022

Anti-Cocaine IgA Rather Than IgG Mediates Vaccine Protection from Cocaine Use.

Thomas R Kosten, Colin N Haile, Coreen B Domingo, Elizabeth B Norton

Open access · goldAbstract read
In one paragraph

Article in Pharmaceutics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.7field-weighted citation impact, top 17% 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, 10 citations in OpenAlex.

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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

4 authors at 3 institutions in 1 country.

Thomas R KostenMenninger Department of Psychiatry, Baylor College of Medicine, Houston, TX 77030, USA.
Colin N HaileDepartment of Psychology & TIMES, University of Houston, Houston, TX 77204, USA.ORCID 0000-0001-8293-7291
Coreen B DomingoMenninger Department of Psychiatry, Baylor College of Medicine, Houston, TX 77030, USA.
Elizabeth B NortonDepartment of Microbiology & Immunology, Tulane University School of Medicine, New Orleans, LA 70112, USA.
Michael E. DeBakey VA Medical Center · USTulane University · USUniversity of Houston · US

Funding

Multisite Controlled Trial of Cocaine Vaccine (1of 6) Lead Site/ Houston TreatmenR01DA025223 · NIDA · BAYLOR COLLEGE OF MEDICINE · PI KOSTEN, THOMAS RICHARD · 2008 to 2012
$1.7M
NIDA NIH HHS R01-DA025223O'Quinn Foundation N/A
6 · The paper itself

Abstract

In developing a vaccine for fentanyl use disorder, we observed that IgA was the best correlate of vaccine-mediated protection from injected drug challenge, rather than IgG or binding affinity. Recent evidence shows that IgA secreting cells line the blood−brain barrier that capture pathogens and could prevent drug antigens from penetrating the brain. We assayed IgA and IgG antibodies from an anti-cocaine vaccine clinical trial and categorized each subject’s antibody levels using half-log cut-points for IgA: <1000, <5000, <10,000 and >10,000; and for IgG: <10,000 to >100,000. We compared these antibody groups on urine toxicology in 130 subjects at week 9 after 3 booster vaccinations. We also provided relevant data on benzoylecgonine (BE, cocaine metabolite) from this study’s placebo patients. BE urine levels were lowest for the highest IgA category; however, levels did not differ across IgG groups. Our findings linking IgA to protection from cocaine and fentanyl in mice, rats and humans are novel and suggest an increasingly recognized role of IgA in vaccine efficacy.

Indexed as

clinical trialcocaineIgAIgGvaccine

Identifiers

PMID36365186
PMCPMC9697488
OpenAlexW4308301322

What OpenQuestion holds

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LicenceCC BY
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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.