Evidence map›Paper›PMID 36389766›Full record

Trial reportFrontiers in immunology2022

Anakinra Pilot - a clinical trial to demonstrate safety, feasibility and pharmacokinetics of interleukin 1 receptor antagonist in preterm infants.

Elys A Green, David Metz, Robert Galinsky, Rebecka Atkinson, Elizbeth M Skuza, Megan Clark, Alistair J Gunn, Carl M Kirkpatrick, Rod W Hunt, Philip J Berger and 2 more

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

Trial report in Frontiers in immunology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05280340 (Advancing IL-1Ra to Prevent Inflammatory Disease in Preterm Infants - Pilot), which is not on this map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
4.6field-weighted citation impact, top 4% 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.

NCT05280340 phase1 / phase2active not recruitingnot on this map

Advancing IL-1Ra to Prevent Inflammatory Disease in Preterm Infants - Pilot

TypeinterventionalSponsorMonash Medical CentreRan2022 to 2025Enrolled25ConditionsPrematurity, Extreme, InflammationArmsAnakinra
3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Priming innate immunity and long-term outcome.Molecular and cellular pediatrics · 2026
    Review
  6. Article
  7. Article
  8. Dynamic association between plasma interleukin-1 family concentrations and bronchopulmonary dysplasia in extremely premature infants.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Article
  9. Article
  10. Inflammatory mechanisms contribute to long-term cognitive deficits induced by perinatal asphyxia via interleukin-1.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
    Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Review
  16. Article
  17. Article
  18. Review
  19. Article
  20. 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

12 authors at 4 institutions in 2 countries.

Elys A GreenDepartment of Paediatrics, Monash University, Melbourne, VIC, Australia.
David MetzDepartment of Paediatrics, Monash University, Melbourne, VIC, Australia.
Robert GalinskyThe Ritchie Centre, Hudson Institute of Medical Research, Melbourne, VIC, Australia.
Rebecka AtkinsonThe Ritchie Centre, Hudson Institute of Medical Research, Melbourne, VIC, Australia.
Elizbeth M SkuzaThe Ritchie Centre, Hudson Institute of Medical Research, Melbourne, VIC, Australia.
Megan ClarkMonash Newborn, Monash Children's Hospital, Melbourne, VIC, Australia.
Alistair J GunnDepartment of Physiology, The University of Auckland, Auckland, New Zealand.
Carl M KirkpatrickMonash Institute for Pharmaceutical Sciences, Monash University, Melbourne, VIC, Australia.
Rod W HuntDepartment of Paediatrics, Monash University, Melbourne, VIC, Australia.
Philip J BergerThe Ritchie Centre, Hudson Institute of Medical Research, Melbourne, VIC, Australia.
Claudia A Nold-PetryDepartment of Paediatrics, Monash University, Melbourne, VIC, Australia.
Marcel F NoldDepartment of Paediatrics, Monash University, Melbourne, VIC, Australia.
Hudson Institute of Medical Research · AUMonash University · AUMurdoch Children's Research Institute · AUUniversity of Auckland · NZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Bronchopulmonary dysplasia (BPD), its complication pulmonary hypertension (BPD-PH) and preterm brain and gut injury lead to significant morbidity and mortality in infants born extremely prematurely. There is extensive evidence that the pro-inflammatory cytokine interleukin 1 (IL-1) plays a key role in the pathophysiology of these illnesses. Two decades of clinical use in paediatric and adult medicine have established an excellent safety and efficacy record for IL-1 blockade with IL-1 receptor antagonist (IL-1Ra, medication name anakinra). Building on robust pre-clinical evidence, the Anakinra Pilot trial aims to demonstrate safety and feasibility of administering anakinra to preterm infants, and to establish pharmacokinetics in this population. Its ultimate goal is to facilitate large studies that will test whether anakinra can ameliorate early-life inflammation, thus alleviating multiple complications of prematurity. Methods and analysis: Anakinra Pilot is an investigator-initiated, single arm, safety and feasibility dose-escalation trial in extremely preterm infants born between 24 weeks 0 days (24 Clinical Trial Registration: https://clinicaltrials.gov/, identifier NCT05280340.

Indexed as

Bronchopulmonary DysplasiaInterleukin 1 Receptor Antagonist ProteinAdultChildFeasibility StudiesHumansInfantInfant, Extremely PrematureInfant, NewbornInterleukin-1Receptors, Interleukin-1Interleukin-1Interleukin 1 Receptor Antagonist ProteinReceptors, Interleukin-1anti-inflammatory therapyclinical trialdrug repurposinginflammationinterleukin 1 receptor antagonistpreterm infantprotocol anakinra pilottranslational research

Identifiers

PMID36389766
PMCPMC9647081
OpenAlexW4307633667

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.