Evidence map›Paper›PMID 36906875›Full record

ArticleAnnals of intensive care2023

Intravenously administered interleukin-7 to reverse lymphopenia in patients with septic shock: a double-blind, randomized, placebo-controlled trial.

Thomas Daix, Armelle Mathonnet, Scott Brakenridge, Pierre-François Dequin, Jean-Paul Mira, Frederique Berbille, Michel Morre, Robin Jeannet, Teresa Blood, Jacqueline Unsinger and 5 more

Registry-linked trialOpen access · goldFull text read
In one paragraph

Article in Annals of intensive care, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03821038 (International, Multicenter, Randomized, Double-blinded, Placebo-controlled Study of Recombinant Interleukin-7), which is not on this map. Cited by 63 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
63citing papers in PubMed, 1 pooled it
14.4field-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.

NCT03821038 phase2terminatednot on this map

International, Multicenter, Randomized, Double-blinded, Placebo-controlled Study of Recombinant Interleukin-7 (CYT107) to Restore Absolute Lymphocyte Counts (ALC) in Patients With Sepsis

TypeinterventionalSponsorRevimmuneRan2019 to 2021Enrolled21ConditionsSepsis, SevereArmsCYT107, Placebos
3 · Its place in the literature

Who cites it

63 citing papers in PubMed, 1 synthesis or guideline pooled it, 65 citations in OpenAlex.

  1. Pooled it
  2. Persistent lymphopaenia in critically ill patients with and without sepsis: An Australian and New Zealand point prevalence study.Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine · 2026
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  9. Myeloid-derived suppressor cells in sepsis: drivers of persistent immunosuppression and targets for precision immunotherapy.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2026
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3 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

15 authors at 7 institutions in 2 countries.

Thomas DaixRéanimation Polyvalente, INSERM CIC 1435 and UMR 1092, CHU Limoges, Limoges, France.
Armelle MathonnetMédecine Intensive Réanimation, CH Orléans, Orléans, France.
Scott BrakenridgeDepartment of Surgery, Sepsis and Critical Illness Research Center, University of Florida College of Medicine, Gainesville, FL, USA.
Pierre-François DequinMédecine Intensive Réanimation, INSERM U1100 Centre d'Étude des Pathologies Respiratoires and INSERM CIC 1415, CHRU Tours and Université de Tours, Tours, France.
Jean-Paul MiraRéanimation Médicale, Assistance Publique des Hôpitaux de Paris, Groupe Hospitalier Universitaire de Paris Centre, Hôpital Cochin, and Faculté de Médecine, Université Paris Descartes, Paris, France.
Frederique BerbilleRevImmune, Bethesda, MD, USA.
Michel MorreRevImmune, Bethesda, MD, USA.
Robin JeannetINSERM CIC 1435 and UMR CNRS 7276, INSERM 1262, CHU Limoges and Faculté de Médecine, Université de Limoges, Limoges, France.
Teresa BloodDepartment of Anesthesiology, Washington University School of Medicine, St Louis, MO, USA.
Jacqueline UnsingerDepartment of Anesthesiology, Washington University School of Medicine, St Louis, MO, USA.
Jane BloodDepartment of Anesthesiology, Washington University School of Medicine, St Louis, MO, USA.
Andrew WaltonDepartment of Anesthesiology, Washington University School of Medicine, St Louis, MO, USA.
Lyle L MoldawerDepartment of Surgery, Sepsis and Critical Illness Research Center, University of Florida College of Medicine, Gainesville, FL, USA.
Richard HotchkissDepartment of Anesthesiology, Washington University School of Medicine, St Louis, MO, USA. richardshotchkiss@wustl.edu.
Bruno FrançoisRéanimation Polyvalente, INSERM CIC 1435 and UMR 1092, CHU Limoges, Limoges, France. b.francois@unilim.fr.ORCID http://orcid.org/0000-0002-2531-1652
Washington University in St. Louis · USInserm · FRUniversity of Washington · USCentre hospitalier universitaire d'Orléans · FRCentre National de la Recherche Scientifique · FRUniversité de Tours · FRUniversité Paris Cité · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundProfound lymphopenia is an independent predictor of adverse clinical outcomes in sepsis. Interleukin-7 (IL-7) is essential for lymphocyte proliferation and survival. A previous phase II study showed that CYT107, a glycosylated recombinant human IL-7, administered intramuscularly reversed sepsis-induced lymphopenia and improved lymphocyte function. Thepresent study evaluated intravenous administration of CYT107. This prospective, double-blinded, placebo-controlled trial was designed to enroll 40 sepsis patients, randomized 3:1 to CYT107 (10 µg/kg) or placebo, for up to 90 days.

resultsTwenty-one patients were enrolled (fifteen CYT107 group, six placebo group) at eight French and two US sites. The study was halted early because three of fifteen patients receiving intravenous CYT107 developed fever and respiratory distress approximately 5-8 h after drug administration. Intravenous administration of CYT107 resulted in a two-threefold increase in absolute lymphocyte counts (including in both CD4

conclusionIntravenous CYT107 reversed sepsis-induced lymphopenia. However, compared to intramuscular CYT107 administration, it was associated with transient respiratory distress without long-term sequelae. Because of equivalent positive laboratory and clinical responses, more favorable pharmacokinetics, and better patient tolerability, intramuscular administration of CYT107 is preferable.

trial registrationClinicaltrials.gov, NCT03821038. Registered 29 January 2019, https://clinicaltrials.gov/ct2/show/NCT03821038?term=NCT03821038&draw=2&rank=1 .

Indexed as

Immune restorationInterleukin-7LymphocyteSepsis

Identifiers

PMID36906875
PMCPMC10008152
OpenAlexW4323971850

What OpenQuestion holds

Textfull text, public
LicenceCC BY
measurements read38
identifiers read1
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.