Evidence map›Paper›PMID 37116469›Full record

ReviewCell2023

Cachexia: A systemic consequence of progressive, unresolved disease.

Miriam Ferrer, Tracy G Anthony, Janelle S Ayres, Giulia Biffi, Justin C Brown, Bette J Caan, Elizabeth M Cespedes Feliciano, Anthony P Coll, Richard F Dunne, Marcus D Goncalves and 12 more

Registry-linked trialOpen access · bronzeAbstract readReview
In one paragraph

Review in Cell, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07237464 (A Randomized, Double-Blind, Placebo-Controlled, Dose-Escalation Phase I Trial to Evaluate the Safety, Tolerability, Pharmacokinetics, Pharmacodynamics, and Immunogenicity of GB18 Following Single Subcutaneous Injection in Healthy Adult Participants), which is not on this map. Cited by 162 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
162citing papers in PubMed, 2 pooled it
36.1field-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.

NCT07237464 phase1recruitingnot on this mapstarted 2025, after this paper: background citation

A Randomized, Double-Blind, Placebo-Controlled, Dose-Escalation Phase I Trial to Evaluate the Safety, Tolerability, Pharmacokinetics, Pharmacodynamics, and Immunogenicity of GB18 Following Single Subcutaneous Injection in Healthy Adult Participants

TypeinterventionalSponsorShenzhen Kexing Pharmaceutical Co., Ltd.Ran2025 to 2026Enrolled36ConditionsCancer Cachexia (CC), Cancer Cachexia, Cancer Cachexia SyndromeArmsGB18 injection, Placebo
3 · Its place in the literature

Who cites it

162 citing papers in PubMed, 2 syntheses or guidelines pooled it, 206 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Energy constraint on human health.Trends in endocrinology and metabolism: TEM · 2026
    Review
  5. Review
  6. The causes of cachexia: key signals and the brain.Nature reviews. Endocrinology · 2026
    Review
  7. Review
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Pre-therapeutic prediction of cachexia in lymphoma patients using [European journal of clinical nutrition · 2026
    Article
  14. Review
  15. Review
  16. Review
  17. Article
  18. Article
  19. Observational
  20. Article

102 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

22 authors at 15 institutions in 3 countries.

Miriam FerrerCold Spring Harbor Laboratory, Cold Spring Harbor, NY 11724, USA; MRC Cancer Unit, University of Cambridge, Hutchison Research Centre, Cambridge Biomedical Campus, Cambridge CB2 0XZ, UK.
Tracy G AnthonyDepartment of Nutritional Sciences, Rutgers School of Environmental and Biological Sciences, The State University of New Jersey, New Brunswick, NJ 08901, USA.
Janelle S AyresSalk Institute for Biological Studies, La Jolla, CA 92037, USA.
Giulia BiffiUniversity of Cambridge, Cancer Research UK Cambridge Institute, Li Ka Shing Centre, Cambridge CB2 0RE, UK.
Justin C BrownPennington Biomedical Research Center, Louisiana State University System, Baton Rouge, LA 70808, USA.
Bette J CaanKaiser Permanente Northern California Division of Research, Oakland, CA 94612, USA.
Elizabeth M Cespedes FelicianoKaiser Permanente Northern California Division of Research, Oakland, CA 94612, USA.
Anthony P CollWellcome Trust-MRC Institute of Metabolic Science and MRC Metabolic Diseases Unit, University of Cambridge, Cambridge CB2 0QQ, UK.
Richard F DunneUniversity of Rochester Medical Center, University of Rochester, Rochester, NY 14642, USA.
Marcus D GoncalvesDivision of Endocrinology, Department of Medicine, Weill Cornell Medicine, New York, NY 10021, USA.
Jonas GrethleinRuprecht Karl University of Heidelberg, Heidelberg 69117, Germany.
Steven B HeymsfieldPennington Biomedical Research Center, Louisiana State University System, Baton Rouge, LA 70808, USA.
Sheng HuiHarvard T.H. Chan School of Public Health, Harvard University, Boston, MA 02115, USA.
Mariam Jamal-HanjaniDepartment of Medical Oncology, University College London Hospitals, London WC1E 6DD, UK; Cancer Research UK Lung Cancer Centre of Excellence and Cancer Metastasis Laboratory, University College London Cancer Institute, London WC1E 6DD, UK.
Jie Min LamCancer Research UK Lung Cancer Centre of Excellence and Cancer Metastasis Laboratory, University College London Cancer Institute, London WC1E 6DD, UK.
David Y LewisThe Beatson Institute for Cancer Research, Cancer Research UK, Glasgow G61 1BD, UK.
David McCandlishCold Spring Harbor Laboratory, Cold Spring Harbor, NY 11724, USA.
Karen M MustianUniversity of Rochester Medical Center, University of Rochester, Rochester, NY 14642, USA.
Stephen O'RahillyWellcome Trust-MRC Institute of Metabolic Science and MRC Metabolic Diseases Unit, University of Cambridge, Cambridge CB2 0QQ, UK.
Norbert PerrimonDepartment of Genetics, Blavatnik Institute, Howard Hughes Medical Institute, Harvard Medical School, Boston, MA 02115, USA.
Eileen P WhiteRutgers Cancer Institute of New Jersey, Department of Molecular Biology and Biochemistry, Rutgers University, The State University of New Jersey, New Brunswick, NJ 08901, USA; Ludwig Princeton Branch, Ludwig Institute for Cancer Research, Princeton University, Princeton, NJ 08544, USA.
Tobias JanowitzCold Spring Harbor Laboratory, Cold Spring Harbor, NY 11724, USA; Northwell Health Cancer Institute, Northwell Health, New Hyde Park, NY 11042, USA. Electronic address: janowitz@cshl.edu.
University of Cambridge · GBKaiser Permanente · USPennington Biomedical Research Center · USRutgers, The State University of New Jersey · USUniversity of Rochester Medical Center · USCancer Research UK · GBCancer Research UK Scotland Institute · GBCold Spring Harbor Laboratory · USCornell University · USHarvard University · USHeidelberg University · DEHoward Hughes Medical Institute · USNorthwell Health · USSalk Institute for Biological Studies · USUniversity College Hospital · GB

Funding

Single-Cell Biology Shared ResourceP30CA045508 · NCI · COLD SPRING HARBOR LABORATORY · PI Tobias Janowitz · 1987 to 2026
$118.9M
URCC NCORP Research BaseUG1CA189961 · NCI · UNIVERSITY OF ROCHESTER · PI Michelle C Janelsins, KAREN M. MUSTIAN · 2014 to 2026
$67.7M
Homeostatic Responses to Amino Acid InsufficiencyR01DK109714 · NIDDK · RUTGERS, THE STATE UNIV OF N.J. · PI ANTHONY, TRACY G., WEK, RONALD C · 2016 to 2024
$5.4M
CANCAN - COLDSPRINGOT2CA278690 · NCI · COLD SPRING HARBOR LABORATORY · PI Tobias Janowitz · 2022 to 2026
$3.0M
Cancer Research UK 17786Cancer Research UK 21999Cancer Research UK 24868Cancer Research UK 25006Cancer Research UK 30025Cancer Research UK C42738/A24868Medical Research Council MC_UU_00014/1Medical Research Council MC_UU_00014/5NCI NIH HHS OT2 CA278690NCI NIH HHS P30 CA045508NCI NIH HHS UG1 CA189961NIDDK NIH HHS R01 DK109714
6 · The paper itself

Abstract

Cachexia, a systemic wasting condition, is considered a late consequence of diseases, including cancer, organ failure, or infections, and contributes to significant morbidity and mortality. The induction process and mechanistic progression of cachexia are incompletely understood. Refocusing academic efforts away from advanced cachexia to the etiology of cachexia may enable discoveries of new therapeutic approaches. Here, we review drivers, mechanisms, organismal predispositions, evidence for multi-organ interaction, model systems, clinical research, trials, and care provision from early onset to late cachexia. Evidence is emerging that distinct inflammatory, metabolic, and neuro-modulatory drivers can initiate processes that ultimately converge on advanced cachexia.

Indexed as

CachexiaHumansInfectionsMultiple Organ FailureMuscle, SkeletalNeoplasms

Identifiers

PMID37116469
PMCPMC11059056
OpenAlexW4367294465

What OpenQuestion holds

Textmetadata
LicenceTDM
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.