Evidence map›Paper›PMID 37460782›Full record

ArticleClinical drug investigation2023

Peripheral Nerve Safety of Nerve Growth Factor Inhibition by Tanezumab: Pooled Analyses of Phase III Clinical Studies in Over 5000 Patients with Osteoarthritis.

Mark T Brown, David R Cornblath, Martin Koltzenburg, Kenneth C Gorson, Anne Hickman, Glenn C Pixton, Puneet Gaitonde, Lars Viktrup, Christine R West

9 registry-linked trialsAbstract read
PubMed Publisher
In one paragraph

Article in Clinical drug investigation, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 9 registered trials, which are not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.7field-weighted citation impact, top 30% 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.

NCT00733902 phase3completednot on this map

A phase 3 randomized, double-blind, placebo-controlled multicenter study of the analgesic efficacy and safety of tanezumab in patients with osteoarthritis of the knee

TypeinterventionalSponsorPfizerRan2008 to 2010Enrolled697ConditionsArthritis, OsteoarthritisArmstanezumab, Placebo
NCT00744471 phase3completednot on this map

A phase 3 randomized, double-blind, placebo-controlled multicenter study of the analgesic efficacy and safety of tanezumab in patients with osteoarthritis of the hip.

TypeinterventionalSponsorPfizerRan2008 to 2010Enrolled627ConditionsArthritis, Osteoarthritis, Osteoarthritis, HipArmstanezumab, Placebo
NCT00830063 phase3completednot on this map

A phase 3 randomized, double blind placebo and naproxen controlled multicenter study of the analgesic efficacy and safety of tanezumab in patients with osteoarthritis of the knee

TypeinterventionalSponsorPfizerRan2009 to 2010Enrolled832ConditionsArthritis, OsteoarthritisArmstanezumab 10 mg, tanezumab 5 mg, naproxen, placebo
NCT00863304 phase3completednot on this map

A phase 3 randomized, double blind placebo and naproxen controlled multicenter study of the analgesic efficacy and safety of tanezumab in patients with osteoarthritis of the hip or knee

TypeinterventionalSponsorPfizerRan2009 to 2010Enrolled849ConditionsOsteoarthritisArmstanezumab 10 mg, tanezumab 5 mg, naproxen, placebo
NCT00863772 phase3terminatednot on this map

A phase 3 randomized, double-blind, placebo-controlled multicenter study of tanezumab on peripheral nerve function in patients with osteoarthritis.

TypeinterventionalSponsorPfizerRan2009 to 2010Enrolled220ConditionsOsteoarthritisArmstanezumab, Placebo
NCT00985621 phase3terminatednot on this map

A phase 3 randomized, double-blind, placebo and oxycodone controlled multi-center study of the efficacy and safety of tanezumab in patients with osteoarthritis of the knee or hip

TypeinterventionalSponsorPfizerRan2009 to 2011Enrolled614ConditionsOsteoarthritisArmstanezumab 10 mg, tanezumab 5 mg, oxycodone, placebo
NCT01089725 phase3terminatednot on this map

A phase 3, randomized, double-blind, placebo-controlled, multicenter study of the analgesic efficacy and safety of subcutaneous administration of tanezumab in patients with osteoarthritis of the knee.

TypeinterventionalSponsorPfizerRan2010 to 2011Enrolled385ConditionsOsteoarthritis, Arthritis, PainArmsPlacebo IV, Placebo SC, Tanezumab SC, Tanezumab IV
NCT02697773 phase3completednot on this map

A phase 3 randomized, double-blind, placebo-controlled, multicenter study of the analgesic efficacy and safety of a dose titration regimen for the subcutaneous administration of tanezumab in subjects with osteoarthritis of the hip or knee

TypeinterventionalSponsorPfizerRan2016 to 2018Enrolled698ConditionsOsteoarthritis, Knee, Osteoarthritis, HipArmsPlacebo, Tanezumab 2.5 mg, Tanezumab 2.5mg/5mg
NCT02709486 phase3completednot on this map

A phase 3 randomized, double-blind, placebo-controlled, multicenter study of the analgesic efficacy and safety of the subcutaneous administration of tanezumab in subjects with osteoarthritis of the hip or knee

TypeinterventionalSponsorPfizerRan2016 to 2018Enrolled849ConditionsOsteoarthritis, Hip, Osteoarthritis, KneeArmsTanezumab, Placebo
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 4 citations in OpenAlex.

  1. Review
  2. Review
  3. Review
  4. Review
  5. Review
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

9 authors at 5 institutions in 2 countries.

Mark T BrownPfizer Inc., Groton, CT, USA. marktbrown3@gmail.com.
David R CornblathDepartment of Neurology, Johns Hopkins University, Baltimore, MD, USA.
Martin KoltzenburgDepartment of Clinical and Movement Neurosciences, UCL Queen Square Institute of Neurology, London, UK.
Kenneth C GorsonSt. Elizabeth's Medical Center, Boston, MA, USA.
Anne HickmanPfizer Inc., Groton, CT, USA.
Glenn C PixtonPfizer Inc., Morrisville, NC, USA.
Puneet GaitondePfizer Inc., Groton, CT, USA.
Lars ViktrupEli Lilly and Company, Indianapolis, IN, USA.
Christine R WestPfizer Inc., Groton, CT, USA.
Pfizer (United States) · USEli Lilly (United States) · USJohns Hopkins University · USSt. Elizabeth's Medical Center · USUniversity College London · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTanezumab, a humanized anti-nerve growth factor antibody, was developed for the treatment of pain associated with osteoarthritis. Due to its mechanism of action, peripheral nerve safety was assessed in all clinical studies.

objectivesTo summarize the neurological safety of intravenous (IV) and subcutaneous (SC) tanezumab versus placebo in patients with osteoarthritis.

methodsData were pooled from 3389 patients across seven studies that investigated IV administration, and from 1840 patients across three studies that investigated SC administration. The treatment period of each study ranged from 16 to 24 weeks, and follow-up periods ranged from 8 to 24 weeks. Neurological safety evaluations focused on adverse events (AEs) of abnormal peripheral sensation (APS), neurologic examinations, and consultations.

resultsAcross datasets, the incidence of AEs of APS was higher in tanezumab groups versus placebo. Paresthesia and hypoesthesia were the most frequently reported AEs in tanezumab-treated patients, compared with placebo. In both datasets, most AEs were of mild severity, resolved, and rarely resulted in discontinuation. In all treatment groups in both IV and SC studies, over 90% of patients had no new or worsened neurological examination abnormalities at the last study visit. Across datasets, mononeuropathy was diagnosed more frequently in tanezumab groups compared with placebo. Polyneuropathy was diagnosed in ≤ 0.9% of patients in tanezumab and placebo groups.

conclusionsTanezumab IV or SC had an increased incidence of AEs of APS, such as paresthesia and hypoesthesia, and diagnoses of mononeuropathy compared with placebo. However, tanezumab was not associated with generalized peripheral neuropathy. CLINICALTRIALS: GOV IDENTIFIERS: NCT00733902, NCT00744471, NCT00830063, NCT00863304, NCT00863772, NCT01089725, NCT00985621, NCT02697773, and NCT02709486.

Indexed as

Antibodies, Monoclonal, HumanizedNerve Growth FactorOsteoarthritis, KneeParesthesiaClinical Trials, Phase III as TopicHumansHypesthesiaPainPeripheral NervesRandomized Controlled Trials as TopicTreatment OutcomeAntibodies, Monoclonal, HumanizedNerve Growth Factortanezumab

Identifiers

PMID37460782
OpenAlexW4384626231

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

and 3 more above

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.