Evidence map›Paper›PMID 38033485›Full record

ArticleThe journal of allergy and clinical immunology. Global2024

Plasma-derived C1 esterase inhibitor pharmacokinetics and safety in patients with hereditary angioedema.

Inmaculada Martinez-Saguer, Konrad Bork, Tatiana Latysheva, Liudmyla Zabrodska, Valentyna Chopyak, Natalia Nenasheva, Areg Totolyan, Vitaliy Krivenchuk

Open access · goldAbstract read
In one paragraph

Article in The journal of allergy and clinical immunology. Global, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.9field-weighted citation impact, top 22% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Review
  2. 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

8 authors at 6 institutions in 4 countries.

Inmaculada Martinez-SaguerHämophilie-Zentrum Rhein Main GmbH, Mörfelden-Walldorf, Germany.
Konrad BorkDepartment of Dermatology, University Medical Center, Johannes Gutenberg University, Mainz, Germany.
Tatiana LatyshevaFederal State Budget Institution "National Research Center Institute of Immunology" of FMBA of Russia, Moscow, Russia.
Liudmyla ZabrodskaSI Institute of Otolaryngology na Prof O. S. Kolomiychenko of NAMS of Ukraine, Center of Allergic Diseases, Kyiv, Ukraine.
Valentyna ChopyakMunicipal Non-commercial Enterprise of Lviv Regional Council "Lviv Regional Clinical Hospital" Rheumatology Department, Lviv, Ukraine.
Natalia NenashevaFederal State Budget Educational Institution of Additional Professional Education "Russian Medical Academy of Continuous Postgraduate Education" of Ministry of Healthcare of Russian Federation, Department of Clinical Allergology, Moscow, Russia.
Areg TotolyanFederal Budget Institution of Science "Saint Petersburg Scientific Research Institute of Epidemiology and Microbiology named after Pasteur" of Federal Service for Surveillance on Consumer Rights Protection and Human Wellbeing, Saint Petersburg, Russia.
Vitaliy KrivenchukState Institution "Republican Research and Applied Center for Medical Radiology and Human Ecology", Gomel, Republic of Belarus.
Federal Service for Surveillance on Consumer Rights Protection and Human Wellbeing · RUInstitute of Otolaryngology named after Prof. A.I. Kolomiychenko of the National Academy of Medical Sciences of Ukraine · UARepublican Research Center for Radiation Medicine and Human Ecology · BYRussian Medical Academy of Continuous Professional Education · RUState Research Center of the Russian Federation · RUUniversity Medical Center of the Johannes Gutenberg University Mainz · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Over 40 years of use demonstrates that complement 1 esterase inhibitor (C1-INH) concentrate is effective and well tolerated for acute edema attacks and prophylaxis in patients with hereditary angioedema. OCTA-C1-INH is a new stable, virus-inactivated, nanofiltrated concentrate of C1-INH derived from human plasma. Objective: We investigated the pharmacokinetics and safety profile of new C1-INH in people with hereditary angioedema during an attack-free period. Methods: In this prospective, multicenter, open-label, single-arm study, adults with hereditary angioedema type I/II received a single intravenous dose of 20 IU/kg C1-INH. Blood samples were taken ≤30 minutes before infusion, and 0, 0.25, 1, 2, 6, 12, 24, 48, 72, 120, 144, and 168 hours after infusion. The primary end point was assessing the pharmacokinetic parameters of C1-INH measured by C1-INH activity. Safety end points were also examined. Results: Twenty patients received a single dose of 20 IU/kg new C1-INH with a mean (standard deviation) total dose of 1457.3 (356.51) IU. Mean (standard deviation) area under the curve normalized by dose was 51.6 (17.9) h∙IU/mL/IU, maximum blood concentration was 1.14 (0.989) IU/mL, incremental recovery was 0.0466 (0.051) (IU∙kg)/(IU∙mL), half-life was 0.598 (0.716) hours, and time to maximum concentration was 0.598 (0.716) hours. No thromboembolic events were recorded. No treatment-emergent adverse events were rated as severe/serious. Conclusion: PK parameters of new C1-INH were in line with those reported for other C1-INH concentrates. New C1-INH demonstrated a favorable safety profile in patients with C1-INH deficiency. Further studies are warranted to determine the effectiveness and longer-term safety of new C1-INH.

Indexed as

Complement 1 esterase inhibitorhereditary angioedemaopen-labelpharmacokineticplasma-derivedsafety

Identifiers

PMID38033485
PMCPMC10684372
OpenAlexW4388679762

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.