Evidence map›Paper›PMID 38730115›Full record

SynthesisThe AAPS journal2024

Anti-Drug Antibody Incidence Comparison of Therapeutic Proteins Administered Via Subcutaneous vs. Intravenous Route.

Jacob Felderman, Lila Ramaiah, Maria-Dolores Vazquez-Abad, Dean Messing, Ying Chen

Abstract readMeta-AnalysisComparative Study
PubMed Publisher
In one paragraph

Synthesis in The AAPS journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
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

7 citing papers in PubMed.

  1. Review
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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

5 authors.

Jacob FeldermanSkaggs School of Pharmacy and Pharmaceutical Sciences, University of California, San Diego, California, USA.ORCID http://orcid.org/0009-0006-6550-4455
Lila RamaiahGlobal Pathology & Drug Safety, Pfizer Inc, Pearl River, New York, USA.ORCID http://orcid.org/0000-0001-5412-0102
Maria-Dolores Vazquez-AbadClinical Immunogenicity, Pfizer Research and Development, Pfizer Inc, Cambridge, Massachusetts, USA.
Dean MessingBioMedicine Design, Pfizer Inc, Cambridge, Massachusetts, USA.
Ying ChenClinical Pharmacology, Pfizer Inc, 10555 Science Center Dr., San Diego, California, 92121, USA. ying.chen@pfizer.com.ORCID http://orcid.org/0009-0000-3474-9237

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Subcutaneous (SC) administration of therapeutic proteins is perceived to pose higher risk of immunogenicity when compared with intravenous (IV) route of administration (RoA). However, systematic evaluations of clinical data to support this claim are lacking. This meta-analysis was conducted to compare the immunogenicity of the same therapeutic protein by IV and SC RoA. Anti-drug antibody (ADA) data and controlling variables for 7 therapeutic proteins administered by both IV and SC routes across 48 treatment groups were analyzed. RoA was the primary independent variable of interest while therapeutic protein, patient population, adjusted dose, and number of ADA samples were controlling variables. Analysis of variance was used to compare the ADA incidence between IV and SC RoA, while accounting for controlling variables and potential interactions. Subsequently, 10 additional therapeutic proteins with ADA data published for both IV and SC administration were added to the above 7 therapeutic proteins and were evaluated for ADA incidence. RoA had no statistically significant effect on ADA incidence for the initial dataset of 7 therapeutic proteins (p = 0.55). The only variable with a significant effect on ADA incidence was the therapeutic protein. None of the other controlling variables, including their interactions with RoA, was significant. When all data from the 17 therapeutic proteins were pooled, there was no statistically significant effect of RoA on ADA incidence (p = 0.81). In conclusion, there is no significant difference in ADA incidence between the IV and SC RoA, based on analysis of clinical ADA data from 17 therapeutic proteins.

Indexed as

Administration, IntravenousAntibodiesHumansInjections, SubcutaneousProteinsAntibodiesProteinsanalysis of varianceanti-drug antibodyimmunogenicityintravenoussubcutaneoustherapeutic proteins

Identifiers

What OpenQuestion holds

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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.