Evidence map›Paper›PMID 38811970›Full record

Trial reportRespiratory research2024

Nebulised interferon beta-1a (SNG001) in the treatment of viral exacerbations of COPD.

Phillip D Monk, Jody L Brookes, Victoria J Tear, Toby N Batten, Clare Newall, Marcin Mankowski, Michael G Crooks, Dave Singh, Rekha Chaudhuri, Brian Leaker and 7 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Respiratory research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. The rhinovirus puzzle: Linking virus and host factors to childhood asthma.The Journal of allergy and clinical immunology · 2026
    Review
  3. Article
  4. Observational
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

17 authors.

Phillip D MonkSynairgen Research Ltd, Southampton, UK. phillip.monk@synairgen.com.
Jody L BrookesSynairgen Research Ltd, Southampton, UK.
Victoria J TearSynairgen Research Ltd, Southampton, UK.
Toby N BattenVeramed, Twickenham, London, UK.
Clare NewallVeramed, Twickenham, London, UK.
Marcin MankowskiSynairgen Research Ltd, Southampton, UK.
Michael G CrooksRespiratory Research Group, Hull York Medical School, University of Hull, Kingston Upon Hull, Hull, UK.
Dave SinghMedicines Evaluation Unit, The University of Manchester, Manchester University NHS Foundation Trust, Manchester, UK.
Rekha ChaudhuriGartnavel General Hospital, Glasgow, UK.
Brian LeakerRespiratory Clinical Trials Ltd, Fitzrovia Hospital, London, UK.
Kerry LunnSynairgen Research Ltd, Southampton, UK.
Sophie ReynoldsSynairgen Research Ltd, Southampton, UK.
Sarah DudleySynairgen Research Ltd, Southampton, UK.
Felicity J GabbaytranScrip Ltd, Wokingham, UK.
Stephen T HolgateNIHR Southampton Biomedical Research Centre, Clinical and Experimental Sciences, University of Southampton, Southampton, UK.
Ratko DjukanovicNIHR Southampton Biomedical Research Centre, Clinical and Experimental Sciences, University of Southampton, Southampton, UK.
Thomas Ma WilkinsonNIHR Southampton Biomedical Research Centre, Clinical and Experimental Sciences, University of Southampton, Southampton, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRespiratory viral infections are major drivers of chronic obstructive pulmonary disease (COPD) exacerbations. Interferon-β is naturally produced in response to viral infection, limiting replication. This exploratory study aimed to demonstrate proof-of-mechanism, and evaluate the efficacy and safety of inhaled recombinant interferon-β1a (SNG001) in COPD. Part 1 assessed the effects of SNG001 on induced sputum antiviral interferon-stimulated gene expression, sputum differential cell count, and respiratory function. Part 2 compared SNG001 and placebo on clinical efficacy, sputum and serum biomarkers, and viral clearance.

methodsIn Part 1, patients (N = 13) with stable COPD were randomised 4:1 to SNG001 or placebo once-daily for three days. In Part 2, patients (N = 109) with worsening symptoms and a positive respiratory viral test were randomised 1:1 to SNG001 or placebo once-daily for 14 days in two Groups: A (no moderate exacerbation); B (moderate COPD exacerbation [i.e., acute worsening of respiratory symptoms treated with antibiotics and/or oral corticosteroids]).

resultsIn Part 1, SNG001 upregulated sputum interferon gene expression. In Part 2, there were minimal SNG001-placebo differences in the efficacy endpoints; however, whereas gene expression was initially upregulated by viral infection, then declined on placebo, levels were maintained with SNG001. Furthermore, the proportion of patients with detectable rhinovirus (the most common virus) on Day 7 was lower with SNG001. In Group B, serum C-reactive protein and the proportion of patients with purulent sputum increased with placebo (suggesting bacterial infection), but not with SNG001. The overall adverse event incidence was similar with both treatments.

conclusionsOverall, SNG001 was well-tolerated in patients with COPD, and upregulated lung antiviral defences to accelerate viral clearance. These findings warrant further investigation in a larger study.

trial registrationEU clinical trials register (2017-003679-75), 6 October 2017.

Indexed as

Pulmonary Disease, Chronic ObstructiveAdministration, InhalationAgedAntiviral AgentsDisease ProgressionDouble-Blind MethodFemaleHumansInterferon-betaMaleMiddle AgedNebulizers and VaporizersSputumTreatment OutcomeAntiviral AgentsInterferon-betaBiomarkersChronic obstructive pulmonary diseaseInterferonsSymptom flare up

Identifiers

PMID38811970
PMCPMC11138078

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.